Photo of Dr Sarah Shillingford, DCounsPsych, HCPC - Couns. Psych., Psychologist
Dr Sarah Shillingford
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Waitlist for new clients
Are you finding things feel too much? Perhaps you're used to looking after everyone else and feel like you need space for yourself. You might have had difficult or traumatic experiences in your life that make it difficult to build relationships with others. The journey towards you goals will likely have its challenges but you have taken a really important step in seeking support. I am a trauma specialist and can help with difficulties associated with all kinds of trauma, this includes birth trauma and helping you if you are an adult survivor of childhood trauma.
Are you finding things feel too much? Perhaps you're used to looking after everyone else and feel like you need space for yourself. You might have had difficult or traumatic experiences in your life that make it difficult to build relationships with others. The journey towards you goals will likely have its challenges but you have taken a really important step in seeking support. I am a trauma specialist and can help with difficulties associated with all kinds of trauma, this includes birth trauma and helping you if you are an adult survivor of childhood trauma.
01708 204422 View 01708 204422
Photo of Claire Douglas, BACP, Counsellor
Claire Douglas
Counsellor, BACP
Verified Verified
1 Endorsed
Hello. My name is Claire and I am an integrative counsellor and member of the British Association for Counselling and Psychotherapy (BACP). I offer integrative counselling. This form of therapy is a combination of different psychological theories and therapeutic approaches, which can be tailor-made depending on your needs and way of working. I work to offer you a safe, confidential, non-judgmental, and empathic environment so to speak freely about your presenting problems and work to overcome difficult obstacles in your life (whether past, present or future).
Hello. My name is Claire and I am an integrative counsellor and member of the British Association for Counselling and Psychotherapy (BACP). I offer integrative counselling. This form of therapy is a combination of different psychological theories and therapeutic approaches, which can be tailor-made depending on your needs and way of working. I work to offer you a safe, confidential, non-judgmental, and empathic environment so to speak freely about your presenting problems and work to overcome difficult obstacles in your life (whether past, present or future).
View
Photo of Jacqueline Sharon Pickton - Crossways Counselling Services, BACP, Counsellor
Crossways Counselling Services
Counsellor, BACP
Verified Verified
If your mental health has been compromised lately, you are in the right place. Making your emotional and physical wellbeing a priority, is a good place for us to start. Currently I work closely with bereaved clients and support them through their grief process. Talking through loss in a non-judgemental space is known to be therapeutic. I am also trained in working with clients suffering with PTSD. Trauma can be caused by many reasons and exploring this openly and honestly can aid in restoration.
If your mental health has been compromised lately, you are in the right place. Making your emotional and physical wellbeing a priority, is a good place for us to start. Currently I work closely with bereaved clients and support them through their grief process. Talking through loss in a non-judgemental space is known to be therapeutic. I am also trained in working with clients suffering with PTSD. Trauma can be caused by many reasons and exploring this openly and honestly can aid in restoration.
01708 203424 View 01708 203424
Photo of Julie Donoghue - Julie Donoghue Counselling, MBACP, Counsellor
Julie Donoghue Counselling
Counsellor, MBACP
Verified Verified
1 Endorsed
Reaching out for help can sometimes feel like the last resort and finding the right help can change your life. With over 10 years of experience in working with adults and young people in a variety of settings my aim is to provide a confidential, non-judgmental space for you. I can support clients with bereavement, depression, eating issues, anxiety, relationships, anger and would be happy to answer any questions you may have.
Reaching out for help can sometimes feel like the last resort and finding the right help can change your life. With over 10 years of experience in working with adults and young people in a variety of settings my aim is to provide a confidential, non-judgmental space for you. I can support clients with bereavement, depression, eating issues, anxiety, relationships, anger and would be happy to answer any questions you may have.
01277 288678 View 01277 288678
Photo of Claire Huzzey, MBACP Accred, Counsellor
Claire Huzzey
Counsellor, MBACP Accred
Verified Verified
2 Endorsed
