Counselling in Manchester
![Photo of Michael Halpin, MBACP, Counsellor](https://photos.psychologytoday.com/66ed646d-60dd-4697-b4ac-1b44baae75f0/2/320x400.jpeg)
Making the decision to reach out and admit that you need the help of someone else can be hard. Making the decision to attend counselling can be even harder. Partners, peers and family may not understand, you may feel like you've failed somehow, you may feel like you are not enough. We also know that this is far from the truth. Taking the step to attend counselling is often the first step on a journey that allows us to confront our difficulties, face our fears, become more self-aware and ultimately take a path that can lead to a better life.
Making the decision to reach out and admit that you need the help of someone else can be hard. Making the decision to attend counselling can be even harder. Partners, peers and family may not understand, you may feel like you've failed somehow, you may feel like you are not enough. We also know that this is far from the truth. Taking the step to attend counselling is often the first step on a journey that allows us to confront our difficulties, face our fears, become more self-aware and ultimately take a path that can lead to a better life.
![Photo of Dorota Michalek, MA, MBACP Accred, Counsellor](https://photos.psychologytoday.com/be993acd-82dd-4f5f-a0b3-a6e11cd0bcc8/3/320x400.jpeg)
I understand that sometimes it’s not easy and things aren’t always how we would like them to be, but simply talking to someone can bring relief and be the first step towards positive change. I am committed to providing you with support, free of judgement and full of empathy for every stage of your journey. As a qualified counsellor I am enthusiastic about humanistic approaches. I embrace the idea that we have wisdom and capabilities to overcome hardships and live a more fulfilling life, given the right support and environment.
I understand that sometimes it’s not easy and things aren’t always how we would like them to be, but simply talking to someone can bring relief and be the first step towards positive change. I am committed to providing you with support, free of judgement and full of empathy for every stage of your journey. As a qualified counsellor I am enthusiastic about humanistic approaches. I embrace the idea that we have wisdom and capabilities to overcome hardships and live a more fulfilling life, given the right support and environment.
![Photo of Danielle Alexandra McCabe, MBACP, Counsellor](https://photos.psychologytoday.com/aaa21b07-0ba6-41bc-8e38-5e32cbfd9108/3/320x400.jpeg)
Danielle Alexandra McCabe
Counsellor, MBACP
Verified Verified
Manchester M3
Waitlist for new clients
You’ve landed on this page for a reason. Maybe you’re tired from always putting others first but feel selfish for caring about yourself. Maybe you’re feeling too anxious to even be around other people and are spending a lot of time with your thoughts. Maybe you want to escape or block out your thoughts altogether because they feel too scary to be with. Whatever the reason is, you know that something doesn’t feel right and you can’t carry on doing it alone.
You’ve landed on this page for a reason. Maybe you’re tired from always putting others first but feel selfish for caring about yourself. Maybe you’re feeling too anxious to even be around other people and are spending a lot of time with your thoughts. Maybe you want to escape or block out your thoughts altogether because they feel too scary to be with. Whatever the reason is, you know that something doesn’t feel right and you can’t carry on doing it alone.
![Photo of Esther Calek, MSc, MBACP, Counsellor](https://photos.psychologytoday.com/40476fd5-9670-4d63-8568-b6e7f648f408/1/320x400.jpeg)
Hi, if you are reading this, congratulations on taking the first step on reaching out for help. I imagine you are going through a rocky period, or maybe have come through a tough time and would like to reflect and feel emotionally stable again. Or perhaps you are simply interested in doing some work on resilience. Whatever your goal is I am here to support you in an empathic, supportive and confidential environment.
Hi, if you are reading this, congratulations on taking the first step on reaching out for help. I imagine you are going through a rocky period, or maybe have come through a tough time and would like to reflect and feel emotionally stable again. Or perhaps you are simply interested in doing some work on resilience. Whatever your goal is I am here to support you in an empathic, supportive and confidential environment.
