Counselling in Bury Saint Edmunds
![Photo of Zandra AUSTIN - Austin Psychotherapy, MSc, MBACP, Counsellor](https://photos.psychologytoday.com/f897d461-a2f2-448c-bc32-ce0caf379323/1/320x400.jpeg)
Do you find it hard to cope? Does life seem increasingly difficult? Perhaps you are struggling with depression or anxiety, or have experienced a trauma which you are struggling to move past. I have worked in a wide range of settings, including NHS Wellbeing Services and can offer an empathetic and confidential service, tailored to your individual goals and needs.
Do you find it hard to cope? Does life seem increasingly difficult? Perhaps you are struggling with depression or anxiety, or have experienced a trauma which you are struggling to move past. I have worked in a wide range of settings, including NHS Wellbeing Services and can offer an empathetic and confidential service, tailored to your individual goals and needs.
![Photo of Christopher John Hope - Suffolk Psychotherapy, MA, MUKCP, Psychotherapist](https://photos.psychologytoday.com/489770a1-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Clients approach me when they are seeking greater fulfilment in their lives. Anxiety, fear, and stress, can sometimes affect the relationship we have with ourselves and others . Clients always need to know that they are listened to and taken seriously. This is achieved by helping clients to become more tolerant and kinder to themselves. This is what I believe is the basis to my style of Psychotherapy.
Clients approach me when they are seeking greater fulfilment in their lives. Anxiety, fear, and stress, can sometimes affect the relationship we have with ourselves and others . Clients always need to know that they are listened to and taken seriously. This is achieved by helping clients to become more tolerant and kinder to themselves. This is what I believe is the basis to my style of Psychotherapy.
![Photo of Jill Tsoi - Jill Tsoi - The Online Therapist, MA, MUKCP, Psychotherapist](https://photos.psychologytoday.com/549384df-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Jill Tsoi - The Online Therapist
Psychotherapist, MA, MUKCP
Verified Verified
Bury Saint Edmunds IP30
I am passionate about people's wellbeing, growth and transformation. My approach is practical, pragmatic and transpersonal, which includes emotional, and if you want it, higher self and spiritual aspects, to help you become more authentic and more content with your life. I work intuitively and energetically, in a compassionate and friendly way, seeking to enable you to understand yourself and increase your awareness of your behaviour, thoughts and feelings.
I am passionate about people's wellbeing, growth and transformation. My approach is practical, pragmatic and transpersonal, which includes emotional, and if you want it, higher self and spiritual aspects, to help you become more authentic and more content with your life. I work intuitively and energetically, in a compassionate and friendly way, seeking to enable you to understand yourself and increase your awareness of your behaviour, thoughts and feelings.
![Photo of Dr Nikki Schuck, PsychD, HCPC - Clin. Psych., Psychologist](https://photos.psychologytoday.com/f477133b-e00a-438d-a1c6-f6b46eb14f8b/3/320x400.jpeg)
Dr Nikki Schuck
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Bury Saint Edmunds IP32 (Online Only)
Not accepting new clients
I am a Chartered Clinical Psychologist with over 20 years of experience as a Lead Clinician in the NHS. I work with clients using a person centred, compassionate approach- tailoring treatment to individual needs and circumstances. I have had vast experience across the spectrum of mental health difficulties in the adult population. Whether you are struggling with an anxiety disorder or depression, or overcoming past trauma, I will help you to understand your difficulties and find a way to manage and overcome the problems you are facing.
I am a Chartered Clinical Psychologist with over 20 years of experience as a Lead Clinician in the NHS. I work with clients using a person centred, compassionate approach- tailoring treatment to individual needs and circumstances. I have had vast experience across the spectrum of mental health difficulties in the adult population. Whether you are struggling with an anxiety disorder or depression, or overcoming past trauma, I will help you to understand your difficulties and find a way to manage and overcome the problems you are facing.
