Counselling in Ayrshire

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Photo of Harriet Hockaday - North Ayrshire Psychology (Dr Harriet Hockaday), HCPC - Clin. Psych., Psychologist
North Ayrshire Psychology (Dr Harriet Hockaday)
Psychologist, HCPC - Clin. Psych.
Verified Verified
Beith KA15
My name is Dr Harriet Hockaday, and I am a HCPC registered qualified Clinical Psychologist. I am an experienced and specialist therapist, who has worked in various mental health services within the NHS since 2014, including in adult mental heath, older adult psychology, and neuropsychology services. I currently offer online and telephone based therapy to adults (18+) across the UK. I also offer face-to-face appointments in comfortable surroundings in Beith, North Ayrshire.
My name is Dr Harriet Hockaday, and I am a HCPC registered qualified Clinical Psychologist. I am an experienced and specialist therapist, who has worked in various mental health services within the NHS since 2014, including in adult mental heath, older adult psychology, and neuropsychology services. I currently offer online and telephone based therapy to adults (18+) across the UK. I also offer face-to-face appointments in comfortable surroundings in Beith, North Ayrshire.
01505 805531 View 01505 805531
Photo of May Smith - May Smith - Calm Counselling Service , MBACP, Counsellor
May Smith - Calm Counselling Service
Counsellor, MBACP
Verified Verified
Troon KA10
I am a qualified counsellor, registered with BACP. My training specialises in supporting children and adolescents, with which I have extensive experience, having worked in both Primary and Secondary Schools for several years. I am empathic and accepting of all. No young person should have to go it alone. Every behaviour is a form of communication, often of an unmet need. When we meet that need, the behaviours can change. Early intervention through counselling support, can help the young person make sense of what is going on in their minds, bodies and lives.
I am a qualified counsellor, registered with BACP. My training specialises in supporting children and adolescents, with which I have extensive experience, having worked in both Primary and Secondary Schools for several years. I am empathic and accepting of all. No young person should have to go it alone. Every behaviour is a form of communication, often of an unmet need. When we meet that need, the behaviours can change. Early intervention through counselling support, can help the young person make sense of what is going on in their minds, bodies and lives.
01294 445315 View 01294 445315
Photo of Zoe Victoria Fridd, MSc, GMBPsS, Counsellor
Zoe Victoria Fridd
Counsellor, MSc, GMBPsS
Verified Verified
Welcome. I started my training in 2003 and completed a Bsc in Psychology. I gained a Msc in Health Psychology specifically focussing on behaviour change and health related counselling. My PGD was in Counselling Psychology with the British Psychological Society. I predominantly worked in trauma, addiction and mental health. Currently working for a service providing therapy for family conflict, attachment disorder and trauma for both adults and children. Privately I work with clients with a variety of mental health issues, self harm, eating disorders, anxiety/depression and relationship issues. I am also a qualified Life Coach.
Welcome. I started my training in 2003 and completed a Bsc in Psychology. I gained a Msc in Health Psychology specifically focussing on behaviour change and health related counselling. My PGD was in Counselling Psychology with the British Psychological Society. I predominantly worked in trauma, addiction and mental health. Currently working for a service providing therapy for family conflict, attachment disorder and trauma for both adults and children. Privately I work with clients with a variety of mental health issues, self harm, eating disorders, anxiety/depression and relationship issues. I am also a qualified Life Coach.
01294 442411 View 01294 442411
Photo of Robert Fulton, MBABCP, Psychotherapist
Robert Fulton
Psychotherapist, MBABCP
Verified Verified
I am an accredited cognitive behavioural therapist who runs Progress Psychotherapy. The service operates in Kilmarnock or UK wide if you prefer videocalls. My experience involves treating anxiety, depression, trauma, OCD low self-esteem, self-harm, BPD, DID and many other issues.
I am an accredited cognitive behavioural therapist who runs Progress Psychotherapy. The service operates in Kilmarnock or UK wide if you prefer videocalls. My experience involves treating anxiety, depression, trauma, OCD low self-esteem, self-harm, BPD, DID and many other issues.
01563 593290 View 01563 593290
Photo of Sophie Robertson, MRes, BACP, Counsellor
Sophie Robertson
Counsellor, MRes, BACP
Verified Verified
Irvine KA12
I work with a wide range of clients who come to me with a variety of different needs and goals. I can work with young people aged 15 and over, adults and couples. Generally people enter counselling with me due to anxiety or depression, which is being exacerbated by past or current issues. This can include relationship difficulties, work or school issues, self-harming, family difficulties, and life transitions.