![Photo of Paul James Bainbridge, MBABCP, Psychotherapist](https://photos.psychologytoday.com/52264000-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
**Webcam/ Telephone sessions available** Hey there. If you're experiencing low mood, stress, anger, anxiety or worry, then it could be helpful to consider seeking therapy. Usually even working out where to even start can be a difficult and confusing process, and CBT is a fantastic way to help you to unpick problematic thoughts, feeling, behaviours and cycles which could be maintaining the problems you're experiencing
**Webcam/ Telephone sessions available** Hey there. If you're experiencing low mood, stress, anger, anxiety or worry, then it could be helpful to consider seeking therapy. Usually even working out where to even start can be a difficult and confusing process, and CBT is a fantastic way to help you to unpick problematic thoughts, feeling, behaviours and cycles which could be maintaining the problems you're experiencing
![Photo of Clare Morgan - Clare Morgan Psychotherapy and Counselling](https://photos.psychologytoday.com/7a4e00bb-5163-4199-b940-6c9c1d296c12/1/320x400.jpeg)
Starting therapy can be daunting. As a queer, non-binary, neurodivergent outdoor and online therapist, it is my aim to hold space for affirming therapy for all. I have supported people with relationship challenges, people wanting to build and explore relationships with themselves and those looking back at their past and how it could be affecting them today. I am open to a fun and creative approach to talking therapy built on the relationship between myself and my client and include the natural world. I use relational TA and have experience of working with family dysfunction. I work term time only in urban nature settings and online.
Starting therapy can be daunting. As a queer, non-binary, neurodivergent outdoor and online therapist, it is my aim to hold space for affirming therapy for all. I have supported people with relationship challenges, people wanting to build and explore relationships with themselves and those looking back at their past and how it could be affecting them today. I am open to a fun and creative approach to talking therapy built on the relationship between myself and my client and include the natural world. I use relational TA and have experience of working with family dysfunction. I work term time only in urban nature settings and online.
![Photo of Keith Chadwick - Manchester Centre for EMDR, MSc, MBACP Snr. Accred, Psychotherapist](https://photos.psychologytoday.com/669b3862-ddd7-4aa9-8e60-b0abefb7e9df/1/320x400.jpeg)
Eye Movement Desensitization and Reprocessing (EMDR) Therapy is a powerful healing method that has helped adults, young people and children, relieve many troublesome symptoms resulting from TRAUMA. EMDR has also been applied to other problems including depression, anxiety and phobias. The Centre for EMDR is a virtual online centre which provides onward contact with a qualified, experienced EMDR therapist located in Manchester, Liverpool or UK areas (for video based sessions). All therapists are self-employed, manage their own diaries and adhere to appropriate Professional codes.
Eye Movement Desensitization and Reprocessing (EMDR) Therapy is a powerful healing method that has helped adults, young people and children, relieve many troublesome symptoms resulting from TRAUMA. EMDR has also been applied to other problems including depression, anxiety and phobias. The Centre for EMDR is a virtual online centre which provides onward contact with a qualified, experienced EMDR therapist located in Manchester, Liverpool or UK areas (for video based sessions). All therapists are self-employed, manage their own diaries and adhere to appropriate Professional codes.
![Photo of Chloe Jones, COSRT Reg., Counsellor](https://photos.psychologytoday.com/5a13ef30-4784-44af-98d2-5429c1467862/1/320x400.jpeg)
I work with people that have barriers to a fulfilling sex life. This can include conditions such as erectile dysfunction, premature/delayed ejaculation, low desire, pain during penetration and difficulty achieving orgasm.
I work with people that have barriers to a fulfilling sex life. This can include conditions such as erectile dysfunction, premature/delayed ejaculation, low desire, pain during penetration and difficulty achieving orgasm.
![Photo of Stewart Thurlow, MNCPS Acc., Psychotherapist](https://photos.psychologytoday.com/50dcbdf2-f2c9-41ea-a1ad-8e44b4ff798a/1/320x400.jpeg)
We all need someone to not only listen to us, but to truly see and hear us. You might choose to work with me if you're experiencing difficulties in areas such as work or relationships, anxiety (including social anxiety), grief, depression, low self esteem, low self confidence and lack of motivation. You may just be feeling sad or low and simply don't know where to start. I aim to provide a warm, welcoming space for you to explore the causes of these uncomfortable emotions in a safe environment.
