Photo of Ester Taubenhanslova - Ester Bellissimo Sex Therapy, COSRT Reg., Counsellor
Ester Bellissimo Sex Therapy
Counsellor, COSRT Reg.
Verified Verified
Preston PR1  (Online Only)
I’m Ester, a COSRT registered, kink-friendly psychosexual and relationship therapist. I work with individuals and clients in a variety of relationship styles, focussing on supporting them in reconnecting with their sexual and relational needs, their bodies, and in working towards fulfilling sex lives and relationships. Psychosexual and relationship therapy provides you with a space to explore challenges related to sexual desire, erections, orgasms, ejaculation, sexual pain, illness, questions about sexuality and gender, aging, compulsive sexual behaviours, birth, parenthood, menopause, previous trauma, or cancer.
I’m Ester, a COSRT registered, kink-friendly psychosexual and relationship therapist. I work with individuals and clients in a variety of relationship styles, focussing on supporting them in reconnecting with their sexual and relational needs, their bodies, and in working towards fulfilling sex lives and relationships. Psychosexual and relationship therapy provides you with a space to explore challenges related to sexual desire, erections, orgasms, ejaculation, sexual pain, illness, questions about sexuality and gender, aging, compulsive sexual behaviours, birth, parenthood, menopause, previous trauma, or cancer.
01772 211778 View 01772 211778
Photo of Paul Robinson, MNCPS Acc., Psychotherapist
Paul Robinson
Psychotherapist, MNCPS Acc.
Verified Verified
Hi, my name is Paul Robinson, a psychotherapist and counsellor based in Preston, Lancashire. I have always enjoyed working with people, helping them to overcome their difficulties and distress and to develop and grow. People have always described me as "easy to talk to" and I use this as the foundation to the friendly, empathic and non-judgemental approach I offer to my clients. It is my sincere hope that the relationship we create together becomes the space in which we can explore the challenges and distress that brings you to consider seeing a therapist, and to then be able to move on in life in a much better way.
Hi, my name is Paul Robinson, a psychotherapist and counsellor based in Preston, Lancashire. I have always enjoyed working with people, helping them to overcome their difficulties and distress and to develop and grow. People have always described me as "easy to talk to" and I use this as the foundation to the friendly, empathic and non-judgemental approach I offer to my clients. It is my sincere hope that the relationship we create together becomes the space in which we can explore the challenges and distress that brings you to consider seeing a therapist, and to then be able to move on in life in a much better way.
01924 667367 View 01924 667367
Photo of Bethan Alexandra Heap, MSc, BACP, Counsellor
Bethan Alexandra Heap
Counsellor, MSc, BACP
Verified Verified
Do you feel disconnected from your true self, overwhelmed by emotional trauma, depression, or a loss of purpose? Does this affect your day-to-day life, relationships, or ability to show up fully in your work or creativity? Are you stuck in patterns that no longer serve you, yearning for a life where you feel free, empowered, and fully expressed? If you’re ready to explore and heal the parts of yourself you’ve hidden away, I offer a safe, creative space for deep transformation. Together, we’ll reclaim your power and help you live with purpose, magic, and inner peace.
Do you feel disconnected from your true self, overwhelmed by emotional trauma, depression, or a loss of purpose? Does this affect your day-to-day life, relationships, or ability to show up fully in your work or creativity? Are you stuck in patterns that no longer serve you, yearning for a life where you feel free, empowered, and fully expressed? If you’re ready to explore and heal the parts of yourself you’ve hidden away, I offer a safe, creative space for deep transformation. Together, we’ll reclaim your power and help you live with purpose, magic, and inner peace.
01772 211185 View 01772 211185
Photo of Dr Trevor Landry, PsychD, HCPC - Clin. Psych., Psychologist
Dr Trevor Landry
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Like so many, I have suffered a great deal of loss, pain and anxiety in my life. This has inspired me to learn how best to support others who may also be struggling and for the last 20 years I have dedicated my life to developing my skills in Clinical Psychology to enhance my capacity to serve and support my clients. I have worked with and learned from so many people over the years, accross many contexts including; homelessness, mental health, addiction and with chronic health difficulties. I am an experienced and qualified Clinical Psychologist available to provide you with compassionate clinical care.
