Photo of Shauna Barrie, MBACP, Counsellor
Shauna Barrie
Counsellor, MBACP
Verified Verified
Leven KY8
Hey, i am a qualified counsellor. I use a humanistic integrative approach to counselling, which means I draw from various theories using different tools and techniques to create a method of counselling that suits your needs. I believe we are all unique, and what works for one person won't necessarily work for the other. I believe this approach gives us an opportunity to respect you as an individual.
Hey, i am a qualified counsellor. I use a humanistic integrative approach to counselling, which means I draw from various theories using different tools and techniques to create a method of counselling that suits your needs. I believe we are all unique, and what works for one person won't necessarily work for the other. I believe this approach gives us an opportunity to respect you as an individual.
01592 809952 View 01592 809952
Photo of Susan Mary Cartwright - Acorn Therapy, MBABCP, Counsellor
Acorn Therapy
Counsellor, MBABCP
Verified Verified
Leven KY9
I'm Susan Cartwright and welcome to Acorn Counselling. I offer a non judgemental service where we will work together collaboratively. I work with teenagers and adults. Acorns are symbols of strength and potential and so I hope to help you to reach your full potential through CBT by overcoming adverse issues in your life. I am a qualified Cognitive Behavioural Therapist and sessions are based currently by zoom or phone. For that reason I can take clients from all over the UK. For more information about CBT and how I can help you please browse through my website.
I'm Susan Cartwright and welcome to Acorn Counselling. I offer a non judgemental service where we will work together collaboratively. I work with teenagers and adults. Acorns are symbols of strength and potential and so I hope to help you to reach your full potential through CBT by overcoming adverse issues in your life. I am a qualified Cognitive Behavioural Therapist and sessions are based currently by zoom or phone. For that reason I can take clients from all over the UK. For more information about CBT and how I can help you please browse through my website.
01436 640133 View 01436 640133
Photo of Susan Hollins - Susan Hollins Counselling, Counsellor
Susan Hollins Counselling
Counsellor
Verified Verified
Leven KY8
How to describe the massive impact of loss and grief on our hearts, minds and daily life? The weight, chaos and turmoil of grief is a common experience which plays out uniquely in each of us. We lose interest in just about everything; nothing seems to matter. We're often frightened, wondering whether how we feel today we'll still be feeling in the distant future. We're often angry, intolerant of others. We seek so many reassurances... We don't want to let go of our grief because it's connected powerfully to the one we love and miss. How can we learn to let grief share our life? How can we understand it? How can we keep afloat?
How to describe the massive impact of loss and grief on our hearts, minds and daily life? The weight, chaos and turmoil of grief is a common experience which plays out uniquely in each of us. We lose interest in just about everything; nothing seems to matter. We're often frightened, wondering whether how we feel today we'll still be feeling in the distant future. We're often angry, intolerant of others. We seek so many reassurances... We don't want to let go of our grief because it's connected powerfully to the one we love and miss. How can we learn to let grief share our life? How can we understand it? How can we keep afloat?
01764 915871 View 01764 915871
Photo of Kelly Buick, DCounsPsych, MBACP, Counsellor
Kelly Buick
Counsellor, DCounsPsych, MBACP
Verified Verified
Leven KY8
I know life can throw unexpected ups and downs at you. In our sessions, we will explore how you can build resilience and turn a page on what no longer feels helpful or fulfilling for you. Whatever you would like to work on, we will work together to identify what you need from therapy, tailoring your counselling sessions to you. I believe you are the expert in your life and with my knowledge of Counselling and Psychotherapy I can support you in achieving your goals. I know reaching out for help can feel difficult or overwhelming. I aim to offer a safe, confidential space to explore yourself, free of judgement.