I work with a wide range of clients who come to me with a variety of different needs and goals. I can work with young people aged 15 and over, adults and couples. Generally people enter counselling with me due to anxiety or depression, which is being exacerbated by past or current issues. This can include relationship difficulties, work or school issues, self-harming, family difficulties, and life transitions.
01563 590799 View 01563 590799
Photo of Ali Anderson, MBACP, Counsellor
Ali Anderson
Counsellor, MBACP
Verified Verified
1 Endorsed
We all need help sometimes. I believe we have the answers; sometimes we need a professional to help us access our own resources. I have been privileged over the years to work with a wide range of issues for couples, individuals and young people. Using an Integrative style incorporating elements of a variety of therapeutic modalities, Person centred, Psychodynamic, CBT and others. Clinical Hypnotherapy in the form of Rapid Transformational Therapy RTT. Clients who cannot access my therapy room or work commitments mean time is limited prefer to work on line. I have had great success in the UK and beyond. Looking forward to meeting you
We all need help sometimes. I believe we have the answers; sometimes we need a professional to help us access our own resources. I have been privileged over the years to work with a wide range of issues for couples, individuals and young people. Using an Integrative style incorporating elements of a variety of therapeutic modalities, Person centred, Psychodynamic, CBT and others. Clinical Hypnotherapy in the form of Rapid Transformational Therapy RTT. Clients who cannot access my therapy room or work commitments mean time is limited prefer to work on line. I have had great success in the UK and beyond. Looking forward to meeting you
07432 511172 View 07432 511172
Photo of Dr Lynne Cochrane, PsychD, HCPC - Health Psych., Psychologist
Dr Lynne Cochrane
Psychologist, PsychD, HCPC - Health Psych.
Verified Verified
Prestwick KA9  (Online Only)
Are you experiencing a difficult life transition such as perimenopause or menopause and struggling with debilitating physical and mental health symptoms? Are you pregnant and experiencing depression or anxiety? Is the prospect of giving birth overwhelming and anxiety-provoking? Have you had a previous difficult birth and are experiencing symptoms of anxiety, depression or PTSD? Has a pre-existing mental health condition been exacerbated by your pregnancy, birth experience or menopause symptoms? Has this life change led you to feel you've lost control over your body and mind, and you're no longer enjoying a fulfilling life?
Are you experiencing a difficult life transition such as perimenopause or menopause and struggling with debilitating physical and mental health symptoms? Are you pregnant and experiencing depression or anxiety? Is the prospect of giving birth overwhelming and anxiety-provoking? Have you had a previous difficult birth and are experiencing symptoms of anxiety, depression or PTSD? Has a pre-existing mental health condition been exacerbated by your pregnancy, birth experience or menopause symptoms? Has this life change led you to feel you've lost control over your body and mind, and you're no longer enjoying a fulfilling life?
01292 430662 View 01292 430662
Photo of Raj Sandhu Chima, MBABCP, Psychotherapist
Raj Sandhu Chima
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Hello and a very warm welcome to you! We all experience times in our life when we feel stuck, overwhelmed, lacking in direction or purpose ... and it's at times like these when we might seek support in facing these challenges and making positive change. I thoroughly enjoy supporting individuals and groups through challenging periods. I have been in a supportive role for over 20 years, my passion is for people. I am a Cognitive Behavioural Psychotherapist and work with a blend of evidence-based modalities.
Hello and a very warm welcome to you! We all experience times in our life when we feel stuck, overwhelmed, lacking in direction or purpose ... and it's at times like these when we might seek support in facing these challenges and making positive change. I thoroughly enjoy supporting individuals and groups through challenging periods. I have been in a supportive role for over 20 years, my passion is for people. I am a Cognitive Behavioural Psychotherapist and work with a blend of evidence-based modalities.
01563 597371 View 01563 597371
Photo of Jeni Mackay, MNCPS Acc., Counsellor
Jeni Mackay
Counsellor, MNCPS Acc.
Verified Verified
Largs KA29
