Photo of Pip Bromley, MBACP, Counsellor
Pip Bromley
Counsellor, MBACP
Verified Verified
Sometimes we can feel stuck, lost or overwhelmed by strong emotions. At these times, it can be useful to work with a counsellor; someone who can explore what is going on with you, understand things form your perspective and welcome all your parts without judgement. Working together with you, I can help you to gain clarity and understanding, become more self-aware and to feel less overwhelmed by your emotions and by life. I take a person-centred and integrative approach, incorporating elements of Internal Family Systems Therapy, Focusing and Polyvagal Theory informed work when appropriate.
Sometimes we can feel stuck, lost or overwhelmed by strong emotions. At these times, it can be useful to work with a counsellor; someone who can explore what is going on with you, understand things form your perspective and welcome all your parts without judgement. Working together with you, I can help you to gain clarity and understanding, become more self-aware and to feel less overwhelmed by your emotions and by life. I take a person-centred and integrative approach, incorporating elements of Internal Family Systems Therapy, Focusing and Polyvagal Theory informed work when appropriate.
07510 556326 View 07510 556326

More Therapists Nearby

Photo of Karen Rowe, MBACP, Counsellor
Karen Rowe
Counsellor, MBACP
Verified Verified
I offer a safe, caring and supportive space where, working at a pace set by you and using a variety of tools and approaches that reflect you as a unique individual, I will work along side you in exploring and understanding the difficulties that may have brought you to seek therapy and helping you towards any changes you would like to make. I believe that you are the expert on you and so our sessions are guided by what you bring to each meeting, I will give you time to be heard, perhaps making observations and reflections or sharing tools or techniques that I feel may bring understanding or support you in moving forward.
I offer a safe, caring and supportive space where, working at a pace set by you and using a variety of tools and approaches that reflect you as a unique individual, I will work along side you in exploring and understanding the difficulties that may have brought you to seek therapy and helping you towards any changes you would like to make. I believe that you are the expert on you and so our sessions are guided by what you bring to each meeting, I will give you time to be heard, perhaps making observations and reflections or sharing tools or techniques that I feel may bring understanding or support you in moving forward.
01267 611587 View 01267 611587
Photo of Angharad E Rees - Turning Point Child Therapy Ltd, MSc, Psychotherapist
Turning Point Child Therapy Ltd
Psychotherapist, MSc
Verified Verified
My name is Angharad and I have over 20 years of primary teaching experience, including 8 years as a head teacher, I have seen first hand the difficulties many children face, coupled with the lack of provision available to support their emotional and mental health needs. I am a qualified Child Therapist specialising in Play Therapy, with a MSc in Play Therapy. I believe the benefits of play therapy to be transformative - hence retraining to become a child therapist. Play Therapy is an effective therapy that helps children modify their behaviours, clarify their self-concept, and build healthy relationships.
My name is Angharad and I have over 20 years of primary teaching experience, including 8 years as a head teacher, I have seen first hand the difficulties many children face, coupled with the lack of provision available to support their emotional and mental health needs. I am a qualified Child Therapist specialising in Play Therapy, with a MSc in Play Therapy. I believe the benefits of play therapy to be transformative - hence retraining to become a child therapist. Play Therapy is an effective therapy that helps children modify their behaviours, clarify their self-concept, and build healthy relationships.
01437 809025 View 01437 809025
Photo of Susie Bates, MA, MBACP, Counsellor
Susie Bates
Counsellor, MA, MBACP
Verified Verified
1 Endorsed
We all have struggles in our lives, there may be present day issues or difficulties arising from your past which are causing you distress or leaving you feeling stuck. You may have low mood, anxiety, struggling in relationships or be experiencing symptoms of trauma. Together we can explore ways to ease your difficulties that best suit you as an individual. We will work at your own pace in a way which feels safe and comfortable for you.
We all have struggles in our lives, there may be present day issues or difficulties arising from your past which are causing you distress or leaving you feeling stuck. You may have low mood, anxiety, struggling in relationships or be experiencing symptoms of trauma. Together we can explore ways to ease your difficulties that best suit you as an individual. We will work at your own pace in a way which feels safe and comfortable for you.
01267 611598 View 01267 611598
