Photo of John James Atkinson, CPsychol, Psychologist
John James Atkinson
Psychologist, CPsychol
Verified Verified
1 Endorsed
If you are having difficulties in life, my therapy uses a range of methods within a safe space, to help you achieve wellness. I am a chartered psychologist with 20 years’ experience of helping people with emotional and interpersonal difficulties. I predominantly use schema therapy to help you understand why you might behave and think in unhelpful ways. Treatment also involves a mentoring approach to help you develop more robust skills for managing emotions and relationships, to allow for a better, more fulfilling life.
If you are having difficulties in life, my therapy uses a range of methods within a safe space, to help you achieve wellness. I am a chartered psychologist with 20 years’ experience of helping people with emotional and interpersonal difficulties. I predominantly use schema therapy to help you understand why you might behave and think in unhelpful ways. Treatment also involves a mentoring approach to help you develop more robust skills for managing emotions and relationships, to allow for a better, more fulfilling life.
01937 229259 View 01937 229259
Photo of Adrienne Crew, MBACP, Counsellor
Adrienne Crew
Counsellor, MBACP
Verified Verified
In a supportive and none judgemental environment, Adrienne’s counselling sessions provide a place where each person is listened to in a non - judgemental way . In these sessions, problems and conflicts can be explored to find a way through the difficulties that previously may have seemed insurmountable
In a supportive and none judgemental environment, Adrienne’s counselling sessions provide a place where each person is listened to in a non - judgemental way . In these sessions, problems and conflicts can be explored to find a way through the difficulties that previously may have seemed insurmountable
01937 227319 View 01937 227319
Photo of Dr Kelly Young, DCounsPsych, HCPC - Couns. Psych., Psychologist
Dr Kelly Young
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Are you currently feeling a bit stuck and are trying to work out why you're feeling this way? Do you feel at a crossroads and are not sure which is the right direction for you? Are you finding it difficult to move forward and enjoy your life? If you are struggling you may believe there is something "wrong" with you but the truth is there will be good reasons for your difficulties. I can offer you a space, just for you, to talk about your difficulties, understand how they started and then work together to find a way through it.
Are you currently feeling a bit stuck and are trying to work out why you're feeling this way? Do you feel at a crossroads and are not sure which is the right direction for you? Are you finding it difficult to move forward and enjoy your life? If you are struggling you may believe there is something "wrong" with you but the truth is there will be good reasons for your difficulties. I can offer you a space, just for you, to talk about your difficulties, understand how they started and then work together to find a way through it.
01937 227356 View 01937 227356
Photo of Philippa Caroline Westmacott-Youlden - Philippa Westmacott , MBACP, Counsellor
Philippa Westmacott
Counsellor, MBACP
Verified Verified
Hello, life can sometimes throw challenges at us. At times these challenges are expected and at other times they come as a complete surprise. Often, we are able to manage them and sometimes we may feel less able to cope and could benefit from some therapeutic support. I offer psychotherapeutic counselling support in Wetherby and have some available appointments now. www.philippa-counselling.co.uk
Hello, life can sometimes throw challenges at us. At times these challenges are expected and at other times they come as a complete surprise. Often, we are able to manage them and sometimes we may feel less able to cope and could benefit from some therapeutic support. I offer psychotherapeutic counselling support in Wetherby and have some available appointments now. www.philippa-counselling.co.uk
01937 227403 View 01937 227403
Photo of Maisie Nicholls - Emdr Therapy, MSc
Maisie Nicholls - Emdr Therapy
MSc
Verified Verified
Wetherby LS22  (Online Only)
Hi, I'm Maisie and I specialise in EMDR therapy for birth and postnatal trauma. I also offer therapy for people who are struggling to adjust to parenthood. I understand the transition to becoming a parent can be difficult, even without experiencing birth trauma. Our children are mirrors of us and difficult childhood experiences can often come to the surface when you become a parent yourself. EMDR can help you process any difficult feelings that may have come to the surface for you. I offer a gentle, collaborative, down to earth approach to therapy.
Hi, I'm Maisie and I specialise in EMDR therapy for birth and postnatal trauma. I also offer therapy for people who are struggling to adjust to parenthood. I understand the transition to becoming a parent can be difficult, even without experiencing birth trauma. Our children are mirrors of us and difficult childhood experiences can often come to the surface when you become a parent yourself. EMDR can help you process any difficult feelings that may have come to the surface for you. I offer a gentle, collaborative, down to earth approach to therapy.
