Counselling in Portstewart

Photo of Deirdre Gibson, MNCPS Acc., Psychotherapist
Deirdre Gibson
Psychotherapist, MNCPS Acc.
Verified Verified
Portstewart BT55
Hello, I'm Deirdre and I'm a qualified and accredited Psychotherapeutic Counsellor and Clinical Hypnotherapist from Portstewart providing support to clients from the Coleraine, Portrush, and Limavady areas from The Roe Valley Therapy Centre in Limavady and ZGBTST in Coleraine. Sessions are face to face, online or telephone. Whatever is troubling you, I will always treat you with empathy, respect, warmth and confidentiality.
Hello, I'm Deirdre and I'm a qualified and accredited Psychotherapeutic Counsellor and Clinical Hypnotherapist from Portstewart providing support to clients from the Coleraine, Portrush, and Limavady areas from The Roe Valley Therapy Centre in Limavady and ZGBTST in Coleraine. Sessions are face to face, online or telephone. Whatever is troubling you, I will always treat you with empathy, respect, warmth and confidentiality.
028 9433 1981 View 028 9433 1981
Photo of Claire Crilly, MA, MBACP, Counsellor
Claire Crilly
Counsellor, MA, MBACP
Verified Verified
Portstewart BT55  (Online Only)
Front Line Workers Specialism: Is the toll of your work grinding you down? Do you experience burnout? Has witnessing death and trauma impacted you in ways which are difficult to describe? Is there a sense of losing who you once were? Witnessing devastation, shift work, mistrust in management, lack of sleep, feeling undervalued, high workloads, poor work culture, relationship difficulties, dynamic stressful working environments and intrusive negative memories all contribute to an ever increasing proportion of emergency service workers suffering from anxiety, depression, PTSD, suicide ideation and suicide. So who helps the helper?
Front Line Workers Specialism: Is the toll of your work grinding you down? Do you experience burnout? Has witnessing death and trauma impacted you in ways which are difficult to describe? Is there a sense of losing who you once were? Witnessing devastation, shift work, mistrust in management, lack of sleep, feeling undervalued, high workloads, poor work culture, relationship difficulties, dynamic stressful working environments and intrusive negative memories all contribute to an ever increasing proportion of emergency service workers suffering from anxiety, depression, PTSD, suicide ideation and suicide. So who helps the helper?
01923 961134 View 01923 961134
Photo of Eileen Stevenson - Chalet Counselling Service, MA, MBACP, Counsellor
Chalet Counselling Service
Counsellor, MA, MBACP
Verified Verified
1 Endorsed
Portstewart BT55
When we are experiencing difficulties, feeling anxious, sad or depressed, or our circumstances seem overwhelming, it can be helpful to have someone to talk to who is caring and supportive but who is outside the situation. As a Counsellor I am committed to helping you understand and process your current circumstances, your feelings and reactions, and understand yourself, in a deeper way. This may lead to healing from pain and sadness, helping you to be more in control of your emotions and actions, and choosing solutions that work for you. I will work with you to help you seek a new perspective on your circumstances and to equip yo
When we are experiencing difficulties, feeling anxious, sad or depressed, or our circumstances seem overwhelming, it can be helpful to have someone to talk to who is caring and supportive but who is outside the situation. As a Counsellor I am committed to helping you understand and process your current circumstances, your feelings and reactions, and understand yourself, in a deeper way. This may lead to healing from pain and sadness, helping you to be more in control of your emotions and actions, and choosing solutions that work for you. I will work with you to help you seek a new perspective on your circumstances and to equip yo
028 9163 8601 View 028 9163 8601
Photo of Marcun Doran - Vitality CBT and Counselling - Marcun Doran, MBACP, Counsellor
Vitality CBT and Counselling - Marcun Doran
Counsellor, MBACP
Verified Verified
