Counselling in Stoke-on-Trent

Photo of Isaac Cumber - Isaac Cumber Counsellor & Psychotherapy, MSc, BACP, Psychotherapist
Isaac Cumber Counsellor & Psychotherapy
Psychotherapist, MSc, BACP
Verified Verified
Stoke-on-Trent ST1  (Online Only)
I am a BACP-registered Integrative Counsellor and Psychotherapist with an MSc in Psychotherapeutic Counselling. My experience includes practising within the NHS and a leading mental health Charity, supporting people with a wide variety of presenting issues. These include anxiety, depression, relationship-related issues, attachment issues, childhood trauma, sexual and/or physical abuse, bereavement, domestic violence, and low self-esteem. If you are at a difficult point in your life, feeling stressed, anxious, depressed, or confused about your feelings and talking to a therapist can help you work through these difficult emotions.
I am a BACP-registered Integrative Counsellor and Psychotherapist with an MSc in Psychotherapeutic Counselling. My experience includes practising within the NHS and a leading mental health Charity, supporting people with a wide variety of presenting issues. These include anxiety, depression, relationship-related issues, attachment issues, childhood trauma, sexual and/or physical abuse, bereavement, domestic violence, and low self-esteem. If you are at a difficult point in your life, feeling stressed, anxious, depressed, or confused about your feelings and talking to a therapist can help you work through these difficult emotions.
01772 419804 View 01772 419804
Photo of Joanne Nicola Gregory - Parkes therapy Practice, MBACP, Counsellor
Parkes therapy Practice
Counsellor, MBACP
Verified Verified
Stoke-on-Trent ST8
As a qualified Counsellor, I work in a Client centred manner, providing a solid foundation for therapy, building on trust and mutual respect, by providing a safe, warm confidential and non-judgemental environment in which to contemplate your emotional state, because quite simple sometimes life can be just too much. . I will endeavour to help support you on your journey of finding the right answers and building on your own natural resilience. I offer both short and long term therapy depending on your needs.
As a qualified Counsellor, I work in a Client centred manner, providing a solid foundation for therapy, building on trust and mutual respect, by providing a safe, warm confidential and non-judgemental environment in which to contemplate your emotional state, because quite simple sometimes life can be just too much. . I will endeavour to help support you on your journey of finding the right answers and building on your own natural resilience. I offer both short and long term therapy depending on your needs.
01477 412596 View 01477 412596
Photo of Jayne Davis, MSc, MBACP, Psychotherapist
Jayne Davis
Psychotherapist, MSc, MBACP
Verified Verified
1 Endorsed
Stoke-on-Trent ST7
Feeling stuck, struggling to cope or feeling lost in your own head? Life is challenging and it’s not uncommon to experience a loss of meaning and purpose. Perhaps your past experiences are standing in the way of you leading the life you want. I offer a safe supportive space to talk through your problems, help you to make sense of things, uncover unconscious patterns that may be holding you back and work through difficult emotions.
Feeling stuck, struggling to cope or feeling lost in your own head? Life is challenging and it’s not uncommon to experience a loss of meaning and purpose. Perhaps your past experiences are standing in the way of you leading the life you want. I offer a safe supportive space to talk through your problems, help you to make sense of things, uncover unconscious patterns that may be holding you back and work through difficult emotions.
07902 729887 View 07902 729887
Photo of Francesca Ami Harland-Davis, MSc, MBACP, Counsellor
Francesca Ami Harland-Davis
Counsellor, MSc, MBACP
Verified Verified
Stoke-on-Trent ST6  (Online Only)
Counselling is sometimes messy and often hard work. I imagine myself helping you to undo all of your knots and helping you to braid them together. My ideal client is someone who seeks a supportive, non-judgmental environment where they can be themselves and feel understood. I hope to help you to become interested in therapy and self-care, valuing my capacity for self-direction and self-healing, and support you to being open to experiencing a growth-oriented journey to whatever that may be.
Counselling is sometimes messy and often hard work. I imagine myself helping you to undo all of your knots and helping you to braid them together. My ideal client is someone who seeks a supportive, non-judgmental environment where they can be themselves and feel understood. I hope to help you to become interested in therapy and self-care, valuing my capacity for self-direction and self-healing, and support you to being open to experiencing a growth-oriented journey to whatever that may be.
01782 493622 View 01782 493622
Photo of Maxine Braddon, MBACP, Counsellor
