Photo of Bobby Jon Hook - Cotswold Hypnotherapy
Cotswold Hypnotherapy
Verified Verified
Clinical Hypnotherapist DHP, DSFH, AfSFH, NCH, SUP(Hyp) Watch my free consultation video series that explains exactly how hypnotherapy can help you, so you can decide if the therapy is right for you. Please visit my website for more info. Why cope when you can understand. The lesson they didn't teach you in school, how your brain works & how it naturally tries to protect you but in doing so can prove a hindrance rather than a help. I'm a experienced clinical hypnotherapist & registered supervisor. I specialise in helping people with anxiety, weight loss, depression & smoking cessation
Clinical Hypnotherapist DHP, DSFH, AfSFH, NCH, SUP(Hyp) Watch my free consultation video series that explains exactly how hypnotherapy can help you, so you can decide if the therapy is right for you. Please visit my website for more info. Why cope when you can understand. The lesson they didn't teach you in school, how your brain works & how it naturally tries to protect you but in doing so can prove a hindrance rather than a help. I'm a experienced clinical hypnotherapist & registered supervisor. I specialise in helping people with anxiety, weight loss, depression & smoking cessation
01242 395231 View 01242 395231
Photo of Sarah Jaskowska, UKCP Trainee, Psychotherapist
Sarah Jaskowska
Psychotherapist, UKCP Trainee
Verified Verified
I'm an integrative relational psychotherapist offering online and in person sessions in Oxford and Cheltenham. I currently have availability at various times during the week. I have worked with people experiencing a wide range of emotional difficulties and life situations such as anxiety, depression, relationship difficulties, lack of purpose and more. Times of change can also be an impetus for starting therapy. I have also worked with people experiencing transitions in their life and who want space and time to re-orientate and discover or rediscover their sense basis of self. I work with adult individuals on a weekly basis.
I'm an integrative relational psychotherapist offering online and in person sessions in Oxford and Cheltenham. I currently have availability at various times during the week. I have worked with people experiencing a wide range of emotional difficulties and life situations such as anxiety, depression, relationship difficulties, lack of purpose and more. Times of change can also be an impetus for starting therapy. I have also worked with people experiencing transitions in their life and who want space and time to re-orientate and discover or rediscover their sense basis of self. I work with adult individuals on a weekly basis.
View
Photo of Dr Hayley MacGregor, HCPC - Clin. Psych., Psychologist
Dr Hayley MacGregor
Psychologist, HCPC - Clin. Psych.
Verified Verified
2 Endorsed
Not accepting new clients
Starting therapy takes courage and it may feel daunting given that talking openly about your distress may evoke feelings of vulnerability. The therapeutic relationship is often the vehicle for positive change so finding the right ‘fit’ is important. Therefore, please contact me for a free telephone/video consultation to find out more. As a Clinical Psychologist my job is to listen with compassion to your life story and help you make sense of any troubles or trauma that you are facing within your life, whether that be in your present or reoccurring from your past.
Starting therapy takes courage and it may feel daunting given that talking openly about your distress may evoke feelings of vulnerability. The therapeutic relationship is often the vehicle for positive change so finding the right ‘fit’ is important. Therefore, please contact me for a free telephone/video consultation to find out more. As a Clinical Psychologist my job is to listen with compassion to your life story and help you make sense of any troubles or trauma that you are facing within your life, whether that be in your present or reoccurring from your past.
View
Photo of Martyn Pars, MBACP, Counsellor
Martyn Pars
Counsellor, MBACP
Verified Verified
My Offer To You: Being heard, understood, believed in and supported. We all need this kind of support at some point in our lives. This is my offer to you. I am an accredited professional counsellor (PNCPS acc.) registered through the British Association of Counselling and Psychotherapy (MBACP reg) which means I am held on the Professional Standards Authority Accredited Register thus ensuring protection to the public and helping to ensure their health and wellbeing. I have a particular interest in those with later in life ADHD diagnosis or if you suspect you might be. I am also a professional executive coach.
My Offer To You: Being heard, understood, believed in and supported. We all need this kind of support at some point in our lives. This is my offer to you. I am an accredited professional counsellor (PNCPS acc.) registered through the British Association of Counselling and Psychotherapy (MBACP reg) which means I am held on the Professional Standards Authority Accredited Register thus ensuring protection to the public and helping to ensure their health and wellbeing. I have a particular interest in those with later in life ADHD diagnosis or if you suspect you might be. I am also a professional executive coach.
