Counselling in Devon

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Photo of Juliette Claire Medder, MBACP, Psychotherapist
Juliette Claire Medder
Psychotherapist, MBACP
Verified Verified
Do you sometimes feel that anxiety or constant worrying rules your life? Or you feel low and sad no matter what you may try to do to change how you feel? Or you find that relationships often start well, but then become complicated with emotions connected to ex-partners or past family issues? Or perhaps you are seeking greater clarity, peace of mind about a certain issue, or actually wanting to move towards a more positive future, searching for the route to free up your true potential? Counselling is an opportunity to speak and be really heard by an objective and compassionate listener.
Do you sometimes feel that anxiety or constant worrying rules your life? Or you feel low and sad no matter what you may try to do to change how you feel? Or you find that relationships often start well, but then become complicated with emotions connected to ex-partners or past family issues? Or perhaps you are seeking greater clarity, peace of mind about a certain issue, or actually wanting to move towards a more positive future, searching for the route to free up your true potential? Counselling is an opportunity to speak and be really heard by an objective and compassionate listener.
01803 228293 View 01803 228293
Photo of Sarah Anne Kirk Wimpress - SSL Therapy Services, PsychD, CPsychol, Psychologist
SSL Therapy Services
Psychologist, PsychD, CPsychol
Verified Verified
We are a group of Plymouth based team of accredited professional therapists providing services in Cognitive Behavioural Therapy (CBT), Eye Movement Desensitisation Reprocessing (EMDR), Compassion Focused Therapy (CFT), Internal Family Systems (IFS), Counselling, Life Coaching and Integrative Psychotherapy. We are specialists in a wide variety of difficulties and offer assessment and treatment to clients, as well as clinical supervision for other health professionals. Our practitioners are fully accredited, and we also have practitioners in training so we are able to offer lower rates on a sliding scale ranging from £35 - £100.
We are a group of Plymouth based team of accredited professional therapists providing services in Cognitive Behavioural Therapy (CBT), Eye Movement Desensitisation Reprocessing (EMDR), Compassion Focused Therapy (CFT), Internal Family Systems (IFS), Counselling, Life Coaching and Integrative Psychotherapy. We are specialists in a wide variety of difficulties and offer assessment and treatment to clients, as well as clinical supervision for other health professionals. Our practitioners are fully accredited, and we also have practitioners in training so we are able to offer lower rates on a sliding scale ranging from £35 - £100.
01752 395813 View 01752 395813
Photo of Trish Dean, MBACP, Counsellor
Trish Dean
Counsellor, MBACP
Verified Verified
I believe that counselling is a collaborative process - we work together on whatever you feel to be most important. I will support you by finding ways to deal with uncomfortable thoughts and feelings, gently helping you to explore any worries or anxieties. We will work towards clarity about aspects of your life that are causing confusion by reflecting on your past to make sense of the present. Depression, anxiety and low self esteem often result from how we learnt to cope when our needs were not properly met at different stages of life. I offer an integrative approach where we work side-by-side creatively and safely.
I believe that counselling is a collaborative process - we work together on whatever you feel to be most important. I will support you by finding ways to deal with uncomfortable thoughts and feelings, gently helping you to explore any worries or anxieties. We will work towards clarity about aspects of your life that are causing confusion by reflecting on your past to make sense of the present. Depression, anxiety and low self esteem often result from how we learnt to cope when our needs were not properly met at different stages of life. I offer an integrative approach where we work side-by-side creatively and safely.
020 3835 5479 View 020 3835 5479
Photo of Sarah Louise Marshall, MBACP, Counsellor
Sarah Louise Marshall
Counsellor, MBACP
Verified Verified
1 Endorsed
As a therapist, I work to an integrative relational model, which means that I may draw upon a range of theory in our work together. However, I am not prescriptive in my work, as for me, I honour a persons lived experience, what matters to them and how they experience themselves, the world and others. I work within Professional boundaries and in accordance with the BACP ethical framework. I work with integrity, respecting your privacy and autonomy. This, helping to create a sense of trust whilst adding a richness to our therapeutic relationship.
