Counselling in Lochgelly

Photo of Charlene Todd, MBACP, Counsellor
Charlene Todd
Counsellor, MBACP
Verified Verified
Lochgelly KY5
I understand the nature of suffering and the pain this brings to people’s lives. No matter what’s going on and what has brought you to this point, please know that with support, these elements can be healed and even transformed. You may be facing a variety of issues, such as loss, grief, stress, Trauma, Addiction, shame Anxiety, low self-esteem, behavioral difficulties, obsessive thoughts, and loneliness. Together, we can work on strategies and techniques that can ease your symptoms by allowing you to address the root causes of pain, work through any uncertainties, find meaning and build a purposeful life.
I understand the nature of suffering and the pain this brings to people’s lives. No matter what’s going on and what has brought you to this point, please know that with support, these elements can be healed and even transformed. You may be facing a variety of issues, such as loss, grief, stress, Trauma, Addiction, shame Anxiety, low self-esteem, behavioral difficulties, obsessive thoughts, and loneliness. Together, we can work on strategies and techniques that can ease your symptoms by allowing you to address the root causes of pain, work through any uncertainties, find meaning and build a purposeful life.
01592 808598 View 01592 808598
Photo of Kim Malcolm - Integrative Mind Therapies, MA, PNCPS Acc., Psychotherapist
Integrative Mind Therapies
Psychotherapist, MA, PNCPS Acc.
Verified Verified
Lochgelly KY5
I am an integrative counsellor, I specialise in many mental health conditions and use wide range of tools along with my experience to support a person to understand and overcome their challenges in life. This support can help them to strive to reach their goals and true potential. I work with many modalities of therapy to help the client understand their presenting and past issues. This can be effective to overcome those challenges.
I am an integrative counsellor, I specialise in many mental health conditions and use wide range of tools along with my experience to support a person to understand and overcome their challenges in life. This support can help them to strive to reach their goals and true potential. I work with many modalities of therapy to help the client understand their presenting and past issues. This can be effective to overcome those challenges.
07481 338539 View 07481 338539
Photo of Sinead Braiden, HCPC-Art Therap., Psychotherapist
Sinead Braiden
Psychotherapist, HCPC-Art Therap.
Verified Verified
Lochgelly KY5  (Online Only)
I work with complex trauma, usually originating in childhood and often manifesting later in life as anxiety, low mood, body image issues or disordered eating, addictions and/or difficulties in managing relationships and setting healthy boundaries. Clients can safely explore, express and understand in context how their early abusive or neglectful life experiences are impacting on them now.
I work with complex trauma, usually originating in childhood and often manifesting later in life as anxiety, low mood, body image issues or disordered eating, addictions and/or difficulties in managing relationships and setting healthy boundaries. Clients can safely explore, express and understand in context how their early abusive or neglectful life experiences are impacting on them now.
01592 407459 View 01592 407459
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
Lochgelly KY5
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