I am a qualified Cognitive Behavioural Therapist based in North Ayrshire. I know it can be difficult seeking help for personal struggles. However, giving ourselves the time and space to consider our difficulties away from the distractions of life can prove enormously beneficial. Challenges such as anxiety, low mood, stress and self esteem can be overwhelming. Together we can create a personalised plan to empower you to overcome these challenges and work towards lasting, positive change.
I am a qualified Cognitive Behavioural Therapist based in North Ayrshire. I know it can be difficult seeking help for personal struggles. However, giving ourselves the time and space to consider our difficulties away from the distractions of life can prove enormously beneficial. Challenges such as anxiety, low mood, stress and self esteem can be overwhelming. Together we can create a personalised plan to empower you to overcome these challenges and work towards lasting, positive change.
01475 601270 View 01475 601270
Photo of Gayle Cowie, DCounsPsych, MBABCP, Psychotherapist
Gayle Cowie
Psychotherapist, DCounsPsych, MBABCP
Verified Verified
1 Endorsed
Hello, my name is Gayle , I am an integrative Cognitive Behavioural Therapist. Life can be difficult and sometimes we need to reach out for a little help and support. Taking this first step is a brave decision to make but by seeking help and speaking to a qualified therapist you will gain a better understanding of where your problems originate and how this is affecting your everyday life. You are perhaps feeling lost, stuck and unsure of how to make changes, I can help with this. If you feel ready to make changes or just to have a one to one meeting to chat about your problems with no obligation , contact me.
Hello, my name is Gayle , I am an integrative Cognitive Behavioural Therapist. Life can be difficult and sometimes we need to reach out for a little help and support. Taking this first step is a brave decision to make but by seeking help and speaking to a qualified therapist you will gain a better understanding of where your problems originate and how this is affecting your everyday life. You are perhaps feeling lost, stuck and unsure of how to make changes, I can help with this. If you feel ready to make changes or just to have a one to one meeting to chat about your problems with no obligation , contact me.
01292 439781 View 01292 439781
Photo of Vicky Paterson, BACP, Counsellor
Vicky Paterson
Counsellor, BACP
Verified Verified
2 Endorsed
Irvine KA12
At various points in our lives, we all encounter moments of feeling stuck, overwhelmed, directionless, or adrift. When life becomes too much to handle, finding a way forward can seem daunting. You might have resigned yourself to thinking, "This is just how things are now," but the good news is that it doesn't have to be that way, and I'm here to assist you. I am a qualified cognitive behavioural therapist. I provide a confidential and non-judgmental environment where I assist you in addressing and overcoming any challenges, fears, or difficulties that may be causing distress and negatively impacting your overall wellbeing. I'm here
At various points in our lives, we all encounter moments of feeling stuck, overwhelmed, directionless, or adrift. When life becomes too much to handle, finding a way forward can seem daunting. You might have resigned yourself to thinking, "This is just how things are now," but the good news is that it doesn't have to be that way, and I'm here to assist you. I am a qualified cognitive behavioural therapist. I provide a confidential and non-judgmental environment where I assist you in addressing and overcoming any challenges, fears, or difficulties that may be causing distress and negatively impacting your overall wellbeing. I'm here
07947 819647 View 07947 819647
Photo of Valerie Barr - Dynamic Diamond Consultancy, MBACP, Counsellor
Dynamic Diamond Consultancy
Counsellor, MBACP
Verified Verified
I am an Integrative Cognitive Behavioural Therapist my interest in becoming a therapist developed within my career in Social Care and Trauma Informed services. I am also an experienced Trainer and currently deliver various Self Esteem, Wellbeing & Nutrition Workshops, including Retrain your Brain - Mood Food which provides Psychoeducation around anxiety and food. In life we may have similar experiences but our uniqueness as human beings mean we all recover from emotional pain in our own individual way. Whatever you’re experience we can work together to help you gain a better understanding of your thoughts, feelings and behaviours.
I am an Integrative Cognitive Behavioural Therapist my interest in becoming a therapist developed within my career in Social Care and Trauma Informed services. I am also an experienced Trainer and currently deliver various Self Esteem, Wellbeing & Nutrition Workshops, including Retrain your Brain - Mood Food which provides Psychoeducation around anxiety and food. In life we may have similar experiences but our uniqueness as human beings mean we all recover from emotional pain in our own individual way. Whatever you’re experience we can work together to help you gain a better understanding of your thoughts, feelings and behaviours.
01563 599989 View 01563 599989