![Photo of Zoe Wilson, MNCPS Acc., Counsellor](https://photos.psychologytoday.com/8d68f4d0-157c-41f5-bd99-9c34ac31f02d/2/320x400.jpeg)
Life can be overwhelming and full of challenges, often with obstacles getting in the way of you looking after your emotional wellbeing. Whether the barriers to a more fulfilling life are coming from you or are out of your control you can still find a way forward and my role is to help you with this. Whether you’re thinking “It’s probably just a me thing” or “It’s not that big of an issue” or even “I shouldn’t burden anyone else with this”, if you need someone to open up to, I’m here to help.
Life can be overwhelming and full of challenges, often with obstacles getting in the way of you looking after your emotional wellbeing. Whether the barriers to a more fulfilling life are coming from you or are out of your control you can still find a way forward and my role is to help you with this. Whether you’re thinking “It’s probably just a me thing” or “It’s not that big of an issue” or even “I shouldn’t burden anyone else with this”, if you need someone to open up to, I’m here to help.
![Photo of Laurie Seiler, MA, MBABCP, Psychotherapist](https://photos.psychologytoday.com/479bd972-1c32-43dd-84bb-88ac3040e0ba/3/320x400.jpeg)
Laurie is a registered mental health nurse and accredited cognitive behavioural therapist. He also has specialist qualifications in child and adolescent mental health, EMDR, and NLP. Laurie is the author of the book Cool Connections With CBT (Published by Jessica Kingsley) and has a wide range of experience supporting both adults and young people. Before qualifying as a nurse in 1997, he gained a wide range of experience working for with both adults and children in a number of different residential, hospitals, and school settings.
Laurie is a registered mental health nurse and accredited cognitive behavioural therapist. He also has specialist qualifications in child and adolescent mental health, EMDR, and NLP. Laurie is the author of the book Cool Connections With CBT (Published by Jessica Kingsley) and has a wide range of experience supporting both adults and young people. Before qualifying as a nurse in 1997, he gained a wide range of experience working for with both adults and children in a number of different residential, hospitals, and school settings.
![Photo of Jayne Shears - EMDR and CBT Services, MBABCP, Psychotherapist](https://photos.psychologytoday.com/2b03f9a6-1719-4323-9238-1bfa4e159108/2/320x400.jpeg)
I offer EMDR, CBT and Couples Counselling therapy and the aim is to help you to regain a sense of wellbeing and enjoyment in your life. During the initial assessment we will work together to understand your main problems, what is keeping you 'stuck' and then agree on an individualised treatment plan to help you move forward with clear treatment goals. CBT is an effective treatment that can help you in the here and now and EMDR is useful for getting to the root of the problem. I find that both work well, in different ways to bring about an improvement in emotional and physical health.
I offer EMDR, CBT and Couples Counselling therapy and the aim is to help you to regain a sense of wellbeing and enjoyment in your life. During the initial assessment we will work together to understand your main problems, what is keeping you 'stuck' and then agree on an individualised treatment plan to help you move forward with clear treatment goals. CBT is an effective treatment that can help you in the here and now and EMDR is useful for getting to the root of the problem. I find that both work well, in different ways to bring about an improvement in emotional and physical health.
![Photo of Claire Mackintosh - Open Minds CBT & Counselling service , MSc](https://photos.psychologytoday.com/4bfcf8cb-54bb-46b6-bc04-2bb510377e45/1/320x400.jpeg)
I like to work in a target focussed way, meaning at the beginning of treatment we will decide what you want to achieve from therapy and collaboratively work towards your goals; whether this is through the modality of CBT or counselling, we can be clear about what you wish to achieve from our time working together.
I like to work in a target focussed way, meaning at the beginning of treatment we will decide what you want to achieve from therapy and collaboratively work towards your goals; whether this is through the modality of CBT or counselling, we can be clear about what you wish to achieve from our time working together.
![Photo of Alex Westcott - The Suffolk Psychologist , MA, HCPC - Couns. Psych., Psychologist](https://photos.psychologytoday.com/402e0a05-fe3e-4bff-8446-d875560db62c/1/320x400.jpeg)
The Suffolk Psychologist
Psychologist, MA, HCPC - Couns. Psych.
Verified Verified
Bury Saint Edmunds IP32
Often, life is full of ordinary trickiness that can be difficult to manage. It can be helpful to have a warm, compassionate and external mind alongside you to think about you, your needs, your current situation and what next steps for change might be possible.