Like so many, I have suffered a great deal of loss, pain and anxiety in my life. This has inspired me to learn how best to support others who may also be struggling and for the last 20 years I have dedicated my life to developing my skills in Clinical Psychology to enhance my capacity to serve and support my clients. I have worked with and learned from so many people over the years, accross many contexts including; homelessness, mental health, addiction and with chronic health difficulties. I am an experienced and qualified Clinical Psychologist available to provide you with compassionate clinical care.
01772 419803 View 01772 419803
Photo of Tasneem Dahegamia - U Got This, Mental health & Wellbeing clinic, Psychotherapist
U Got This, Mental health & Wellbeing clinic
Psychotherapist
Verified Verified
Want to GET BETTER & NOT JUST manage your mental health? Dealing with unresolved Anxiety & Depression can be debilitating, leaving you feeling like you wIill never get better. Your relationships, performance and confidence may suffer, you may dread the future and tired of wearing a mask & being positive. You may have been to see your GP or tried many therapies and still feel unwell. If this is you perhaps it’s time for further more therapy. The clinic offers unique techniques that are proving to be highly successful in the treatment for Mental health with growing 5 STAR Reviews. Referrals accepted from other therapists to.
Want to GET BETTER & NOT JUST manage your mental health? Dealing with unresolved Anxiety & Depression can be debilitating, leaving you feeling like you wIill never get better. Your relationships, performance and confidence may suffer, you may dread the future and tired of wearing a mask & being positive. You may have been to see your GP or tried many therapies and still feel unwell. If this is you perhaps it’s time for further more therapy. The clinic offers unique techniques that are proving to be highly successful in the treatment for Mental health with growing 5 STAR Reviews. Referrals accepted from other therapists to.
01772 367537 View 01772 367537
Photo of Shelley Jones - Shelley Jones Counselling Ltd, Counsellor
Shelley Jones Counselling Ltd
Counsellor
Verified Verified
1 Endorsed
I'm a Person Centered Counsellor, an excellent listener and naturally empathetic. I will support you on your journey of self reflection to empower you to find your own way through any difficulties you may be experiencing.
I'm a Person Centered Counsellor, an excellent listener and naturally empathetic. I will support you on your journey of self reflection to empower you to find your own way through any difficulties you may be experiencing.
01772 503065 View 01772 503065
Photo of Laura Jayne Arstall - In Toto Counselling, DCounsPsych, MBACP, Counsellor
In Toto Counselling
Counsellor, DCounsPsych, MBACP
Verified Verified
Preston PR1  (Online Only)
I am an integrative counsellor offering talking therapy focused on you and your needs. Sometimes this will mean providing a safe place to openly discuss your concerns and difficulties without judgement and sometimes this will be providing solutions and guidance around practical elements to help overcome your concerns and difficulties, depending on what best suits your needs. I work with children, young people, adults and couples across a range of presenting issues.
I am an integrative counsellor offering talking therapy focused on you and your needs. Sometimes this will mean providing a safe place to openly discuss your concerns and difficulties without judgement and sometimes this will be providing solutions and guidance around practical elements to help overcome your concerns and difficulties, depending on what best suits your needs. I work with children, young people, adults and couples across a range of presenting issues.
01772 288309 View 01772 288309
Photo of Aimee Hudson, MBACP, Psychotherapist
Aimee Hudson
Psychotherapist, MBACP
Verified Verified
As an integrative practitioner, I work with a broad range of adult clients, able to tailor our sessions to whatever concerns or circumstances you feel you may need help with. I offer a free telephone consultation to help us decide if working together will be right for you and this will last approximately half an hour.
As an integrative practitioner, I work with a broad range of adult clients, able to tailor our sessions to whatever concerns or circumstances you feel you may need help with. I offer a free telephone consultation to help us decide if working together will be right for you and this will last approximately half an hour.
01772 283884 View 01772 283884
Photo of Katie Robinson, MBACP, Psychotherapist
Katie Robinson
Psychotherapist, MBACP
Verified Verified