Everyone of us can face challenges and dilemmas that can leave us confused. If you feel that you are ready to make changes, whatever it is that you are facing at this time, there is a good chance that counselling may help. I offer you a safe, confidential, non-judgemental environment to explore any issues, I focus on helping you to explore feelings and emotions that are often related to your experiences, allowing time to reflect on what is happening to you, to consider alternative ways of doing things, or thinking styles. I help you to view things from different perspectives. This can lead to an increased sense of self awareness.
Everyone of us can face challenges and dilemmas that can leave us confused. If you feel that you are ready to make changes, whatever it is that you are facing at this time, there is a good chance that counselling may help. I offer you a safe, confidential, non-judgemental environment to explore any issues, I focus on helping you to explore feelings and emotions that are often related to your experiences, allowing time to reflect on what is happening to you, to consider alternative ways of doing things, or thinking styles. I help you to view things from different perspectives. This can lead to an increased sense of self awareness.
01708 963878 View 01708 963878
Photo of Iona Burnell Reilly, MSc, MBACP, Counsellor
Iona Burnell Reilly
Counsellor, MSc, MBACP
Verified Verified
Hornchurch RM11  (Online Only)
Life challenges can be difficult to navigate and, at times, feel overwhelming. I provide a safe, confidential, containing space where together we can explore what brings you to therapy.  Many of us go through difficult times and find ourselves unable to overcome feelings of sadness. Sometimes we are unable to make sense of why situations have happened in our lives, and some of these may be related to our past. My aim is to support you in improving your quality of life, whatever this means for you.
Life challenges can be difficult to navigate and, at times, feel overwhelming. I provide a safe, confidential, containing space where together we can explore what brings you to therapy.  Many of us go through difficult times and find ourselves unable to overcome feelings of sadness. Sometimes we are unable to make sense of why situations have happened in our lives, and some of these may be related to our past. My aim is to support you in improving your quality of life, whatever this means for you.
01708 207157 View 01708 207157
Photo of Leila Brou, DCounsPsych, MBACP, Counsellor
Leila Brou
Counsellor, DCounsPsych, MBACP
Verified Verified
Hornchurch RM11  (Online Only)
At times it’s really hard to face life’s challenges and find a way forward, to make important decisions, to understand our emotions..It may be stress, anxiety, self esteem or unresolved issues from the past resurfacing in your present…If you feel stuck and need change,I am here to help you make sense of what you are going through.. I offer an empathetic,safe, private, confidential,non-judgemental space for you to explore the reasons that bring you here today. Counselling can help you gain more insight, more self awareness and help you gain positive skills to improve your whole well-being and find your own paths to move forward …
At times it’s really hard to face life’s challenges and find a way forward, to make important decisions, to understand our emotions..It may be stress, anxiety, self esteem or unresolved issues from the past resurfacing in your present…If you feel stuck and need change,I am here to help you make sense of what you are going through.. I offer an empathetic,safe, private, confidential,non-judgemental space for you to explore the reasons that bring you here today. Counselling can help you gain more insight, more self awareness and help you gain positive skills to improve your whole well-being and find your own paths to move forward …
01708 989873 View 01708 989873
Photo of Jodie Marie Brien, MBACP, Counsellor
Jodie Marie Brien
Counsellor, MBACP
Verified Verified
My name is Jodie, I am a fully qualified, trained integrative Therapeutic Counsellor. I have experience working with Trauma, Anxiety disorders, Neurodiversity, LGBTQ+, Couples and various mental health issues. My passion is collaborating with my clients to help explore possibilities and recognise their full potential. My focus is to facilitate individuals find the best outcome or solutions to their own unique issues. I do this by providing and open-minded space to feel heard, with no judgement.
My name is Jodie, I am a fully qualified, trained integrative Therapeutic Counsellor. I have experience working with Trauma, Anxiety disorders, Neurodiversity, LGBTQ+, Couples and various mental health issues. My passion is collaborating with my clients to help explore possibilities and recognise their full potential. My focus is to facilitate individuals find the best outcome or solutions to their own unique issues. I do this by providing and open-minded space to feel heard, with no judgement.
020 3910 8259 View 020 3910 8259
Photo of Anna Cwikla, GMBPsS, Psychologist
Anna Cwikla
Psychologist, GMBPsS
Verified Verified