Often, life is full of ordinary trickiness that can be difficult to manage. It can be helpful to have a warm, compassionate and external mind alongside you to think about you, your needs, your current situation and what next steps for change might be possible.
![Photo of Rosemary Rush, MBACP, Counsellor](https://photos.psychologytoday.com/4d89e91a-7fcb-44c7-85e4-69146f628e01/1/320x400.jpeg)
I support adults, children and young people who may be feeling anxious or low. I also help when people are struggling with managing different relationships at home, work, college or school. I offer children, young people and their families the opportunity to explore and find new ways of coping with their emotional and behavioural difficulties. This may be due to big changes at school or college, a divorce or any other big changes at home. I am able to offer in person meetings and we may also meet on Zoom. In addition to this I offer clinical supervision to fellow professionals, please contact me for further information.
I support adults, children and young people who may be feeling anxious or low. I also help when people are struggling with managing different relationships at home, work, college or school. I offer children, young people and their families the opportunity to explore and find new ways of coping with their emotional and behavioural difficulties. This may be due to big changes at school or college, a divorce or any other big changes at home. I am able to offer in person meetings and we may also meet on Zoom. In addition to this I offer clinical supervision to fellow professionals, please contact me for further information.
![Photo of Holly Ann Forde - Seeking Solace Counselling, MNCPS Acc., Counsellor](https://photos.psychologytoday.com/419fa2c0-d310-46c3-a8e1-83482a248e96/1/320x400.jpeg)
Seeking Solace Counselling
Counsellor, MNCPS Acc.
Verified Verified
Bury Saint Edmunds IP33 (Online Only)
Clients have come to me for many different reasons. From dealing with past traumas, connecting with their emotions and understanding their reactions, to working on a better sense of self and building confidence. Each client comes to therapy seeking a safe and non-judgmental space to unpack their thoughts and emotions. They often come because they don't feel heard in their day-to-day life, or need somewhere to explore emotions without fear of reactions or feelings of guilt.
Clients have come to me for many different reasons. From dealing with past traumas, connecting with their emotions and understanding their reactions, to working on a better sense of self and building confidence. Each client comes to therapy seeking a safe and non-judgmental space to unpack their thoughts and emotions. They often come because they don't feel heard in their day-to-day life, or need somewhere to explore emotions without fear of reactions or feelings of guilt.
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I understand that life can be difficult and challenging and you may be struggling because you are going through a transitional period or feeling stuck which can be hard to deal with on your own, but it does not have to be. I provide a safe and supportive setting, free from intrusions and distractions that is confidential and respectful, whilst maintaining impartiality, integrity, and reliability. "The journey to healing is unique and personal one and you will need a guide, but the maps we are using does not identify the precise journey that we will take to get you there. However, I will be there with you to support you."
I understand that life can be difficult and challenging and you may be struggling because you are going through a transitional period or feeling stuck which can be hard to deal with on your own, but it does not have to be. I provide a safe and supportive setting, free from intrusions and distractions that is confidential and respectful, whilst maintaining impartiality, integrity, and reliability. "The journey to healing is unique and personal one and you will need a guide, but the maps we are using does not identify the precise journey that we will take to get you there. However, I will be there with you to support you."
![Photo of Madalina Edwards, MSc, MUKCP, Psychotherapist](https://photos.psychologytoday.com/ec71df34-94fa-41e0-8638-96dace425220/2/320x400.jpeg)
Many people go through periods of times when they feel vulnerable, anxious, stressed, depressed or just unhappy. Sometimes these are triggered by obvious causes, like a breakup in a relationship, job loss or a bereavement, while at other times the underlying causes seem opaque, especially when life appears to be fulfilling and good.We carry around sadness, guilt, shame, pain, darkness, anger, despair and in some cases a sense of desperation. It is possible to feel relief, to let some of the pain go, to gain strength and confidence, have the ability to heal and grow so you can live a life without anxiety worry and horrible thoughts.
