Photo of Kathryn Etherington, MBACP, Counsellor
Kathryn Etherington
Counsellor, MBACP
Verified Verified
Leeds LS1
I provide Couples Counselling and one to one Relationship Counselling within Leeds and York. I have counselling rooms within walking distance from Leeds and York City Centres. Both sites have access to nearby parking.
I provide Couples Counselling and one to one Relationship Counselling within Leeds and York. I have counselling rooms within walking distance from Leeds and York City Centres. Both sites have access to nearby parking.
0113 487 2944 View 0113 487 2944
Photo of Will Jones, MBACP, Counsellor
Will Jones
Counsellor, MBACP
Verified Verified
Leeds LS1
You may be struggling with anxiety, stress, or anger. You may be feeling numb, low, or lost. You might be having difficulties in your relationship, at work, after a bereavement or in other aspects of your life. You could also be noticing a pattern which keeps repeating that you want to change. As you are unique, I believe your counselling should be too, and I will tailor my approach to you. That might mean that our sessions are a space for you to talk through your thoughts about your issues or work through your feelings at a pace that suits you.
You may be struggling with anxiety, stress, or anger. You may be feeling numb, low, or lost. You might be having difficulties in your relationship, at work, after a bereavement or in other aspects of your life. You could also be noticing a pattern which keeps repeating that you want to change. As you are unique, I believe your counselling should be too, and I will tailor my approach to you. That might mean that our sessions are a space for you to talk through your thoughts about your issues or work through your feelings at a pace that suits you.
0113 518 8481 View 0113 518 8481
Photo of Ewelina Siemieniuk, MBACP, Counsellor
Ewelina Siemieniuk
Counsellor, MBACP
Verified Verified
1 Endorsed
Leeds LS1
Feeling overwhelmed and unsure how to choose a therapist? Maybe you are experiencing grief that is all consuming? At times it can be scary to feel so intensely so you need someone that can help you make sense and navigate your feelings and emotions? Or perhaps you are going through changes and transformation which leaves you feeling alone and lost in this new way of being? Looking for someone who can be a witness to who you are becoming? Are you the someone that struggles in relationships and always attracts the same kind of person? Do you need therapist that will show you how to build fulfilling relationship and end those patterns?
Feeling overwhelmed and unsure how to choose a therapist? Maybe you are experiencing grief that is all consuming? At times it can be scary to feel so intensely so you need someone that can help you make sense and navigate your feelings and emotions? Or perhaps you are going through changes and transformation which leaves you feeling alone and lost in this new way of being? Looking for someone who can be a witness to who you are becoming? Are you the someone that struggles in relationships and always attracts the same kind of person? Do you need therapist that will show you how to build fulfilling relationship and end those patterns?
0113 532 6640 View 0113 532 6640
Photo of Victoria Gilder, HCPC - Clin. Psych., Psychologist
Victoria Gilder
Psychologist, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Leeds LS1
Hello, I'm Victoria. Making that first step towards getting support can be daunting- it can be difficult to know what you need. The most important factor is finding a therapist who you can build a trusting and safe relationship with and that will be an important part of our work together. I'm an HCPC registered Clinical Psychologist with over 15 years experience. I offer a safe and confidential service to adults experiencing a wide variety of mental health difficulties. I'm interested in understanding the ways your experiences in life have influenced how you've learned to navigate your relationships and the world.
Hello, I'm Victoria. Making that first step towards getting support can be daunting- it can be difficult to know what you need. The most important factor is finding a therapist who you can build a trusting and safe relationship with and that will be an important part of our work together. I'm an HCPC registered Clinical Psychologist with over 15 years experience. I offer a safe and confidential service to adults experiencing a wide variety of mental health difficulties. I'm interested in understanding the ways your experiences in life have influenced how you've learned to navigate your relationships and the world.
0113 467 8408 View 0113 467 8408
Photo of Elizabeth Paterson, MBACP Accred, Counsellor
Elizabeth Paterson
Counsellor, MBACP Accred
Verified Verified
Leeds LS1
My goal during every one of our therapy sessions, is to give you the space and support to be able to think your way through your concerns. We will build on your understanding, self-awareness and general wellbeing to empower you to find the solutions that work best for you. This world is certainly complicated at times, but a lot smoother with the right support around you.