Portstewart BT55
Online booking is at: vitalitycbt.selectandbook.com I am relaxed and easy going, but I will work hard to help you understand and deal with your problems. We will work together to progress towards your goals and I will be patient and will try to be sensitive to your needs. I am a CBT Therapist and Integrative Counsellor with experience in the private, voluntary and statutory sectors.
Online booking is at: vitalitycbt.selectandbook.com I am relaxed and easy going, but I will work hard to help you understand and deal with your problems. We will work together to progress towards your goals and I will be patient and will try to be sensitive to your needs. I am a CBT Therapist and Integrative Counsellor with experience in the private, voluntary and statutory sectors.
07480 790406 View 07480 790406
Photo of Richard Wilton - Progeny Teen Counselling and Mentoring (age 13-25), MSc, MBACP Accred, Psychotherapist
Progeny Teen Counselling and Mentoring (age 13-25)
Psychotherapist, MSc, MBACP Accred
Verified Verified
Portstewart BT55
Progeny is a specialist charity supporting young people aged 13 to 25. We offer professional Counselling and Mentoring and we exist to support and strengthen young people as they journey adolescence and onwards into young adulthood. We have a particular empathy for young people, and their families, who have experienced challenging life stories, traumas and for those with crushed confidence, low self-worth and a sense of being alone, isolated, misunderstood or unseen. We use a range of EMDR, IFS, CBT, Person Centred, Psychodynamic, Somatic and Creative Approaches.
Progeny is a specialist charity supporting young people aged 13 to 25. We offer professional Counselling and Mentoring and we exist to support and strengthen young people as they journey adolescence and onwards into young adulthood. We have a particular empathy for young people, and their families, who have experienced challenging life stories, traumas and for those with crushed confidence, low self-worth and a sense of being alone, isolated, misunderstood or unseen. We use a range of EMDR, IFS, CBT, Person Centred, Psychodynamic, Somatic and Creative Approaches.
028 9694 3642 View 028 9694 3642
Photo of Eva Kennedy, MBACP, Counsellor
Eva Kennedy
Counsellor, MBACP
Verified Verified
Portstewart BT55
If you are struggling with self-esteem issues, or depression and anxiety, or if you have been the victim of abuse, from a parent, a partner, or anyone else, I can help you to regain the inner strength and confidence to handle life so much better. We will work on how you can move forward, in your own strength, and achieve the peace and enthusiasm for life that you deserve. If you struggle with the after effects of a traumatic event/events in your past, you will find that you can begin to leave that all behind and become the person you were always meant to be.
If you are struggling with self-esteem issues, or depression and anxiety, or if you have been the victim of abuse, from a parent, a partner, or anyone else, I can help you to regain the inner strength and confidence to handle life so much better. We will work on how you can move forward, in your own strength, and achieve the peace and enthusiasm for life that you deserve. If you struggle with the after effects of a traumatic event/events in your past, you will find that you can begin to leave that all behind and become the person you were always meant to be.
028 9124 7463 View 028 9124 7463
Photo of Samantha Janice McDowell, PNCPS Acc., Counsellor
Samantha Janice McDowell
Counsellor, PNCPS Acc.
Verified Verified
Portstewart BT55
Welcome my name is Sam. I know the thought of opening up about your feelings and emotions to a stranger can be overwhelming but i am here to help. offering a safe place for you to tell your story in your own words with no judgement.
Welcome my name is Sam. I know the thought of opening up about your feelings and emotions to a stranger can be overwhelming but i am here to help. offering a safe place for you to tell your story in your own words with no judgement.
028 9163 8579 View 028 9163 8579

