Counselling in Ruislip

Photo of Iveta Parravani, MBACP, Counsellor
Iveta Parravani
Counsellor, MBACP
Verified Verified
Ruislip HA4  (Online Only)
Hello, I am Iveta - a qualified psychotherapeutic counsellor. I have considerable experience in working with children, young people and adults. My area of work includes supporting people with mental health issues such as depression, anxiety disorders, self-harm, social and general anxiety, friendship and relationship difficulties, divorce or separation, emotional difficulties, emotional and physical abuse, trauma, bereavement, loss, post traumatic stress disorder, low self-esteem and bullying.
Hello, I am Iveta - a qualified psychotherapeutic counsellor. I have considerable experience in working with children, young people and adults. My area of work includes supporting people with mental health issues such as depression, anxiety disorders, self-harm, social and general anxiety, friendship and relationship difficulties, divorce or separation, emotional difficulties, emotional and physical abuse, trauma, bereavement, loss, post traumatic stress disorder, low self-esteem and bullying.
01895 541699 View 01895 541699
Photo of Elena Ward, MSc, MBACP, Counsellor
Elena Ward
Counsellor, MSc, MBACP
Verified Verified
Ruislip HA4  (Online Only)
I am a fully qualified experienced integrative counsellor with a psychology background and mental health experience, which enables me to draw on various therapeutic modalities in order to meet the individual needs of each client. I currently work for NHS and in private practice helping with a wide range of psychological issues including anxiety, depression, trauma and post-traumatic stress, bereavement, relationship issues etc. I combine the advantages of contemporary science with ancient traditional methods incorporating mindfulness, meditation, visualisation, TFT, grounding and relaxation techniques into my clinical practice.
I am a fully qualified experienced integrative counsellor with a psychology background and mental health experience, which enables me to draw on various therapeutic modalities in order to meet the individual needs of each client. I currently work for NHS and in private practice helping with a wide range of psychological issues including anxiety, depression, trauma and post-traumatic stress, bereavement, relationship issues etc. I combine the advantages of contemporary science with ancient traditional methods incorporating mindfulness, meditation, visualisation, TFT, grounding and relaxation techniques into my clinical practice.
07847 570543 View 07847 570543
Photo of Eoli Halatsa - Kalian, MA, MUKCP, Psychotherapist
Eoli Halatsa - Kalian
Psychotherapist, MA, MUKCP
Verified Verified
Ruislip HA4  (Online Only)
Hello and a warm welcome! I am an accredited Relationship, Psychosexual and Trauma Therapist. You could be looking for an understanding, a solution or a change. I can support you find that in a space where you feel comfortable to express your inner worries, process concerns and choose ways which may serve you better overall. You may wish to tackle issues as an Individual or within a Family or Relationship setting; or your concerns may be of a more intimate nature entailing a Psychosexual or Sexual Addiction/Compulsivity issue. “There is no such thing as a problem without a gift for you in its hands.” ― Richard Bach, author (1936-)
Hello and a warm welcome! I am an accredited Relationship, Psychosexual and Trauma Therapist. You could be looking for an understanding, a solution or a change. I can support you find that in a space where you feel comfortable to express your inner worries, process concerns and choose ways which may serve you better overall. You may wish to tackle issues as an Individual or within a Family or Relationship setting; or your concerns may be of a more intimate nature entailing a Psychosexual or Sexual Addiction/Compulsivity issue. “There is no such thing as a problem without a gift for you in its hands.” ― Richard Bach, author (1936-)
01895 547655 View 01895 547655
Photo of Jernene Eubank - Jernene @ The Psychological Wellness Group , MBABCP, Psychotherapist
Jernene @ The Psychological Wellness Group
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Ruislip HA4  (Online Only)
Welcome! We are a group of BABCP accredited Cognitive Behavioural Psychotherapists who have substantial experience working within primary care and secondary care NHS mental health services. I have 13 years experience working within mental health services. I have been specifically trained to offer Cognitive Behavioural Therapy to individuals experiencing depression, generalised anxiety, OCD, health anxiety, social anxiety etc. I am also trained to offer Behavioural Couples Therapy to address depression and/or relationship distress.