As a therapist, I work to an integrative relational model, which means that I may draw upon a range of theory in our work together. However, I am not prescriptive in my work, as for me, I honour a persons lived experience, what matters to them and how they experience themselves, the world and others. I work within Professional boundaries and in accordance with the BACP ethical framework. I work with integrity, respecting your privacy and autonomy. This, helping to create a sense of trust whilst adding a richness to our therapeutic relationship.
01271 444610 View 01271 444610
Photo of Chris Eames, MBACP, Counsellor
Chris Eames
Counsellor, MBACP
Verified Verified
Are you finding life hard right now? Do you know something’s not quite right, but are struggling to make sense of what's going on? You may be experiencing difficulty in your relationships with others, either at work, or in the family. You may have noticed that it’s becoming harder to regulate your emotions, or impossible to make decisions about your own life. Talking to someone neutral can help you get back in touch with what you really feel, leaving you free to make the decisions you need to get back on track. Whatever your situation, I can help you make sense of whatever's going on, and support you in finding a way through.
Are you finding life hard right now? Do you know something’s not quite right, but are struggling to make sense of what's going on? You may be experiencing difficulty in your relationships with others, either at work, or in the family. You may have noticed that it’s becoming harder to regulate your emotions, or impossible to make decisions about your own life. Talking to someone neutral can help you get back in touch with what you really feel, leaving you free to make the decisions you need to get back on track. Whatever your situation, I can help you make sense of whatever's going on, and support you in finding a way through.
07813 067743 View 07813 067743
Photo of Charlotte Mizen, MSc, MBACP Accred, Counsellor
Charlotte Mizen
Counsellor, MSc, MBACP Accred
Verified Verified
We all experience difficult and painful times in life which sometimes feel too hard or overwhelming to manage alone. I have trained and worked as a counsellor and latterly as a psychotherapist with over ten years of clinical experience in private practice, a local therapeutic institution, and as an honorary psychotherapist in the NHS. Depression, anxiety, stress, loss and separation are some of the more difficult issues we come up against in life which can seriously impact the way we live our lives. My approach is psychoanalytically oriented with a focus on increasing self understanding and deepening insight into emotional issues
We all experience difficult and painful times in life which sometimes feel too hard or overwhelming to manage alone. I have trained and worked as a counsellor and latterly as a psychotherapist with over ten years of clinical experience in private practice, a local therapeutic institution, and as an honorary psychotherapist in the NHS. Depression, anxiety, stress, loss and separation are some of the more difficult issues we come up against in life which can seriously impact the way we live our lives. My approach is psychoanalytically oriented with a focus on increasing self understanding and deepening insight into emotional issues
01392 573820 View 01392 573820
Photo of Stacey Sewell, MBACP, Counsellor
Stacey Sewell
Counsellor, MBACP
Verified Verified
I work with people experiencing a range of difficulties including: depression, anxiety, stress, worry, feeling stuck or lost, loneliness, low self-esteem or a lack of confidence, imposter syndrome, feeling unsure of who they are, and relationship difficulties. I offer integrative counselling, which means I draw on a range of approaches to therapy, putting them together in a way that’s unique to each person I work with. I collaborate with clients to figure out what might help them through the difficulties they’re facing.
I work with people experiencing a range of difficulties including: depression, anxiety, stress, worry, feeling stuck or lost, loneliness, low self-esteem or a lack of confidence, imposter syndrome, feeling unsure of who they are, and relationship difficulties. I offer integrative counselling, which means I draw on a range of approaches to therapy, putting them together in a way that’s unique to each person I work with. I collaborate with clients to figure out what might help them through the difficulties they’re facing.
01572 491082 View 01572 491082
Photo of Naheed Holmes, MBACP Accred, Counsellor
Naheed Holmes
Counsellor, MBACP Accred
Verified Verified
People come to counselling for various reasons; talking with someone unconnected with your situation, can assist you in gaining new insight and support with your concerns. When you have the opportunity to explore these issues together with your counsellor, you may find ways to create new, healthier responses that benefit your behaviour, relationships and ultimately, your own wellbeing. My role is always to support you and ‘untangle’ issues in a collaborative way, allowing you to develop new ways of thinking to promote positive change.
