Counselling in Hereford

Photo of Emily McKiernan-Helme, MBACP, Counsellor
Emily McKiernan-Helme
Counsellor, MBACP
Verified Verified
Hereford HR2  (Online Only)
There are times in our lives that we may experience difficult and intense emotions. You may feel that you are struggling to cope with overwhelming/anxious thoughts, you may be struggling with low-mood or depression or perhaps you are unsure why you are feeling distressed. I am here to help you make sense of those thoughts and feelings within a safe and non-judgemental space. I can help you to overcome the challenges you are facing and work on finding the best version of yourself.
There are times in our lives that we may experience difficult and intense emotions. You may feel that you are struggling to cope with overwhelming/anxious thoughts, you may be struggling with low-mood or depression or perhaps you are unsure why you are feeling distressed. I am here to help you make sense of those thoughts and feelings within a safe and non-judgemental space. I can help you to overcome the challenges you are facing and work on finding the best version of yourself.
01981 200207 View 01981 200207
Photo of Amy Leanna Watton - AW Counselling, MBACP, Counsellor
AW Counselling
Counsellor, MBACP
Verified Verified
Hereford HR4  (Online Only)
I am a Person-Centred Counsellor providing a safe and confidential space that allows you to talk through difficult situations in your life. I believe through exploring your emotions, you can gain greater self-awareness and a better understanding of your own behaviours including, the relationships you build. Together, we can build the appropriate therapeutic relationship, exploring your story and experiences. I will listen without judgement and support you to discover your own autonomy.
I am a Person-Centred Counsellor providing a safe and confidential space that allows you to talk through difficult situations in your life. I believe through exploring your emotions, you can gain greater self-awareness and a better understanding of your own behaviours including, the relationships you build. Together, we can build the appropriate therapeutic relationship, exploring your story and experiences. I will listen without judgement and support you to discover your own autonomy.
01568 600246 View 01568 600246
Photo of Dr Maria Love, HCPC - Clin. Psych., Psychologist
Dr Maria Love
Psychologist, HCPC - Clin. Psych.
Verified Verified
Hereford HR4
Welcome, you may have arrived here feeling somewhat overwhelmed as you look for the support you need. Specialist psychological therapy may offer you helpful and meaningful ways of understanding your difficulties as well as resources and ways of coping to support you to move towards your valued direction for your mental health and wellbeing. Many people experience trauma reactions following highly stressful and distressing experiences in their life. You may be struggling to make sense of and cope with what has happened to you and the ways that this affects how you think, feel, behave and your relationships.
Welcome, you may have arrived here feeling somewhat overwhelmed as you look for the support you need. Specialist psychological therapy may offer you helpful and meaningful ways of understanding your difficulties as well as resources and ways of coping to support you to move towards your valued direction for your mental health and wellbeing. Many people experience trauma reactions following highly stressful and distressing experiences in their life. You may be struggling to make sense of and cope with what has happened to you and the ways that this affects how you think, feel, behave and your relationships.
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Photo of Gem Duncan, MA, MBACP, Counsellor
Gem Duncan
Counsellor, MA, MBACP
Verified Verified
Hereford HR1
I am a Relate-trained couple counsellor and have also trained to work for Rape Crisis and in NHS psychology department counselling older people. For the last 14 years I was a lecturer training students in Person-Centered counselling from Basic to degree level.
I am a Relate-trained couple counsellor and have also trained to work for Rape Crisis and in NHS psychology department counselling older people. For the last 14 years I was a lecturer training students in Person-Centered counselling from Basic to degree level.
01432 803705 View 01432 803705
Photo of Joanna Kucinska, BPC, Psychotherapist
Joanna Kucinska
Psychotherapist, BPC
Verified Verified
Hereford HR1
Hello and welcome to my page. I am a qualified accredited Psychodynamic Psychotherapist registered with the British Psychoanalytic Council. I am compliant with the BPC ethical guidelines, I have regular clinical supervision and undertake regular professional development. Over the years I have worked with clients from diverse backgrounds, struggling with various pasts, challenges and issues. I work in private practice and offer a confidential, non-judgemental and safe space to explore the difficulties that you may be experiencing. I provide individual sessions to adults in short and long-term therapy.