More Therapists Nearby

Photo of Mary Patricia Henderson - Mary Henderson Mind Therapies, PsychD, MNCPS Acc., Psychotherapist
Mary Henderson Mind Therapies
Psychotherapist, PsychD, MNCPS Acc.
Verified Verified
Kirkcaldy KY1
My firm belief is that the first meeting is vital to building a good rapport and I pride myself on supporting my clients on their initial phone call, our first meeting and continuing throughout therapy. This allows the person to feel safe, secure and relaxed, whilst exploring their issues from past and/or present. Exploring past or present traumatic events in a clients life is my speciality however some clients may not want to explore past trauma, then the clients choice is ultimately important & respected. Clients are at the heart of every session and have the right to explore where they feel comfortable.
My firm belief is that the first meeting is vital to building a good rapport and I pride myself on supporting my clients on their initial phone call, our first meeting and continuing throughout therapy. This allows the person to feel safe, secure and relaxed, whilst exploring their issues from past and/or present. Exploring past or present traumatic events in a clients life is my speciality however some clients may not want to explore past trauma, then the clients choice is ultimately important & respected. Clients are at the heart of every session and have the right to explore where they feel comfortable.
01592 806017 View 01592 806017
Photo of Stephen Balfour, MBACP, Counsellor
Stephen Balfour
Counsellor, MBACP
Verified Verified
2 Endorsed
Kirkcaldy KY1  (Online Only)
Life can be difficult and painful at times and we could all benefit from a safe space to make sense of and process difficult emotions, develop our resilience and coping strategies. I am a qualified CBT Counsellor but can also call upon skills and experience I have gained through additional training in clinical hypnotherapy, life coaching and person-centred counselling.
Life can be difficult and painful at times and we could all benefit from a safe space to make sense of and process difficult emotions, develop our resilience and coping strategies. I am a qualified CBT Counsellor but can also call upon skills and experience I have gained through additional training in clinical hypnotherapy, life coaching and person-centred counselling.
01259 235995 View 01259 235995
Photo of Gabriele Razmute, MBACP, Counsellor
Gabriele Razmute
Counsellor, MBACP
Verified Verified
Kirkcaldy KY2  (Online Only)
“Whoever you are, no matter how lonely, the world offers itself to your imagination, calls to you like the wild geese, harsh and exciting – over and over announcing your place in the family of things" (Mary Oliver). Sometimes when difficult feelings takes over us it can be hard to hear that song of the world which brings a sense of belonging. Have you been struggling in your life? Let’s have a chat and see if we can resolve it together!
“Whoever you are, no matter how lonely, the world offers itself to your imagination, calls to you like the wild geese, harsh and exciting – over and over announcing your place in the family of things" (Mary Oliver). Sometimes when difficult feelings takes over us it can be hard to hear that song of the world which brings a sense of belonging. Have you been struggling in your life? Let’s have a chat and see if we can resolve it together!
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Photo of Paula Benhaddad, MCOSCA, Counsellor
Paula Benhaddad
Counsellor, MCOSCA
Verified Verified
Falkland KY15
I am an experienced counsellor working with people of all ages, to help them towards finding a more fulfilling way of life. I know it is a big step to reach out and seek support. Sometimes even the strongest people need help to work through life’s more challenging problems. You may feel stuck. Like you are swimming through a sea of treacle, and not getting anywhere fast! Whether you struggle with, anxiety, depression, self-esteem or any other issues, therapy can help - it is an opportunity to learn more about yourself and get support in living a life that aligns more closely with what is important to you.
I am an experienced counsellor working with people of all ages, to help them towards finding a more fulfilling way of life. I know it is a big step to reach out and seek support. Sometimes even the strongest people need help to work through life’s more challenging problems. You may feel stuck. Like you are swimming through a sea of treacle, and not getting anywhere fast! Whether you struggle with, anxiety, depression, self-esteem or any other issues, therapy can help - it is an opportunity to learn more about yourself and get support in living a life that aligns more closely with what is important to you.
01337 320244 View 01337 320244
Photo of Alan Freeburn, MSc, GMBPsS, Psychotherapist
Alan Freeburn
Psychotherapist, MSc, GMBPsS
Verified Verified
1 Endorsed
Dunfermline KY11  (Online Only)
Hi, I'm Alan and I have over 20 years of experience as a hypnotherapist and an applied psychologist working in adult mental health in the NHS. Much of my work focuses on helping people deal with anxiety whether that is a general anxiety, phobias or more difficult anxieties such as trauma or OCD.  My approach is a combination of the best parts of the NHS recommended treatments for various conditions along with the use of hypnosis and cognitive hypnotherapy to enhance the effects of these.