I believe you strive to want to do what's best for you, no matter what conditions you may find yourself in. I believe in the uniqueness of each individual and that you have the capacity to be the expert in your own world, as only you know how you truly feel, and what you really want. You are the only person who can decide who you want to be, and how you want to be living your life. I believe you deserve respect for the values and choices you decide to live by and strongly believe that through the trustworthy relationship I hope to build with you, that together, we will find the path that is hidden from you.
I believe you strive to want to do what's best for you, no matter what conditions you may find yourself in. I believe in the uniqueness of each individual and that you have the capacity to be the expert in your own world, as only you know how you truly feel, and what you really want. You are the only person who can decide who you want to be, and how you want to be living your life. I believe you deserve respect for the values and choices you decide to live by and strongly believe that through the trustworthy relationship I hope to build with you, that together, we will find the path that is hidden from you.
01772 595016 View 01772 595016
Photo of Lorraine Gibbons
Lorraine Gibbons
Verified Verified
Thank you for taking time to read my profile. I am a qualified Systemic Family Practitioner supporting Children, Young People and Families to find solutions to their problems including issues such as anger, self-esteem, anxiety, life transitions and trauma. I am also an Internal Family Systems Practitioner supporting young people, adults and couples and my holistic approach will ensure that every avenue is explored to ensure the most beneficial experience for you.
Thank you for taking time to read my profile. I am a qualified Systemic Family Practitioner supporting Children, Young People and Families to find solutions to their problems including issues such as anger, self-esteem, anxiety, life transitions and trauma. I am also an Internal Family Systems Practitioner supporting young people, adults and couples and my holistic approach will ensure that every avenue is explored to ensure the most beneficial experience for you.
01772 419527 View 01772 419527
Photo of Elisa Hari, UKCP Trainee, Psychotherapist
Elisa Hari
Psychotherapist, UKCP Trainee
Verified Verified
I am a graduate in Transactional Analysis Integrative Psychotherapy. Through this mode of psychotherapy, an understanding and awareness of why we are the way we are can assist us to grow, develop and change the narrative that may be keeping you stuck or struggling to navigate life, feelings, behaviours and relationships. I have been a practicing Registered Mental Health Nurse for almost 30 years now and through my experience of working diagnostically within the mental health system, I have come to recognise that beneath the labels and diagnoses, there are the experiences of life that only you have had.
I am a graduate in Transactional Analysis Integrative Psychotherapy. Through this mode of psychotherapy, an understanding and awareness of why we are the way we are can assist us to grow, develop and change the narrative that may be keeping you stuck or struggling to navigate life, feelings, behaviours and relationships. I have been a practicing Registered Mental Health Nurse for almost 30 years now and through my experience of working diagnostically within the mental health system, I have come to recognise that beneath the labels and diagnoses, there are the experiences of life that only you have had.
01772 283775 View 01772 283775
Photo of Paula Slater - My Psychological Wellness, MSc, GMBPsS, Psychologist
My Psychological Wellness
Psychologist, MSc, GMBPsS
Verified Verified
2 Endorsed
I am a wife, a mother of 3 beautiful children, and a Psychologist. I have dedicated my life to helping children and young people maintain their mental health and well-being. I can offer you a safe, empathic, non-judgmental, confidential space to explore your feelings. A client-therapist relationship has the potential to create an empowering and life-changing environment for self-discovery. Having the opportunity to speak is sometimes all that is needed.
I am a wife, a mother of 3 beautiful children, and a Psychologist. I have dedicated my life to helping children and young people maintain their mental health and well-being. I can offer you a safe, empathic, non-judgmental, confidential space to explore your feelings. A client-therapist relationship has the potential to create an empowering and life-changing environment for self-discovery. Having the opportunity to speak is sometimes all that is needed.
01772 283893 View 01772 283893
Photo of Lindsay Stones, MBACP, Counsellor
Lindsay Stones
Counsellor, MBACP
Verified Verified
1 Endorsed
Hi, thanks for reading my profile. I am a professionally qualified integrative counsellor/psychotherapist. I work with clients who are experiencing a wide range of issues, helping them to make positive changes in their lives. I believe in providing a safe, supportive and non-judgemental environment to build a trusting therapeutic relationship in which you are free to explore your thoughts, feelings and issues.