My goal during every one of our therapy sessions, is to give you the space and support to be able to think your way through your concerns. We will build on your understanding, self-awareness and general wellbeing to empower you to find the solutions that work best for you. This world is certainly complicated at times, but a lot smoother with the right support around you.
0113 519 0733 View 0113 519 0733
Photo of Dr Rose Martin, HCPC - Clin. Psych., Psychologist
Dr Rose Martin
Psychologist, HCPC - Clin. Psych.
Verified Verified
Leeds LS1  (Online Only)
I am passionate about helping people to understand and unstick difficult patterns in their lives. When traumatic or stressful events happen, we make sense of them as best we can at the time. Sometimes this leaves us with ways of feeling and coping that don’t work as well in our current lives, maybe causing problems in our relationships or with our wellbeing. I help people struggling with anxiety, grief, low self-esteem and other problems to find new ways of coping, and to work towards living a more fulfilling and balanced life. If you are feeling overwhelmed or stuck, I can offer a space to step back and find a new way forward.
I am passionate about helping people to understand and unstick difficult patterns in their lives. When traumatic or stressful events happen, we make sense of them as best we can at the time. Sometimes this leaves us with ways of feeling and coping that don’t work as well in our current lives, maybe causing problems in our relationships or with our wellbeing. I help people struggling with anxiety, grief, low self-esteem and other problems to find new ways of coping, and to work towards living a more fulfilling and balanced life. If you are feeling overwhelmed or stuck, I can offer a space to step back and find a new way forward.
0113 519 0653 View 0113 519 0653
Photo of Janina Grimshaw, MBACP, Counsellor
Janina Grimshaw
Counsellor, MBACP
Verified Verified
Leeds LS1
Hi, my name’s Janina and I am a fully qualified therapist offering in-person counselling in the centre of Leeds, Ilkley and Saltaire, as well as online counselling to people across the UK. You may be looking for support to process difficult events, time to explore your own sense of identity, or space to allow your feelings to be heard. Taking the decision to start counselling can be a difficult and daunting step and my priority is to ensure we work together at a pace that feels right for you. As every person is unique, every therapeutic relationship is too, so the way we work together will be individual to you.
Hi, my name’s Janina and I am a fully qualified therapist offering in-person counselling in the centre of Leeds, Ilkley and Saltaire, as well as online counselling to people across the UK. You may be looking for support to process difficult events, time to explore your own sense of identity, or space to allow your feelings to be heard. Taking the decision to start counselling can be a difficult and daunting step and my priority is to ensure we work together at a pace that feels right for you. As every person is unique, every therapeutic relationship is too, so the way we work together will be individual to you.
0113 519 0564 View 0113 519 0564
Photo of Chris Powell, MUKCP, Psychotherapist
Chris Powell
Psychotherapist, MUKCP
Verified Verified
1 Endorsed
Leeds LS1
In my experience the most effective ways to deal with emotional and psychological difficulties problems are to address the underlying causes. This often involves understanding how you got to where you are now, including the impact others have had on you. Finding ways of improving your relationships is also often central to being able to make changes and feeling more able to deal with the challenges you face.
In my experience the most effective ways to deal with emotional and psychological difficulties problems are to address the underlying causes. This often involves understanding how you got to where you are now, including the impact others have had on you. Finding ways of improving your relationships is also often central to being able to make changes and feeling more able to deal with the challenges you face.
0113 467 8207 View 0113 467 8207
Photo of Susan Moorehouse, MBACP, Counsellor
Susan Moorehouse
Counsellor, MBACP
Verified Verified
1 Endorsed
Leeds LS1
As a person-centred counsellor I aim to support clients to recognise their own strengths and abilities, so that they feel more able to work through issues and concerns at a pace that is right for them. I provide a safe and confident space so that clients feel heard, accepted and listened to without judgement for criticism. I work with competence, confidence, empathy and always have my client’s best interest at heart. Seeing things from the clients perspective helps to facilitate personal growth, change and enables clients to make life choices that are right for them.