More Therapists Nearby

Photo of Lynne Maxted, MBACP Accred, Counsellor
Lynne Maxted
Counsellor, MBACP Accred
Verified Verified
Coleraine BT51
Life can be challenging; you may be experiencing feelings of being overwhelmed, anxiousness, depression, sadness, hopelessness, or you may have reached a crisis point in your life, but be assured you are not alone, and even the most strong-minded person can feel lost at times. The loss of a loved one, or struggling to make sense of your feelings and emotions can be difficult. Past issues can be destroying but by exploring and addressing these issues it can enable you to move forward. No matter what your presenting issues may be at this time in your life, you have taken the first brave step and you should be proud of yourself.
Life can be challenging; you may be experiencing feelings of being overwhelmed, anxiousness, depression, sadness, hopelessness, or you may have reached a crisis point in your life, but be assured you are not alone, and even the most strong-minded person can feel lost at times. The loss of a loved one, or struggling to make sense of your feelings and emotions can be difficult. Past issues can be destroying but by exploring and addressing these issues it can enable you to move forward. No matter what your presenting issues may be at this time in your life, you have taken the first brave step and you should be proud of yourself.
028 9694 3898 View 028 9694 3898
Photo of Dr Donna de Lása Revived Therapy, PsychD, HCPC - Clin. Psych., Psychologist
Dr Donna de Lása Revived Therapy
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Coleraine BT51
I am an HCPC registered Clinical Psychologist, ISST certified Schema Therapist and IPT certified Interpersonal Psychotherapist. I have over 15 years experience working in mental health, both within the NHS and in private practice. I offer psychological therapy for a range of issues. Please contact me via email, to arrange a short consultation to see how we can work together to address the issues or difficulties you may be having. Please note that I only work with adults.
I am an HCPC registered Clinical Psychologist, ISST certified Schema Therapist and IPT certified Interpersonal Psychotherapist. I have over 15 years experience working in mental health, both within the NHS and in private practice. I offer psychological therapy for a range of issues. Please contact me via email, to arrange a short consultation to see how we can work together to address the issues or difficulties you may be having. Please note that I only work with adults.
028 2003 2947 View 028 2003 2947
Photo of Adam Campbell - Compassionately Curious, MBACP, Counsellor
Compassionately Curious
Counsellor, MBACP
Verified Verified
Coleraine BT51
I offer a first free 50-60 minute session, with no obligation to commit. An opportunity for you to consider whether or not there is the potential for a healthy working relationship alongside deciding whether to trust me to invest with your time and finances. My aspiration is for counselling to be an experience that you look forward to, with a curious mindset. With 11+ years experience in a therapeutic setting, I am someone who will actively participate in the sessions, provide fresh perspectives, challenge when needed, and strives to foster a collaborative environment that encourages conversation.
I offer a first free 50-60 minute session, with no obligation to commit. An opportunity for you to consider whether or not there is the potential for a healthy working relationship alongside deciding whether to trust me to invest with your time and finances. My aspiration is for counselling to be an experience that you look forward to, with a curious mindset. With 11+ years experience in a therapeutic setting, I am someone who will actively participate in the sessions, provide fresh perspectives, challenge when needed, and strives to foster a collaborative environment that encourages conversation.
028 9694 3719 View 028 9694 3719
Photo of louise O'Kane - Castle Counselling Services, MBACP, Counsellor
Castle Counselling Services
Counsellor, MBACP
Verified Verified
Coleraine BT52
I am Louise and thank you for taking the time to view our profile. I am a fully qualified integrative counsellors offering a counselling service in the North Antrim Coast area.  I are registered with BACP and NCS, and work within the BACP Code of Ethics.  I can offer you a safe, ethical, confidential, respectful and non-judgemental space in which you can focus on yourself and begin to understand in more depth the challenges you may be facing.  In this space I will listen, support and help you to understand your feelings and behaviours, and enable you to become more self-aware, and implement change.
I am Louise and thank you for taking the time to view our profile. I am a fully qualified integrative counsellors offering a counselling service in the North Antrim Coast area.  I are registered with BACP and NCS, and work within the BACP Code of Ethics.  I can offer you a safe, ethical, confidential, respectful and non-judgemental space in which you can focus on yourself and begin to understand in more depth the challenges you may be facing.  In this space I will listen, support and help you to understand your feelings and behaviours, and enable you to become more self-aware, and implement change.
028 9694 3211 View 028 9694 3211
Photo of Pamela Howe - Restore Counselling (NI), MBACP Accred, Counsellor
Restore Counselling (NI)
Counsellor, MBACP Accred