Hello and welcome to my page. I am a qualified accredited Psychodynamic Psychotherapist registered with the British Psychoanalytic Council. I am compliant with the BPC ethical guidelines, I have regular clinical supervision and undertake regular professional development. Over the years I have worked with clients from diverse backgrounds, struggling with various pasts, challenges and issues. I work in private practice and offer a confidential, non-judgemental and safe space to explore the difficulties that you may be experiencing. I provide individual sessions to adults in short and long-term therapy.
01603 931865 View 01603 931865
Photo of Sarah Lesley Steel - Sarah Steel Counselling Services, MBACP, Counsellor
Sarah Steel Counselling Services
Counsellor, MBACP
Verified Verified
Hereford HR3
Are you having relationship difficulties, trouble sleeping, low mood, or anxiety? I offer a down to earth practical approach, and will listen with respect and hold your confidentiality. Together we will aim for you to gain a better understanding of your thoughts and feelings, so that in time you can develop strategies to cope when life seems overwhelming. I have worked extensively with people who are experiencing depression, anxiety, panic, trauma, loss, sleeplessness, low self esteem, relationship problems and addictions. I work integratively, and will draw on what ever counselling skills suit you best.
Are you having relationship difficulties, trouble sleeping, low mood, or anxiety? I offer a down to earth practical approach, and will listen with respect and hold your confidentiality. Together we will aim for you to gain a better understanding of your thoughts and feelings, so that in time you can develop strategies to cope when life seems overwhelming. I have worked extensively with people who are experiencing depression, anxiety, panic, trauma, loss, sleeplessness, low self esteem, relationship problems and addictions. I work integratively, and will draw on what ever counselling skills suit you best.
07723 468082 View 07723 468082
Photo of Catherine Anne Gallimore - Catherine Gallimore Counselling, MBACP, Counsellor
Catherine Gallimore Counselling
Counsellor, MBACP
Verified Verified
Hereford HR4
Hi, I am Catherine, and I offer you a safe space to be curious about yourself, your experiences and how they might be impacting you. I am passionate about helping people who are looking to make changes and want to help themselves. I am qualified as a counsellor to do just that. I have the training, skills, empathy and compassion to support you through your healing. If you are experiencing emotional distress, I can work alongside you and guide you past your blocks, barriers and sticking points. We will look at what is limiting you emotionally and enable you to find your own lasting solutions and reclaim your power.
Hi, I am Catherine, and I offer you a safe space to be curious about yourself, your experiences and how they might be impacting you. I am passionate about helping people who are looking to make changes and want to help themselves. I am qualified as a counsellor to do just that. I have the training, skills, empathy and compassion to support you through your healing. If you are experiencing emotional distress, I can work alongside you and guide you past your blocks, barriers and sticking points. We will look at what is limiting you emotionally and enable you to find your own lasting solutions and reclaim your power.
01432 804898 View 01432 804898
Photo of Lou Padian, MBACP, Counsellor
Lou Padian
Counsellor, MBACP
Verified Verified
Hereford HR1
Hello, my name is Lou and I am passionate about helping people find themselves again. If you are going through a difficult time, don't be alone, we can face whatever you are struggling with together. I listen with an empathic approach offering reflection and support when needed. I understand how challenging life can become and will support you in finding the power to achieve a more satisfying life. I believe everyone deserves to explore their feelings in a safe space feeling heard, understood and respected because I think each individual has their own answers. Enquiring about therapy is the first step to recovery.
Hello, my name is Lou and I am passionate about helping people find themselves again. If you are going through a difficult time, don't be alone, we can face whatever you are struggling with together. I listen with an empathic approach offering reflection and support when needed. I understand how challenging life can become and will support you in finding the power to achieve a more satisfying life. I believe everyone deserves to explore their feelings in a safe space feeling heard, understood and respected because I think each individual has their own answers. Enquiring about therapy is the first step to recovery.
01432 805395 View 01432 805395
Photo of Ruth Addis, MBACP, Counsellor
Ruth Addis
Counsellor, MBACP
Verified Verified
1 Endorsed
Hereford HR1
I offer a safe, completely confidential space in a welcoming environment for you to talk about anything, and feel seen and heard. I work in an integrative way, specialising in abuse, religious trauma and those struggling with grief. I can help you make sense of your situation where things can seem confusing, as we work together to help you find strength, clarity and freedom. By understanding your anxiety, struggles and fears through a range of approaches, you can discover who you really are and find the confidence to work through whatever challenges you are facing.
