Counselling in Witchford

Photo of Helen Jennifer Johnston, MBACP Accred, Psychotherapist
Helen Jennifer Johnston
Psychotherapist, MBACP Accred
Verified Verified
Witchford CB6
Not accepting new clients
Are you looking for support to make some changes to your mental health and wellbeing? Sometimes life throws difficulties that are hard to navigate on your own and are perhaps too difficult to share with others in your life. I offer you a warm, non-judgemental, supportive and confidential style of therapy that will give you the opportunity to untangle difficulties affecting you. I can support you to explore what is going on for you in more depth and give you insights and tools to make adjustments and transitions.
Are you looking for support to make some changes to your mental health and wellbeing? Sometimes life throws difficulties that are hard to navigate on your own and are perhaps too difficult to share with others in your life. I offer you a warm, non-judgemental, supportive and confidential style of therapy that will give you the opportunity to untangle difficulties affecting you. I can support you to explore what is going on for you in more depth and give you insights and tools to make adjustments and transitions.
01353 888772 View 01353 888772

More Therapists Nearby

Photo of Melanie Ellis, MA, UKCP Trainee, Counsellor
Melanie Ellis
Counsellor, MA, UKCP Trainee
Verified Verified
Cambridge CB24
Sometimes the meaning of life gets lost. We feel stuck. We go through challenging life events believing we have overcome them but uncomfortable feelings and difficult emotions remain in our bodies. We might experience symptoms of anxiety such as insomnia or aches, depression or PTSD. We profoundly suffer and we don’t know what to do to change this. As a consequence, at home, at work or in relationships, life feel like a struggle and isn't pleasurable anymore.
Sometimes the meaning of life gets lost. We feel stuck. We go through challenging life events believing we have overcome them but uncomfortable feelings and difficult emotions remain in our bodies. We might experience symptoms of anxiety such as insomnia or aches, depression or PTSD. We profoundly suffer and we don’t know what to do to change this. As a consequence, at home, at work or in relationships, life feel like a struggle and isn't pleasurable anymore.
01223 609863 View 01223 609863
Photo of Erica Jackson - Erica Jackson
Erica Jackson
Verified Verified
Ely CB6
Are you struggling with stress, feeling overwhelmed or unhappy? One of your loved ones finding life rather hard to cope with? Perhaps you are at the end of your tether with your partner and fearing the worst for the survival of your relationship. Or maybe it just needs a bit of TLC? If you are looking for some effective and compassionate help, for someone to listen and try to understand your difficulties, maybe help you find some relief and strategies, then why not reach out and let's talk it through and see if I can help.
Are you struggling with stress, feeling overwhelmed or unhappy? One of your loved ones finding life rather hard to cope with? Perhaps you are at the end of your tether with your partner and fearing the worst for the survival of your relationship. Or maybe it just needs a bit of TLC? If you are looking for some effective and compassionate help, for someone to listen and try to understand your difficulties, maybe help you find some relief and strategies, then why not reach out and let's talk it through and see if I can help.
01353 883244 View 01353 883244
Photo of Anthony John Browne, MBACP, Counsellor
Anthony John Browne
Counsellor, MBACP
Verified Verified
Wisbech PE14
Hello, I’m Anthony and I offer face to face counselling sessions to individuals aged 16+ in the Wisbech, Ely and surroundings areas. My training, supported by my life experiences provide calm, gentle, focused sessions to help you get through whats going on for you. Even if you just dont feel right and want an unjudgemental ear to talk to about whats happening in your life. I am also a highly experienced Leadership and business coach.
Hello, I’m Anthony and I offer face to face counselling sessions to individuals aged 16+ in the Wisbech, Ely and surroundings areas. My training, supported by my life experiences provide calm, gentle, focused sessions to help you get through whats going on for you. Even if you just dont feel right and want an unjudgemental ear to talk to about whats happening in your life. I am also a highly experienced Leadership and business coach.
01353 880925 View 01353 880925
Photo of Dora Sheridan - DKS Wellbeing Services, MHGI, Counsellor
DKS Wellbeing Services
Counsellor, MHGI
Verified Verified
Ely CB6
There are a variety of reasons why people come to counselling or psychotherapy. We all throughout our lives face difficult and challenging times and for some having additional support is all that is needed. I offer a safe place for you to unburden those concerns, voice your fears, anger, or frustration, at your own pace in a confidential, non-judgemental, and relaxed environment. My aim is to help you make sense of your feelings and help you move on in your life. The thought of having therapy can feel a bit daunting at first, fear of the unknown, but it is the first step to moving forward on your journey. One step at a time!