As a person-centred counsellor I aim to support clients to recognise their own strengths and abilities, so that they feel more able to work through issues and concerns at a pace that is right for them. I provide a safe and confident space so that clients feel heard, accepted and listened to without judgement for criticism. I work with competence, confidence, empathy and always have my client’s best interest at heart. Seeing things from the clients perspective helps to facilitate personal growth, change and enables clients to make life choices that are right for them.
0113 519 9956 View 0113 519 9956
Photo of Tapiwa Thomas - Pamozi Therapy, MBACP, Counsellor
Tapiwa Thomas - Pamozi Therapy
Counsellor, MBACP
Verified Verified
1 Endorsed
Leeds LS1
I am Tapiwa, through experience and training, I know how tough it can be to wade through and unknot the emotions, feeling, despair and everything life throws at you. I’m an integrative practitioner, and as such, I will be drawing on various therapies to support you as we seek to find the answers to the challenges you are facing. It must have taken you a couple of clicks to get here, and very possibly a lot of strength. By looking for support you have made a move towards better health and resilience. I believe that, within all of us, are the answers to the challenges we face.
I am Tapiwa, through experience and training, I know how tough it can be to wade through and unknot the emotions, feeling, despair and everything life throws at you. I’m an integrative practitioner, and as such, I will be drawing on various therapies to support you as we seek to find the answers to the challenges you are facing. It must have taken you a couple of clicks to get here, and very possibly a lot of strength. By looking for support you have made a move towards better health and resilience. I believe that, within all of us, are the answers to the challenges we face.
0113 320 5452 View 0113 320 5452
Photo of Alison Gilbert, BACP, Counsellor
Alison Gilbert
Counsellor, BACP
Verified Verified
Leeds LS1
I have vast experience of counselling both adults and children having worked in private practice and in schools. My experience has given me a great understanding of how our childhood can impact our adult life. I use my experience and counselling knowledge to develop bespoke therapy sessions for each individual client. My focus is on helping you to move forward and address whatever it is that you feel is holding you back in life. For me the most important thing is that the sessions are for you, and I’m here to work alongside you.
I have vast experience of counselling both adults and children having worked in private practice and in schools. My experience has given me a great understanding of how our childhood can impact our adult life. I use my experience and counselling knowledge to develop bespoke therapy sessions for each individual client. My focus is on helping you to move forward and address whatever it is that you feel is holding you back in life. For me the most important thing is that the sessions are for you, and I’m here to work alongside you.
0113 519 4519 View 0113 519 4519
Photo of Dr Zaynah Arshad, PsychD, HCPC - Clin. Psych., Psychologist
Dr Zaynah Arshad
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Leeds LS1  (Online Only)
Hi, I’m Zaynah; I’m a trauma-informed Clinical Psychologist and have worked within mental health services in the NHS for 12 years. I have successfully worked alongside individuals with a range of difficulties, including; emotional coping difficulties, low mood/depression, anxiety, low self-esteem and relationship difficulties. I also work to support people in processing traumatic experiences (PTSD and C-PTSD). My core values include being approachable and compassionate and this is reflected in the way in which I work. People I have worked with have described me as warm, genuine, and validating.
Hi, I’m Zaynah; I’m a trauma-informed Clinical Psychologist and have worked within mental health services in the NHS for 12 years. I have successfully worked alongside individuals with a range of difficulties, including; emotional coping difficulties, low mood/depression, anxiety, low self-esteem and relationship difficulties. I also work to support people in processing traumatic experiences (PTSD and C-PTSD). My core values include being approachable and compassionate and this is reflected in the way in which I work. People I have worked with have described me as warm, genuine, and validating.
View
Photo of Dr Malinder K Bhullar, PsychD, HCPC - Forensic Psych., Psychologist
Dr Malinder K Bhullar
Psychologist, PsychD, HCPC - Forensic Psych.
Verified Verified
2 Endorsed
Leeds LS1
Are you someone who has struggled to find a genuinely safe, understanding and inclusive therapeutic or reflective space? Or have not yet found a professional who actually demonstrates having the expertise they tell you about? Are you still on the fence about taking that step forward? I understand.
Are you someone who has struggled to find a genuinely safe, understanding and inclusive therapeutic or reflective space? Or have not yet found a professional who actually demonstrates having the expertise they tell you about? Are you still on the fence about taking that step forward? I understand.