I know life can throw unexpected ups and downs at you. In our sessions, we will explore how you can build resilience and turn a page on what no longer feels helpful or fulfilling for you. Whatever you would like to work on, we will work together to identify what you need from therapy, tailoring your counselling sessions to you. I believe you are the expert in your life and with my knowledge of Counselling and Psychotherapy I can support you in achieving your goals. I know reaching out for help can feel difficult or overwhelming. I aim to offer a safe, confidential space to explore yourself, free of judgement.
01592 809956 View 01592 809956
Photo of Craig John Mackay - Mackay Psychology, PsychD, HCPC - Clin. Psych., Psychologist
Mackay Psychology
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Leven KY8  (Online Only)
My name is Dr Craig Mackay and I am a HCPC registered clinical psychologist. I have been passionate about psychology since I was younger as I have always been interested in individual differences and helping people to make sense of their difficulties. I find people fascinating and I am motivated by helping others to develop strategies to enable them to improve their quality of life. I do not see my clients as 'problems to be solved', rather difficult events can happen to us which affect our wellbeing. I am keep to support clients who want to make meaningful changes in their lives.
My name is Dr Craig Mackay and I am a HCPC registered clinical psychologist. I have been passionate about psychology since I was younger as I have always been interested in individual differences and helping people to make sense of their difficulties. I find people fascinating and I am motivated by helping others to develop strategies to enable them to improve their quality of life. I do not see my clients as 'problems to be solved', rather difficult events can happen to us which affect our wellbeing. I am keep to support clients who want to make meaningful changes in their lives.
0141 673 3312 View 0141 673 3312
Photo of New Beginings Counselling - New Beginnings Counselling , MBACP, Counsellor
New Beginnings Counselling
Counsellor, MBACP
Verified Verified
Leven KY8
Taking that first step looking for help is brave and daunting. I am here to provide a safe space to listen without judgment to your thoughts and feelings. Life is messy and difficult and can feel like you are trapped in a cycle that’s doesn’t stop. This can be so difficult and that’s ok, you are human. You will be heard and I am here to walk along side you.
Taking that first step looking for help is brave and daunting. I am here to provide a safe space to listen without judgment to your thoughts and feelings. Life is messy and difficult and can feel like you are trapped in a cycle that’s doesn’t stop. This can be so difficult and that’s ok, you are human. You will be heard and I am here to walk along side you.
01592 809994 View 01592 809994
Photo of Jackie Hamilton - Journey Counselling & Wellbeing, MBACP, Counsellor
Journey Counselling & Wellbeing
Counsellor, MBACP
Verified Verified
1 Endorsed
Leven KY8
I have experience of working with clients who have experienced anxiety, trauma, flashbacks, depression, work issues, relationship issues, personal growth issues, acceptance, gender based issues, anger, where you feel events from the past are holding you back, confusion, feelings of overwhelm, panic attacks, suicidal thoughts, eating issues, financial issues, difficulty in making decisions, gender, sadness & isolation issues, feeling empty, divorce, stress, sexual assault, dissociation, sexual abuse, domestic abuse, worry, low self-esteem and lack of confidence. For counsellors looking for Supervision, I am a qualified Supervisor.
I have experience of working with clients who have experienced anxiety, trauma, flashbacks, depression, work issues, relationship issues, personal growth issues, acceptance, gender based issues, anger, where you feel events from the past are holding you back, confusion, feelings of overwhelm, panic attacks, suicidal thoughts, eating issues, financial issues, difficulty in making decisions, gender, sadness & isolation issues, feeling empty, divorce, stress, sexual assault, dissociation, sexual abuse, domestic abuse, worry, low self-esteem and lack of confidence. For counsellors looking for Supervision, I am a qualified Supervisor.
01334 237977 View 01334 237977