Welcome! We are a group of BABCP accredited Cognitive Behavioural Psychotherapists who have substantial experience working within primary care and secondary care NHS mental health services. I have 13 years experience working within mental health services. I have been specifically trained to offer Cognitive Behavioural Therapy to individuals experiencing depression, generalised anxiety, OCD, health anxiety, social anxiety etc. I am also trained to offer Behavioural Couples Therapy to address depression and/or relationship distress.
01895 546495 View 01895 546495
Photo of Jennifer Hooper, MA, MBACP, Psychotherapist
Jennifer Hooper
Psychotherapist, MA, MBACP
Verified Verified
1 Endorsed
Ruislip HA4  (Online Only)
Clinical Telehealth web chat and phone calls. A safe and compassionate practice offering Counselling, Psychotherapy, Executive Coaching, Mediation, Expert Witness Psychotherapy, and Associate Consultant Treatment Services for Organisations. Encrypted consultations for individuals, couples and families, at short notice. Mild, moderate and complex trauma issues, mediation and divorce consultancy in one click. MBACP, BACPC, MNCS Accred., CILEX (Legal Executive Practice Certificate). Additional Service: Clinical Supervision for trainees/qualified practitioners, Fast Track! Allow Yourself to Grow, now! Pre-NHS profile and systems.
Clinical Telehealth web chat and phone calls. A safe and compassionate practice offering Counselling, Psychotherapy, Executive Coaching, Mediation, Expert Witness Psychotherapy, and Associate Consultant Treatment Services for Organisations. Encrypted consultations for individuals, couples and families, at short notice. Mild, moderate and complex trauma issues, mediation and divorce consultancy in one click. MBACP, BACPC, MNCS Accred., CILEX (Legal Executive Practice Certificate). Additional Service: Clinical Supervision for trainees/qualified practitioners, Fast Track! Allow Yourself to Grow, now! Pre-NHS profile and systems.
020 3984 9774 View 020 3984 9774
Photo of Zaira Ahmed, MBACP Accred, Counsellor
Zaira Ahmed
Counsellor, MBACP Accred
Verified Verified
Ruislip HA4  (Online Only)
How often do you find yourself thinking..... I don't know who I am any more'....'I just want to feel normal again'....'I feel angry all the time'...'I am a born worrier'... Most of the time we think that we feel this way because of events such as stress at work, problems in relationship, a loss (relationship, financial, job) or bereavement. Whatever the reason, over time you may find yourself thinking 'there must be more to life than this'. Counselling provides a confidential, non-judgemental space where I facilitate a process of self-awareness and understanding and where you feel safe to openly share what is affecting you.
How often do you find yourself thinking..... I don't know who I am any more'....'I just want to feel normal again'....'I feel angry all the time'...'I am a born worrier'... Most of the time we think that we feel this way because of events such as stress at work, problems in relationship, a loss (relationship, financial, job) or bereavement. Whatever the reason, over time you may find yourself thinking 'there must be more to life than this'. Counselling provides a confidential, non-judgemental space where I facilitate a process of self-awareness and understanding and where you feel safe to openly share what is affecting you.
01895 545168 View 01895 545168
Photo of Dee Albert - Dee@Room2talk, MSc, MBACP, Psychotherapist
Dee@Room2talk
Psychotherapist, MSc, MBACP
Verified Verified
Ruislip HA4
My area of interests are personal and cultural identity challenges and concerns, spirituality, trauma and life transition (new job, moving in or out of a relationship, new parent etc.) I work with Individuals, couples and families who are willing to challenge themselves towards becoming their best selves.
My area of interests are personal and cultural identity challenges and concerns, spirituality, trauma and life transition (new job, moving in or out of a relationship, new parent etc.) I work with Individuals, couples and families who are willing to challenge themselves towards becoming their best selves.
01895 547681 View 01895 547681
Photo of Kasia Cole, MSc, MBACP Accred, Psychotherapist
Kasia Cole
Psychotherapist, MSc, MBACP Accred
Verified Verified
Ruislip HA4
Hi Kasia Cole here! I'm a London therapist (over 10 years!) & created the Balance Psychotherapy App. It's for you if: Therapy isn't an option (at the moment). You want to boost your in-between session progress. You're in therapy & crave deeper emotional work. The app is unique! It helps you directly address and balance your emotions - the key to healing! Of course, in-person sessions are always available. Welcome to a world where therapy goes beyond just talking. Here, I combine traditional therapy with powerful techniques like mindfulness and emotional processing to create a journey of healing and transformation.