I offer a safe, completely confidential space in a welcoming environment for you to talk about anything, and feel seen and heard. I work in an integrative way, specialising in abuse, religious trauma and those struggling with grief. I can help you make sense of your situation where things can seem confusing, as we work together to help you find strength, clarity and freedom. By understanding your anxiety, struggles and fears through a range of approaches, you can discover who you really are and find the confidence to work through whatever challenges you are facing.
01432 805416 View 01432 805416
Photo of Alex Hewitt, MBACP, Counsellor
Alex Hewitt
Counsellor, MBACP
Verified Verified
Hereford HR1
A common question asked by those seeking therapy is, " I need help, but I don't know why?". There is no easy answer - humans are complex. But it is my belief that the true expert on you is yourself - you just might not know it. You may be questioning why you feel like you don't belong, why your relationships seem to fail, why you can't be honest with others or yourself, or what might happen if you say no - or yes - to people. Being able to understand how and why we've taken our particular journey through life is key to accepting ourselves and living the life we truly want.
A common question asked by those seeking therapy is, " I need help, but I don't know why?". There is no easy answer - humans are complex. But it is my belief that the true expert on you is yourself - you just might not know it. You may be questioning why you feel like you don't belong, why your relationships seem to fail, why you can't be honest with others or yourself, or what might happen if you say no - or yes - to people. Being able to understand how and why we've taken our particular journey through life is key to accepting ourselves and living the life we truly want.
01432 805311 View 01432 805311
Photo of Colin Winston-Fletcher, MUKCP, Psychotherapist
Colin Winston-Fletcher
Psychotherapist, MUKCP
Verified Verified
Hereford HR1
I am a fully accredited, experienced psychotherapist and counsellor working in Central London and Hereford. I provide a confidential, non-judgemental and accepting space for you to explore your emotional issues and difficulties. The therapy I offer is for You. It is your time to explore within a safe therapeutic relationship the aspects of your life that are leaving you feeling lost, sad, lonely, confused, angry, anxious, depressed or desperate, Together we can find the lightness in the dark.
I am a fully accredited, experienced psychotherapist and counsellor working in Central London and Hereford. I provide a confidential, non-judgemental and accepting space for you to explore your emotional issues and difficulties. The therapy I offer is for You. It is your time to explore within a safe therapeutic relationship the aspects of your life that are leaving you feeling lost, sad, lonely, confused, angry, anxious, depressed or desperate, Together we can find the lightness in the dark.
01432 806094 View 01432 806094
Photo of Jnanamati Williams, MA, HCPC-Art Therap., Psychotherapist
Jnanamati Williams
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
Hereford HR1
I am an art psychotherapist with additional trainings in relational trauma therapy and applied Buddhist psychology. I am also a qualified clinical supervisor. As a therapist with nearly two decades of experience I have worked with children and adults, within family services, hospices, acute mental health and inpatient services, in children's centres and more recently in private practice. I have also as, a socially engaged Buddhist practitioner, worked on overseas projects including in Delhi, Assam and Nepal and in Europe.
I am an art psychotherapist with additional trainings in relational trauma therapy and applied Buddhist psychology. I am also a qualified clinical supervisor. As a therapist with nearly two decades of experience I have worked with children and adults, within family services, hospices, acute mental health and inpatient services, in children's centres and more recently in private practice. I have also as, a socially engaged Buddhist practitioner, worked on overseas projects including in Delhi, Assam and Nepal and in Europe.
07962 234328 View 07962 234328
Photo of Wendy Harvey, MBACP Accred, Psychotherapist
Wendy Harvey
Psychotherapist, MBACP Accred
Verified Verified
1 Endorsed
Hereford HR4
I specialise in working with couples and individuals from a holistic/mindfulness perspective. I have over 25 years of experience of accompanying people of all ages with every kind of issue on their journeys of self-exploration. My original training was with Relate and I have since trained in Mindfulness-based Stress Reduction, Somatic Trauma Work, Whole Body Focusing and Craniosacral Therapy. I have an interest in working with family relationship issues with Family Systems, Family Constellations and Non-Violent Communication approaches. I have a longstanding meditation and spiritual practice which is the foundation for my work.