We all need someone to not only listen to us, but to truly see and hear us. You might choose to work with me if you're experiencing difficulties in areas such as work or relationships, anxiety (including social anxiety), grief, depression, low self esteem, low self confidence and lack of motivation. You may just be feeling sad or low and simply don't know where to start. I aim to provide a warm, welcoming space for you to explore the causes of these uncomfortable emotions in a safe environment.
![Photo of Sarah Hayes, BACP, Psychotherapist](https://photos.psychologytoday.com/7f3d7883-4d11-4215-925a-f397804dfc08/1/320x400.jpeg)
At certain points in our lives, we might find ourselves in what may seem like an unbreakable cycle of self-destructive behaviours, overwhelming emotions and a sense of disconnect to those around us, or perhaps even within ourselves. If you’re reading this, it is likely that you currently find yourself somewhere within that cycle or you may have feelings of anxiety, depression or low self-worth. You may be experiencing relationship difficulties, intrusive and obsessive thoughts, self-harm, child-hood trauma or grief. Whatever the reason may be, I just want to firstly remind you that you are not alone.
At certain points in our lives, we might find ourselves in what may seem like an unbreakable cycle of self-destructive behaviours, overwhelming emotions and a sense of disconnect to those around us, or perhaps even within ourselves. If you’re reading this, it is likely that you currently find yourself somewhere within that cycle or you may have feelings of anxiety, depression or low self-worth. You may be experiencing relationship difficulties, intrusive and obsessive thoughts, self-harm, child-hood trauma or grief. Whatever the reason may be, I just want to firstly remind you that you are not alone.
![Photo of Chris Holden, MA, MBACP, Psychotherapist](https://photos.psychologytoday.com/9b61d181-6640-4441-9e65-6f1758387201/3/320x400.jpeg)
Hello, I'm a qualified counsellor and psychotherapist based in Fallowfield, Manchester. Life can be hard and it can be confusing. Events and relationships from our past can sometimes, out of awareness, impact us in the present. This can feel confusing, unsettling or even scary. I offer a warm, safe and compassionate place where you can feel heard and where we can try make sense of what is happening in your life. For the past 10 years I have supported people with a range of issues such as low mood, anxiety, shame, trauma, emotional dysregulation, relationship difficulties, self harm and suicidal ideation.
Hello, I'm a qualified counsellor and psychotherapist based in Fallowfield, Manchester. Life can be hard and it can be confusing. Events and relationships from our past can sometimes, out of awareness, impact us in the present. This can feel confusing, unsettling or even scary. I offer a warm, safe and compassionate place where you can feel heard and where we can try make sense of what is happening in your life. For the past 10 years I have supported people with a range of issues such as low mood, anxiety, shame, trauma, emotional dysregulation, relationship difficulties, self harm and suicidal ideation.
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Hi, you may be feeling overwhelmed at the moment or finding yourself trying to cope with pressure from work or relationships or just life in general. Maybe you have been feeling down or anxious and don't know how to deal with the symptoms. Many people have been impacted by Covid and are finding it hard to adjust. I can offer you a safe space in which you can talk about anything without judgement. Together we can discover what is holding you back, making you feel stuck, or causing you to repeat unhealthy patterns of behaviour.
Hi, you may be feeling overwhelmed at the moment or finding yourself trying to cope with pressure from work or relationships or just life in general. Maybe you have been feeling down or anxious and don't know how to deal with the symptoms. Many people have been impacted by Covid and are finding it hard to adjust. I can offer you a safe space in which you can talk about anything without judgement. Together we can discover what is holding you back, making you feel stuck, or causing you to repeat unhealthy patterns of behaviour.