Photo of Shirley Macmillan
Shirley Macmillan
Verified Verified
Prestwick KA9  (Online Only)
I am a qualified Cognitive Behavioural Psychotherapist based in Ayrshire. I work predominantly with a Cognitive Behavioural Therapy (CBT) approach, but also draw on other therapeutic approaches to provide a more integrative and tailored therapy for you. There are times when we all experience situations that cause distress or uncertainty and it can be difficult to move past these events or to speak to those close to us.
I am a qualified Cognitive Behavioural Psychotherapist based in Ayrshire. I work predominantly with a Cognitive Behavioural Therapy (CBT) approach, but also draw on other therapeutic approaches to provide a more integrative and tailored therapy for you. There are times when we all experience situations that cause distress or uncertainty and it can be difficult to move past these events or to speak to those close to us.
01292 439650 View 01292 439650
Photo of Janet Green, MBACP, Counsellor
Janet Green
Counsellor, MBACP
Verified Verified
Ayr KA7  (Online Only)
Hello , welcome to my page and thank you for taking the time to look at my profile. I am an integrative counsellor which means that I use a number of different ways of working to suit individual requirements. My aim is to offer you a safe and non judgmental space where you are able to explore your thoughts and any challenges you may be facing and to help you move forward.
Hello , welcome to my page and thank you for taking the time to look at my profile. I am an integrative counsellor which means that I use a number of different ways of working to suit individual requirements. My aim is to offer you a safe and non judgmental space where you are able to explore your thoughts and any challenges you may be facing and to help you move forward.
01292 439746 View 01292 439746
Private Practice
Counsellor, MBACP
Verified Verified
1 Endorsed
Kilmarnock KA3  (Online Only)
Over the past 10years , I have worked with a diverse range of individuals, with various issues such as anxiety, depression, domestic abuse , sexual abuse , trauma ,and stress related disorders. My approach is collabrative and client centred , making sure that each individual feels supported and empowered throughout their therapeutic journey.
Over the past 10years , I have worked with a diverse range of individuals, with various issues such as anxiety, depression, domestic abuse , sexual abuse , trauma ,and stress related disorders. My approach is collabrative and client centred , making sure that each individual feels supported and empowered throughout their therapeutic journey.
01563 597210 View 01563 597210
Photo of Elaina Reilly, MBACP, Counsellor
Elaina Reilly
Counsellor, MBACP
Verified Verified
Irvine KA12
I believe one of the bravest things you can do is understand your own story. I want to help you experience yourself in new ways. Supporting you in achieving any life changes you are looking for, and enjoying the process along the way. I’m committed to supporting you, and your needs. I offer a calm safe space with an empathetic and non-judgmental approach. I can help you identify, challenge and overcome any unhelpful coping strategies, and negative thought patterns, reducing conflict in your life, and exploring your deeper self. I believe in taking a highly collaborative approach to helping you identify and reach your goals.
I believe one of the bravest things you can do is understand your own story. I want to help you experience yourself in new ways. Supporting you in achieving any life changes you are looking for, and enjoying the process along the way. I’m committed to supporting you, and your needs. I offer a calm safe space with an empathetic and non-judgmental approach. I can help you identify, challenge and overcome any unhelpful coping strategies, and negative thought patterns, reducing conflict in your life, and exploring your deeper self. I believe in taking a highly collaborative approach to helping you identify and reach your goals.
01294 445384 View 01294 445384
Photo of Kim McAllister - Kim McAllister Counselling , MSc, MNCPS Acc., Counsellor
Kim McAllister Counselling
Counsellor, MSc, MNCPS Acc.
Verified Verified
Girvan KA26
Award Winning Child Therapist. Children and young people require a safe space for them to explore their feelings and emotions and make sense of their world. Children need to feel accepted, heard and believed, so that they can explore their emotions and unravel their past. If you, your kid or anyone in your family could benefit from talking or play therapy, then get in touch. You can find me on other directories, registered with the BACP an accredited registrant with the NCS and on Facebook as: Kim McAllister Counselling Ltd.
Award Winning Child Therapist. Children and young people require a safe space for them to explore their feelings and emotions and make sense of their world. Children need to feel accepted, heard and believed, so that they can explore their emotions and unravel their past. If you, your kid or anyone in your family could benefit from talking or play therapy, then get in touch. You can find me on other directories, registered with the BACP an accredited registrant with the NCS and on Facebook as: Kim McAllister Counselling Ltd.