I specialise in working with couples and individuals from a holistic/mindfulness perspective. I have over 25 years of experience of accompanying people of all ages with every kind of issue on their journeys of self-exploration. My original training was with Relate and I have since trained in Mindfulness-based Stress Reduction, Somatic Trauma Work, Whole Body Focusing and Craniosacral Therapy. I have an interest in working with family relationship issues with Family Systems, Family Constellations and Non-Violent Communication approaches. I have a longstanding meditation and spiritual practice which is the foundation for my work.
01432 808374 View 01432 808374
Photo of Catherine Quayle, MBACP, Counsellor
Catherine Quayle
Counsellor, MBACP
Verified Verified
Hereford HR4
An experienced counsellor, I work with a broad range of issues with adults from all walks of life, including busy professional people who often worry that counselling is indulgent or shows weakness. Ultimately whatever our issue, we want relief - to finally express what we hide, to be truly heard, accepted, and for this process to actually help. I provide a safe, space for coming to terms with really difficult experiences. I help people get clarity on their situation, I support in finding ways to cope with life’s difficulties, and importantly, facilitate the process of being true to yourself.
An experienced counsellor, I work with a broad range of issues with adults from all walks of life, including busy professional people who often worry that counselling is indulgent or shows weakness. Ultimately whatever our issue, we want relief - to finally express what we hide, to be truly heard, accepted, and for this process to actually help. I provide a safe, space for coming to terms with really difficult experiences. I help people get clarity on their situation, I support in finding ways to cope with life’s difficulties, and importantly, facilitate the process of being true to yourself.
01432 805153 View 01432 805153
Photo of Tom Magal, MBACP, Counsellor
Tom Magal
Counsellor, MBACP
Verified Verified
Hereford HR1
I am a fully qualified integrative therapist, experienced in working with couples and individuals of all ages, and from all walks of life. I'm not your everyday counsellor, I truly believe that we all have it within us to be our best selves, happy and content, but that comes from understanding ourselves better. I often see clients in the middle of a crisis who need more immediate help, and I also work with people who are otherwise happy but want help moving forwards in their life. I see couples who may have got into bad habits, and may want help building an environment which will enable the relationship to flourish once again.
I am a fully qualified integrative therapist, experienced in working with couples and individuals of all ages, and from all walks of life. I'm not your everyday counsellor, I truly believe that we all have it within us to be our best selves, happy and content, but that comes from understanding ourselves better. I often see clients in the middle of a crisis who need more immediate help, and I also work with people who are otherwise happy but want help moving forwards in their life. I see couples who may have got into bad habits, and may want help building an environment which will enable the relationship to flourish once again.
01432 805983 View 01432 805983
Photo of Gayle Murphy, MSc, MBABCP, Psychotherapist
Gayle Murphy
Psychotherapist, MSc, MBABCP
Verified Verified
Hereford HR2
I have been working in the NHS for nearly 15 years. I am a CBT/EMDR psychotherapist and I specialise in common mental health problems and trauma, including Complex trauma, military trauma and emergency services trauma. I see patients from adolescence to adult.
I have been working in the NHS for nearly 15 years. I am a CBT/EMDR psychotherapist and I specialise in common mental health problems and trauma, including Complex trauma, military trauma and emergency services trauma. I see patients from adolescence to adult.
01432 233055 View 01432 233055
Photo of Elliot Downs, MSc, MBACP, Counsellor
Elliot Downs
Counsellor, MSc, MBACP
Verified Verified
Hereford HR4
I am a person centred counsellor, offering counselling in Herefordshire and the surrounding areas. I am registered with the British Association for Counselling and Psychotherapy (BACP) and fully abide by their Ethical Framework. I work with my clients in a safe, confidential and empathic environment, free from judgement. I offer counselling and psychotherapy to adults and adolescents. My priority has always been to ensure that you feel safe to explore whatever you are feel you need to explore. I have a calm, empathic and engaging presence, which I hope will enable you to discover new avenues of thinking.