0113 519 0542 View 0113 519 0542
Photo of Amarah Hussain, MBACP, Psychotherapist
Amarah Hussain
Psychotherapist, MBACP
Verified Verified
Leeds LS1
Want to feel like your normal self again? Sometimes a listening ear and understanding is what you need. I am here to offer you my time, respect and acceptance. I use an integrative approach - tailoring the therapy to my client's needs, and not the client to one specific approach. I am fully qualified and experienced in both short-term and long-term face-to-face therapy. I create a good therapeutic relationship with each client, normalising individuality in a comfortable space. I work in a completely confidential, non-judgemental, fair and equal manner.
Want to feel like your normal self again? Sometimes a listening ear and understanding is what you need. I am here to offer you my time, respect and acceptance. I use an integrative approach - tailoring the therapy to my client's needs, and not the client to one specific approach. I am fully qualified and experienced in both short-term and long-term face-to-face therapy. I create a good therapeutic relationship with each client, normalising individuality in a comfortable space. I work in a completely confidential, non-judgemental, fair and equal manner.
0113 487 2990 View 0113 487 2990
Photo of Nichola Green, HCPC-Drama Therap., Psychotherapist
Nichola Green
Psychotherapist, HCPC-Drama Therap.
Verified Verified
Leeds LS1
Hello, thanks for visiting my profile. I wonder what has brought you here. Perhaps you keep repeating old patterns, lack motivation, or are unhappy in your work or relationships. You know you want things to change but don't know where to start. I offer a unique and integrative approach. We connect to the body- that is the starting point. We may move, play, sing, paint, be still, talk, shout, act, and tell stories. I encourage you to tune in and observe, noticing feelings, sensations, and thoughts. I have many years of experience and many resources to help you become more grounded, and connected and shift your focus, and energy.
Hello, thanks for visiting my profile. I wonder what has brought you here. Perhaps you keep repeating old patterns, lack motivation, or are unhappy in your work or relationships. You know you want things to change but don't know where to start. I offer a unique and integrative approach. We connect to the body- that is the starting point. We may move, play, sing, paint, be still, talk, shout, act, and tell stories. I encourage you to tune in and observe, noticing feelings, sensations, and thoughts. I have many years of experience and many resources to help you become more grounded, and connected and shift your focus, and energy.
0113 519 4306 View 0113 519 4306
Photo of Steve Howey, BACP, Counsellor
Steve Howey
Counsellor, BACP
Verified Verified
Leeds LS1
Life can feel overwhelming and too much, and you want help. You might be struggling with anxiety, depression, a bereavement, low self-esteem, family issues, or many other problems. I have seen time and again that counselling can be an excellent tool in maintaining and improving your mental health. Many of my clients attest to feeling different after our sessions. Such as a sense of feeling calmer even after an introductory call, or first session. Some clients have found they sleep better after a few sessions, or have reduced panic attacks. Some clients spiral less, feel more in control of their life or may feel more confident.
Life can feel overwhelming and too much, and you want help. You might be struggling with anxiety, depression, a bereavement, low self-esteem, family issues, or many other problems. I have seen time and again that counselling can be an excellent tool in maintaining and improving your mental health. Many of my clients attest to feeling different after our sessions. Such as a sense of feeling calmer even after an introductory call, or first session. Some clients have found they sleep better after a few sessions, or have reduced panic attacks. Some clients spiral less, feel more in control of their life or may feel more confident.
0113 519 1221 View 0113 519 1221
Photo of Rachel Spence, MBACP, Counsellor
Rachel Spence
Counsellor, MBACP
Verified Verified
Leeds LS1
I am a Relate trained counsellor experienced at working with both couples and individuals. I offer a down-to-earth, forward thinking, non-directive approach. I endeavour to create a warm, non-judgemental therapeutic relationship where we can focus on you and your situation. I will work with you to understand your concerns, your deeper needs and how they are affecting your life and relationships.I see my role as supportive of your change, offering change to explore feelings and experiences in a safe, confidential space. I have worked with clients from the LGBT community and from diverse backgrounds.