01242 507893 View 01242 507893
Photo of Joyce van Leendert, MSc, HCPC - Clin. Psych., Psychologist
Joyce van Leendert
Psychologist, MSc, HCPC - Clin. Psych.
Verified Verified
I provide psychological treatment for people aged 18 and above, addressing a range of concerns such as low self-esteem, anxiety, depression, trauma, obsessive-compulsive issues and challenges in coping with physical ailments or chronic pain. I've got a special interest in working with high-performing entrepreneurs and professionals. Navigate work stress, enhance resilience and achieve balance in high-pressure environments.
I provide psychological treatment for people aged 18 and above, addressing a range of concerns such as low self-esteem, anxiety, depression, trauma, obsessive-compulsive issues and challenges in coping with physical ailments or chronic pain. I've got a special interest in working with high-performing entrepreneurs and professionals. Navigate work stress, enhance resilience and achieve balance in high-pressure environments.
01452 941936 View 01452 941936
Photo of Claire King, MBACP, Counsellor
Claire King
Counsellor, MBACP
Verified Verified
Counselling for adults, young people 13+ and couples in Cheltenham, Gloucestershire with fully qualified, experienced counsellor. ​Counselling can help with difficult feelings like anxiety, depression, grief, anger, loneliness and low self-esteem. Counselling can help you cope better with issues such as loss, relationship difficulties, stress, past traumas. Counselling can help you learn about yourself- your wants and needs – and how to meet them. ​Counselling for couples can help you remember what is right with your relationship, find ways to communicate more effectively and work together on what is difficult
Counselling for adults, young people 13+ and couples in Cheltenham, Gloucestershire with fully qualified, experienced counsellor. ​Counselling can help with difficult feelings like anxiety, depression, grief, anger, loneliness and low self-esteem. Counselling can help you cope better with issues such as loss, relationship difficulties, stress, past traumas. Counselling can help you learn about yourself- your wants and needs – and how to meet them. ​Counselling for couples can help you remember what is right with your relationship, find ways to communicate more effectively and work together on what is difficult
01242 903215 View 01242 903215
Photo of Regina Tipping - Regina Tipping, MA
Regina Tipping
MA
Verified Verified
Hello! If you need to talk, I can help! I am a friendly, calm, and caring mother of two. I enjoy cooking, arts, and dance and I enjoy helping in community-building activities. I am accredited by the BABCP. I have worked for NHS talking therapies for over five years helping people manage low mood, worry, panic disorder, specific fears, and other behavioural difficulties. I have in-depth experience in using cognitive behavioural therapies and other holistic techniques to help people regain their happiness and confidence. I work with adults and teenagers including people with ADHD, ASD, and other specific needs
Hello! If you need to talk, I can help! I am a friendly, calm, and caring mother of two. I enjoy cooking, arts, and dance and I enjoy helping in community-building activities. I am accredited by the BABCP. I have worked for NHS talking therapies for over five years helping people manage low mood, worry, panic disorder, specific fears, and other behavioural difficulties. I have in-depth experience in using cognitive behavioural therapies and other holistic techniques to help people regain their happiness and confidence. I work with adults and teenagers including people with ADHD, ASD, and other specific needs
01242 569946 View 01242 569946
Photo of John Mosley, MBACP, Counsellor
John Mosley
Counsellor, MBACP
Verified Verified
1 Endorsed
Sometimes life can get too much and we can become overwhelmed by current events or our past. Coming to counselling can be a daunting prospect, but a warm, collaborative and therapeutic environment can help us to face those concerns and gain understanding. I work compassionately, with empathic understanding and without judgement to provide a safe and confidential space for you to talk. All genders are welcome and I can help with a variety of presenting issues, including anxiety, depression, grief/loss, loneliness, low self-esteem, abuse, self-harm, trauma and relationship problems.
Sometimes life can get too much and we can become overwhelmed by current events or our past. Coming to counselling can be a daunting prospect, but a warm, collaborative and therapeutic environment can help us to face those concerns and gain understanding. I work compassionately, with empathic understanding and without judgement to provide a safe and confidential space for you to talk. All genders are welcome and I can help with a variety of presenting issues, including anxiety, depression, grief/loss, loneliness, low self-esteem, abuse, self-harm, trauma and relationship problems.