More Therapists Nearby

Photo of Douglas Sharp - Psychotherapy, MSc, MBACP Accred, Psychotherapist
Douglas Sharp - Psychotherapy
Psychotherapist, MSc, MBACP Accred
Verified Verified
Kirkcaldy KY1
Waitlist for new clients
I am a therapist and clinical supervisor. I provide a safe space for therapy and supervision where challenges and vulnerabilities can be brought into awareness, understood, and mobilised in a healthier way. Living means that we face challenges and some experiences leave us struggling to cope or to be at our best. I aim to help people clear a path for better flow in life and work. I value a healthy baseline - moving & eating well, sleeping soundly, making contact with nourishing people, and living with awareness. I am experienced in Gestalt and Deep Brain approaches - check out: www.relationalchange.org / www.deepbrainreorienting.com
I am a therapist and clinical supervisor. I provide a safe space for therapy and supervision where challenges and vulnerabilities can be brought into awareness, understood, and mobilised in a healthier way. Living means that we face challenges and some experiences leave us struggling to cope or to be at our best. I aim to help people clear a path for better flow in life and work. I value a healthy baseline - moving & eating well, sleeping soundly, making contact with nourishing people, and living with awareness. I am experienced in Gestalt and Deep Brain approaches - check out: www.relationalchange.org / www.deepbrainreorienting.com
01383 669119 View 01383 669119
Photo of Dr Kathryn Quinn, PsychD, CPsychol, Psychologist
Dr Kathryn Quinn
Psychologist, PsychD, CPsychol
Verified Verified
Cupar KY15
I am an experienced Clinical Psychologist with a proven track record of clinical effectiveness. I run an established and successful private practice, and offer a choice of both online or face-to-face appointments ensuring that my client's needs are at the forefront of all that I do. If you would like to discuss your situation further, or book an initial consultation, I would be delighted to hear from you.
I am an experienced Clinical Psychologist with a proven track record of clinical effectiveness. I run an established and successful private practice, and offer a choice of both online or face-to-face appointments ensuring that my client's needs are at the forefront of all that I do. If you would like to discuss your situation further, or book an initial consultation, I would be delighted to hear from you.
01383 665671 View 01383 665671
Photo of Anna Palmer Counsellor And Supervisor, MCOSCA, Counsellor
Anna Palmer Counsellor And Supervisor
Counsellor, MCOSCA
Verified Verified
St Andrews KY16
I'm Anna and I offer face to face, online and eco counselling and supervision in St Andrews, Fife. Working collaboratively with individuals, couples and companies, we find compassionate roads through the challenges you have that bring you to therapy, and discover empowering strategies to support the changes you want to make. I draw on a range of methods and theories to meet your needs, we all want to feel seen and heard and how to have healthy relationships around us. We can't always control what happens to us so I use a trauma informed approach to navigate how you are feeling and what you want to do about it.
I'm Anna and I offer face to face, online and eco counselling and supervision in St Andrews, Fife. Working collaboratively with individuals, couples and companies, we find compassionate roads through the challenges you have that bring you to therapy, and discover empowering strategies to support the changes you want to make. I draw on a range of methods and theories to meet your needs, we all want to feel seen and heard and how to have healthy relationships around us. We can't always control what happens to us so I use a trauma informed approach to navigate how you are feeling and what you want to do about it.
07830 338267 View 07830 338267
Photo of Magda Gould, MNCPS Acc., Counsellor
Magda Gould
Counsellor, MNCPS Acc.
Verified Verified
Cupar KY15
St Andrews-based counsellor and trauma therapist. I am an accredited member of the National Counselling and Psychotherapy Society, and I work with adults and older children (11+). I offer a safe and non-judgemental space to explore whatever may bring you to therapy.
St Andrews-based counsellor and trauma therapist. I am an accredited member of the National Counselling and Psychotherapy Society, and I work with adults and older children (11+). I offer a safe and non-judgemental space to explore whatever may bring you to therapy.
01334 237270 View 01334 237270
Photo of Tracey Hutcheon, MSc, MBACP, Counsellor
Tracey Hutcheon
Counsellor, MSc, MBACP
Verified Verified
Cupar KY15
Welcome, I am a qualified Pluralistic and Psychotherapist counsellor. I offer a warm, caring and genuine space, ensuring that my clients have a physical and emotional ‘space’ to be heard and understood and their needs met. Being an experienced pluralistic therapist, I know that different people are helped by different therapeutic methods and activities at different times. Whatever difficulties you are facing at the moment, having someone to listen and help you understand your problems can make things feel more manageable.
Welcome, I am a qualified Pluralistic and Psychotherapist counsellor. I offer a warm, caring and genuine space, ensuring that my clients have a physical and emotional ‘space’ to be heard and understood and their needs met. Being an experienced pluralistic therapist, I know that different people are helped by different therapeutic methods and activities at different times. Whatever difficulties you are facing at the moment, having someone to listen and help you understand your problems can make things feel more manageable.