Hi, I'm Alan and I have over 20 years of experience as a hypnotherapist and an applied psychologist working in adult mental health in the NHS. Much of my work focuses on helping people deal with anxiety whether that is a general anxiety, phobias or more difficult anxieties such as trauma or OCD.  My approach is a combination of the best parts of the NHS recommended treatments for various conditions along with the use of hypnosis and cognitive hypnotherapy to enhance the effects of these.
01383 661355 View 01383 661355
Photo of Melanie Hope, MBACP, Psychotherapist
Melanie Hope
Psychotherapist, MBACP
Verified Verified
Kirkcaldy KY2
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 Asifa Nicoll, MNCPS Acc., Counsellor
Asifa Nicoll
Counsellor, MNCPS Acc.
Verified Verified
Dunfermline KY11
Hello, are you feeling stuck and would you like to see things a little differently to gain a deeper understanding or increased awareness of your unique pattern of thinking or feeling? I’m Asifa, Trauma Informed and Neurodivergent Therapist and I welcome you. I have more than 20 years experience working in various settings within military, people living with mental health, disabilities and addictions. My recent work has been working with adults and families impacted by addictions, alongside school settings exploring various issues such as bereavement, trauma, bullying.
Hello, are you feeling stuck and would you like to see things a little differently to gain a deeper understanding or increased awareness of your unique pattern of thinking or feeling? I’m Asifa, Trauma Informed and Neurodivergent Therapist and I welcome you. I have more than 20 years experience working in various settings within military, people living with mental health, disabilities and addictions. My recent work has been working with adults and families impacted by addictions, alongside school settings exploring various issues such as bereavement, trauma, bullying.
01592 407493 View 01592 407493
Photo of Laura McNaught, COSRT General, Psychotherapist
Laura McNaught
Psychotherapist, COSRT General
Verified Verified
Dunfermline KY11
Relationship and Sex Therapy Practice in Edinburgh: Helping you to create positive change in your relationships (www.lauramcnaught.com). I am an experienced and professional Relationship and Psychosexual Therapist. In addition to my private practice, I have several years experience within the Relationships Scotland counselling service and also practised as a Psychosexual Therapist within the NHS. I am warm, friendly and passionate about supporting my clients through the wide range of challenges that life brings to us all.
Relationship and Sex Therapy Practice in Edinburgh: Helping you to create positive change in your relationships (www.lauramcnaught.com). I am an experienced and professional Relationship and Psychosexual Therapist. In addition to my private practice, I have several years experience within the Relationships Scotland counselling service and also practised as a Psychosexual Therapist within the NHS. I am warm, friendly and passionate about supporting my clients through the wide range of challenges that life brings to us all.
0131 510 4491 View 0131 510 4491
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
Photo of Susan Hollins - Susan Hollins Counselling, Counsellor
Susan Hollins Counselling
Counsellor
Verified Verified
Dunfermline KY11
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 Rachel An Vu, MUKCP, Psychotherapist
Rachel An Vu
Psychotherapist, MUKCP
Verified Verified
Scotlandwell KY13  (Online Only)
I am a bilingual psychotherapist offering ongoing and time-limited therapy both in ​​​​​​English and Vietnamese. To me, therapy is an opportunity for us to explore ourselves, and search for meanings in life. My aim is to offer you a place where you can talk about your concerns freely and reflect on the situations that you find yourself in. I attempt to help you make some sense of your experiences, and through this process, possibilities might come to light, and you can then decide what you would like to do next.
I am a bilingual psychotherapist offering ongoing and time-limited therapy both in ​​​​​​English and Vietnamese. To me, therapy is an opportunity for us to explore ourselves, and search for meanings in life. My aim is to offer you a place where you can talk about your concerns freely and reflect on the situations that you find yourself in. I attempt to help you make some sense of your experiences, and through this process, possibilities might come to light, and you can then decide what you would like to do next.
020 3917 4775 View 020 3917 4775
Photo of Kelly Buick, DCounsPsych, MBACP, Counsellor
Kelly Buick
Counsellor, DCounsPsych, MBACP
Verified Verified
Kirkcaldy KY1
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 Mairi McAllister, DCounsPsych, MBACP, Counsellor
Mairi McAllister
Counsellor, DCounsPsych, MBACP
Verified Verified
Kirkcaldy KY2