01242 339894 View 01242 339894
Photo of Carl Smith, MBACP, Counsellor
Carl Smith
Counsellor, MBACP
Verified Verified
Hello, I'm Carl, knowing that I can talk to someone about the things that I might be finding difficult is very important to me, especially if those feelings are ones I worry others wont understand. I aim to lessen that worry by providing an open and accepting space for you to be able to discuss the issues that your facing.
Hello, I'm Carl, knowing that I can talk to someone about the things that I might be finding difficult is very important to me, especially if those feelings are ones I worry others wont understand. I aim to lessen that worry by providing an open and accepting space for you to be able to discuss the issues that your facing.
01242 903207 View 01242 903207
Photo of Dr Kirsten Kitson, DCounsPsych, HCPC - Couns. Psych., Psychologist
Dr Kirsten Kitson
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
1 Endorsed
I have worked with many different presentations throughout my career in the NHS, Charity sector and HM Prison service. My experience and training can give you the confidence in my practice as I provide you with an individual approach; tailored to your specific needs and goals. Together we can explore how to improve your situation by equipping you with the necessary skills and techniques to move forward and maintain change.
I have worked with many different presentations throughout my career in the NHS, Charity sector and HM Prison service. My experience and training can give you the confidence in my practice as I provide you with an individual approach; tailored to your specific needs and goals. Together we can explore how to improve your situation by equipping you with the necessary skills and techniques to move forward and maintain change.
01242 474668 View 01242 474668
Photo of Dr Jane Spurr, PsychD, HCPC - Clin. Psych., Psychologist
Dr Jane Spurr
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Do you ever feel that your life could be better? Maybe there is not enough satisfaction and joy in your life, maybe you feel stuck, perhaps because you have been unable to create the life you want, or because relationships, either at home or work, seem to repeat in unhelpful ways without resolution. Sometimes these circumstances can interact with anxiety, depression or other difficulties, causing an unhelpful spiral which leave you feeling even less able to make positive change. Contacting a therapist may feel difficult, but it can be the first step towards understanding the blocks preventing you from living the life you want.
Do you ever feel that your life could be better? Maybe there is not enough satisfaction and joy in your life, maybe you feel stuck, perhaps because you have been unable to create the life you want, or because relationships, either at home or work, seem to repeat in unhelpful ways without resolution. Sometimes these circumstances can interact with anxiety, depression or other difficulties, causing an unhelpful spiral which leave you feeling even less able to make positive change. Contacting a therapist may feel difficult, but it can be the first step towards understanding the blocks preventing you from living the life you want.
01242 506292 View 01242 506292
Photo of Clare Howlett, MSc, MUKCP, Psychotherapist
Clare Howlett
Psychotherapist, MSc, MUKCP
Verified Verified
I offer support with relationships, life experiences, personal development and everything in between! Perhaps you want to understand yourself and others better, make sense of a challenging life experience or feel more connected, happier and fulfilled in life! The best place to start may involve thinking more about me than about you! Much has been said about the therapeutic relationship being an important predictor of change, so this is a great opportunity to get to know me to establish if I'm a good-fit for you!
I offer support with relationships, life experiences, personal development and everything in between! Perhaps you want to understand yourself and others better, make sense of a challenging life experience or feel more connected, happier and fulfilled in life! The best place to start may involve thinking more about me than about you! Much has been said about the therapeutic relationship being an important predictor of change, so this is a great opportunity to get to know me to establish if I'm a good-fit for you!
01452 941685 View 01452 941685
Photo of Leah Callebaut, HCPC - Clin. Psych., Psychologist
Leah Callebaut
Psychologist, HCPC - Clin. Psych.
Verified Verified
Not accepting new clients
As a Clinical Psychologist I aim to to practically apply psychological theory and research to help people to achieve emotional well being and enhance their quality of life when they are facing challenging life circumstances. Since 2012 I have worked in a variety of NHS psychology services, offering talking therapy and emotional support to individuals, couples and families. Alongside my work with Heal.Feel.Connect. I continue to work part-time for an NHS hospital in Gloucestershire, working with staff to reduce work-related stress and burnout, and promoting a culture of compassion and psychological safety within the organisation.