People come to counselling for various reasons; talking with someone unconnected with your situation, can assist you in gaining new insight and support with your concerns. When you have the opportunity to explore these issues together with your counsellor, you may find ways to create new, healthier responses that benefit your behaviour, relationships and ultimately, your own wellbeing. My role is always to support you and ‘untangle’ issues in a collaborative way, allowing you to develop new ways of thinking to promote positive change.
01572 491096 View 01572 491096
Josh Zatz
Counsellor, PNCPS Acc.
Verified Verified
I do my best to meet with each person as the individual you are, and work together with you to find what helps you to explore, understand and transform whatever issues brought you to Counselling. I am an Integrative Counsellor, meaning I have studied a number of different approaches and tools. Listening to you and exploring your experience together, I seek to be creative, flexible and playful in finding what is helpful to you.
I do my best to meet with each person as the individual you are, and work together with you to find what helps you to explore, understand and transform whatever issues brought you to Counselling. I am an Integrative Counsellor, meaning I have studied a number of different approaches and tools. Listening to you and exploring your experience together, I seek to be creative, flexible and playful in finding what is helpful to you.
01803 223065 View 01803 223065
Photo of Magda Janaszek, MBACP, Counsellor
Magda Janaszek
Counsellor, MBACP
Verified Verified
I am a fully qualified Therapeutic Counsellor and a member of the BACP (British Association for Counselling and Psychotherapy) based in Plymouth, Devon, UK. My aim is to provide a respectful, safe, confidential and supportive environment where clients can explore and work through any emotional or life difficulties. I believe that each individual has the ability to reach their true potential within safe and non-judgemental space that the therapeutic relationship can offer. I am passionate about helping people to recognise their self-worth and to achieve their goals.
I am a fully qualified Therapeutic Counsellor and a member of the BACP (British Association for Counselling and Psychotherapy) based in Plymouth, Devon, UK. My aim is to provide a respectful, safe, confidential and supportive environment where clients can explore and work through any emotional or life difficulties. I believe that each individual has the ability to reach their true potential within safe and non-judgemental space that the therapeutic relationship can offer. I am passionate about helping people to recognise their self-worth and to achieve their goals.
07525 755527 View 07525 755527
Photo of Lucy Wallace, MNCPS Acc., Counsellor
Lucy Wallace
Counsellor, MNCPS Acc.
Verified Verified
It can be difficult to trust people with our innermost thoughts and worries. Sometimes we can feel that it's too much of a burden for our friends and family. I offer a confidential space to explore your thoughts and feelings. There is no grief that has gone on 'too long' or loss of ability or relationship that is 'too much' to bring to therapy. There is no rush to 'move on' this is your space to release from the anxieties and burdens of life and explore your present situations and past experiences at your own pace. I offer a comforting platform and my expertise to assist in your personal development and acceptance of what is.
It can be difficult to trust people with our innermost thoughts and worries. Sometimes we can feel that it's too much of a burden for our friends and family. I offer a confidential space to explore your thoughts and feelings. There is no grief that has gone on 'too long' or loss of ability or relationship that is 'too much' to bring to therapy. There is no rush to 'move on' this is your space to release from the anxieties and burdens of life and explore your present situations and past experiences at your own pace. I offer a comforting platform and my expertise to assist in your personal development and acceptance of what is.
01803 221434 View 01803 221434
Chris MacDonald
Counsellor, MBACP Accred
Verified Verified
I offer an opportunity for you to explore whatever you feel the need to share, in a safe environment with a trained counsellor and psychotherapist. I will bring over 20 years experience working in this area with adults and young people ( over 11 years old ) to our sessions together.
I offer an opportunity for you to explore whatever you feel the need to share, in a safe environment with a trained counsellor and psychotherapist. I will bring over 20 years experience working in this area with adults and young people ( over 11 years old ) to our sessions together.
01803 269822 View 01803 269822
Photo of Vikki Harvey - Vikki Harvey Counselling, DCounsPsych, MNCPS Acc., Counsellor
Vikki Harvey Counselling
Counsellor, DCounsPsych, MNCPS Acc.
Verified Verified
Therapy is scary but so rewarding and enlightening. If you are looking to improve your understanding of yourself, and move forward with your life in a positive way, then get in touch for a free confidential consultation. Working therapeutically online has changed greatly in recent years and I have extensive experience of working successfully with clients on line. Imagine no travelling to appointments, but instead sitting in the comfort and safety of your own home, relaxed in the knowledge you are receiving first class therapy.