Maxine Braddon
Counsellor, MBACP
Verified Verified
Stoke-on-Trent ST3
I am an experienced counsellor who is client led. I have worked across private, charitable, educational, and voluntary sectors with adults and young people. Some of the issues I have helped my clients with include - adultery, anxiety, bereavement, bullying, childhood trauma, depression, domestic abuse, family dynamics, illness, loss, PTSD, relationships, resilience, retirement, redundancy, school concerns, self-esteem, stress, trauma, and, work-life balance.
I am an experienced counsellor who is client led. I have worked across private, charitable, educational, and voluntary sectors with adults and young people. Some of the issues I have helped my clients with include - adultery, anxiety, bereavement, bullying, childhood trauma, depression, domestic abuse, family dynamics, illness, loss, PTSD, relationships, resilience, retirement, redundancy, school concerns, self-esteem, stress, trauma, and, work-life balance.
01782 493595 View 01782 493595
Photo of Jill Kelter - Jill Kelter Counselling, MSc, MBACP, Counsellor
Jill Kelter Counselling
Counsellor, MSc, MBACP
Verified Verified
Stoke-on-Trent ST4
I am a qualified counsellor who is passionate about helping individuals move through difficult periods in their lives, by providing a safe and confidential space in which people can explore their feelings and emotions. I believe in a person-centred approach to counselling, and I work closely with my clients to develop a mutual understanding of their unique needs and circumstances. ​
I am a qualified counsellor who is passionate about helping individuals move through difficult periods in their lives, by providing a safe and confidential space in which people can explore their feelings and emotions. I believe in a person-centred approach to counselling, and I work closely with my clients to develop a mutual understanding of their unique needs and circumstances. ​
01772 419508 View 01772 419508
Photo of Alison Jane Preston, MBACP, Counsellor
Alison Jane Preston
Counsellor, MBACP
Verified Verified
Stoke-on-Trent ST4
Hello and Welcome to my profile. I am a Psychotherapeutic Counsellor and believe in people as individuals. Whatever your endeavours, your challenges, your turmoils and your stories I believe that being heard with genuine care and compassion can help us to recover from ongoing distress and help us to move forward. Additionally, learning about and drawing upon strategies to help alleviate stress & anxiety can be both empowering and transformative. I offer counselling from a person centred core, integrating other counselling theories and resources depending on the needs of my clients.
Hello and Welcome to my profile. I am a Psychotherapeutic Counsellor and believe in people as individuals. Whatever your endeavours, your challenges, your turmoils and your stories I believe that being heard with genuine care and compassion can help us to recover from ongoing distress and help us to move forward. Additionally, learning about and drawing upon strategies to help alleviate stress & anxiety can be both empowering and transformative. I offer counselling from a person centred core, integrating other counselling theories and resources depending on the needs of my clients.
01296 321321 View 01296 321321
Photo of Heidi Francis, MNCPS Acc., Psychotherapist
Heidi Francis
Psychotherapist, MNCPS Acc.
Verified Verified
Stoke-on-Trent ST10  (Online Only)
Taking that first step to seek support from a therapist can be a daunting experience and many people can feel anxious discussing their struggles. Experiencing feelings of anxiety, depression, sadness, anger and stress or suffering from a constant low mood, can often lead to feeling bewildered and alone. So my aim is to provide a safe, warm and caring space in which together we can explore your struggles and you can gain a better understanding of yourself and your feelings, Together we can discover a way forward to a happier, calmer place, enabling you to build new beginnings.
Taking that first step to seek support from a therapist can be a daunting experience and many people can feel anxious discussing their struggles. Experiencing feelings of anxiety, depression, sadness, anger and stress or suffering from a constant low mood, can often lead to feeling bewildered and alone. So my aim is to provide a safe, warm and caring space in which together we can explore your struggles and you can gain a better understanding of yourself and your feelings, Together we can discover a way forward to a happier, calmer place, enabling you to build new beginnings.
01536 609380 View 01536 609380
Photo of Alison Louise Oxborrow, BACP, Counsellor
Alison Louise Oxborrow
Counsellor, BACP
Verified Verified
Stoke-on-Trent ST3