01889 227311 View 01889 227311
Photo of Richard Cooling, MBACP, Counsellor
Richard Cooling
Counsellor, MBACP
Verified Verified
I am a professional counsellor based in Wetherby and York, who works with adults on a one-to-one basis. If you are looking for counselling, I am here to help you with whatever difficulties you may be going through. I do this by offering a private space to talk about your thoughts and feelings, working with you to make sense of what is happening and change things for the better. This may include specific problems like anxiety and depression, or could be something more general that is harder to put into words. Whatever the issue, we would work together and at your own pace, to improve things in your life.
I am a professional counsellor based in Wetherby and York, who works with adults on a one-to-one basis. If you are looking for counselling, I am here to help you with whatever difficulties you may be going through. I do this by offering a private space to talk about your thoughts and feelings, working with you to make sense of what is happening and change things for the better. This may include specific problems like anxiety and depression, or could be something more general that is harder to put into words. Whatever the issue, we would work together and at your own pace, to improve things in your life.
07799 495140 View 07799 495140
Photo of Jan Freea, PsychD, MBACP, Counsellor
Jan Freea
Counsellor, PsychD, MBACP
Verified Verified
1 Endorsed
Hi my name is Heline, I am a registered BSc Integrative Counsellor MBACP with 26 years experience. A clinical trauma therapist, supervisor, play therapist and cultural sensitive Trauma informed Trainer. I work with people of all ages who have experienced mental health and complex trauma in schools, colleges, education. NHS, Foster and social care system, Addictions field, family services and in the community. I provide a range of interventions that help reduce physical and psychological ailments, depression, anxiety, self harm, loss, PTSD inter generational wounds, identity issues, self image, suicidal ideation, family issues.
Hi my name is Heline, I am a registered BSc Integrative Counsellor MBACP with 26 years experience. A clinical trauma therapist, supervisor, play therapist and cultural sensitive Trauma informed Trainer. I work with people of all ages who have experienced mental health and complex trauma in schools, colleges, education. NHS, Foster and social care system, Addictions field, family services and in the community. I provide a range of interventions that help reduce physical and psychological ailments, depression, anxiety, self harm, loss, PTSD inter generational wounds, identity issues, self image, suicidal ideation, family issues.
0113 519 7247 View 0113 519 7247
Photo of Spencer Bridge, MBACP, Psychotherapist
Spencer Bridge
Psychotherapist, MBACP
Verified Verified
1 Endorsed
Wetherby LS22  (Online Only)
Reaching out can be difficult. Maybe you feel stuck, anxious, unsettled, lost your way, or uncomfortable with whom you have become. The difficulties within our lives can change who we are or how we see the world. It can lead to thoughts or behaviours that take us away from who we are, resulting in a feeling of something not being right, struggling to cope or to make sense of things. When entering therapy, our life experiences enter too, and healing occurs within the processing. We will work together to build trust and explore your emotions and thoughts within a non-judgemental and safe environment, working at your own pace.
Reaching out can be difficult. Maybe you feel stuck, anxious, unsettled, lost your way, or uncomfortable with whom you have become. The difficulties within our lives can change who we are or how we see the world. It can lead to thoughts or behaviours that take us away from who we are, resulting in a feeling of something not being right, struggling to cope or to make sense of things. When entering therapy, our life experiences enter too, and healing occurs within the processing. We will work together to build trust and explore your emotions and thoughts within a non-judgemental and safe environment, working at your own pace.
01274 015347 View 01274 015347
Photo of Katie Lane, BACP, Counsellor
Katie Lane
Counsellor, BACP
Verified Verified
You may be questioning yourself or feeling stuck and counselling will help you recognise potential areas where change may be needed and support you in making positive change at a pace appropriate to your needs. ​ I implement effective psychotherapy methods to instill self-understanding among clients and encourage them to adopt new attitudes and feelings towards life situations. I have faced my own therapeutic journey and healed from trauma and feel that this has given me more insight than any of my academic training and professional development. Let's work together to help you to secure a happier and more fulfilling life!