Many people go through periods of times when they feel vulnerable, anxious, stressed, depressed or just unhappy. Sometimes these are triggered by obvious causes, like a breakup in a relationship, job loss or a bereavement, while at other times the underlying causes seem opaque, especially when life appears to be fulfilling and good.We carry around sadness, guilt, shame, pain, darkness, anger, despair and in some cases a sense of desperation. It is possible to feel relief, to let some of the pain go, to gain strength and confidence, have the ability to heal and grow so you can live a life without anxiety worry and horrible thoughts.
![Photo of Kate Wood, MBACP, Counsellor](https://photos.psychologytoday.com/d659a6be-a59c-4271-94e0-9c1001ee554f/2/320x400.jpeg)
I am an experienced and committed Integrative Child and Adolescent Counsellor. I am passionate about enabling children and young people to tell their stories, make sense of their inner worlds and develop the capacity for deeply fulfilling relationships. Using metaphor, imagery and healing conversations I help children work effectively with their emotional difficulties, which can be unbearable and difficult to understand. Staying present, attuned and attentive throughout the child’s personal journey, I am able to hold their discomfort, their sadness and their anger and stay with them in the process.
I am an experienced and committed Integrative Child and Adolescent Counsellor. I am passionate about enabling children and young people to tell their stories, make sense of their inner worlds and develop the capacity for deeply fulfilling relationships. Using metaphor, imagery and healing conversations I help children work effectively with their emotional difficulties, which can be unbearable and difficult to understand. Staying present, attuned and attentive throughout the child’s personal journey, I am able to hold their discomfort, their sadness and their anger and stay with them in the process.
![Photo of Rochelle Armstrong, MBACP, Counsellor](https://photos.psychologytoday.com/4f92daa4-6c5e-442a-8ff0-87b94fc2914c/1/320x400.jpeg)
Rochelle Armstrong
Counsellor, MBACP
Verified Verified
2 Endorsed
Bury Saint Edmunds IP28 (Online Only)
My therapeutic experiences includes working with clients who have experienced childhood trauma, have post-traumatic stress disorder, identity crisis, racial trauma, racial identity crisis, personal crisis, depression, low self esteem, mood disorders, personality disorders such as borderline personality disorder (BPD/EUPD) and many ranges of emotional ways of being. I promote resilience, mental fitness, prioritising a self care lifestyle, goal and self development accountability. I also encourage self-exploration and developing a sense of self, goal setting, becoming more of who you were born to be and living your best life!
My therapeutic experiences includes working with clients who have experienced childhood trauma, have post-traumatic stress disorder, identity crisis, racial trauma, racial identity crisis, personal crisis, depression, low self esteem, mood disorders, personality disorders such as borderline personality disorder (BPD/EUPD) and many ranges of emotional ways of being. I promote resilience, mental fitness, prioritising a self care lifestyle, goal and self development accountability. I also encourage self-exploration and developing a sense of self, goal setting, becoming more of who you were born to be and living your best life!
![Photo of Jo Ingram, MBACP, Counsellor](https://photos.psychologytoday.com/744c968f-0d8e-49a1-81bd-b4a6371c71de/1/320x400.jpeg)
Hello & welcome, my name is Jo. Whether you are undecided about embarking on your therapeutic journey or are aware of the challenges that you would like to explore, finding the right counsellor for you is an essential part of the process. There are times when life can be challenging, you may be experiencing difficulties within relationships, suffering from feelings of depression, anxiety or hopelessness. I offer a confidential space for you to explore the challenges you are facing & can work with you to enable healing & help you manage the difficulties you are experiencing.
Hello & welcome, my name is Jo. Whether you are undecided about embarking on your therapeutic journey or are aware of the challenges that you would like to explore, finding the right counsellor for you is an essential part of the process. There are times when life can be challenging, you may be experiencing difficulties within relationships, suffering from feelings of depression, anxiety or hopelessness. I offer a confidential space for you to explore the challenges you are facing & can work with you to enable healing & help you manage the difficulties you are experiencing.
![Photo of Michelle Banfield-Curran, BACP, Counsellor](https://photos.psychologytoday.com/f0920433-d8e9-4a98-812a-a006c90b18fe/3/320x400.jpeg)
At Rose Therapy, I believe that everyone has the potential to live a fulfilling life. My counselling services is designed to help you overcome challenges and achieve your goals. Let me help you find your inner peace today. I know it can be daunting to be vulnerable and seek someone to listen.