Therapy is scary but so rewarding and enlightening. If you are looking to improve your understanding of yourself, and move forward with your life in a positive way, then get in touch for a free confidential consultation. Working therapeutically online has changed greatly in recent years and I have extensive experience of working successfully with clients on line. Imagine no travelling to appointments, but instead sitting in the comfort and safety of your own home, relaxed in the knowledge you are receiving first class therapy.
01271 443526 View 01271 443526
Photo of Rea Pearson, MBACP Accred, Psychotherapist
Rea Pearson
Psychotherapist, MBACP Accred
Verified Verified
Experienced & BACP Accredited, sex-positive Gender, Sexuality & Relationship Diversity (GSRD) therapist working with LGBTQIA+ people. Knowledgable about gender, sexuality, transitioning, polyamory, consensual & ethical non-monogamy (CNM/ENM), open relationships, kink, BDSM, D/s, fetishes, sexual Issues, sex workers, swinging, munches, and sex parties. All genders and sexualities welcome. I support people with opening up relationships, or who are into, or experimenting with, kinks or power play. I also see a lot of trans and non-binary clients. I am a fully qualified sex therapist so can help with most sexual issues.
Experienced & BACP Accredited, sex-positive Gender, Sexuality & Relationship Diversity (GSRD) therapist working with LGBTQIA+ people. Knowledgable about gender, sexuality, transitioning, polyamory, consensual & ethical non-monogamy (CNM/ENM), open relationships, kink, BDSM, D/s, fetishes, sexual Issues, sex workers, swinging, munches, and sex parties. All genders and sexualities welcome. I support people with opening up relationships, or who are into, or experimenting with, kinks or power play. I also see a lot of trans and non-binary clients. I am a fully qualified sex therapist so can help with most sexual issues.
01392 531579 View 01392 531579
Photo of Antonella Depetro, MBACP, Counsellor
Antonella Depetro
Counsellor, MBACP
Verified Verified
2 Endorsed
Welcome. My name is Antonella and I'm an experienced and dedicated counsellor working with both adults and young people. I support people who are going through all kinds of struggles and challenges. Clients I have worked with have told me that for the first time they were able to talk and express their feelings and thoughts about themselves and life as they felt safe and comfortable. I offer a safe and confidential space where you are free to explore yourself and your concerns, and discover your inner resources at your own pace. I will genuinely listen, be with you and accept you for who you are without judgement.
Welcome. My name is Antonella and I'm an experienced and dedicated counsellor working with both adults and young people. I support people who are going through all kinds of struggles and challenges. Clients I have worked with have told me that for the first time they were able to talk and express their feelings and thoughts about themselves and life as they felt safe and comfortable. I offer a safe and confidential space where you are free to explore yourself and your concerns, and discover your inner resources at your own pace. I will genuinely listen, be with you and accept you for who you are without judgement.
01392 321204 View 01392 321204
Photo of Chenie Miller, MBACP, Counsellor
Chenie Miller
Counsellor, MBACP
Verified Verified
As human beings we are all different so why shouldn't our package of support be as unique as we are? I am a fully qualified and experienced integrative therapeutic counsellor. I am also a registered member of the National Counselling Society and the British Association of Counselling and Psychotherapy
As human beings we are all different so why shouldn't our package of support be as unique as we are? I am a fully qualified and experienced integrative therapeutic counsellor. I am also a registered member of the National Counselling Society and the British Association of Counselling and Psychotherapy
01805 643052 View 01805 643052
Photo of Joyce Howitt, MA, MBACP Accred, Counsellor
Joyce Howitt
Counsellor, MA, MBACP Accred
Verified Verified
Newton Abbot TQ12  (Online Only)
Are you feeling anxious, depressed, stressed, insecure, or overwhelmed by your emotions? Or are you looking for someone who will listen and be non judgemental and to whom you can talk in confidence about issues that are bothering you that would be difficult to share with friends or family members? Your feelings may be related to a bereavement or loss, the effects of abuse, relationship issues, or a major life change or may be related to something unresolved from the past. You may also be seeking support in setting goals and moving on in a positive way. These (and others) are areas in which I am well experienced.