There are a variety of reasons why people come to counselling or psychotherapy. We all throughout our lives face difficult and challenging times and for some having additional support is all that is needed. I offer a safe place for you to unburden those concerns, voice your fears, anger, or frustration, at your own pace in a confidential, non-judgemental, and relaxed environment. My aim is to help you make sense of your feelings and help you move on in your life. The thought of having therapy can feel a bit daunting at first, fear of the unknown, but it is the first step to moving forward on your journey. One step at a time!
01366 312329 View 01366 312329
Photo of Deborah Meyler, MA, MUKCP, Psychotherapist
Deborah Meyler
Psychotherapist, MA, MUKCP
Verified Verified
Cambridge CB24
Underpinning psychoanalytic psychotherapy is a vast body of work that began with Freud, but the theory doesn't have an overt presence in the room. Psychotherapy in practice is more a process of discovery for both therapist and client. It can be challenging, exciting, frightening – even funny - as we both try to better understand the circumstances and patterns that have brought you to therapy. It's a good idea to have a no-obligation free session, to see what it's like.
Underpinning psychoanalytic psychotherapy is a vast body of work that began with Freud, but the theory doesn't have an overt presence in the room. Psychotherapy in practice is more a process of discovery for both therapist and client. It can be challenging, exciting, frightening – even funny - as we both try to better understand the circumstances and patterns that have brought you to therapy. It's a good idea to have a no-obligation free session, to see what it's like.
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Photo of Paul Berry (Mbacp), MBACP, Psychotherapist
Paul Berry (Mbacp)
Psychotherapist, MBACP
Verified Verified
Cambridge CB6
Get help fast! I see individuals and couples Online using Zoom. Finding the right therapist for you and asking for help can be a daunting task, especially if you are feeling anxious and uncertain.  I have many years of experience with a broad range of problems, including anxiety, depression, panic attacks, ADHD, BPD and relationship issues. I offer short-notice appointments, so you get seen, heard, and helped quickly.  You choose a location and time that works for you.  Online is the fastest and most flexible for short-notice appointments. I can offer help setting up Zoom, you can set it up on your phone, tablet, laptop or PC.
Get help fast! I see individuals and couples Online using Zoom. Finding the right therapist for you and asking for help can be a daunting task, especially if you are feeling anxious and uncertain.  I have many years of experience with a broad range of problems, including anxiety, depression, panic attacks, ADHD, BPD and relationship issues. I offer short-notice appointments, so you get seen, heard, and helped quickly.  You choose a location and time that works for you.  Online is the fastest and most flexible for short-notice appointments. I can offer help setting up Zoom, you can set it up on your phone, tablet, laptop or PC.
01283 372631 View 01283 372631
Photo of Beatriz Serrano, MA, MUKCP, Psychotherapist
Beatriz Serrano
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
Ely CB6
Hi, I am a Psychologist, Psychotherapist and a Mindfulness teacher. My training is based in Mindfulness and this could offer you a way to connect with yourself more fully and to develop practical skills for self-listening. This can be helpful if you find yourself disconnected from your feelings or having difficulties in understanding, communicating and/or relating with others.
Hi, I am a Psychologist, Psychotherapist and a Mindfulness teacher. My training is based in Mindfulness and this could offer you a way to connect with yourself more fully and to develop practical skills for self-listening. This can be helpful if you find yourself disconnected from your feelings or having difficulties in understanding, communicating and/or relating with others.
01223 869572 View 01223 869572
Photo of Jenna Marie Rutherford, MBACP Accred, Counsellor
Jenna Marie Rutherford
Counsellor, MBACP Accred
Verified Verified
Ely CB7
I have over 20 years of experience of working as a counsellor with adults, young people, adolescents and children. I work face to face as well as on-line. I believe that you have the answers to your difficulties and that I as your therapist will provide a safe space to explore your thoughts and feelings with the aim of gaining insight and understanding, so that you may live a happier and more authentic life. I use play therapy with children. Sometimes people come to therapy with specific difficulties, anxiety, depression, self harm, low self esteem and others with more generalised feelings of discontent. I am here to listen.