Hi Kasia Cole here! I'm a London therapist (over 10 years!) & created the Balance Psychotherapy App. It's for you if: Therapy isn't an option (at the moment). You want to boost your in-between session progress. You're in therapy & crave deeper emotional work. The app is unique! It helps you directly address and balance your emotions - the key to healing! Of course, in-person sessions are always available. Welcome to a world where therapy goes beyond just talking. Here, I combine traditional therapy with powerful techniques like mindfulness and emotional processing to create a journey of healing and transformation.
020 3984 9152 View 020 3984 9152
Photo of Yvonne Barham; Relationships And Individual Therapy, MBACP Accred, Counsellor
Yvonne Barham; Relationships And Individual Therapy
Counsellor, MBACP Accred
Verified Verified
Ruislip HA4
Relationships can be difficult, miscommunication & misattunement of emotions can create patterns of behaviour that can lead to a lack of connectiveness & blocks to intimancy. This can trigger a fight or flight response & the cycle continues. In therapy you can learn to communicate your care seeking & care giving needs in a clear way & change the relationship to a more secure & attuned base. You'll learn the skills to listen to each other & navigate the ruptures & repairs that are part of all relationships. I will work to provide a safe & non biased space for you to resolve them together & decide the best way forward.
Relationships can be difficult, miscommunication & misattunement of emotions can create patterns of behaviour that can lead to a lack of connectiveness & blocks to intimancy. This can trigger a fight or flight response & the cycle continues. In therapy you can learn to communicate your care seeking & care giving needs in a clear way & change the relationship to a more secure & attuned base. You'll learn the skills to listen to each other & navigate the ruptures & repairs that are part of all relationships. I will work to provide a safe & non biased space for you to resolve them together & decide the best way forward.
020 4538 8554 View 020 4538 8554
Photo of Ramesh Pattni, BACP, Counsellor
Ramesh Pattni
Counsellor, BACP
Verified Verified
Ruislip HA4
Not accepting new clients
Distress comes in many forms, many ways, and many times in life. Sometimes you will need help and support to reflect on the distress and seek not only an understanding of your distress but discover ways of adjusting and coping with it. In the long term, you will want to develop resilience to be able to cope with the distress as it inevitably arises.
Distress comes in many forms, many ways, and many times in life. Sometimes you will need help and support to reflect on the distress and seek not only an understanding of your distress but discover ways of adjusting and coping with it. In the long term, you will want to develop resilience to be able to cope with the distress as it inevitably arises.
020 4538 7436 View 020 4538 7436
Photo of Fliss Redwood, BACP, Counsellor
Fliss Redwood
Counsellor, BACP
Verified Verified
Ruislip HA4
Sometimes in life we can be surrounded by people yet feel so alone. When speaking with friends and family you may feel they are not really listening, not realizing they maybe advising, or even competing with your problems. Stress, depression and low self esteem can often make you feel invisible but these feelings are not permanent. Living with shame, anger, fear or sadness can leave you in a dark fog, struggling to find your way through. With help and support your journey may become clearer. I would like to offer you space to talk without feeling judged, pressured or nagged, to experience feeling supported, valued and important.
Sometimes in life we can be surrounded by people yet feel so alone. When speaking with friends and family you may feel they are not really listening, not realizing they maybe advising, or even competing with your problems. Stress, depression and low self esteem can often make you feel invisible but these feelings are not permanent. Living with shame, anger, fear or sadness can leave you in a dark fog, struggling to find your way through. With help and support your journey may become clearer. I would like to offer you space to talk without feeling judged, pressured or nagged, to experience feeling supported, valued and important.
01895 545163 View 01895 545163
Photo of Helen Susan Edwards, BACP, Counsellor
Helen Susan Edwards
Counsellor, BACP
Verified Verified
1 Endorsed
Ruislip HA4
Is life not quite what you expected? Are you having difficulty with relationships, work or family troubles? From time to time we all run into obstacles or feel dissatisfied with life.
Is life not quite what you expected? Are you having difficulty with relationships, work or family troubles? From time to time we all run into obstacles or feel dissatisfied with life.
01895 590107 View 01895 590107
Photo of Dr Richard Webster, DCounsPsych, MUKCP, Psychotherapist
Dr Richard Webster
Psychotherapist, DCounsPsych, MUKCP
Verified Verified
Ruislip HA4