![Photo of Laura McGrath - South Manchester Psychologist, PhD, HCPC - Clin. Psych., Psychologist](https://photos.psychologytoday.com/accc101c-764a-4e73-b41d-f41b1a440c8f/2/320x400.jpeg)
South Manchester Psychologist
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
Manchester M20
I am an experienced HCPC registered clinical psychologist with over 10 years post-qualification experience. Based in Didsbury, South Manchester, I offer psychological assessment and therapy to young people and adults. I have seen the transformative power of psychological therapy personally and in the hundreds of clients I have worked with over the years so I am passionate about my work. I understand the importance of providing a safe, compassionate and nonjudgemental space for my clients. In my spare time I enjoy spending time with my family, being outdoors, walking and yoga.
I am an experienced HCPC registered clinical psychologist with over 10 years post-qualification experience. Based in Didsbury, South Manchester, I offer psychological assessment and therapy to young people and adults. I have seen the transformative power of psychological therapy personally and in the hundreds of clients I have worked with over the years so I am passionate about my work. I understand the importance of providing a safe, compassionate and nonjudgemental space for my clients. In my spare time I enjoy spending time with my family, being outdoors, walking and yoga.
![Photo of Clare Madden - Clare Madden - CBT, MSc](https://photos.psychologytoday.com/e9735f4f-fab5-4853-9276-3def90e3530e/1/320x400.jpeg)
Hi, I am a qualified cognitive behaviour therapist (CBT) and split my time working with children, adolescents and adults. I work part-time at CAMHS for the NHS and also work with students at Manchester University.
Hi, I am a qualified cognitive behaviour therapist (CBT) and split my time working with children, adolescents and adults. I work part-time at CAMHS for the NHS and also work with students at Manchester University.
![Photo of Dr Kelly Savery, DCounsPsych, HCPC - Couns. Psych., Psychologist](https://photos.psychologytoday.com/b0bbb00d-91b0-46c8-969c-18a7092ac127/2/320x400.jpeg)
Dr Kelly Savery
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
12 Endorsed
Manchester M3
If you are a trauma survivor, I see you. I’m here for you. I provide a safe space to explore what happened to you. Together, we’ll find ways to manage the psychological and physiological distress that is a result of trauma. You are not alone. My collaborative process creates a safe space for you to work through your traumatic experience(s) and come out stronger on the other side. I will empower you to make choices to live your life in accordance with your values and beliefs. I am an inclusive therapist and work with everyone who has experienced trauma, including marginalized and under-represented groups of people.
If you are a trauma survivor, I see you. I’m here for you. I provide a safe space to explore what happened to you. Together, we’ll find ways to manage the psychological and physiological distress that is a result of trauma. You are not alone. My collaborative process creates a safe space for you to work through your traumatic experience(s) and come out stronger on the other side. I will empower you to make choices to live your life in accordance with your values and beliefs. I am an inclusive therapist and work with everyone who has experienced trauma, including marginalized and under-represented groups of people.
Life is difficult. Every day you face a thousand intangible threats to your mental well-being and self-esteem. Your brain reacts, creating a collection of sensations which we call anxiety. Sometimes you feel hopeless-there's no way out of trouble and you feel yourself becoming more withdrawn, isolated and depressed. Or, perhaps living with the person you love is impossible. Talking things over with family or friends can help. But you may have reasons why that's not appropriate or you need specific specialist help. Then is the time to speak with an impartial, trained, professional, in confidence.
Life is difficult. Every day you face a thousand intangible threats to your mental well-being and self-esteem. Your brain reacts, creating a collection of sensations which we call anxiety. Sometimes you feel hopeless-there's no way out of trouble and you feel yourself becoming more withdrawn, isolated and depressed. Or, perhaps living with the person you love is impossible. Talking things over with family or friends can help. But you may have reasons why that's not appropriate or you need specific specialist help. Then is the time to speak with an impartial, trained, professional, in confidence.
![Photo of Yvonne Elizabeth Meidlinger, MBACP, Psychotherapist](https://photos.psychologytoday.com/535e3ef9-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I believe that the therapist and client come together as a team to work through issues that may stand in the way of you reaching your potential. Through my training, I have mainly used Transactional Analysis, but also have some experience working in a solution-focussed way and like to work integratively as each person is an individual who may like to work in a different way. I work with people on a range of issues, but find that I work with people with anxiety or depression most commonly, and pride myself on working hard to make people feel at ease.