I have over 20 years of experience of working as a counsellor with adults, young people, adolescents and children. I work face to face as well as on-line. I believe that you have the answers to your difficulties and that I as your therapist will provide a safe space to explore your thoughts and feelings with the aim of gaining insight and understanding, so that you may live a happier and more authentic life. I use play therapy with children. Sometimes people come to therapy with specific difficulties, anxiety, depression, self harm, low self esteem and others with more generalised feelings of discontent. I am here to listen.
020 8138 0406 View 020 8138 0406
Photo of Kathy Rose, MA, MBACP Accred, Counsellor
Kathy Rose
Counsellor, MA, MBACP Accred
Verified Verified
Ely CB6
I am an integrative Therapist with over 24 years of experience and an MA in Psychotherapy and counselling and am an accredited member of the BACP. I am passionate about the healing power of counselling, psychotherapy and the capacity of the human psyche to heal, develop and grow. This belief, coupled with my training and experience, underpins how I work with adults one-to-one. I can help with many areas of mental health and associated physical symptoms of: anxiety disorders, depression; underlying causes of emotional pain or distress. The process of counselling or psychotherapy can be life changing and enriching.
I am an integrative Therapist with over 24 years of experience and an MA in Psychotherapy and counselling and am an accredited member of the BACP. I am passionate about the healing power of counselling, psychotherapy and the capacity of the human psyche to heal, develop and grow. This belief, coupled with my training and experience, underpins how I work with adults one-to-one. I can help with many areas of mental health and associated physical symptoms of: anxiety disorders, depression; underlying causes of emotional pain or distress. The process of counselling or psychotherapy can be life changing and enriching.
01223 857031 View 01223 857031
Photo of Leanne Groves - Leanne at Allied Psychotherapy, MSc, MBABCP, Psychotherapist
Leanne at Allied Psychotherapy
Psychotherapist, MSc, MBABCP
Verified Verified
Ely CB7
Hello, my name is Leanne and I am a fully qualified and accredited Cognitive Behavioural Therapist, EMDR practitioner and a registered Occupational Therapist. I have worked with adults in both NHS and private sectors for 20 years in GP surgeries, outpatient settings and inpatient wards. I have significant experience in working with people who have experienced stressful and/or traumatic events either in childhood or as an adult, helping to reduce distress from these events and stop them from impacting on both the present and on the future.
Hello, my name is Leanne and I am a fully qualified and accredited Cognitive Behavioural Therapist, EMDR practitioner and a registered Occupational Therapist. I have worked with adults in both NHS and private sectors for 20 years in GP surgeries, outpatient settings and inpatient wards. I have significant experience in working with people who have experienced stressful and/or traumatic events either in childhood or as an adult, helping to reduce distress from these events and stop them from impacting on both the present and on the future.
01638 598955 View 01638 598955
Photo of Jakana Rita, MBACP Accred, Counsellor
Jakana Rita
Counsellor, MBACP Accred
Verified Verified
2 Endorsed
Chatteris PE16
Passionate about helping guide people through difficult times and navigate their way through what can feel both hopeless and impossible for many people at some stage. Addiction, past traumas, anxiety, depression, relationship issues impact general functioning in all arias of our lives, feeling stuck in an ongoing cycle of emotional pain. I have had the pleasure of witnessing people overcome very difficult and painful times and go on to have fulfilled, happy lives. I have personal experience and have an understanding where I can meet people where they are at. I know with the right help, anybody can overcome this and thrive.
Passionate about helping guide people through difficult times and navigate their way through what can feel both hopeless and impossible for many people at some stage. Addiction, past traumas, anxiety, depression, relationship issues impact general functioning in all arias of our lives, feeling stuck in an ongoing cycle of emotional pain. I have had the pleasure of witnessing people overcome very difficult and painful times and go on to have fulfilled, happy lives. I have personal experience and have an understanding where I can meet people where they are at. I know with the right help, anybody can overcome this and thrive.
01354 707399 View 01354 707399
Photo of Helen Stevens - Helen Stevens Counselling, MBACP Accred, Counsellor
Helen Stevens Counselling
Counsellor, MBACP Accred
Verified Verified