Jestem psychologiem oraz psychoterapeutą poznawczo-behawioralnym w trakcie certyfikacji w Szkole Psychoterapii Poznawczo-Behawioralnej Uniwersytetu SWPS pod kierownictwem dr hab. Agnieszka Popiel i dr Ewy Pragłowskiej. Ukończyłam psychologię na Uniwersytecie Jagiellońskim oraz studia podyplomowe z Diagnozy neuropsychologicznej na Uniwersytecie SWPS w Katowicach. Jestem czynnym  członkiem Polish Psychologists’ Association w Londynie, gdzie prowadzę konsultacje psychologiczne oraz psychoterapie. Doświadczenie kliniczne zdobyłam w Szpitalu Uniwersyteckim w Krakowie oraz Szpitalu im. Ludwika Rydygiera w Krakowie.
Jestem psychologiem oraz psychoterapeutą poznawczo-behawioralnym w trakcie certyfikacji w Szkole Psychoterapii Poznawczo-Behawioralnej Uniwersytetu SWPS pod kierownictwem dr hab. Agnieszka Popiel i dr Ewy Pragłowskiej. Ukończyłam psychologię na Uniwersytecie Jagiellońskim oraz studia podyplomowe z Diagnozy neuropsychologicznej na Uniwersytecie SWPS w Katowicach. Jestem czynnym  członkiem Polish Psychologists’ Association w Londynie, gdzie prowadzę konsultacje psychologiczne oraz psychoterapie. Doświadczenie kliniczne zdobyłam w Szpitalu Uniwersyteckim w Krakowie oraz Szpitalu im. Ludwika Rydygiera w Krakowie.
01708 973558 View 01708 973558
Photo of Jackie Meyer, MBACP Accred, Counsellor
Jackie Meyer
Counsellor, MBACP Accred
Verified Verified
I have been working as a qualified & accredited Therapist for 15years, I offer a safe place where confidentiality is agreed, my values are offering a non-judgemental attitude, honest, and caring, trust enables the therapeutic relationship to build, which enables you to explore issues on a deep level. Through exploring issues, reflecting and eventually letting go, you are able to set new goals and build a better quality of life. This can be an empowering experience and help build your self esteem and confidence and access your power within, this starts the process of believing in self, "Self belief is everything”
I have been working as a qualified & accredited Therapist for 15years, I offer a safe place where confidentiality is agreed, my values are offering a non-judgemental attitude, honest, and caring, trust enables the therapeutic relationship to build, which enables you to explore issues on a deep level. Through exploring issues, reflecting and eventually letting go, you are able to set new goals and build a better quality of life. This can be an empowering experience and help build your self esteem and confidence and access your power within, this starts the process of believing in self, "Self belief is everything”
01708 983495 View 01708 983495
Photo of Philip Kemp Mbacp, MBACP, Counsellor
Philip Kemp Mbacp
Counsellor, MBACP
Verified Verified
Are you feeling low? Anxious? Questioning your worth for others and yourself? Feeling isolated irrespective of your social and community connections? You are not alone. Whilst battling these internal conflicts can leave you feeling alienated, and somewhat of a black sheep, my experiences, both professionally and personally, suggest that these are universal of human living. I have worked with a range of such experiences, including depression, suicide ideation, domestic violence, racial identity and various LGBTQ+ issues, including gender identity and expression and sexuality.
Are you feeling low? Anxious? Questioning your worth for others and yourself? Feeling isolated irrespective of your social and community connections? You are not alone. Whilst battling these internal conflicts can leave you feeling alienated, and somewhat of a black sheep, my experiences, both professionally and personally, suggest that these are universal of human living. I have worked with a range of such experiences, including depression, suicide ideation, domestic violence, racial identity and various LGBTQ+ issues, including gender identity and expression and sexuality.
01277 674133 View 01277 674133
Photo of Sally Barnes, MBACP, Psychotherapist
Sally Barnes
Psychotherapist, MBACP
Verified Verified
You may feel that something is not quite right in your life or have a feeling of not being good enough. I offer a space where we can look at these things together. I can be by your side as you grapple with uncomfortable feelings, self-acceptance, social anxiety or difficult relationships. My life experience also makes me well placed to help people going through life changes and struggling with loss.
You may feel that something is not quite right in your life or have a feeling of not being good enough. I offer a space where we can look at these things together. I can be by your side as you grapple with uncomfortable feelings, self-acceptance, social anxiety or difficult relationships. My life experience also makes me well placed to help people going through life changes and struggling with loss.
View
Photo of Lorraine Alison Faisal, MBACP, Counsellor
Lorraine Alison Faisal
Counsellor, MBACP
Verified Verified