I'm an experienced Counselling Psychologist, Integrative Psychotherapist and EMDR practitioner. I provide a confidential and non-judgemental space to explore whatever is troubling you, at a pace that you feel comfortable with. Therapy is a collaborative process which aims to increase awareness and understanding of your thoughts, emotions and behaviours, and to identify and tackle obstacles that are stopping you from living the life you want to live. Therapy can help to develop and harness the necessary resources in order to make desired changes in your life.
I'm an experienced Counselling Psychologist, Integrative Psychotherapist and EMDR practitioner. I provide a confidential and non-judgemental space to explore whatever is troubling you, at a pace that you feel comfortable with. Therapy is a collaborative process which aims to increase awareness and understanding of your thoughts, emotions and behaviours, and to identify and tackle obstacles that are stopping you from living the life you want to live. Therapy can help to develop and harness the necessary resources in order to make desired changes in your life.
01895 545162 View 01895 545162
Photo of Derek Nasseri, MSc, MUKCP, Psychotherapist
Derek Nasseri
Psychotherapist, MSc, MUKCP
Verified Verified
Ruislip HA4  (Online Only)
Hello there! I'm a seasoned psychotherapist with a passion for one-to-one connections. Life's journey is unique for everyone, and I'm here to walk alongside you, offering a listening ear and a guiding hand.
Hello there! I'm a seasoned psychotherapist with a passion for one-to-one connections. Life's journey is unique for everyone, and I'm here to walk alongside you, offering a listening ear and a guiding hand.
020 3835 5657 View 020 3835 5657
Photo of Laura Herman - LH Psychotherapy, MBACP, Psychotherapist
LH Psychotherapy
Psychotherapist, MBACP
Verified Verified
Ruislip HA4
Our past impacts on our present and it can often be confusing and conflicting in our adult responses to current problems. When we cannot make sense of our own thoughts or responses, when our behaviour troubles us or is repetitive. Within the therapeutic process, control is taken back and the symptomatic behaviour in time can be renegotiated and become less powerful. My training is Psychodynamic but with many years of CPD (continuing professional development) I will adapt my style to what will be most helpful to you and what you bring to the sessions. Psychodynamic therapy involves working with the unconscious.
Our past impacts on our present and it can often be confusing and conflicting in our adult responses to current problems. When we cannot make sense of our own thoughts or responses, when our behaviour troubles us or is repetitive. Within the therapeutic process, control is taken back and the symptomatic behaviour in time can be renegotiated and become less powerful. My training is Psychodynamic but with many years of CPD (continuing professional development) I will adapt my style to what will be most helpful to you and what you bring to the sessions. Psychodynamic therapy involves working with the unconscious.
020 4538 8182 View 020 4538 8182
Photo of Stephanie P Compton, DCounsPsych, MBACP Accred, Psychotherapist
Stephanie P Compton
Psychotherapist, DCounsPsych, MBACP Accred
Verified Verified
Ruislip HA4
I am an experienced counsellor and psychotherapist. I believe that the most important part of therapy is that we build a strong and therapeutic relationship together so that you can feel safe to explore your feelings and concerns. We all have times in our life when we need support and it is not always possible to sort things out with the help of family and friends. I would be there to listen and not judge, in a confidential and caring environment. Counselling can feel daunting but can help to empower you to explore and reflect on ways of making changes and moving forward with your life.
I am an experienced counsellor and psychotherapist. I believe that the most important part of therapy is that we build a strong and therapeutic relationship together so that you can feel safe to explore your feelings and concerns. We all have times in our life when we need support and it is not always possible to sort things out with the help of family and friends. I would be there to listen and not judge, in a confidential and caring environment. Counselling can feel daunting but can help to empower you to explore and reflect on ways of making changes and moving forward with your life.
01895 545630 View 01895 545630
Photo of Janice Dias, MBACP, Psychotherapist
Janice Dias
Psychotherapist, MBACP
Verified Verified
Ruislip HA4
As a Counsellor I work in a client led approach empathically catering towards the clients needs and goals. My approach is Psychodynamic that means I can help clients deal with the unresolved issues of their past to possibly make sense with the present. Life can be confusing and scary at times making one feel stuck and lost, much like being in a storm .I can help clients find their way through the storm so that they can eventually achieve some sort of clarity and begin to cope with the challenges of every day life.