Is there a growing distance between you and your partner? Are criticism, hurts, resentment and bitterness beginning to dominate your relationship? If so, I guess you may both be feeling weary and wounded, you may even be wondering whether you are with the right person. If this is your experience, don’t panic. Struggle is a normal part of intimate relationship and Imago Relationship Counselling offers genuine hope. Imago is a form of couples counselling which is focused on enabling you and your partner to break destructive patterns of behaviour, to reconnect at a deeper level and to experience understanding, love & joy again.
Is there a growing distance between you and your partner? Are criticism, hurts, resentment and bitterness beginning to dominate your relationship? If so, I guess you may both be feeling weary and wounded, you may even be wondering whether you are with the right person. If this is your experience, don’t panic. Struggle is a normal part of intimate relationship and Imago Relationship Counselling offers genuine hope. Imago is a form of couples counselling which is focused on enabling you and your partner to break destructive patterns of behaviour, to reconnect at a deeper level and to experience understanding, love & joy again.
01296 929431 View 01296 929431
Photo of Lucy Prokic, MBACP, Counsellor
Lucy Prokic
Counsellor, MBACP
Verified Verified
Stoke-on-Trent ST4
Life can be hard right? Ever feel like your struggling to cope with the day to day, like you don't feel like yourself. Or maybe you've experienced trauma and need a safe place to work through that. Maybe your experiencing mental health difficulties for the first time such as anxiety or depression. Well these are some of the many things that therapy can help with.
Life can be hard right? Ever feel like your struggling to cope with the day to day, like you don't feel like yourself. Or maybe you've experienced trauma and need a safe place to work through that. Maybe your experiencing mental health difficulties for the first time such as anxiety or depression. Well these are some of the many things that therapy can help with.
01785 335804 View 01785 335804
Photo of Nada Elizabeth Isteed - Counselling with nada, MNCPS Acc., Counsellor
Counselling with nada
Counsellor, MNCPS Acc.
Verified Verified
Stoke-on-Trent ST11
Waitlist for new clients
Hello and welcome thank you for reading my profile page. If you are struggling to cope following a bereavement, feeling stuck in grief, feeling alone, depressed. anxious or not wanting to talk to close family friends for fear of upsetting them, I can help. Also if you are feeling guilty or angry even that you are to blame; not sleeping, eating problems, self medicating to cope or just not able to accept life without your loved one, then counselling has been shown to help
Hello and welcome thank you for reading my profile page. If you are struggling to cope following a bereavement, feeling stuck in grief, feeling alone, depressed. anxious or not wanting to talk to close family friends for fear of upsetting them, I can help. Also if you are feeling guilty or angry even that you are to blame; not sleeping, eating problems, self medicating to cope or just not able to accept life without your loved one, then counselling has been shown to help
07380 328553 View 07380 328553
Photo of Tiffany louise Parr, MBACP, Counsellor
Tiffany louise Parr
Counsellor, MBACP
Verified Verified
Stoke-on-Trent ST6
In my private practice. I offer a confidential non judgemental space for you to be heard and explore any difficulties you are currently experiencing. My aim as your therapist will be to guide you through challenges, foster growth and empower you in becoming your desired self. As your therapist I cant promise I will have all the answers, I see you as holding the key from within. Sometimes, it can be challenging to perceive, but through our sessions, we can explore these issues to gain a deeper understanding.
In my private practice. I offer a confidential non judgemental space for you to be heard and explore any difficulties you are currently experiencing. My aim as your therapist will be to guide you through challenges, foster growth and empower you in becoming your desired self. As your therapist I cant promise I will have all the answers, I see you as holding the key from within. Sometimes, it can be challenging to perceive, but through our sessions, we can explore these issues to gain a deeper understanding.
01733 964945 View 01733 964945
Photo of Helen Joy Green, DCounsPsych, MBACP, Counsellor
Helen Joy Green
Counsellor, DCounsPsych, MBACP
Verified Verified
Stoke-on-Trent ST10
Hello and welcome, We all deserve a helping hand. Someone to lead us through the dark times. I believe I can offer this, by sharing my 16 years of practice, which has provided me with a vast experience/knowledge of working with adults, couples and young people. My passion is in the belief that we have the ability to grow and reach our potential. I work with compassion, genuineness and have a real passion for the effectiveness of the counselling process. I am a highly a sensitive person which helps me to empathise with others deeply. I value indifference and work in a non judgemental way.