How many minutes, hours, days, weeks, months or years have you spent wanting to change the way you live your life? How many different methods have you tried to silence your inner critic ? But failed because self doubt, guilt, anger, shame, procrastination or fear has kept you psychologically paralysed? How many times have you told yourself that you are going to stop your self destructive behaviour, only to find yourself embroiled in the same self defeating habits the next day, week or month? Do you see yourself ebbing further and further away from your life goals, dreams and ambitions?
How many minutes, hours, days, weeks, months or years have you spent wanting to change the way you live your life? How many different methods have you tried to silence your inner critic ? But failed because self doubt, guilt, anger, shame, procrastination or fear has kept you psychologically paralysed? How many times have you told yourself that you are going to stop your self destructive behaviour, only to find yourself embroiled in the same self defeating habits the next day, week or month? Do you see yourself ebbing further and further away from your life goals, dreams and ambitions?
01708 983522 View 01708 983522
Photo of Diane Munday, MBACP, Counsellor
Diane Munday
Counsellor, MBACP
Verified Verified
Most clients that I see are suffering with anxiety, depression and stress. Most of this is caused by underlying issues such as low self-esteem, relationships issues and addiction to name a few. We're often aware of what our problems are but do not feel able to cope and need some support. Distressing situations and feelings can have such a destructive impact on our lives and therapy works by accepting your feelings, helping you to gain a different perspective, whilst challenging old negative beliefs; so you can move forward with a happier and healthier outlook on life.
Most clients that I see are suffering with anxiety, depression and stress. Most of this is caused by underlying issues such as low self-esteem, relationships issues and addiction to name a few. We're often aware of what our problems are but do not feel able to cope and need some support. Distressing situations and feelings can have such a destructive impact on our lives and therapy works by accepting your feelings, helping you to gain a different perspective, whilst challenging old negative beliefs; so you can move forward with a happier and healthier outlook on life.
01708 989896 View 01708 989896
Photo of Sarah Mann - My Life In Colour - Sarah Mann, MNCPS Acc., Counsellor
My Life In Colour - Sarah Mann
Counsellor, MNCPS Acc.
Verified Verified
Counselling & coaching that puts you back in control. A warm, calm safe place to help clients move life from beige back into colour with coping mechanisms for the short term and create mind space to work out the longer term issues, solutions that last a life time. Therapy needs to be, genuine, practicable and comfortable for the relationship between client and therapist to have value or efficacy. My own life experience has given me genuine empathy with client's issues and training and my own therapy has helped me accept my past and leave it there.
Counselling & coaching that puts you back in control. A warm, calm safe place to help clients move life from beige back into colour with coping mechanisms for the short term and create mind space to work out the longer term issues, solutions that last a life time. Therapy needs to be, genuine, practicable and comfortable for the relationship between client and therapist to have value or efficacy. My own life experience has given me genuine empathy with client's issues and training and my own therapy has helped me accept my past and leave it there.
01708 983069 View 01708 983069
Photo of Nathalie Macleod, MBACP Accred, Counsellor
Nathalie Macleod
Counsellor, MBACP Accred
Verified Verified
Welcome. I am a BACP Accredited counsellor with experience working with adults, couples and young people. At times in our lives, events can swamp us and we can struggle to cope. I have experience working with clients with various backgrounds. I can help you with anxiety, stress, self esteem issues, low mood, depression, relationship issues, experiencing chronic illness, along with suicidal ideation. My approach can help you understand yourself better and explore ways to bring about positive change.
Welcome. I am a BACP Accredited counsellor with experience working with adults, couples and young people. At times in our lives, events can swamp us and we can struggle to cope. I have experience working with clients with various backgrounds. I can help you with anxiety, stress, self esteem issues, low mood, depression, relationship issues, experiencing chronic illness, along with suicidal ideation. My approach can help you understand yourself better and explore ways to bring about positive change.
01245 950892 View 01245 950892
Photo of Anthony John Myers, MA, MBACP, Counsellor
Anthony John Myers
Counsellor, MA, MBACP
Verified Verified
I have an open and approachable nature which is underpinned by an empathic core. I allow each client to bring their own content and to guide the sessions. I work with each client in an individualistic manner and can choose a particular modality (CBT, Person-Centred, Psychodynamic) which I believe, fits the content. I will use the initial session to understand your needs and what you hope to gain from counselling. I am also a qualified Psychological Wellbeing Practitioner within the NHS and can deliver low intensity CBT treatment.