I specialise in working with people who are struggling with issues that may be the result of Trauma, some traumas are very obvious like domestic abuse, sexual assault, neglect, serving in the armed forces or experiencing a serious event like a car crash. As a result you may have PTSD/cPTSD, anxiety, depression etc. Sometimes though its what we didn't have that's the problem, attention, a person you could talk to about difficult things, encouragement and support. If you didn't you may struggle with confidence, self esteem, relationships and parenting. Your not alone, most of us have things we would benefit from talking about.
I specialise in working with people who are struggling with issues that may be the result of Trauma, some traumas are very obvious like domestic abuse, sexual assault, neglect, serving in the armed forces or experiencing a serious event like a car crash. As a result you may have PTSD/cPTSD, anxiety, depression etc. Sometimes though its what we didn't have that's the problem, attention, a person you could talk to about difficult things, encouragement and support. If you didn't you may struggle with confidence, self esteem, relationships and parenting. Your not alone, most of us have things we would benefit from talking about.
01592 323042 View 01592 323042
Photo of Catriona Glen, MBACP, Counsellor
Catriona Glen
Counsellor, MBACP
Verified Verified
Dunfermline KY11
I'm experienced working with children, teens and adults regularly working within the primary and secondary education system throughout Fife and in an agency environment. I understand the unique developmental needs and challenges faced by a younger age group regularly exploring issues around self-esteem, social anxiety, general anxiety, anger, loss, attachment issues, self- harm, suicidal ideation, sexual abuse and neuro-divergence. My work with adults includes dealing with the effects of trauma, childhood sexual abuse and relational difficulties inc emotional, domestic and narcissistic abuse and childhood emotional neglect.
I'm experienced working with children, teens and adults regularly working within the primary and secondary education system throughout Fife and in an agency environment. I understand the unique developmental needs and challenges faced by a younger age group regularly exploring issues around self-esteem, social anxiety, general anxiety, anger, loss, attachment issues, self- harm, suicidal ideation, sexual abuse and neuro-divergence. My work with adults includes dealing with the effects of trauma, childhood sexual abuse and relational difficulties inc emotional, domestic and narcissistic abuse and childhood emotional neglect.
01383 661320 View 01383 661320
Photo of Michael And Sungjoo Durrington - Chai Counselling Ltd, DCounsPsych, MCOSCA, Counsellor
Chai Counselling Ltd
Counsellor, DCounsPsych, MCOSCA
Verified Verified
Dunfermline KY11
When you encounter difficult times in our day to day lives it is helpful to be able to talk these through with someone who is trained and objective. To help you explore the issues that matter to you, bringing insight and understanding to enable you to find your way through problems and dilemmas.
When you encounter difficult times in our day to day lives it is helpful to be able to talk these through with someone who is trained and objective. To help you explore the issues that matter to you, bringing insight and understanding to enable you to find your way through problems and dilemmas.
07723 435840 View 07723 435840
Photo of Louise McBride, PsychD, MBACP, Psychotherapist
Louise McBride
Psychotherapist, PsychD, MBACP
Verified Verified
Dunfermline KY12
Whatever your reasons for being here, you are very welcome. I provide a very safe and confidential space to people from ALL walks of life. Whatever difficulties you are experiencing I can help you to gain insight into why they exist and persist. Psychodynamic therapy helps you to bring that which is unconscious into conscious awareness which helps you to understand and resolve internal conflicts that cause suffering. These internal conflicts manifest as, for example, anxiety, depression and self-destructive behaviours, particularly in relationship with others. Psychodynamic therapy is effective in enabling life long change.
Whatever your reasons for being here, you are very welcome. I provide a very safe and confidential space to people from ALL walks of life. Whatever difficulties you are experiencing I can help you to gain insight into why they exist and persist. Psychodynamic therapy helps you to bring that which is unconscious into conscious awareness which helps you to understand and resolve internal conflicts that cause suffering. These internal conflicts manifest as, for example, anxiety, depression and self-destructive behaviours, particularly in relationship with others. Psychodynamic therapy is effective in enabling life long change.
0131 381 0828 View 0131 381 0828

See more therapy options for Lochgelly

How does your Counsellor compare?

Number of Counsellors in Lochgelly

< 10

Counsellors in Lochgelly who prioritize treating:

100% Depression
100% Domestic Abuse
100% Self Esteem
100% Stress
75% Anxiety
75% Bereavement
75% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

100% Cigna and Evernorth
100% Aviva
100% AXA PPP

How Counsellors in Lochgelly see their clients

75% In Person and Online
25% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in Lochgelly?

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.