Are you feeling anxious, depressed, stressed, insecure, or overwhelmed by your emotions? Or are you looking for someone who will listen and be non judgemental and to whom you can talk in confidence about issues that are bothering you that would be difficult to share with friends or family members? Your feelings may be related to a bereavement or loss, the effects of abuse, relationship issues, or a major life change or may be related to something unresolved from the past. You may also be seeking support in setting goals and moving on in a positive way. These (and others) are areas in which I am well experienced.
01934 440629 View 01934 440629
Photo of Rah Rivers, MBACP, Psychotherapist
Rah Rivers
Psychotherapist, MBACP
Verified Verified
I see therapy as a close and creative collaboration, where together we can be with what concerns you and find out how are you relating with it. I can support you to understand how you respond to life and how you hold off from it. Let’s find out what happens in you, that limits the possibilities. We do this together, by listening closely, whilst I support you to pay attention to your present experience, because this gets us closer to understanding and is empowering. I trust this is more fruitful than working hard to try to figure things out. It gets below the rounds of thinking you have probably got caught in if you're struggling.
I see therapy as a close and creative collaboration, where together we can be with what concerns you and find out how are you relating with it. I can support you to understand how you respond to life and how you hold off from it. Let’s find out what happens in you, that limits the possibilities. We do this together, by listening closely, whilst I support you to pay attention to your present experience, because this gets us closer to understanding and is empowering. I trust this is more fruitful than working hard to try to figure things out. It gets below the rounds of thinking you have probably got caught in if you're struggling.
01803 222905 View 01803 222905
Photo of Kate Haskell, MNCPS Acc., Counsellor
Kate Haskell
Counsellor, MNCPS Acc.
Verified Verified
Having space to talk about how I feel is a waste of time... said: No one ever! Counselling is all it is cracked up to be. Maybe you want to talk to someone but feel unable to share with family or friends. Perhaps you want to make sense of the feelings you are experiencing. People start to heal when they feel truly heard and, by talking things over with a qualified and professional counsellor, it could help you heal from past or present trauma. My approach is Person Centred Therapy and my style is relaxed and friendly. You talk, I listen and together we find a new way of being.
Having space to talk about how I feel is a waste of time... said: No one ever! Counselling is all it is cracked up to be. Maybe you want to talk to someone but feel unable to share with family or friends. Perhaps you want to make sense of the feelings you are experiencing. People start to heal when they feel truly heard and, by talking things over with a qualified and professional counsellor, it could help you heal from past or present trauma. My approach is Person Centred Therapy and my style is relaxed and friendly. You talk, I listen and together we find a new way of being.
01392 321635 View 01392 321635
Photo of Dr Ailsa Lee, PsychD, HCPC - Clin. Psych., Psychologist
Dr Ailsa Lee
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
I am a warm and compassionate Chartered Clinical Psychologist registered with the Health Care Professions Council (HCPC). I have worked in mental health services within the NHS for over 10 years. I am based in Exeter and offer support to adults with anxiety and mood difficulties using a Cognitive Behavioural Therapy (CBT) approach. I can meet with you face to face at my practice rooms in central Exeter or online via video call. My main approach is Cognitive Behaviour Therapy and I incorporate ideas from Acceptance and Commitment Therapy (ACT), Compassion Focussed Therapy (CFT) and Narrative Therapy where these may be helpful.
I am a warm and compassionate Chartered Clinical Psychologist registered with the Health Care Professions Council (HCPC). I have worked in mental health services within the NHS for over 10 years. I am based in Exeter and offer support to adults with anxiety and mood difficulties using a Cognitive Behavioural Therapy (CBT) approach. I can meet with you face to face at my practice rooms in central Exeter or online via video call. My main approach is Cognitive Behaviour Therapy and I incorporate ideas from Acceptance and Commitment Therapy (ACT), Compassion Focussed Therapy (CFT) and Narrative Therapy where these may be helpful.
01392 321571 View 01392 321571
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See more therapy options for Devon

How does your Counsellor compare?

Number of Counsellors in Devon

500+

Average cost per session

£50

Counsellors in Devon who prioritize treating:

90% Anxiety
89% Depression
83% Self Esteem
80% Stress
75% Relationship Issues
69% Bereavement
67% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

53% AXA PPP
51% Aviva
42% Bupa

How Counsellors in Devon see their clients

83% In Person and Online
17% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Devon?

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.