Somersham PE28
Waitlist for new clients
I offer one to one therapeutic counselling to adults, young people and adolescents. My practice is based in a quiet village location just outside St. Ives, Cambridgeshire. I also offer online sessions. My aim is to walk alongside you to explore whatever it may be that is getting in the way and to help you connect to your own internal resources, to achieve a balanced and fulfilling life. I have experience of working with a wide range of issues such as; depression, anxiety, childhood sexual abuse, stress, bullying, lack of confidence,reduced self-esteem, relationship issues, sexuality and more.
I offer one to one therapeutic counselling to adults, young people and adolescents. My practice is based in a quiet village location just outside St. Ives, Cambridgeshire. I also offer online sessions. My aim is to walk alongside you to explore whatever it may be that is getting in the way and to help you connect to your own internal resources, to achieve a balanced and fulfilling life. I have experience of working with a wide range of issues such as; depression, anxiety, childhood sexual abuse, stress, bullying, lack of confidence,reduced self-esteem, relationship issues, sexuality and more.
01480 597035 View 01480 597035
Photo of Sharon Riches - sharons counselling and hypnotherapy, MNCPS Acc., Counsellor
sharons counselling and hypnotherapy
Counsellor, MNCPS Acc.
Verified Verified
Soham CB7
The thought of seeing a stranger to discuss personal issues is scary, but as I'm an empathetic, calm, caring person I try to ensure that you feel as relaxed as you possibly can. As well as having many 'tools' within my 'toolbox' to help people move forward in life, I also have a very good listening ear. I ensure to give people a safe environment where they can get any issues off their chest, knowing that what is said is confidential. A little about me, I have worked within mental health and other social care settings for many years, which means I have a good knowledge on many conditions. I offer a free 20 minute initial consultation
The thought of seeing a stranger to discuss personal issues is scary, but as I'm an empathetic, calm, caring person I try to ensure that you feel as relaxed as you possibly can. As well as having many 'tools' within my 'toolbox' to help people move forward in life, I also have a very good listening ear. I ensure to give people a safe environment where they can get any issues off their chest, knowing that what is said is confidential. A little about me, I have worked within mental health and other social care settings for many years, which means I have a good knowledge on many conditions. I offer a free 20 minute initial consultation
01638 590881 View 01638 590881
Photo of Adriana R Talaba, DCounsPsych, MNCPS Acc., Psychotherapist
Adriana R Talaba
Psychotherapist, DCounsPsych, MNCPS Acc.
Verified Verified
Cambridge CB24
I hope you love yourself enough to recognise the things you don’t like about your life and I hope you find the courage to change them.
I hope you love yourself enough to recognise the things you don’t like about your life and I hope you find the courage to change them.
01480 277530 View 01480 277530
Photo of Amanda Burns, MBACP, Counsellor
Amanda Burns
Counsellor, MBACP
Verified Verified
Ely CB6
The search for a counsellor can feel overwhelming and it can be difficult to know where to start. I believe that successful counselling is largely determined by the rapport between the client and counsellor. If you would like to message me, we can arrange an initial consultation to discuss your reasons for thinking about counselling, what you hope to achieve and to see how well we are suited to working together.
The search for a counsellor can feel overwhelming and it can be difficult to know where to start. I believe that successful counselling is largely determined by the rapport between the client and counsellor. If you would like to message me, we can arrange an initial consultation to discuss your reasons for thinking about counselling, what you hope to achieve and to see how well we are suited to working together.
01353 885167 View 01353 885167
Photo of Sandra Cass-Courtney, DCounsPsych, HCPC - Couns. Psych., Psychologist
Sandra Cass-Courtney
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Cambridge CB7
I am a Chartered Counselling Psychologist (British Psychological Society) and a Practitioner Psychologist (HCPC). My qualifications and experience enables me to offer effective outpatient, individualized, psychological care. I regard human suffering and relational struggles as inevitable parts of all our lives. In therapy we may deal directly with life’s crisis and difficulties around transitions such as death of a loved one, divorce, illness and career crossroads. I have a wide range of NHS and private sector experience and can competently treat a wide range of psychological issues and distress for individuals and couples.