Verified Verified
Coleraine BT52  (Online Only)
I’m an Internal Family Systems and Sensorimotor Psychotherapy Practitioner based on the north coast of Northern Ireland. I provide online therapy to clients across the world, helping people find harmony and balance.n our work together I will hold an open-hearted and compassionate space for you to explore the issues that concern you. By incorporating IFS along with somatic work I will guide you to gradually assimilate difficult past events into your understanding. As you do so you will experience an increasing sense of relief and freedom.
I’m an Internal Family Systems and Sensorimotor Psychotherapy Practitioner based on the north coast of Northern Ireland. I provide online therapy to clients across the world, helping people find harmony and balance.n our work together I will hold an open-hearted and compassionate space for you to explore the issues that concern you. By incorporating IFS along with somatic work I will guide you to gradually assimilate difficult past events into your understanding. As you do so you will experience an increasing sense of relief and freedom.
028 9694 3501 View 028 9694 3501
Photo of Tracy A. Moore, MUKCP, Counsellor
Tracy A. Moore
Counsellor, MUKCP
Verified Verified
Portrush BT56
We are all experiencing anxiety in the world at this time, as we face the uncertainty of a pandemic and attempt to adapt to, and recover some semblance of ‘normal’. Perhaps you face some difficult historical issues or struggle to cope with the challenges of a life transition? Whatever your needs, help is at hand. I offer a safe, contained space, with a professional, relational approach, so that together, we can creatively explore presenting issues & find a meaningful way to navigate change. The shared goal is for my clients to re-emerge with renewed courage & strength, to get back to living their life with meaning & purpose.
We are all experiencing anxiety in the world at this time, as we face the uncertainty of a pandemic and attempt to adapt to, and recover some semblance of ‘normal’. Perhaps you face some difficult historical issues or struggle to cope with the challenges of a life transition? Whatever your needs, help is at hand. I offer a safe, contained space, with a professional, relational approach, so that together, we can creatively explore presenting issues & find a meaningful way to navigate change. The shared goal is for my clients to re-emerge with renewed courage & strength, to get back to living their life with meaning & purpose.
07599 253374 View 07599 253374
Photo of Ric Wilton - Heart Thoughts - Adults and Teens Psychotherapy, MSc, MBACP Accred, Psychotherapist
Heart Thoughts - Adults and Teens Psychotherapy
Psychotherapist, MSc, MBACP Accred
Verified Verified
Coleraine BT51
Ric Wilton - I have a particular empathy for Adults of all ages and Teenagers (13+) who have experienced trauma in their lives, for those with crushed confidence and low self-worth as well as those with a highly sensitive personality. I am qualified to Masters level and my training includes Adult Counselling & Psychotherapy, Child & Adolescent Psychotherapy, EMDR (Eye Movement Desensitisation and Reprocessing), Child & Adolescent EMDR, Trauma Recovery and High Sensitivity. In addition, I am an Accredited Member of the British Association of Counselling & Psychotherapy (BACP).
Ric Wilton - I have a particular empathy for Adults of all ages and Teenagers (13+) who have experienced trauma in their lives, for those with crushed confidence and low self-worth as well as those with a highly sensitive personality. I am qualified to Masters level and my training includes Adult Counselling & Psychotherapy, Child & Adolescent Psychotherapy, EMDR (Eye Movement Desensitisation and Reprocessing), Child & Adolescent EMDR, Trauma Recovery and High Sensitivity. In addition, I am an Accredited Member of the British Association of Counselling & Psychotherapy (BACP).
07723 190524 View 07723 190524
Photo of Alysha Doherty
Alysha Doherty
Verified Verified
Coleraine BT52
My therapeutic approach is relaxed and informal with a focus on the ‘now’ and how we together, can help you move forward more positively. I believe that building a strong rapport with my clients is the key to effective counselling. I offer talking therapy as well as Cognitive Behavioural Therapy (CBT) which can be used jointly in session to help you achieve your goals. I have worked with clients with a wide range of symptoms from low mood and anxiety to OCD and trauma.
My therapeutic approach is relaxed and informal with a focus on the ‘now’ and how we together, can help you move forward more positively. I believe that building a strong rapport with my clients is the key to effective counselling. I offer talking therapy as well as Cognitive Behavioural Therapy (CBT) which can be used jointly in session to help you achieve your goals. I have worked with clients with a wide range of symptoms from low mood and anxiety to OCD and trauma.
028 9694 3066 View 028 9694 3066
Photo of Brian Doherty, MBACP Accred, Counsellor
Brian Doherty
Counsellor, MBACP Accred
Verified Verified
Coleraine BT51
Welcome to Inner Peace Counselling where I offer you a safe place to be yourself. Imagine a space where you can speak the unspeakable without fear of reproach or judgement; a place where you are understood. So often in everyday life we are inhibited from being our true selves by our fear of being judged and the pressures of the expectations of others. Let Innerpeace counselling be your sanctuary where you can at last express what you truly feel. It is my privilege to listen and hear how life is for you at this moment and to accompany you on your healing journey. To be understood is powerful.