Hello and welcome, We all deserve a helping hand. Someone to lead us through the dark times. I believe I can offer this, by sharing my 16 years of practice, which has provided me with a vast experience/knowledge of working with adults, couples and young people. My passion is in the belief that we have the ability to grow and reach our potential. I work with compassion, genuineness and have a real passion for the effectiveness of the counselling process. I am a highly a sensitive person which helps me to empathise with others deeply. I value indifference and work in a non judgemental way.
01782 983552 View 01782 983552
Photo of Hannah Ilori, MSc, MBACP, Psychotherapist
Hannah Ilori
Psychotherapist, MSc, MBACP
Verified Verified
Stoke-on-Trent ST6  (Online Only)
Scrolling to find the right therapist? It's overwhelming, but my job is to make the process easier. I am a licensed Psychotherapist (MSc) who works with adults (18+) and specializes in relationships, anxiety, depression, trauma, coping with grief and loss, and eating disorders. Are you the kind of person who uses a smile to distract others from your pain? Then you're in the right place. I am here to facilitate you in creating your own bubble and safe space. I am curious to understand more about your own inner world since it looks so different for each of us.
Scrolling to find the right therapist? It's overwhelming, but my job is to make the process easier. I am a licensed Psychotherapist (MSc) who works with adults (18+) and specializes in relationships, anxiety, depression, trauma, coping with grief and loss, and eating disorders. Are you the kind of person who uses a smile to distract others from your pain? Then you're in the right place. I am here to facilitate you in creating your own bubble and safe space. I am curious to understand more about your own inner world since it looks so different for each of us.
01782 493247 View 01782 493247
Photo of Steve John Barlow - Steve Barlow Counselling & Supervision Services, MBACP Accred, Counsellor
Steve Barlow Counselling & Supervision Services
Counsellor, MBACP Accred
Verified Verified
Stoke-on-Trent ST1  (Online Only)
I am a BACP accredited, fully insured counsellor, supervisor and support group facilitator with over 20 years experience of working with clients both in an organisational setting and in private practice. I currently have availability Monday to Friday and sessions are now available online via secure video platforms. I am well-versed in providing both long and short-term counselling arrangements, covering many issues from addiction, bereavement and abuse to anxiety to relationship concerns and sexuality and gender.
I am a BACP accredited, fully insured counsellor, supervisor and support group facilitator with over 20 years experience of working with clients both in an organisational setting and in private practice. I currently have availability Monday to Friday and sessions are now available online via secure video platforms. I am well-versed in providing both long and short-term counselling arrangements, covering many issues from addiction, bereavement and abuse to anxiety to relationship concerns and sexuality and gender.
01763 291259 View 01763 291259
Photo of Szabolcs Gálvölgyi, MSc, MBACP Accred, Psychotherapist
Szabolcs Gálvölgyi
Psychotherapist, MSc, MBACP Accred
Verified Verified
Stoke-on-Trent ST4
Welcome to my page! My name is Szabolcs - I acknowledge that it is a difficult name; do not worry if you do not know how to pronounce it. I am a fully qualified practitioner and I provide psychological therapy to adults and adolesents. I completed a Bachelor of Science degree in psychology, a Master of Science degree in counselling psychology, and I also regularly attend further training. I offer my therapeutic services to women as well as to men, and in addition to working with the below difficulties, I am also open to hear about what you are seeking support for. You can book in for a FREE initial consultation as well.
Welcome to my page! My name is Szabolcs - I acknowledge that it is a difficult name; do not worry if you do not know how to pronounce it. I am a fully qualified practitioner and I provide psychological therapy to adults and adolesents. I completed a Bachelor of Science degree in psychology, a Master of Science degree in counselling psychology, and I also regularly attend further training. I offer my therapeutic services to women as well as to men, and in addition to working with the below difficulties, I am also open to hear about what you are seeking support for. You can book in for a FREE initial consultation as well.
01296 323423 View 01296 323423
Photo of Maggie Peet, MA, MBACP Snr. Accred, Counsellor
Maggie Peet
Counsellor, MA, MBACP Snr. Accred
Verified Verified
Stoke-on-Trent ST10