I have an open and approachable nature which is underpinned by an empathic core. I allow each client to bring their own content and to guide the sessions. I work with each client in an individualistic manner and can choose a particular modality (CBT, Person-Centred, Psychodynamic) which I believe, fits the content. I will use the initial session to understand your needs and what you hope to gain from counselling. I am also a qualified Psychological Wellbeing Practitioner within the NHS and can deliver low intensity CBT treatment.
01708 983092 View 01708 983092
Photo of Violet Omatseye, MBACP, Psychotherapist
Violet Omatseye
Psychotherapist, MBACP
Verified Verified
Hornchurch RM11  (Online Only)
I offer a warm and safe space to help with anxiety, panic attacks, or trauma issues you struggle to unravel on your own. Having a safe confidential space to feel heard can bring about great relief when experiencing relationship, family, or work stress issues. I can offer you empathy and kindness to process whatever is troubling you. I work by empowering you to make the changes you need to become happier and healthier in your life. And whatever that may look like for you I am here to work with you to explore your distress and help you with the insights and tools to feel better mentally and emotionally.
I offer a warm and safe space to help with anxiety, panic attacks, or trauma issues you struggle to unravel on your own. Having a safe confidential space to feel heard can bring about great relief when experiencing relationship, family, or work stress issues. I can offer you empathy and kindness to process whatever is troubling you. I work by empowering you to make the changes you need to become happier and healthier in your life. And whatever that may look like for you I am here to work with you to explore your distress and help you with the insights and tools to feel better mentally and emotionally.
020 3835 4362 View 020 3835 4362
Photo of Molly Lawrence-Adekola, MSc, MBACP Accred, Psychotherapist
Molly Lawrence-Adekola
Psychotherapist, MSc, MBACP Accred
Verified Verified
I am an integrative Counsellor and Cognitive Behavioural Psychotherapist with over 10 years clinical experience of working in the NHS, voluntary organisations and private practice. I have extensive training in a range of different approaches ; this gives me a choice of ways of helping you and adapting my approach to best meet your individual needs. I have worked effectively with a broad range of clients from various background with their issues and treatment of different psychological disorders and help people identify the causes of problem; reduce symptoms ; advance self-understanding ; improve relationships and live more fully.
I am an integrative Counsellor and Cognitive Behavioural Psychotherapist with over 10 years clinical experience of working in the NHS, voluntary organisations and private practice. I have extensive training in a range of different approaches ; this gives me a choice of ways of helping you and adapting my approach to best meet your individual needs. I have worked effectively with a broad range of clients from various background with their issues and treatment of different psychological disorders and help people identify the causes of problem; reduce symptoms ; advance self-understanding ; improve relationships and live more fully.
01634 949992 View 01634 949992
Photo of Rebecca Chowdhury - My Existence (Online), MBACP, Counsellor
Rebecca Chowdhury - My Existence (Online)
Counsellor, MBACP
Verified Verified
1 Endorsed
Hornchurch RM11  (Online Only)
Hello! I am an integrative counsellor and psychotherapist who has great experience in working with people who are looking to have a positive impact on their well-being. I work with a range of different difficulties some of which are, anxiety, depression, childhood trauma, emotional dysregulation and cultural issues.
Hello! I am an integrative counsellor and psychotherapist who has great experience in working with people who are looking to have a positive impact on their well-being. I work with a range of different difficulties some of which are, anxiety, depression, childhood trauma, emotional dysregulation and cultural issues.
020 3667 1762 View 020 3667 1762

See more therapy options for RM11

How does your Counsellor compare?

Number of Counsellors in RM11

20+

Average cost per session

£55

Counsellors in RM11 who prioritize treating:

88% Anxiety
88% Self Esteem
84% Depression
80% Stress
76% Relationship Issues
76% Family Conflict
68% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

50% Cigna and Evernorth
50% AXA PPP
50% Bupa

How Counsellors in RM11 see their clients

72% In Person and Online
28% Online Only

Gender breakdown

92% Female
8% Male
FAQs - About Therapy and Counselling

How can I find a therapist in RM11?

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.