As a Counsellor I work in a client led approach empathically catering towards the clients needs and goals. My approach is Psychodynamic that means I can help clients deal with the unresolved issues of their past to possibly make sense with the present. Life can be confusing and scary at times making one feel stuck and lost, much like being in a storm .I can help clients find their way through the storm so that they can eventually achieve some sort of clarity and begin to cope with the challenges of every day life.
01895 545108 View 01895 545108
Photo of Ruth Cullinan, MBACP, Counsellor
Ruth Cullinan
Counsellor, MBACP
Verified Verified
Ruislip HA4
Hello and welcome. Counselling helps you understand and make sense of your thoughts and feelings. We will explore what you’re finding difficult, and unpack this further. I offer a safe and confidential space, where you can talk openly, be heard and listened to without judgement. Are you or your teen struggling emotionally? Have you suffered a bereavement, or is anxiety taking control? I can offer you a space where you can begin to express yourself, and process what’s going on for you. Counselling can help you with relationships, communication and self worth, it can help you build self awareness, and in turn help you to make changes.
Hello and welcome. Counselling helps you understand and make sense of your thoughts and feelings. We will explore what you’re finding difficult, and unpack this further. I offer a safe and confidential space, where you can talk openly, be heard and listened to without judgement. Are you or your teen struggling emotionally? Have you suffered a bereavement, or is anxiety taking control? I can offer you a space where you can begin to express yourself, and process what’s going on for you. Counselling can help you with relationships, communication and self worth, it can help you build self awareness, and in turn help you to make changes.
01895 547549 View 01895 547549
Photo of Ann Dunkley, MSc, MBACP, Psychotherapist
Ann Dunkley
Psychotherapist, MSc, MBACP
Verified Verified
Ruislip HA4
I aim to establish a safe, non-judgemental space with clients where difficult issues and problems can be explored, free from the demands of the outside world. I have a psychodynamic approach which means I help clients work through the underlying causes at the root of problems to enable them to gain more self-awareness and a different perspective on their life. Also, with a background as a Samaritan volunteer for many years, I have offered emotional support to people from many walks of life suffering from distress caused by a wide range of difficult issues.
I aim to establish a safe, non-judgemental space with clients where difficult issues and problems can be explored, free from the demands of the outside world. I have a psychodynamic approach which means I help clients work through the underlying causes at the root of problems to enable them to gain more self-awareness and a different perspective on their life. Also, with a background as a Samaritan volunteer for many years, I have offered emotional support to people from many walks of life suffering from distress caused by a wide range of difficult issues.
01895 547539 View 01895 547539
Photo of Paramita Hiremath - Mita Hiremath , MSc, MUKCP, Psychotherapist
Mita Hiremath
Psychotherapist, MSc, MUKCP
Verified Verified
Ruislip HA4
If you are feeling anxious, depressed, scared or you are struggling with life in general it can be most helpful to talk with a psychotherapist about your concerns and difficulties. We will identify what you need from counselling and work together to achieve your goals and live more positively and joyfully. As a qualified counsellor and psychotherapist with 30 years of experience I work sensitively to enable you to talk about what maybe troubling you. I create a safe and confidential space where you can express your thoughts and feelings without fear or judgement.
If you are feeling anxious, depressed, scared or you are struggling with life in general it can be most helpful to talk with a psychotherapist about your concerns and difficulties. We will identify what you need from counselling and work together to achieve your goals and live more positively and joyfully. As a qualified counsellor and psychotherapist with 30 years of experience I work sensitively to enable you to talk about what maybe troubling you. I create a safe and confidential space where you can express your thoughts and feelings without fear or judgement.
01895 544554 View 01895 544554

See more therapy options for Ruislip

How does your Counsellor compare?

Number of Counsellors in Ruislip

20+

Average cost per session

£65

Counsellors in Ruislip who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
96% Stress
93% Bereavement
93% Self Esteem
81% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

70% AXA PPP
60% Aviva
40% WPA

How Counsellors in Ruislip see their clients

67% In Person and Online
33% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Ruislip?

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.