Photo of Cat White - CBTfit - Mind & Body, MSc, MBABCP, Psychotherapist
CBTfit - Mind & Body
Psychotherapist, MSc, MBABCP
Verified Verified
As a Cognitive Behavioural Psychotherapist my main focus is helping clients understand and manage their problems within this framework. CBT is an active therapy, present focused, collaborative and structured allowing the clients to become ‘their own therapist’. This type of therapy empowers the client to take responsibility for their own therapeutic journey, acquiring the skills and techniques to maintain changes made in therapy for the long term. I adhere to the standards of conduct, performance and ethics required by my accrediting body the British Association of Behavioural and Cognitive Psychotherapies (BABCP).
As a Cognitive Behavioural Psychotherapist my main focus is helping clients understand and manage their problems within this framework. CBT is an active therapy, present focused, collaborative and structured allowing the clients to become ‘their own therapist’. This type of therapy empowers the client to take responsibility for their own therapeutic journey, acquiring the skills and techniques to maintain changes made in therapy for the long term. I adhere to the standards of conduct, performance and ethics required by my accrediting body the British Association of Behavioural and Cognitive Psychotherapies (BABCP).
01239 801766 View 01239 801766
Photo of Dr Ruth Bagshaw, HCPC - Clin. Psych., Psychologist
Dr Ruth Bagshaw
Psychologist, HCPC - Clin. Psych.
Verified Verified
If you are: - dealing with a personal crisis; living with distressing circumstances; facing a major life change; finding your usual ways of coping just aren't working so well for you right now; looking for support for personal growth or professional development- then I may be able to help. I work with adults- online and in person- offering psychological therapy to help make sense of and reduce distress associated with mental health symptoms; diagnostic assessment and post diagnostic coaching for neurodivergence; and life coaching. Whatever your goals might be, I offer a safe space to support and encourage you to flourish.
If you are: - dealing with a personal crisis; living with distressing circumstances; facing a major life change; finding your usual ways of coping just aren't working so well for you right now; looking for support for personal growth or professional development- then I may be able to help. I work with adults- online and in person- offering psychological therapy to help make sense of and reduce distress associated with mental health symptoms; diagnostic assessment and post diagnostic coaching for neurodivergence; and life coaching. Whatever your goals might be, I offer a safe space to support and encourage you to flourish.
01559 606230 View 01559 606230
Photo of Ananya Poppy Reynolds - Roots&Wings Counselling, MBACP, Counsellor
Roots&Wings Counselling
Counsellor, MBACP
Verified Verified
The Counselling that I offer will be built around your needs, desires and areas of interest. I am looking to build a safe and trusting relationship where you can bring your whole self including the parts of you that possibly you hide away from others.
The Counselling that I offer will be built around your needs, desires and areas of interest. I am looking to build a safe and trusting relationship where you can bring your whole self including the parts of you that possibly you hide away from others.
01267 610938 View 01267 610938
Photo of Cathrin Wildwood, MBACP, Counsellor
Cathrin Wildwood
Counsellor, MBACP
Verified Verified
2 Endorsed
I am a qualified and experienced therapist, offering individual and couple counselling and psychotherapy. I work with clients of all ages, children, young people and adults. If you are feeling low, sad, worried, confused, overwhelmed by life, unable to cope, alone, empty, hurt by past experiences, experiencing painful emotions or if you are dissatisfied with life and longing for something to be different then counselling can be immensely helpful. I have helped people with a range of difficulties including anxiety, low mood, abuse, sexual assault, addictions, eating difficulties, grief, relationship challenges, emotions and stress.
I am a qualified and experienced therapist, offering individual and couple counselling and psychotherapy. I work with clients of all ages, children, young people and adults. If you are feeling low, sad, worried, confused, overwhelmed by life, unable to cope, alone, empty, hurt by past experiences, experiencing painful emotions or if you are dissatisfied with life and longing for something to be different then counselling can be immensely helpful. I have helped people with a range of difficulties including anxiety, low mood, abuse, sexual assault, addictions, eating difficulties, grief, relationship challenges, emotions and stress.
01550 919698 View 01550 919698
Photo of Samantha Heath Davies - Samantha Davies Silver Linings Counselling - ADHD, PNCPS Acc., Counsellor
Samantha Davies Silver Linings Counselling - ADHD
Counsellor, PNCPS Acc.
Verified Verified