Hi, thanks for reading my profile. I am a professionally qualified integrative counsellor/psychotherapist. I work with clients who are experiencing a wide range of issues, helping them to make positive changes in their lives. I believe in providing a safe, supportive and non-judgemental environment to build a trusting therapeutic relationship in which you are free to explore your thoughts, feelings and issues.
01772 503106 View 01772 503106
Photo of Charlotte Van-Lint Trauma Informed Psychotherapist - Charlotte Van-Lint , MBACP, Psychotherapist
Charlotte Van-Lint
Psychotherapist, MBACP
Verified Verified
Experienced and highly skilled Psychotherapist specialsing in work with narcissistic abuse , relationship difficulties and family conflict. I have consolidated 25 years experience of working with anxiety, depression, childhood trauma including physical, sexual and emotional abuse and its impact. I am confident therefore in working with clients with complex needs with their mental health and neuro-divergence, including ADHD and Autism.
Experienced and highly skilled Psychotherapist specialsing in work with narcissistic abuse , relationship difficulties and family conflict. I have consolidated 25 years experience of working with anxiety, depression, childhood trauma including physical, sexual and emotional abuse and its impact. I am confident therefore in working with clients with complex needs with their mental health and neuro-divergence, including ADHD and Autism.
01253 835178 View 01253 835178
Photo of Chi Ko Psychosexual Relationship Therapist, MSc, COSRT Accred, Psychotherapist
Chi Ko Psychosexual Relationship Therapist
Psychotherapist, MSc, COSRT Accred
Verified Verified
Chi is a Sex and Relationship Psychotherapist, accredited by BACP and COSRT. He also works with people with sexual addictive behaviour and compulsivity. He has an excellent working knowledge on a range of psychiatric and mental health conditions.
Chi is a Sex and Relationship Psychotherapist, accredited by BACP and COSRT. He also works with people with sexual addictive behaviour and compulsivity. He has an excellent working knowledge on a range of psychiatric and mental health conditions.
0161 696 8319 View 0161 696 8319
Photo of Diane Feeney - Counsellor And C B T Therapist, MBACP, Counsellor
Diane Feeney - Counsellor And C B T Therapist
Counsellor, MBACP
Verified Verified
FACE2FACE, online or phone OPEN 7 DAYS -Adults,Couples,Young People 4-18 & Families. Anxious,depressed,afraid,worried? Experienced CAMHS & IAPT Counsellor. WEBSITE: https:/www.diane-feeney-elements-in-counselling.com Here to listen Mob07494 120291 Small niggles growing or a big worry; Relationships? Bereaved? Issues causing anxieties leading to depression? Appt’s: Day,Eve, zoom/phone Short/long term. Providing Mindfulness/calming techniques, Play/Crafts/Art Therapy, Parenting Guidance/Support MBACP Reg no:299337 So...Do you Need to Talk? Perhaps just 1 Session or 1 Session At A Time Therapy! ADHD, OCD Asperger's.
FACE2FACE, online or phone OPEN 7 DAYS -Adults,Couples,Young People 4-18 & Families. Anxious,depressed,afraid,worried? Experienced CAMHS & IAPT Counsellor. WEBSITE: https:/www.diane-feeney-elements-in-counselling.com Here to listen Mob07494 120291 Small niggles growing or a big worry; Relationships? Bereaved? Issues causing anxieties leading to depression? Appt’s: Day,Eve, zoom/phone Short/long term. Providing Mindfulness/calming techniques, Play/Crafts/Art Therapy, Parenting Guidance/Support MBACP Reg no:299337 So...Do you Need to Talk? Perhaps just 1 Session or 1 Session At A Time Therapy! ADHD, OCD Asperger's.
01695 668292 View 01695 668292
Photo of Tina Jewell - Jewell Psychology, MBACP, Counsellor
Jewell Psychology
Counsellor, MBACP
Verified Verified
I offer counselling sessions in my office or at your home if required. My working hours are flexible to suit you. If you are experiencing anxiety, depression, low self esteem or any other mental health conditions, I can offer you a safe and comfortable space where you can feel relaxed and explore what is bothering you. Your sixty minutes are for you. I will work at your pace so you are comfortable with your process. Relationship issues, loss, addiction and child therapy are just a few of the other areas I work with.
I offer counselling sessions in my office or at your home if required. My working hours are flexible to suit you. If you are experiencing anxiety, depression, low self esteem or any other mental health conditions, I can offer you a safe and comfortable space where you can feel relaxed and explore what is bothering you. Your sixty minutes are for you. I will work at your pace so you are comfortable with your process. Relationship issues, loss, addiction and child therapy are just a few of the other areas I work with.