You may be questioning yourself or feeling stuck and counselling will help you recognise potential areas where change may be needed and support you in making positive change at a pace appropriate to your needs. ​ I implement effective psychotherapy methods to instill self-understanding among clients and encourage them to adopt new attitudes and feelings towards life situations. I have faced my own therapeutic journey and healed from trauma and feel that this has given me more insight than any of my academic training and professional development. Let's work together to help you to secure a happier and more fulfilling life!
01937 229227 View 01937 229227
Photo of Sara Korn, MBACP Accred, Counsellor
Sara Korn
Counsellor, MBACP Accred
Verified Verified
Life can be difficult sometimes, you may feel stuck, you may be feeling depressed, sad, anxious, fearful, angry and confused or you might not even not know how you are feeling. This is where I can help. We will work together to help you understand your feelings and relationships, and empower you to make meaningful changes in your life. I have supported adults from a wide variety of backgrounds and issues, including: low self-esteem, anxiety, stress, depression, relationship & family issues, bereavement, loss, work or health-related problems and domestic violence.
Life can be difficult sometimes, you may feel stuck, you may be feeling depressed, sad, anxious, fearful, angry and confused or you might not even not know how you are feeling. This is where I can help. We will work together to help you understand your feelings and relationships, and empower you to make meaningful changes in your life. I have supported adults from a wide variety of backgrounds and issues, including: low self-esteem, anxiety, stress, depression, relationship & family issues, bereavement, loss, work or health-related problems and domestic violence.
0113 320 2415 View 0113 320 2415
Photo of Jacqui Parkin, MBACP Accred, Counsellor
Jacqui Parkin
Counsellor, MBACP Accred
Verified Verified
Wetherby LS22  (Online Only)
Hi there! I work with women and girls struggling with difficult emotions and low self esteem. You may be seeking support through a specific life challenge or transition, to learn how to cope better, to explore painful or traumatic experiences or to change aspects of life that no longer serve you. Maybe you just want to feel at ease with yourself and in your relationships? If so, then I'm glad that you're seeking the support you deserve and I'd love to chat with you.
Hi there! I work with women and girls struggling with difficult emotions and low self esteem. You may be seeking support through a specific life challenge or transition, to learn how to cope better, to explore painful or traumatic experiences or to change aspects of life that no longer serve you. Maybe you just want to feel at ease with yourself and in your relationships? If so, then I'm glad that you're seeking the support you deserve and I'd love to chat with you.
01423 803251 View 01423 803251
Photo of Michael John Gorwood, DCounsPsych, MBACP, Counsellor
Michael John Gorwood
Counsellor, DCounsPsych, MBACP
Verified Verified
Hi, my name is Michael and I am a fully trained, registered counsellor (MBACP) (MNCPS). I have many years of experience working with caring roles and addiction. If you are struggling with issues of anxiety, feeling low and unmotivated for life, trapped in addiction or finding a caring role especially difficult, then I am here to help. I offer face to face, telephone or online sessions, which provides a range of options for those with busy lives. First and foremost, I offer a safe and confidential space in which you can explore any issue which is causing you difficulty in life, which in turn can help you live life with more freedom.
Hi, my name is Michael and I am a fully trained, registered counsellor (MBACP) (MNCPS). I have many years of experience working with caring roles and addiction. If you are struggling with issues of anxiety, feeling low and unmotivated for life, trapped in addiction or finding a caring role especially difficult, then I am here to help. I offer face to face, telephone or online sessions, which provides a range of options for those with busy lives. First and foremost, I offer a safe and confidential space in which you can explore any issue which is causing you difficulty in life, which in turn can help you live life with more freedom.
01904 935024 View 01904 935024
Photo of Tamsin Fazan, MBACP, Counsellor
Tamsin Fazan
Counsellor, MBACP
Verified Verified
Life can be challenging. If you’re feeling overwhelmed by anxiety, stress, depression, or struggling with low self-esteem, low confidence, family issues, or a life transition, I’m here to help. Together, we can work on understanding yourself better, managing stress, healing from past trauma, and building self-compassion. Using evidence-based techniques like CBT, mindfulness, and breathwork, I’ll help you gain confidence, find emotional balance, and create lasting change for your mental well-being.