I understand making this choice is difficult one. I am a professional accredited counsellor, I specialise in counselling for ADHD. I have 2 children with ADHD. If ADHD is affecting you or someone you care for I can help. I also work with all areas of mental health, depression, anxiety, trauma, sexual abuse, self-esteem & PTSD. I am qualified in EMDR & REWIND therapy for trauma. Life can get hard, money or job worries, relationship issues or problems with friends or co-workers, can all cause anxiety and depression. I can help you work through these problems if times get tough. NCPS Profesional Accredited/MBACP Acc equivalent.
I understand making this choice is difficult one. I am a professional accredited counsellor, I specialise in counselling for ADHD. I have 2 children with ADHD. If ADHD is affecting you or someone you care for I can help. I also work with all areas of mental health, depression, anxiety, trauma, sexual abuse, self-esteem & PTSD. I am qualified in EMDR & REWIND therapy for trauma. Life can get hard, money or job worries, relationship issues or problems with friends or co-workers, can all cause anxiety and depression. I can help you work through these problems if times get tough. NCPS Profesional Accredited/MBACP Acc equivalent.
07480 485870 View 07480 485870
Photo of Rhiannon Thomas, MNCPS Acc., Counsellor
Rhiannon Thomas
Counsellor, MNCPS Acc.
Verified Verified
Offering Online and Walk and Talk Therapy. I will provide a confidential and non-judgemental space where you can discuss anything that’s bothering you, whether it’s big or small. I aim to give you the tools to help you understand, use, and manage your own emotions in helpful way. These tools will help alleviate stress and will give you the ability to communicate more effectively, empathize with others, help build self-confidence, improve your relationships, overcome challenges and defuse conflict.
Offering Online and Walk and Talk Therapy. I will provide a confidential and non-judgemental space where you can discuss anything that’s bothering you, whether it’s big or small. I aim to give you the tools to help you understand, use, and manage your own emotions in helpful way. These tools will help alleviate stress and will give you the ability to communicate more effectively, empathize with others, help build self-confidence, improve your relationships, overcome challenges and defuse conflict.
01834 826732 View 01834 826732
Photo of Lyn Kirby, MBACP, Counsellor
Lyn Kirby
Counsellor, MBACP
Verified Verified
I have worked as a therapist for over 30 years and started my career in the field of Addiction at the Promis Centre in Kent. I have gained a wealth of experience in the field of addiction and have worked with some of the internationally respected leaders in this field, including Dr. Max Glatt who was recognised as a leading authority in the treatment of addiction and he inspired in his staff a passion that recovery is possible for anyone struggling with addiction. I also worked alongside Dr Tom Barth known for his work in Motivational Interviewing. I have a wealth of knowledge and experience with issues other than addiction.
I have worked as a therapist for over 30 years and started my career in the field of Addiction at the Promis Centre in Kent. I have gained a wealth of experience in the field of addiction and have worked with some of the internationally respected leaders in this field, including Dr. Max Glatt who was recognised as a leading authority in the treatment of addiction and he inspired in his staff a passion that recovery is possible for anyone struggling with addiction. I also worked alongside Dr Tom Barth known for his work in Motivational Interviewing. I have a wealth of knowledge and experience with issues other than addiction.
01559 606056 View 01559 606056
Photo of Nic Milone, UKCP Trainee, Counsellor
Nic Milone
Counsellor, UKCP Trainee
Verified Verified
1 Endorsed
Cardigan SA43  (Online Only)
Are you struggling with symptoms like anxiety, depression, low self-esteem? Maybe you are trying to recover from a traumatic event or relationship but find yourself overwhelmed, overthinking and self-analysing. Or perhaps you are in a difficult situation, seeking to understand what's happening and find the strength to move forward. Maybe you identify as LGBTQ+ and want to explore what that means for you or talk through trauma-related experiences.
Are you struggling with symptoms like anxiety, depression, low self-esteem? Maybe you are trying to recover from a traumatic event or relationship but find yourself overwhelmed, overthinking and self-analysing. Or perhaps you are in a difficult situation, seeking to understand what's happening and find the strength to move forward. Maybe you identify as LGBTQ+ and want to explore what that means for you or talk through trauma-related experiences.
01239 803018 View 01239 803018
Photo of Sharon Lees, MNCPS Acc., Counsellor
Sharon Lees
Counsellor, MNCPS Acc.
Verified Verified