As a Clinical Psychologist I aim to to practically apply psychological theory and research to help people to achieve emotional well being and enhance their quality of life when they are facing challenging life circumstances. Since 2012 I have worked in a variety of NHS psychology services, offering talking therapy and emotional support to individuals, couples and families. Alongside my work with Heal.Feel.Connect. I continue to work part-time for an NHS hospital in Gloucestershire, working with staff to reduce work-related stress and burnout, and promoting a culture of compassion and psychological safety within the organisation.
01242 903203 View 01242 903203
Photo of Kate Gregory, MA, MBACP, Counsellor
Kate Gregory
Counsellor, MA, MBACP
Verified Verified
Hello, I'm Kate. I offer 1:1 counselling to adults. This can be short or long term depending on your needs. I work face to face in Cheltenham or online via Zoom. I offer a warm, supportive and confidential space to explore your feelings, thoughts and experiences. Counselling can help you to look at a particular issue that is worrying you, to make sense of difficult feelings, to explore deeply rooted issues, or simply to understand yourself better. I work with clients on many issues including anxiety, depression, grief and loss, low self-esteem, feeling stuck and unmotivated, questions of identity, and adapting to life changes.
Hello, I'm Kate. I offer 1:1 counselling to adults. This can be short or long term depending on your needs. I work face to face in Cheltenham or online via Zoom. I offer a warm, supportive and confidential space to explore your feelings, thoughts and experiences. Counselling can help you to look at a particular issue that is worrying you, to make sense of difficult feelings, to explore deeply rooted issues, or simply to understand yourself better. I work with clients on many issues including anxiety, depression, grief and loss, low self-esteem, feeling stuck and unmotivated, questions of identity, and adapting to life changes.
01242 505859 View 01242 505859
Photo of Tarma Bayliss - Person Centred Therapy UK, GMBPsS, Psychologist
Person Centred Therapy UK
Psychologist, GMBPsS
Verified Verified
Therapy can often involve seeing a professional, responding to questions that will help them figure out what's wrong, and taking another person's advice on how to deal with their difficulties. However, I offer a more humanistic approach to therapy, in which I will support you as you embark on a journey of self-discovery and help you find the solutions you've been looking for. You are, after all, the authority on your own life. I offer online and face to face sessions, equine therapy and walk and talk therapy. www.personcentredtherapy.uk
Therapy can often involve seeing a professional, responding to questions that will help them figure out what's wrong, and taking another person's advice on how to deal with their difficulties. However, I offer a more humanistic approach to therapy, in which I will support you as you embark on a journey of self-discovery and help you find the solutions you've been looking for. You are, after all, the authority on your own life. I offer online and face to face sessions, equine therapy and walk and talk therapy. www.personcentredtherapy.uk
01242 503905 View 01242 503905
Photo of Ben Crumpler - Therapy with Ben , MNCPS Acc., Counsellor
Therapy with Ben
Counsellor, MNCPS Acc.
Verified Verified
Hi, I am Ben an enthusiastic and friendly therapist working in the Cheltenham area, my Private Practice is Therapy with Ben. I work in an integrative way with my main approach being person-centred therapy, this is because I truly believe you are the expert in your own life. We can work together to make sure you get the most from life. I fully understand that if you are looking here then it is likely that things are not going as you would wish at the moment. Counselling is a great way to deal with lives difficulties and maximise the enjoyment you get from your own life, I truly believe this.
Hi, I am Ben an enthusiastic and friendly therapist working in the Cheltenham area, my Private Practice is Therapy with Ben. I work in an integrative way with my main approach being person-centred therapy, this is because I truly believe you are the expert in your own life. We can work together to make sure you get the most from life. I fully understand that if you are looking here then it is likely that things are not going as you would wish at the moment. Counselling is a great way to deal with lives difficulties and maximise the enjoyment you get from your own life, I truly believe this.
01242 501462 View 01242 501462
Photo of Jenny Clarke - Moving Forward with Jenny, PNCPS Acc., Counsellor
Moving Forward with Jenny
Counsellor, PNCPS Acc.
Verified Verified