Life can be challenging. If you’re feeling overwhelmed by anxiety, stress, depression, or struggling with low self-esteem, low confidence, family issues, or a life transition, I’m here to help. Together, we can work on understanding yourself better, managing stress, healing from past trauma, and building self-compassion. Using evidence-based techniques like CBT, mindfulness, and breathwork, I’ll help you gain confidence, find emotional balance, and create lasting change for your mental well-being.
01423 224286 View 01423 224286
Photo of Diane Maria Pedder - Di Pedder, MA, MBACP Accred, Counsellor
Di Pedder
Counsellor, MA, MBACP Accred
Verified Verified
1 Endorsed
Wetherby LS22  (Online Only)
I am experienced in working with depression, anxiety and all forms of loss, including clients impacted by suicide, the loss of a baby or child, pregnancy loss and many other types of sudden and unexpected death. I have worked with clients who are seeking to recover from abusive relationships, including domestic abuse and clients in frontline services including police, medics and the armed forces. I have also supported clients who are facing difficult life situations, perhaps feeling unhappy in their relationship, or at work, and have helped them to work through the issues finding answers that are right for them.
I am experienced in working with depression, anxiety and all forms of loss, including clients impacted by suicide, the loss of a baby or child, pregnancy loss and many other types of sudden and unexpected death. I have worked with clients who are seeking to recover from abusive relationships, including domestic abuse and clients in frontline services including police, medics and the armed forces. I have also supported clients who are facing difficult life situations, perhaps feeling unhappy in their relationship, or at work, and have helped them to work through the issues finding answers that are right for them.
0113 519 1336 View 0113 519 1336
Photo of Rebecca Hardy, MA, MBACP Accred, Counsellor
Rebecca Hardy
Counsellor, MA, MBACP Accred
Verified Verified
A qualified and registered counsellor with the British Association of Counselling and Psychotherapy, I offer counselling support to adults (18+) within York city centre. There are situations in life that may have led you to feel unable to cope, judged, isolated, or not believed. Sometimes the reason for this is clear, and we know where to seek help, but at other times it is not. Drawing upon a range of approaches and techniques tailored to your needs, I will assist in helping you to explore your thoughts and feelings to find clarity, build upon your inner resources and live life more fully.
A qualified and registered counsellor with the British Association of Counselling and Psychotherapy, I offer counselling support to adults (18+) within York city centre. There are situations in life that may have led you to feel unable to cope, judged, isolated, or not believed. Sometimes the reason for this is clear, and we know where to seek help, but at other times it is not. Drawing upon a range of approaches and techniques tailored to your needs, I will assist in helping you to explore your thoughts and feelings to find clarity, build upon your inner resources and live life more fully.
01347 666035 View 01347 666035
Photo of Lucy Karfopoulos, MBACP, Counsellor
Lucy Karfopoulos
Counsellor, MBACP
Verified Verified
Hello, I’m Lucy, an experienced person centred counsellor. I provide short term and long term therapy for young people (12-18) and adults. I work competently with a range of presentations such as anxiety, loss, relationships, trauma and abuse as well as life transitions, self-esteem and identity. Starting therapy can feel daunting, my aim is to provide a space which is safe, relaxed and free of judgment; where you are able to speak freely. We will work at your pace, collaborating together on what it is you wish to bring to therapy, I will be along side you, helping you to explore your experiences with kindness and curiosity.
Hello, I’m Lucy, an experienced person centred counsellor. I provide short term and long term therapy for young people (12-18) and adults. I work competently with a range of presentations such as anxiety, loss, relationships, trauma and abuse as well as life transitions, self-esteem and identity. Starting therapy can feel daunting, my aim is to provide a space which is safe, relaxed and free of judgment; where you are able to speak freely. We will work at your pace, collaborating together on what it is you wish to bring to therapy, I will be along side you, helping you to explore your experiences with kindness and curiosity.
01274 041813 View 01274 041813
Photo of Rupert Fishwick, MBACP, Counsellor
Rupert Fishwick
Counsellor, MBACP
Verified Verified
2 Endorsed
I understand how difficult it can be to reach out and find the support thats right for you. Together, we’ll work through your thoughts, feeling and experiences, empowering you to make informed decisions and achieve lasting change. I can support you when perhaps you feel you don't have anyone else to explore your thoughts and feelings. Others may try and give you a solution and fix the issue, when really you just need someone to listen without fear or judgment. With 20 years experience supporting mental health I'm here for you.