01772 211828 View 01772 211828
Photo of Deborah Frances Smith, MA, MBACP Accred, Counsellor
Deborah Frances Smith
Counsellor, MA, MBACP Accred
Verified Verified
As my client I will work alongside you in a caring and non-judgemental way. I will strive to understand and make you feel less alone in what you facing. To reveal yourself openly and honestly takes the rawest kind of courage and I will respect with confidence what I am told. I have a lot of experience in working with anxiety, depression, trauma (childhood and sexual) and bereavement, both with adults and adolescents. I am also a Clinical Supervisor which means I supervise the work of other counsellors. In addition I am an EMDR (Eye Movement Desensitisation Reprocessing) Europe Accredited Practitioner with EMDRIA.
As my client I will work alongside you in a caring and non-judgemental way. I will strive to understand and make you feel less alone in what you facing. To reveal yourself openly and honestly takes the rawest kind of courage and I will respect with confidence what I am told. I have a lot of experience in working with anxiety, depression, trauma (childhood and sexual) and bereavement, both with adults and adolescents. I am also a Clinical Supervisor which means I supervise the work of other counsellors. In addition I am an EMDR (Eye Movement Desensitisation Reprocessing) Europe Accredited Practitioner with EMDRIA.
07481 339504 View 07481 339504
Photo of Martin Peter Robert Rigby - Martin Rigby Counselling, MSc, MBACP, Counsellor
Martin Rigby Counselling
Counsellor, MSc, MBACP
Verified Verified
1 Endorsed
Hello my name is Martin Rigby. I'm an experienced, qualified and registered person-centred counsellor working in private practice in Preston, Ashton-in-Makerfield, Hindley, Leigh and Wigan. I provide counselling face-to-face, by phone and online to people of all ages, cultures and backgrounds. I work with young people, adults, senior citizens, couples and organisations. My counselling fees are: Initial 30 minute appointment-free of charge. Individual:£35. Couples:£40. Home visits:£45- travel costs may apply. Skype/IM, Facetime, Whattsapp:£25. Consessions are available.
Hello my name is Martin Rigby. I'm an experienced, qualified and registered person-centred counsellor working in private practice in Preston, Ashton-in-Makerfield, Hindley, Leigh and Wigan. I provide counselling face-to-face, by phone and online to people of all ages, cultures and backgrounds. I work with young people, adults, senior citizens, couples and organisations. My counselling fees are: Initial 30 minute appointment-free of charge. Individual:£35. Couples:£40. Home visits:£45- travel costs may apply. Skype/IM, Facetime, Whattsapp:£25. Consessions are available.
01305 235631 View 01305 235631
Photo of Tracey Ashton, MBACP, Psychotherapist
Tracey Ashton
Psychotherapist, MBACP
Verified Verified
Are you experiencing more bad days than good? Do you often feel, low, empty, overstretched, overwhelmed or isolated? I too have felt these emotions and I believe it is important for you to know you also matter. It is truly worth taking time to work towards discovering those feelings of immense self-worth and contentment. I am a qualified person centred counsellor and the foundation of my practice is to support individuals who are looking for a way to resolve any issues in their life from stress and anxiety to PTSD. I offer a non-judgemental, empathetic space where we can work collaboratively to help you explore a way forward.
Are you experiencing more bad days than good? Do you often feel, low, empty, overstretched, overwhelmed or isolated? I too have felt these emotions and I believe it is important for you to know you also matter. It is truly worth taking time to work towards discovering those feelings of immense self-worth and contentment. I am a qualified person centred counsellor and the foundation of my practice is to support individuals who are looking for a way to resolve any issues in their life from stress and anxiety to PTSD. I offer a non-judgemental, empathetic space where we can work collaboratively to help you explore a way forward.
01253 835446 View 01253 835446
1

See more therapy options for PR1

How does your Counsellor compare?

Number of Counsellors in PR1

70+

Average cost per session

£55

Counsellors in PR1 who prioritize treating:

90% Anxiety
88% Depression
88% Self Esteem
84% Stress
82% Relationship Issues
81% Trauma and PTSD
77% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

38% AXA PPP
38% Bupa
33% Aviva

How Counsellors in PR1 see their clients

85% In Person and Online
15% Online Only

Gender breakdown

68% Female
32% Male
FAQs - About Therapy and Counselling

How can I find a therapist in PR1?

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.