01334 237975 View 01334 237975
Photo of Dr Alan Grieve (Consultant Clinical Psychologist), PsychD, HCPC - Clin. Psych., Psychologist
Dr Alan Grieve (Consultant Clinical Psychologist)
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Kirkcaldy KY1
I am a Consultant Clinical Psychologist and have a special interest in helping people with different issues including PTSD and complex trauma. I also help people with many other difficulties including anxiety, phobias, anger, depression, low self-esteem and OCD. I qualified in 2010, but have been working in the area of mental health since 2003. I work with adults and children and adolescents of 12 years and over. Please call me and we can discuss if I am the right person to help you with your difficulties.
I am a Consultant Clinical Psychologist and have a special interest in helping people with different issues including PTSD and complex trauma. I also help people with many other difficulties including anxiety, phobias, anger, depression, low self-esteem and OCD. I qualified in 2010, but have been working in the area of mental health since 2003. I work with adults and children and adolescents of 12 years and over. Please call me and we can discuss if I am the right person to help you with your difficulties.
01592 407456 View 01592 407456
Photo of Dr Elaine Sarah Delaney, PsychD, HCPC - Couns. Psych., Psychologist
Dr Elaine Sarah Delaney
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
St Andrews KY16
Hello and nice to see you here. Thank you for taking the time to look at my profile. Are you ready to make that change? Therapy has a proven ability to improve mood, restore clarity and usher in calm. As an experienced and skilled psychologist I am here to help you get to the root of your issues and to give you a new clarity on your past and your present. I will work closely with you to unpack your story and offer you the chance to spend some concentrated time on yourself. I believe therapy should be non-judgemental, a space for you to share as much as you feel comfortable. A space for you to be heard and understood.
Hello and nice to see you here. Thank you for taking the time to look at my profile. Are you ready to make that change? Therapy has a proven ability to improve mood, restore clarity and usher in calm. As an experienced and skilled psychologist I am here to help you get to the root of your issues and to give you a new clarity on your past and your present. I will work closely with you to unpack your story and offer you the chance to spend some concentrated time on yourself. I believe therapy should be non-judgemental, a space for you to share as much as you feel comfortable. A space for you to be heard and understood.
01334 800522 View 01334 800522
Photo of Lisa Campbell, MSc, MBACP, Psychotherapist
Lisa Campbell
Psychotherapist, MSc, MBACP
Verified Verified
Glenrothes KY7  (Online Only)
I’ll help you make connections to understand current and past experiences. I can bring different perspectives to your situation and help identify ways of coping. I will tailor therapy to your unique needs and preferences, acknowledging your individuality, strengths, and experiences. Most of my experience has been working with people who have experienced abuse, trauma, neglect, discrimination, or adversity. I’ve listened to and supported them in understanding their feelings, improving self-belief, feeling less anxious, improving their mood, finding ways to relax, asserting boundaries, and doing the things they’ve held back from.
I’ll help you make connections to understand current and past experiences. I can bring different perspectives to your situation and help identify ways of coping. I will tailor therapy to your unique needs and preferences, acknowledging your individuality, strengths, and experiences. Most of my experience has been working with people who have experienced abuse, trauma, neglect, discrimination, or adversity. I’ve listened to and supported them in understanding their feelings, improving self-belief, feeling less anxious, improving their mood, finding ways to relax, asserting boundaries, and doing the things they’ve held back from.
View
Photo of Kirsten McKenzie, MSc, MBACP, Counsellor
Kirsten McKenzie
Counsellor, MSc, MBACP
Verified Verified
St Andrews KY16
Waitlist for new clients
Through counselling I believe we have the rare opportunity to be heard and accepted and to discover our own unique strengths. I offer a safe and accepting space to help you make sense of your problems and work towards your goals. I trained at masters level in Pluralistic Therapy which means I use a range of strategies from different counselling methodologies. This is always done in collaboration with you and reviewed regularly to make sure we understand what you find most helpful.
Through counselling I believe we have the rare opportunity to be heard and accepted and to discover our own unique strengths. I offer a safe and accepting space to help you make sense of your problems and work towards your goals. I trained at masters level in Pluralistic Therapy which means I use a range of strategies from different counselling methodologies. This is always done in collaboration with you and reviewed regularly to make sure we understand what you find most helpful.
01334 808426 View 01334 808426