Whether you are suffering grief, recent or earlier trauma, concerns about the future, troubling memories of the past, general anxiety or unexplained emotional pain, my aim will be to help you find ways forward that feels positive for you. I will listen carefully, empathically and respectfully to whatever it is that brings you to seek counselling at this time. I have over 30 years counselling experience: both in private practice and in Primary Care and Employee Assisted Programmes and offer short term (6 sessions) or medium to long term work.
Whether you are suffering grief, recent or earlier trauma, concerns about the future, troubling memories of the past, general anxiety or unexplained emotional pain, my aim will be to help you find ways forward that feels positive for you. I will listen carefully, empathically and respectfully to whatever it is that brings you to seek counselling at this time. I have over 30 years counselling experience: both in private practice and in Primary Care and Employee Assisted Programmes and offer short term (6 sessions) or medium to long term work.
01889 227316 View 01889 227316
Photo of Amy Lewis, MSc, MBACP, Psychotherapist
Amy Lewis
Psychotherapist, MSc, MBACP
Verified Verified
Stoke-on-Trent ST1
I specialise in providing counselling for children, young people and young adults aged between 9 - 24 years old. I help young people to gain confidence and believe in themselves by listening and offering an understanding of what is important to them. I offer a confidential service to help young people find their voice and I am here to support them with anything that they may need. I help young people with many different difficulties, which includes low self-esteem, low confidence, anxiety, low mood, self-harm etc.
I specialise in providing counselling for children, young people and young adults aged between 9 - 24 years old. I help young people to gain confidence and believe in themselves by listening and offering an understanding of what is important to them. I offer a confidential service to help young people find their voice and I am here to support them with anything that they may need. I help young people with many different difficulties, which includes low self-esteem, low confidence, anxiety, low mood, self-harm etc.
01782 498114 View 01782 498114
Photo of Natalie Quinlan, MSc, MBACP, Counsellor
Natalie Quinlan
Counsellor, MSc, MBACP
Verified Verified
Stoke-on-Trent ST2
Hello and a warm welcome, I'm really pleased you're here. Before I begin, I want you to know that however you feel right now, you deserve to feel better. People I have helped tell me they feel anxious but they’re not sure why. They feel like they’re unlovable, often ‘wearing a mask’, and feel like they’re going mad. If you feel the same, I assure you, you are not going mad. Sometimes these feelings can arise from unresolved trauma, (something I can personally relate to) figuring this out is something I will guide you through in therapy.
Hello and a warm welcome, I'm really pleased you're here. Before I begin, I want you to know that however you feel right now, you deserve to feel better. People I have helped tell me they feel anxious but they’re not sure why. They feel like they’re unlovable, often ‘wearing a mask’, and feel like they’re going mad. If you feel the same, I assure you, you are not going mad. Sometimes these feelings can arise from unresolved trauma, (something I can personally relate to) figuring this out is something I will guide you through in therapy.
01733 964738 View 01733 964738
Photo of Adela R Moldovan, PsychD, MBACP, Psychotherapist
Adela R Moldovan
Psychotherapist, PsychD, MBACP
Verified Verified
Stoke-on-Trent ST4
My clinical experience encompasses many years working in a mental health setting and private practice dealing with a broad range of symptoms including, but not limited to, chronic trauma, loss or abuse, stress, anxiety, depression, marital difficulties, child-parent conflicts, self-harm, bi-polar disorder, addiction and border-line states – to name just some of the presenting issues.
My clinical experience encompasses many years working in a mental health setting and private practice dealing with a broad range of symptoms including, but not limited to, chronic trauma, loss or abuse, stress, anxiety, depression, marital difficulties, child-parent conflicts, self-harm, bi-polar disorder, addiction and border-line states – to name just some of the presenting issues.
01782 493877 View 01782 493877
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See more therapy options for Stoke-on-Trent

How does your Counsellor compare?

Number of Counsellors in Stoke-on-Trent

50+

Average cost per session

£50

Counsellors in Stoke-on-Trent who prioritize treating:

95% Anxiety
91% Depression
89% Stress
88% Self Esteem
81% Relationship Issues
81% Bereavement
70% Trauma and PTSD

Average years in practice

7 Years

Top 3 insurances accepted

78% Aviva
67% AXA PPP
56% Bupa

How Counsellors in Stoke-on-Trent see their clients

85% In Person and Online
15% Online Only

Gender breakdown

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

How can I find a therapist in Stoke-on-Trent?

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.