Welcome to Inner Peace Counselling where I offer you a safe place to be yourself. Imagine a space where you can speak the unspeakable without fear of reproach or judgement; a place where you are understood. So often in everyday life we are inhibited from being our true selves by our fear of being judged and the pressures of the expectations of others. Let Innerpeace counselling be your sanctuary where you can at last express what you truly feel. It is my privilege to listen and hear how life is for you at this moment and to accompany you on your healing journey. To be understood is powerful.
028 9694 3598 View 028 9694 3598
Photo of Judith C George, MNCPS Acc., Counsellor
Judith C George
Counsellor, MNCPS Acc.
Verified Verified
Coleraine BT51  (Online Only)
Are you feeling stressed and overwhelmed? Are you feeling like life is throwing everything at you all at once and you need to talk with someone to help you through it? Therapy can offer you someone to talk to and give you space to reflect and gather yourself as you move forward. As a Pluralistic counsellor, I offer support on a wide range of issues using a variety of approaches.
Are you feeling stressed and overwhelmed? Are you feeling like life is throwing everything at you all at once and you need to talk with someone to help you through it? Therapy can offer you someone to talk to and give you space to reflect and gather yourself as you move forward. As a Pluralistic counsellor, I offer support on a wide range of issues using a variety of approaches.
028 9694 3654 View 028 9694 3654
Photo of Sandra Johnston - Sandra Johnston Individual & Couples Counsellor, MNCPS Acc., Counsellor
Sandra Johnston Individual & Couples Counsellor
Counsellor, MNCPS Acc.
Verified Verified
Coleraine BT52
Welcome to Daybreak Counselling Services. My name is Sandra, thank you for looking at my profile. I am an integrative counsellor working creatively with couples and individuals. I work with couples and individuals exploring anxiety, loss, trauma, betrayal , addiction, and so much more . You might be suffering from anxiety and low self-confidence, constantly worrying, on edge, or engaging in compulsive and repetitive behaviour. No matter what the trigger point for your difficulties we can work together to improve your communication, rebuild trust, increase quality time, or get your physical intimacy back on track.
Welcome to Daybreak Counselling Services. My name is Sandra, thank you for looking at my profile. I am an integrative counsellor working creatively with couples and individuals. I work with couples and individuals exploring anxiety, loss, trauma, betrayal , addiction, and so much more . You might be suffering from anxiety and low self-confidence, constantly worrying, on edge, or engaging in compulsive and repetitive behaviour. No matter what the trigger point for your difficulties we can work together to improve your communication, rebuild trust, increase quality time, or get your physical intimacy back on track.
028 9694 3347 View 028 9694 3347
Photo of Christina Bateson, MBACP, Counsellor
Christina Bateson
Counsellor, MBACP
Verified Verified
Garvagh BT51
I am an Integrative Therapist - Drawing upon the Person-Centred, CBT and Psychodynamics approaches, to meet client needs.
I am an Integrative Therapist - Drawing upon the Person-Centred, CBT and Psychodynamics approaches, to meet client needs.
028 9694 3165 View 028 9694 3165
Photo of Nicola Jane Helen Olphert - New Hill Counselling, MA, MBACP, Counsellor
New Hill Counselling
Counsellor, MA, MBACP
Verified Verified
Coleraine BT51
New Hill Counselling service is for people who seek to enhance their mental health and wellbeing. I am an integrative counsellor which means I use a range of approaches to help you overcome any challenges you may find yourself experiencing. I believe that every person has the potential to develop resilience and good mental health. Through a collaborative and strengths-based approach, I aim to help my clients uncover their inner resources, develop effective coping strategies, and create meaningful changes in their lives.
New Hill Counselling service is for people who seek to enhance their mental health and wellbeing. I am an integrative counsellor which means I use a range of approaches to help you overcome any challenges you may find yourself experiencing. I believe that every person has the potential to develop resilience and good mental health. Through a collaborative and strengths-based approach, I aim to help my clients uncover their inner resources, develop effective coping strategies, and create meaningful changes in their lives.
028 9124 4062 View 028 9124 4062

See more therapy options for Portstewart

How does your Counsellor compare?

Number of Counsellors in Portstewart

< 10

Counsellors in Portstewart who prioritize treating:

71% Relationship Issues
71% Depression
71% Anxiety
71% Self Esteem
57% Addiction
57% Bereavement
57% Trauma and PTSD

Average years in practice

7 Years

Gender breakdown

86% Female
14% Male

How Counsellors in Portstewart see their clients

86% In Person and Online
14% Online Only
FAQs - About Therapy and Counselling

How can I find a therapist in Portstewart?

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.