Photo of Melanie Hope, MBACP, Psychotherapist
Melanie Hope
Psychotherapist, MBACP
Verified Verified
Kirkcaldy KY1
If you are feeling anxious, depressed or confused about your feelings then you have come to the right place.  The relationship that you have with your therapist is very important to the healing process.  A good therapeutic relationship is built on mutual respect and trust.  It is a relationship where we join together to reach the goals you have.  In each session we will look at the presenting issue(s) and try to untangle them from different angles.  At the end of the session you may be presented with exercises, or "homework", to work on until we meet again.
If you are feeling anxious, depressed or confused about your feelings then you have come to the right place.  The relationship that you have with your therapist is very important to the healing process.  A good therapeutic relationship is built on mutual respect and trust.  It is a relationship where we join together to reach the goals you have.  In each session we will look at the presenting issue(s) and try to untangle them from different angles.  At the end of the session you may be presented with exercises, or "homework", to work on until we meet again.
01592 805668 View 01592 805668
Photo of Clare Fisher, MSc, MBACP, Counsellor
Clare Fisher
Counsellor, MSc, MBACP
Verified Verified
Strathkinness KY16
I am a down to earth, friendly and caring qualified pluralistic Psychotherapist. I want to work with you to support you to find solutions to your problems and work with you to reach your goals. In our sessions I will listen, I will talk but I will not judge. I will use my skills to support you, empower you and help you to become the resilient authentic person that you know you can be. You may want only one session or you can book as many as you feel is necessary. 45min Sessions range from £52.75 book http://www.empower-counselling.online/ I offer online & in person Psychotherapy.
I am a down to earth, friendly and caring qualified pluralistic Psychotherapist. I want to work with you to support you to find solutions to your problems and work with you to reach your goals. In our sessions I will listen, I will talk but I will not judge. I will use my skills to support you, empower you and help you to become the resilient authentic person that you know you can be. You may want only one session or you can book as many as you feel is necessary. 45min Sessions range from £52.75 book http://www.empower-counselling.online/ I offer online & in person Psychotherapy.
01334 237746 View 01334 237746
Photo of Kirsty McLean, HCPC - Couns. Psych., Psychologist
Kirsty McLean
Psychologist, HCPC - Couns. Psych.
Verified Verified
Cupar KY15
Hi I am a chartered Counselling Psychologist with extensive experience in the Adult Mental Health field. I help clients who are struggling with their mental, emotional health which may consequently have a detrimental impact on physical health. If you are feeling lost, distressed, overwhelmed, I can help you improve your health, become unstuck and move forward, so that you can live the kind of life you desire.
Hi I am a chartered Counselling Psychologist with extensive experience in the Adult Mental Health field. I help clients who are struggling with their mental, emotional health which may consequently have a detrimental impact on physical health. If you are feeling lost, distressed, overwhelmed, I can help you improve your health, become unstuck and move forward, so that you can live the kind of life you desire.
01592 407476 View 01592 407476
Photo of Katy Mitchell, HCPC - Clin. Psych., Psychologist
Katy Mitchell
Psychologist, HCPC - Clin. Psych.
Verified Verified
Glenrothes KY7
Every person is different, which means every treatment will be different too. I provide a range of psychological therapies that will be tailored to meet your needs. I work with adults of all ages and backgrounds. Difficulties I work with include (but are not limited to): depression, anxiety, stress (including work, academic, or general life stress), loss and bereavement, panic, OCD, anger, trauma, life changes (e.g. birth, retirement, relationship ending), sexual difficulties, eating disorders, health anxiety, low self-esteem, relationship difficulties, and desire for personal development.
Every person is different, which means every treatment will be different too. I provide a range of psychological therapies that will be tailored to meet your needs. I work with adults of all ages and backgrounds. Difficulties I work with include (but are not limited to): depression, anxiety, stress (including work, academic, or general life stress), loss and bereavement, panic, OCD, anger, trauma, life changes (e.g. birth, retirement, relationship ending), sexual difficulties, eating disorders, health anxiety, low self-esteem, relationship difficulties, and desire for personal development.
01333 408717 View 01333 408717

See more therapy options for Leven

How does your Counsellor compare?

Number of Counsellors in Leven

< 10

Counsellors in Leven who prioritize treating:

100% Depression
100% Anxiety
100% Bereavement
100% Self Esteem
86% Relationship Issues
86% Trauma and PTSD
86% Coping Skills

Average years in practice

6 Years

Top 3 insurances accepted

50% Any/Out-of-network Insurance
50% Aviva
50% Vitality

How Counsellors in Leven see their clients

86% In Person and Online
14% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Leven?

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.