Welcome.I offer counselling services to adults and young people. I also offer Lego therapy for children aged 5-12. Counselling is performed in a confidential, empathic and non-judgemental space to help clients feel comfortable, and to experience being really heard. Over time, people disconnect and struggle to find meaning in their lives. I can help people to deepen self-awareness and self-understanding so they can reconnect with themselves and others.
Welcome.I offer counselling services to adults and young people. I also offer Lego therapy for children aged 5-12. Counselling is performed in a confidential, empathic and non-judgemental space to help clients feel comfortable, and to experience being really heard. Over time, people disconnect and struggle to find meaning in their lives. I can help people to deepen self-awareness and self-understanding so they can reconnect with themselves and others.
01452 229528 View 01452 229528
Photo of Dawn Andrei, MBACP, Counsellor
Dawn Andrei
Counsellor, MBACP
Verified Verified
Are you struggling with your emotions, overwhelmed with anxiety, depression, grief, or relationship difficulties? Perhaps stuck in destructive habitual behavioural patterns, or addictive behaviours without understanding why? I offer a safe and empathetic environment to support your growth in developing self-awareness, through a range of therapeutic approaches, building a bespoke tool kit of coping techniques to support you work through your difficulties, develop emotional regulation and make the desired changes in your life.
Are you struggling with your emotions, overwhelmed with anxiety, depression, grief, or relationship difficulties? Perhaps stuck in destructive habitual behavioural patterns, or addictive behaviours without understanding why? I offer a safe and empathetic environment to support your growth in developing self-awareness, through a range of therapeutic approaches, building a bespoke tool kit of coping techniques to support you work through your difficulties, develop emotional regulation and make the desired changes in your life.
01452 941827 View 01452 941827
Photo of Dr Janette Rankine, DCounsPsych, CPsychol, Psychologist
Dr Janette Rankine
Psychologist, DCounsPsych, CPsychol
Verified Verified
Hi, Are you are looking for someone who will really listen to you without judgement? I am a fully qualified HCPC registered Counselling Psychologist. I provide a safe space to be heard, in a peacfeul haven in central Cheltenham. I offer Intergrative Counselling and Psychological Therapy for all kinds of distress, conflict or confusion. We all go through tough times when we need someone to tell our story to. Oftentimes, just sharing it, without fear of consequencies is all that is required to start a healing journey.
Hi, Are you are looking for someone who will really listen to you without judgement? I am a fully qualified HCPC registered Counselling Psychologist. I provide a safe space to be heard, in a peacfeul haven in central Cheltenham. I offer Intergrative Counselling and Psychological Therapy for all kinds of distress, conflict or confusion. We all go through tough times when we need someone to tell our story to. Oftentimes, just sharing it, without fear of consequencies is all that is required to start a healing journey.
01242 384074 View 01242 384074
Photo of Linzi Worrall - Linzi Worrall - Igloo Counselling, MNCPS Acc., Counsellor
Linzi Worrall - Igloo Counselling
Counsellor, MNCPS Acc.
Verified Verified
Hello, and welcome. I provide a safe, warm, non-judgemental space, where we can work together to explore, with gentle curiosity, what is going on for you, and how to find your own way forward. It is a space where you can be safe to bring yourself exactly as you are - to explore who you are and how you feel. I won't ask you to talk about anything you don't want to, or don't feel ready to. We will work at your pace, with whatever you choose to bring, to help you move towards a sense of understanding, healing and growth.
Hello, and welcome. I provide a safe, warm, non-judgemental space, where we can work together to explore, with gentle curiosity, what is going on for you, and how to find your own way forward. It is a space where you can be safe to bring yourself exactly as you are - to explore who you are and how you feel. I won't ask you to talk about anything you don't want to, or don't feel ready to. We will work at your pace, with whatever you choose to bring, to help you move towards a sense of understanding, healing and growth.
01452 923034 View 01452 923034
1

See more therapy options for GL50

How does your Counsellor compare?

Number of Counsellors in GL50

100+

Average cost per session

£60

Counsellors in GL50 who prioritize treating:

95% Anxiety
94% Depression
90% Self Esteem
82% Stress
80% Relationship Issues
71% Bereavement
66% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

56% WPA
52% Aviva
48% AXA PPP

How Counsellors in GL50 see their clients

87% In Person and Online
13% Online Only

Gender breakdown

73% Female
27% Male
FAQs - About Therapy and Counselling

How can I find a therapist in GL50?

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.