I am a Relate trained counsellor experienced at working with both couples and individuals. I offer a down-to-earth, forward thinking, non-directive approach. I endeavour to create a warm, non-judgemental therapeutic relationship where we can focus on you and your situation. I will work with you to understand your concerns, your deeper needs and how they are affecting your life and relationships.I see my role as supportive of your change, offering change to explore feelings and experiences in a safe, confidential space. I have worked with clients from the LGBT community and from diverse backgrounds.
0113 467 9116 View 0113 467 9116
Photo of Tracey Cohen, MBACP, Counsellor
Tracey Cohen
Counsellor, MBACP
Verified Verified
Leeds LS1
I Work with a number of issues. Depression Addiction Grief Relationship issues, anxiety stress. I offer couple counselling I am accredited with 21 years experience, I teach counselling and keep up to date with my work. I offer excellent Addiction therapy offering extensive experience and knowledge about alcoholism and drug addiction. I work in a confidential manner giving my clients the support needed to get results. I integrate my therapies using a variety of methods. Person centred Psychodynamic Cognitive Behaviour, EMDR, TA, Gestalts', I use what model is best for the clients issues. Call, text or email me for an appointment.
I Work with a number of issues. Depression Addiction Grief Relationship issues, anxiety stress. I offer couple counselling I am accredited with 21 years experience, I teach counselling and keep up to date with my work. I offer excellent Addiction therapy offering extensive experience and knowledge about alcoholism and drug addiction. I work in a confidential manner giving my clients the support needed to get results. I integrate my therapies using a variety of methods. Person centred Psychodynamic Cognitive Behaviour, EMDR, TA, Gestalts', I use what model is best for the clients issues. Call, text or email me for an appointment.
0113 519 0335 View 0113 519 0335
Photo of Kimberley Webb- Private Psychotherapy Yorkshire, PsychD, HCPC - Clin. Psych., Psychologist
Kimberley Webb- Private Psychotherapy Yorkshire
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Leeds LS1  (Online Only)
Waitlist for new clients
I am a HCPC-registered Clinical Psychologist, EMDR and Accredited Schema Therapist. I provide evidence-based psychological assessment, formulation and intervention to adults experiencing difficulties such as trauma, relationship difficulties and emotional distress. I provide bespoke therapy to support you in making sense of, and addressing the difficulties that prompted you to seek therapy. I. utilise schema, EMDR and psychodynamic approaches as well as traditional CBT methods, I am the co-developer of: privatepsychotherapyyorkshire
I am a HCPC-registered Clinical Psychologist, EMDR and Accredited Schema Therapist. I provide evidence-based psychological assessment, formulation and intervention to adults experiencing difficulties such as trauma, relationship difficulties and emotional distress. I provide bespoke therapy to support you in making sense of, and addressing the difficulties that prompted you to seek therapy. I. utilise schema, EMDR and psychodynamic approaches as well as traditional CBT methods, I am the co-developer of: privatepsychotherapyyorkshire
01302 972774 View 01302 972774
Photo of Kevin Sykes, COSRT Accred, Psychotherapist
Kevin Sykes
Psychotherapist, COSRT Accred
Verified Verified
1 Endorsed
Leeds LS1
I am an experienced Relate trained Psychosexual Therapist and Relationship Psychotherapist and the Clinical Lead for Psychosexual Therapy throughout the Relate Penine and Calderdale regions but now based in Leeds City Centre. I have over 20 years of experience and more than 10,000 hours working alongside couples and individuals with sexual, emotional or relationship problems. I offer a judgement free practice using a cognitive therapeutic style tailored to meet your needs and help you reach your relationship goals.
I am an experienced Relate trained Psychosexual Therapist and Relationship Psychotherapist and the Clinical Lead for Psychosexual Therapy throughout the Relate Penine and Calderdale regions but now based in Leeds City Centre. I have over 20 years of experience and more than 10,000 hours working alongside couples and individuals with sexual, emotional or relationship problems. I offer a judgement free practice using a cognitive therapeutic style tailored to meet your needs and help you reach your relationship goals.
0113 487 2991 View 0113 487 2991
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See more therapy options for LS1

How does your Counsellor compare?

Number of Counsellors in LS1

200+

Average cost per session

£60

Counsellors in LS1 who prioritize treating:

93% Anxiety
86% Depression
82% Self Esteem
80% Stress
76% Relationship Issues
71% Bereavement
71% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

67% AXA PPP
65% Aviva
50% Vitality

How Counsellors in LS1 see their clients

71% In Person and Online
29% Online Only

Gender breakdown

72% Female
27% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in LS1?

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.