I am a Chartered Counselling Psychologist (British Psychological Society) and a Practitioner Psychologist (HCPC). My qualifications and experience enables me to offer effective outpatient, individualized, psychological care. I regard human suffering and relational struggles as inevitable parts of all our lives. In therapy we may deal directly with life’s crisis and difficulties around transitions such as death of a loved one, divorce, illness and career crossroads. I have a wide range of NHS and private sector experience and can competently treat a wide range of psychological issues and distress for individuals and couples.
07723 448788 View 07723 448788
Photo of Michelle Cobb, MNCPS Acc., Counsellor
Michelle Cobb
Counsellor, MNCPS Acc.
Verified Verified
Chatteris PE16
Hi, are you finding it difficult to cope, struggling with anxiety, overwhelmed with uncomfortable feelings or thoughts? Maybe you feel numb, confused, alone, and isolated, like nobody understands what you are going through and feel now is the time to reach out for support? I am a warm and caring counsellor, sensitive to your individual needs who can support you to find insight and understanding of what is happening for you. We'll work side by side in a trusting and caring environment where you will feel safe and secure. Giving rise to the possibility of positive changes and a more hopeful, stable, and happier future.
Hi, are you finding it difficult to cope, struggling with anxiety, overwhelmed with uncomfortable feelings or thoughts? Maybe you feel numb, confused, alone, and isolated, like nobody understands what you are going through and feel now is the time to reach out for support? I am a warm and caring counsellor, sensitive to your individual needs who can support you to find insight and understanding of what is happening for you. We'll work side by side in a trusting and caring environment where you will feel safe and secure. Giving rise to the possibility of positive changes and a more hopeful, stable, and happier future.
01354 704641 View 01354 704641
Photo of Emmajane Davis - Kilby Counselling, MNCPS Acc., Counsellor
Kilby Counselling
Counsellor, MNCPS Acc.
Verified Verified
Cottenham CB25
Hi! I am Emmajane Davis and I am a Counsellor based in St Ives, Cambridgeshire. I work with Young people and Adults of all ages to help them to understand and work through any life concerns they are experiencing. The type of counselling I offer is integrative, this means I use a variety of therapy models to work with my clients, I like to work this way as each client is an individual and that means each clients concerns are unique to them. I work face to face with my clients and offer short term and long term work.
Hi! I am Emmajane Davis and I am a Counsellor based in St Ives, Cambridgeshire. I work with Young people and Adults of all ages to help them to understand and work through any life concerns they are experiencing. The type of counselling I offer is integrative, this means I use a variety of therapy models to work with my clients, I like to work this way as each client is an individual and that means each clients concerns are unique to them. I work face to face with my clients and offer short term and long term work.
01480 597075 View 01480 597075
Photo of Fanni Frances Korany, MBACP, Counsellor
Fanni Frances Korany
Counsellor, MBACP
Verified Verified
Ely CB7
In order to fly, all one must do is simply miss the ground - writes Douglas Adams. You will find an attuned, compassionate, therapeutic environment, where there is warmth, empathy, an active interest in your needs and strengths, as well as acceptance of, all of your experiences. I seek to provide containment for pain and distress that you may be going through so that you feel safe to open up and explore options for your complex life challenges. I am an experienced, BACP-registered Relationship Counsellor, working for Relate Cambridge, as an Individual, Couple and Family Counsellor, as well as a Psychosexual Therapist.
In order to fly, all one must do is simply miss the ground - writes Douglas Adams. You will find an attuned, compassionate, therapeutic environment, where there is warmth, empathy, an active interest in your needs and strengths, as well as acceptance of, all of your experiences. I seek to provide containment for pain and distress that you may be going through so that you feel safe to open up and explore options for your complex life challenges. I am an experienced, BACP-registered Relationship Counsellor, working for Relate Cambridge, as an Individual, Couple and Family Counsellor, as well as a Psychosexual Therapist.
01223 658037 View 01223 658037

How does your Counsellor compare?

Number of Counsellors in Witchford

< 10

Counsellors in Witchford who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Domestic Abuse
100% Bereavement
100% Trauma and PTSD
100% Other

Average years in practice

10 Years

Gender breakdown

100% Female

How Counsellors in Witchford see their clients

100% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in Witchford?

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.