I believe that the therapist and client come together as a team to work through issues that may stand in the way of you reaching your potential. Through my training, I have mainly used Transactional Analysis, but also have some experience working in a solution-focussed way and like to work integratively as each person is an individual who may like to work in a different way. I work with people on a range of issues, but find that I work with people with anxiety or depression most commonly, and pride myself on working hard to make people feel at ease.
![Photo of Simon Bayley](https://photos.psychologytoday.com/5079bb6d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I work with people from all walks and with many issues but all feel a need to change something in their lives. I can create a safe space to explore and understand the problems you bring, both individually or together with partners. I have helped many clients deal with the issues arising from depression, self doubt, anxiety and trauma, or changing notions of self worth, especially in the face of work stress.
I work with people from all walks and with many issues but all feel a need to change something in their lives. I can create a safe space to explore and understand the problems you bring, both individually or together with partners. I have helped many clients deal with the issues arising from depression, self doubt, anxiety and trauma, or changing notions of self worth, especially in the face of work stress.
![Photo of Brian O Ceallaigh, PsychD, HCPC - Clin. Psych., Psychologist](https://photos.psychologytoday.com/5f67e95c-78f7-40ba-8fb3-c03686872ccd/1/320x400.jpeg)
I work with clients with a range of different problems and difficulties, including people who are struggling with issues around anxiety and low mood, those who wish to explore longer-term patterns in their relationships with others, and people who are struggling to come to terms with traumatic experiences. I have particular expertise in perinatal mental health, which refers to the mental health needs of pregnant people and mothers.
I work with clients with a range of different problems and difficulties, including people who are struggling with issues around anxiety and low mood, those who wish to explore longer-term patterns in their relationships with others, and people who are struggling to come to terms with traumatic experiences. I have particular expertise in perinatal mental health, which refers to the mental health needs of pregnant people and mothers.
![Photo of Brendan James Dunlop - Rainbow Junction Therapy, PsychD, HCPC - Clin. Psych., Psychologist](https://photos.psychologytoday.com/cad300a6-343e-42fb-a35f-e6ce6113d12e/1/320x400.jpeg)
Rainbow Junction Therapy
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Manchester M28 (Online Only)
Hi there! Welcome to Rainbow Junction Therapy - a specialist therapy service for all LGBTQ+ people. We offer bespoke and adapted psychological therapy to children, teens, young people, adults and older adults from the LGBTQ+ communities. We have specialist practitioners that work with gender dysphoria/incongruence, bisexual mental health, family planning, mood difficulties, ADHD, Autism, self-harmful behaviours, and much more. We have three core therapy pillars: 1) knowledgeable and experienced therapists, 2) safe and empowering therapy and 3) always intersectional therapy - which fully centres your needs and goals.
Hi there! Welcome to Rainbow Junction Therapy - a specialist therapy service for all LGBTQ+ people. We offer bespoke and adapted psychological therapy to children, teens, young people, adults and older adults from the LGBTQ+ communities. We have specialist practitioners that work with gender dysphoria/incongruence, bisexual mental health, family planning, mood difficulties, ADHD, Autism, self-harmful behaviours, and much more. We have three core therapy pillars: 1) knowledgeable and experienced therapists, 2) safe and empowering therapy and 3) always intersectional therapy - which fully centres your needs and goals.
See more therapy options for Manchester
Nearby Searches for Manchester
See More CounsellorsHow does your Counsellor compare?
Number of Counsellors in Manchester
800+
Average cost per session
£60
Counsellors in Manchester who prioritize treating:
91% | Anxiety |
86% | Depression |
83% | Self Esteem |
80% | Stress |
77% | Relationship Issues |
66% | Trauma and PTSD |
62% | Bereavement |
Average years in practice
9 Years
Top 3 insurances accepted
63% | Aviva |
59% | AXA PPP |
47% | Vitality |
How Counsellors in Manchester see their clients
67% | In Person and Online | |
33% | Online Only |
Gender breakdown
70% | Female | |
28% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in Manchester?
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
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.
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.
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.