I am a person centred counsellor, offering counselling in Herefordshire and the surrounding areas. I am registered with the British Association for Counselling and Psychotherapy (BACP) and fully abide by their Ethical Framework. I work with my clients in a safe, confidential and empathic environment, free from judgement. I offer counselling and psychotherapy to adults and adolescents. My priority has always been to ensure that you feel safe to explore whatever you are feel you need to explore. I have a calm, empathic and engaging presence, which I hope will enable you to discover new avenues of thinking.
01432 803476 View 01432 803476
Photo of Clive Oxford, SNCPS Acc., Psychotherapist
Clive Oxford
Psychotherapist, SNCPS Acc.
Verified Verified
Hereford HR2
An Independent Counsellor and Psychotherapist, I provide in person individual and couples Counselling and Psychotherapy, and Practitioner Supervision in Hereford. I also facilitate Personal Development and Advanced Training for practitioners. My practice room is 15 mins from central Hereford. With over 30 years experience, my approach can now only be described as eclectic and thus very much 'tailored' to the individuals, couples and groups I work with. My clients say they find me insightful, intuitive, humourous, pragmatic and down-to-earth. More information on my website - www.cliveoxford.co.uk
An Independent Counsellor and Psychotherapist, I provide in person individual and couples Counselling and Psychotherapy, and Practitioner Supervision in Hereford. I also facilitate Personal Development and Advanced Training for practitioners. My practice room is 15 mins from central Hereford. With over 30 years experience, my approach can now only be described as eclectic and thus very much 'tailored' to the individuals, couples and groups I work with. My clients say they find me insightful, intuitive, humourous, pragmatic and down-to-earth. More information on my website - www.cliveoxford.co.uk
01432 805099 View 01432 805099
Photo of Sue Egan - Dr. Sue Egan - Psychologist/EMDR Therapist, DCounsPsych, HCPC - Couns. Psych., Psychologist
Dr. Sue Egan - Psychologist/EMDR Therapist
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
2 Endorsed
Hereford HR1  (Online Only)
Waitlist for new clients
There is hope, even when you have experienced significant life trauma. Although it might not be possible to forget life's challenges completely, it is possible to manage them so you can live life again with the volume turned down on the past. My role is to facilitate a safe, supportive space where you can begin to heal from life's traumas and remember who you are. I value doing all I can to offer you an integrated approach assessing your past, present and future using counselling and psychological theories. As the client, the time we have will be entirely yours, as I assist and guide you to uncover the way forward.
There is hope, even when you have experienced significant life trauma. Although it might not be possible to forget life's challenges completely, it is possible to manage them so you can live life again with the volume turned down on the past. My role is to facilitate a safe, supportive space where you can begin to heal from life's traumas and remember who you are. I value doing all I can to offer you an integrated approach assessing your past, present and future using counselling and psychological theories. As the client, the time we have will be entirely yours, as I assist and guide you to uncover the way forward.
01432 808347 View 01432 808347
Photo of Pippa Haverly, MBACP, Counsellor
Pippa Haverly
Counsellor, MBACP
Verified Verified
Hereford HR1
Life can be really complex and often overwhelming, leaving us at times feeling isolated and alone, even when we are surrounded by people. As such there might be many different reasons why people come into counselling. Sometimes the issues we experience have clear causes and explanations and at other times it might feel less obvious and harder therefore to identify. What I would hope to offer you is a place that feels safe, supportive and confidential where you are able to explore whatever it is for you personally that you want to address without fear of judgement and criticism.
Life can be really complex and often overwhelming, leaving us at times feeling isolated and alone, even when we are surrounded by people. As such there might be many different reasons why people come into counselling. Sometimes the issues we experience have clear causes and explanations and at other times it might feel less obvious and harder therefore to identify. What I would hope to offer you is a place that feels safe, supportive and confidential where you are able to explore whatever it is for you personally that you want to address without fear of judgement and criticism.
01432 808278 x078274 View 01432 808278 x078274

See more therapy options for Hereford

How does your Counsellor compare?

Number of Counsellors in Hereford

50+

Average cost per session

£60

Counsellors in Hereford who prioritize treating:

88% Anxiety
81% Relationship Issues
78% Depression
78% Self Esteem
72% Stress
69% Bereavement
60% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

63% Aviva
50% Cigna and Evernorth
50% AXA PPP

How Counsellors in Hereford see their clients

85% In Person and Online
15% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Hereford?

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.