At Rose Therapy, I believe that everyone has the potential to live a fulfilling life. My counselling services is designed to help you overcome challenges and achieve your goals. Let me help you find your inner peace today. I know it can be daunting to be vulnerable and seek someone to listen.
![Photo of Melanie Jane Amps, MBABCP, Psychotherapist](https://photos.psychologytoday.com/e10f6083-8619-4d9f-8a4e-1d317f94dcb1/2/320x400.jpeg)
I currently work in Private Practice as an Accredited Cognitive Behavioural Therapist. I previously worked in the NHS with clients living with long term health conditions for over 30 years. Whether you are struggling with an anxiety disorder or depression or overcoming past trauma. I will help you understand your difficulties and find a way to manage and overcome the problems you are facing. Stressful life events can lead to feelings of helplessness and not coping. I provide a safe comfortable space for you to talk about anything that may be causing you difficulty.
I currently work in Private Practice as an Accredited Cognitive Behavioural Therapist. I previously worked in the NHS with clients living with long term health conditions for over 30 years. Whether you are struggling with an anxiety disorder or depression or overcoming past trauma. I will help you understand your difficulties and find a way to manage and overcome the problems you are facing. Stressful life events can lead to feelings of helplessness and not coping. I provide a safe comfortable space for you to talk about anything that may be causing you difficulty.
![Photo of Natalie Wiggins, MBACP, Counsellor](https://photos.psychologytoday.com/3a7730c6-1496-421a-b5f4-da03a3edab3b/1/320x400.jpeg)
Hello and welcome to my profile, thank you for visiting. I am a qualified, registered and insured Counsellor, trained and experienced in working from an integrative perspective. I offer help with a wide range of issues, in a way that is tailor made and as individual as you are, including couples work and those needing counselling for relationships. I am based in Suffolk (Sudbury and rural Bury St Edmunds) for face to face work plus online session availability, always at competitive prices. Ask me about reduced rates for counselling students to help with costs.
Hello and welcome to my profile, thank you for visiting. I am a qualified, registered and insured Counsellor, trained and experienced in working from an integrative perspective. I offer help with a wide range of issues, in a way that is tailor made and as individual as you are, including couples work and those needing counselling for relationships. I am based in Suffolk (Sudbury and rural Bury St Edmunds) for face to face work plus online session availability, always at competitive prices. Ask me about reduced rates for counselling students to help with costs.
![Photo of Jay Marie Ashby, MNCPS Acc., Counsellor](https://photos.psychologytoday.com/ee22e0b5-2138-49ed-929c-eecaa47abb46/2/320x400.jpeg)
Hi, I am Jay! I am a pluralistic counsellor offering remote counselling by phone or on Microsoft teams. My goal is to help clients become the best version of themselves by providing personal, flexible and holistic support.
Hi, I am Jay! I am a pluralistic counsellor offering remote counselling by phone or on Microsoft teams. My goal is to help clients become the best version of themselves by providing personal, flexible and holistic support.
See more therapy options for Bury Saint Edmunds
Nearby Searches for Bury Saint Edmunds
- Downham Market
- Dublin
- Hadleigh
- Harleston
- Haverhill
- Middleton
- Mildenhall
- Needham Market
- Newmarket
- Stowmarket
- Sudbury
- Thetford
How does your Counsellor compare?
Number of Counsellors in Bury Saint Edmunds
60+
Average cost per session
£60
Counsellors in Bury Saint Edmunds who prioritize treating:
90% | Anxiety |
86% | Depression |
86% | Self Esteem |
79% | Stress |
76% | Relationship Issues |
65% | Coping Skills |
63% | Bereavement |
Average years in practice
12 Years
Top 3 insurances accepted
85% | Aviva |
70% | AXA PPP |
60% | Bupa |
How Counsellors in Bury Saint Edmunds see their clients
85% | In Person and Online | |
15% | Online Only |
Gender breakdown
81% | Female | |
19% | Male |
FAQs - About Therapy and Counselling
How can I find a therapist in Bury Saint Edmunds?
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
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.
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.
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.