If you have found yourself here, I am guessing you will be looking at making a change in your life. I'm a dedicated psychotherapeutic counsellor and hypnotherapist deeply committed to guiding individuals on their journey towards healing and empowerment. With a holistic approach that integrates various modalities, I specialize in supporting clients dealing with anxiety, trauma, and a range of emotional challenges. I work with adults, children and young people.
If you have found yourself here, I am guessing you will be looking at making a change in your life. I'm a dedicated psychotherapeutic counsellor and hypnotherapist deeply committed to guiding individuals on their journey towards healing and empowerment. With a holistic approach that integrates various modalities, I specialize in supporting clients dealing with anxiety, trauma, and a range of emotional challenges. I work with adults, children and young people.
01970 608735 View 01970 608735
Photo of Nikki Catto, MBACP, Counsellor
Nikki Catto
Counsellor, MBACP
Verified Verified
With twenty years experience and constant study for personal and professional development , I can offer a safe and effective therapeutic space for you to explore and heal from a wide range of life issues . We discuss your objectives for therapy and use a range of therapeutic tools including simple psychoeducation so you understand the process,which I believe enables personal understanding and clarity . My goal for every client is long term sustainable change in the most effective way possible , and I keep that in mind for every individual with whom I am privileged to work with. I also offer supervision
With twenty years experience and constant study for personal and professional development , I can offer a safe and effective therapeutic space for you to explore and heal from a wide range of life issues . We discuss your objectives for therapy and use a range of therapeutic tools including simple psychoeducation so you understand the process,which I believe enables personal understanding and clarity . My goal for every client is long term sustainable change in the most effective way possible , and I keep that in mind for every individual with whom I am privileged to work with. I also offer supervision
01994 227983 View 01994 227983
Photo of Ana S. Machado, BACP, Counsellor
Ana S. Machado
Counsellor, BACP
Verified Verified
Aberystwyth SY23  (Online Only)
My name is Ana. Are you trying to cope with any challenges in life? I help clients dealing with anxiety and help them reduce their levels of stress. This has an impact on dealing with disease or preventing illness. I encourage clients to adopt strategies and reframe negative thoughts, to have a more positive perception of themselves and of life. Goals can be achieved in a very short period of time. I am also specialised in Bereavement Counselling, being a volunteer for Cruse, since 2017. I have been teaching Counselling Skills at Aberystwyth University, since 2019. I also deliver Wellbeing Workshops and Stress Management courses.
My name is Ana. Are you trying to cope with any challenges in life? I help clients dealing with anxiety and help them reduce their levels of stress. This has an impact on dealing with disease or preventing illness. I encourage clients to adopt strategies and reframe negative thoughts, to have a more positive perception of themselves and of life. Goals can be achieved in a very short period of time. I am also specialised in Bereavement Counselling, being a volunteer for Cruse, since 2017. I have been teaching Counselling Skills at Aberystwyth University, since 2019. I also deliver Wellbeing Workshops and Stress Management courses.
07411 233488 View 07411 233488
Photo of Georgina Gray, MSc, MBACP, Psychotherapist
Georgina Gray
Psychotherapist, MSc, MBACP
Verified Verified
The reasons that people may seek therapy are very individual and personal - it may be due to emotional problems, anxiety, depression, substance use, early life experiences, trauma, or because of a feeling that life has somehow lost its balance. Yet many issues and problems are embedded within our wider social and cultural context. Adverse childhood experiences and other difficult or traumatic experiences later in life can have a profound effect on how we view ourselves, our relationship with others and the wider world, usually leading to a mixture of vulnerability as well as resilience. Therapies such as EMDR or CBT can help.
The reasons that people may seek therapy are very individual and personal - it may be due to emotional problems, anxiety, depression, substance use, early life experiences, trauma, or because of a feeling that life has somehow lost its balance. Yet many issues and problems are embedded within our wider social and cultural context. Adverse childhood experiences and other difficult or traumatic experiences later in life can have a profound effect on how we view ourselves, our relationship with others and the wider world, usually leading to a mixture of vulnerability as well as resilience. Therapies such as EMDR or CBT can help.
01570 940257 View 01570 940257
Photo of Dave Yaffey, MA, MUKCP, Psychotherapist
Dave Yaffey
Psychotherapist, MA, MUKCP
Verified Verified