I understand how difficult it can be to reach out and find the support thats right for you. Together, we’ll work through your thoughts, feeling and experiences, empowering you to make informed decisions and achieve lasting change. I can support you when perhaps you feel you don't have anyone else to explore your thoughts and feelings. Others may try and give you a solution and fix the issue, when really you just need someone to listen without fear or judgment. With 20 years experience supporting mental health I'm here for you.
01937 221306 View 01937 221306
Photo of Tammy Golding, MBACP, Counsellor
Tammy Golding
Counsellor, MBACP
Verified Verified
Hi, my name is Tammy, I am trained as an integrative therapist which means I can draw from various theories and techniques to support you. You may want a non-directive approach, where you can unpack difficulties to help gain some clarity. You might prefer a more directive approach with support for a particular situation or issue. It is not easy to take control of your life, but counselling can help to empower you to do just that. I have experience in working with a range of difficulties, and am happy to tailor my approach to suit your needs. Please get in touch if you think I may be the right fit for you. Speak soon
Hi, my name is Tammy, I am trained as an integrative therapist which means I can draw from various theories and techniques to support you. You may want a non-directive approach, where you can unpack difficulties to help gain some clarity. You might prefer a more directive approach with support for a particular situation or issue. It is not easy to take control of your life, but counselling can help to empower you to do just that. I have experience in working with a range of difficulties, and am happy to tailor my approach to suit your needs. Please get in touch if you think I may be the right fit for you. Speak soon
07562 202209 View 07562 202209
Photo of Alex Hannay, PhD, MBACP, Counsellor
Alex Hannay
Counsellor, PhD, MBACP
Verified Verified
We each have our own particular blend of resources and limitations, specific to us and unique as a fingerprint. That's why my therapeutic counselling doesn't provide 6-step plans, workbooks or programmes. It's open, free-flowing and exploratory. It takes the time to clear a regular safe space in which to unpack the events, relationships and emotions that you bring with you to this moment. To think about your feeling and feel your thinking. To talk, to laugh, to be tired, angry, uplifted or simply just to take the time to be. With compassion, empathy and without judgment.
We each have our own particular blend of resources and limitations, specific to us and unique as a fingerprint. That's why my therapeutic counselling doesn't provide 6-step plans, workbooks or programmes. It's open, free-flowing and exploratory. It takes the time to clear a regular safe space in which to unpack the events, relationships and emotions that you bring with you to this moment. To think about your feeling and feel your thinking. To talk, to laugh, to be tired, angry, uplifted or simply just to take the time to be. With compassion, empathy and without judgment.
01347 668138 View 01347 668138
Photo of Julia de los Rios, MBACP, Counsellor
Julia de los Rios
Counsellor, MBACP
Verified Verified
Waitlist for new clients
Reaching out for help takes courage, particularly if your self-esteem and confidence are low. But, if you want to make changes in your life then you may need support. People come to counselling for all sorts of reasons; anxiety, relationship issues, depression, bereavement, trauma etc. Perhaps you feel inhibited, have unhealthy patterns of behaviour or your emotions may be hijacking your ability to respond and keep perspective. Whatever the reason, the chances are you are feeling deeply distressed. You don’t have to keep struggling alone. Together we can work out what is causing you to feel threatened, overwhelmed or empty.
Reaching out for help takes courage, particularly if your self-esteem and confidence are low. But, if you want to make changes in your life then you may need support. People come to counselling for all sorts of reasons; anxiety, relationship issues, depression, bereavement, trauma etc. Perhaps you feel inhibited, have unhealthy patterns of behaviour or your emotions may be hijacking your ability to respond and keep perspective. Whatever the reason, the chances are you are feeling deeply distressed. You don’t have to keep struggling alone. Together we can work out what is causing you to feel threatened, overwhelmed or empty.
0113 320 6027 View 0113 320 6027
1

See more therapy options for LS22

How does your Counsellor compare?

Number of Counsellors in LS22

30+

Average cost per session

£57

Counsellors in LS22 who prioritize treating:

100% Depression
97% Anxiety
97% Self Esteem
93% Stress
90% Relationship Issues
90% Bereavement
77% Trauma and PTSD

Average years in practice

6 Years

Top 3 insurances accepted

50% Other
50% Aviva
50% Bupa

How Counsellors in LS22 see their clients

87% In Person and Online
13% Online Only

Gender breakdown

64% Female
36% Male
FAQs - About Therapy and Counselling

How can I find a therapist in LS22?

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.