01253 835140 View 01253 835140
Photo of Sarah Brothers, PsychD, HCPC - Health Psych., Psychologist
Sarah Brothers
Psychologist, PsychD, HCPC - Health Psych.
Verified Verified
Darvel KA17
Hello there and thanks for popping by! I work with clients presenting with many types of difficulties. My experiences include working with anxiety, depression, trauma, self-harm, suicidal ideation, eating disorders, and a variety of physical health conditions including cancer, COPD, long covid, stroke, and pain disorders like fibromyalgia. I have extensive experience working with children, young people, and adults. I am here to help you better understand life and support you through difficulties that may be hindering your happiness and true potential.
Hello there and thanks for popping by! I work with clients presenting with many types of difficulties. My experiences include working with anxiety, depression, trauma, self-harm, suicidal ideation, eating disorders, and a variety of physical health conditions including cancer, COPD, long covid, stroke, and pain disorders like fibromyalgia. I have extensive experience working with children, young people, and adults. I am here to help you better understand life and support you through difficulties that may be hindering your happiness and true potential.
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Photo of Linda McConnachie, MBACP, Counsellor
Linda McConnachie
Counsellor, MBACP
Verified Verified
Kilmarnock KA1  (Online Only)
Sometimes life can feel overwhelming, and it can be difficult to talk to people we know about things that trouble us so we keep it all inside. I have worked with various issues including grief, anxiety and relationship problems. Whatever has brought you to think about counselling, I believe that we all experience things differently. I believe that you are the expert on you, but at times things can seem unclear and difficult to make sense of. My role as counsellor is to help enable you to explore your issues and make positive changes, and to provide a safe, confidential space for you that is without judgement.
Sometimes life can feel overwhelming, and it can be difficult to talk to people we know about things that trouble us so we keep it all inside. I have worked with various issues including grief, anxiety and relationship problems. Whatever has brought you to think about counselling, I believe that we all experience things differently. I believe that you are the expert on you, but at times things can seem unclear and difficult to make sense of. My role as counsellor is to help enable you to explore your issues and make positive changes, and to provide a safe, confidential space for you that is without judgement.
01563 593210 View 01563 593210
Photo of Annie Kerr - Harmony Counselling services, MBACP, Counsellor
Harmony Counselling services
Counsellor, MBACP
Verified Verified
Ayr KA7
Harmony counselling services is an Ayrshire based mental health and well being service based in the town of Ayr, South Ayrshire. My name is Annie and i am a BACP registered integrative counsellor and mental health practitioner. For many people struggling with their mental health, it can be difficult to cope with every day life, perhaps you have lost a loved one and feel stuck in your grief, you may have served in the army or experienced/witnessed a traumatising event that is leaving you feeling overwhelmed. Or perhaps you find it difficult to make sense of your emotions. If this sounds like you, give me a call or message to chat.
Harmony counselling services is an Ayrshire based mental health and well being service based in the town of Ayr, South Ayrshire. My name is Annie and i am a BACP registered integrative counsellor and mental health practitioner. For many people struggling with their mental health, it can be difficult to cope with every day life, perhaps you have lost a loved one and feel stuck in your grief, you may have served in the army or experienced/witnessed a traumatising event that is leaving you feeling overwhelmed. Or perhaps you find it difficult to make sense of your emotions. If this sounds like you, give me a call or message to chat.
01292 439653 View 01292 439653
1

See more therapy options for Ayrshire

How does your Counsellor compare?

Number of Counsellors in Ayrshire

60+

Average cost per session

£50

Counsellors in Ayrshire who prioritize treating:

95% Anxiety
94% Self Esteem
86% Stress
83% Depression
70% Coping Skills
66% Self-Harming
64% Relationship Issues

Average years in practice

7 Years

Top 3 insurances accepted

46% Aviva
38% AXA PPP
38% Bupa

How Counsellors in Ayrshire see their clients

74% In Person and Online
26% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Ayrshire?

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.