If you’ve been thinking about therapy it might be that you feel anxious a lot of the time, you may experience low mood, it might be a relationship issue that’s bothering you, at home or at work. There may be a change that’s causing some difficulty, a change of role or status, a relationship breakdown or loss. Or there may be something, that you can’t quite name, that seems to be getting in your way. I believe in your wellness and will always support your very best Self. The first session is free so you can get a sense of how it will be to work together.
If you’ve been thinking about therapy it might be that you feel anxious a lot of the time, you may experience low mood, it might be a relationship issue that’s bothering you, at home or at work. There may be a change that’s causing some difficulty, a change of role or status, a relationship breakdown or loss. Or there may be something, that you can’t quite name, that seems to be getting in your way. I believe in your wellness and will always support your very best Self. The first session is free so you can get a sense of how it will be to work together.
View
Photo of Yvonne Dryburgh, MBACP, Counsellor
Yvonne Dryburgh
Counsellor, MBACP
Verified Verified
Hi my name is Yvonne and I am a fully qualified and registered BACP counsellor. I offer a safe, confidential, non-judgemental space so you can explore and understand any emotional difficulties or concerns you may be experiencing. As each person is unique, so will be the way we work together. I am an integrative counsellor which means I bring together elements of different therapeutic approaches to make sure your therapy is tailored to you.
Hi my name is Yvonne and I am a fully qualified and registered BACP counsellor. I offer a safe, confidential, non-judgemental space so you can explore and understand any emotional difficulties or concerns you may be experiencing. As each person is unique, so will be the way we work together. I am an integrative counsellor which means I bring together elements of different therapeutic approaches to make sure your therapy is tailored to you.
01654 557048 View 01654 557048
Photo of Dr Dean Whybrow, PhD, MBABCP, Psychotherapist
Dr Dean Whybrow
Psychotherapist, PhD, MBABCP
Verified Verified
Hello, my name is Dr Dean Whybrow, and I am a clinical nurse specialist in psychological therapies. I have a degree in mental health nursing, a post graduate diploma and master's in cognitive behavioural therapy (CBT), and a PhD in organisational health and wellbeing. I have also completed all levels of training as an Eye Movement Desensitisation and Reprocessing (EMDR) Practitioner. I am fully accredited as a CBT therapist and EMDR practitioner. I am also registered as a mental health nurse by the Nursing and Midwifery Council.
Hello, my name is Dr Dean Whybrow, and I am a clinical nurse specialist in psychological therapies. I have a degree in mental health nursing, a post graduate diploma and master's in cognitive behavioural therapy (CBT), and a PhD in organisational health and wellbeing. I have also completed all levels of training as an Eye Movement Desensitisation and Reprocessing (EMDR) Practitioner. I am fully accredited as a CBT therapist and EMDR practitioner. I am also registered as a mental health nurse by the Nursing and Midwifery Council.
01239 801756 View 01239 801756
Photo of Tracey Jane Sainsbury, MNCPS Acc., Counsellor
Tracey Jane Sainsbury
Counsellor, MNCPS Acc.
Verified Verified
Llandysul SA44  (Online Only)
Specialist fertility counsellor supporting people trying to conceive, naturally or with assistance, experiencing primary or secondary infertility and people who have experienced pregnancy loss. Tracey also provides implications counselling around donor conception and/or surrogacy and for people exploring their fertility options including egg freezing or embracing being involuntarily childless or a childless step parent, or where eggs, sperm or embryos remain after a treatment journey ends. Fertility counselling can also be useful for those supporting a friend or family members experiencing fertility issues.
Specialist fertility counsellor supporting people trying to conceive, naturally or with assistance, experiencing primary or secondary infertility and people who have experienced pregnancy loss. Tracey also provides implications counselling around donor conception and/or surrogacy and for people exploring their fertility options including egg freezing or embracing being involuntarily childless or a childless step parent, or where eggs, sperm or embryos remain after a treatment journey ends. Fertility counselling can also be useful for those supporting a friend or family members experiencing fertility issues.
07723 575408 View 07723 575408

How does your Counsellor compare?

Number of Counsellors in SA45

< 10

Counsellors in SA45 who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Infertility
100% Bereavement
100% Obsessive-Compulsive (OCD)
100% Parenting

Gender breakdown

100% Male

How Counsellors in SA45 see their clients

100% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in SA45?

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.