Counselling in Selkirk

Photo of Alex Kennedy, Psychotherapist
Alex Kennedy
Psychotherapist
Verified Verified
Selkirk TD7
The therapy we offer is person centred, highly effective and beneficial for a wide variety of personal, mental and emotional difficulties. There are many reasons why you might have found yourself looking for help with your mental and emotional wellbeing. Life is full of challenges and difficulties, many of us find ourselves struggling at one point or another, but the good news is you don't need to continue to struggle on alone. Our priorities are for you to feel better, to take back control, learn new coping skills, regain lost confidence and begin to thrive.
The therapy we offer is person centred, highly effective and beneficial for a wide variety of personal, mental and emotional difficulties. There are many reasons why you might have found yourself looking for help with your mental and emotional wellbeing. Life is full of challenges and difficulties, many of us find ourselves struggling at one point or another, but the good news is you don't need to continue to struggle on alone. Our priorities are for you to feel better, to take back control, learn new coping skills, regain lost confidence and begin to thrive.
01750 702983 View 01750 702983

More Therapists Nearby

Photo of Jennifer Collins - Janus Wellbeing, PNCPS Acc., Counsellor
Janus Wellbeing
Counsellor, PNCPS Acc.
Verified Verified
Melrose TD6
Are things just feeling out of kilter? Know something needs to change? Are you unsure what the right support is for your needs? Are you feeling anxious or low mood? Have you lost someone? Has your confidence dropped? In a time like no other, more than ever we need to focus on our mental health and wellbeing and invest in ourselves. The beauty of my practice is recognising your individualisation and tailoring how I can help with your needs through a holistic approach encompassing counselling, CBT, and coaching. We're people, we don't fit into one neat little box! With me you'll have a warm, confidential and safe space to talk.
Are things just feeling out of kilter? Know something needs to change? Are you unsure what the right support is for your needs? Are you feeling anxious or low mood? Have you lost someone? Has your confidence dropped? In a time like no other, more than ever we need to focus on our mental health and wellbeing and invest in ourselves. The beauty of my practice is recognising your individualisation and tailoring how I can help with your needs through a holistic approach encompassing counselling, CBT, and coaching. We're people, we don't fit into one neat little box! With me you'll have a warm, confidential and safe space to talk.
01721 546470 View 01721 546470
Photo of Maureen Biggar, MBACP Snr. Accred, Psychotherapist
Maureen Biggar
Psychotherapist, MBACP Snr. Accred
Verified Verified
1 Endorsed
Melrose TD6
I am an experienced psychotherapist working with people of all ages, to help them towards finding a more fulfilling way of life. My style of working is based on the building up of a trusting and open relationship between us, which is the basis for all our therapeutic work. I believe our experiences as children, whether good or bad, affect us throughout our lives; and by being given the time and space to 'tell our story', we develop more insight into why we are the way we are. These insights then guide us towards finding ways to change what we want to change, and value those qualities in ourselves that are beneficial.
I am an experienced psychotherapist working with people of all ages, to help them towards finding a more fulfilling way of life. My style of working is based on the building up of a trusting and open relationship between us, which is the basis for all our therapeutic work. I believe our experiences as children, whether good or bad, affect us throughout our lives; and by being given the time and space to 'tell our story', we develop more insight into why we are the way we are. These insights then guide us towards finding ways to change what we want to change, and value those qualities in ourselves that are beneficial.
07449 624279 View 07449 624279
Photo of Gemma Ramsey, MBACP, Counsellor
Gemma Ramsey
Counsellor, MBACP
Verified Verified
1 Endorsed
Galashiels TD1
Life can throw up unexpected changes and challenges which can be stressful, concerning and often frightening. Sometimes this can leave us feeling low, lost and numb. I can provide a safe and confidential environment for you to explore your worries and concerns. I listen with kindness and compassion as together we explore your challenges, giving you space to find your way through.
Life can throw up unexpected changes and challenges which can be stressful, concerning and often frightening. Sometimes this can leave us feeling low, lost and numb. I can provide a safe and confidential environment for you to explore your worries and concerns. I listen with kindness and compassion as together we explore your challenges, giving you space to find your way through.
01578 517337 View 01578 517337
Photo of Ruth Ruthven, MA, MUKCP, Psychotherapist
Ruth Ruthven
Psychotherapist, MA, MUKCP
Verified Verified
Galashiels TD1
Space to talk and be heard can make such a difference to our wellbeing; confidential space to connect with ourselves, reflect upon our situation and work things through. I offer you...a warm, accepting and welcoming space for you to talk about what you need to talk about...a place where you can feel seen and heard...space to explore aspects of your life you may currently be struggling with, you may have carried for a long time or you may have difficulty discussing elsewhere...risk and challenge appropriate to your growth...sound, ethical working practice and look forward to meeting you online or face-to-face in my Peebles workspace.
Space to talk and be heard can make such a difference to our wellbeing; confidential space to connect with ourselves, reflect upon our situation and work things through. I offer you...a warm, accepting and welcoming space for you to talk about what you need to talk about...a place where you can feel seen and heard...space to explore aspects of your life you may currently be struggling with, you may have carried for a long time or you may have difficulty discussing elsewhere...risk and challenge appropriate to your growth...sound, ethical working practice and look forward to meeting you online or face-to-face in my Peebles workspace.
View
Photo of Suzanne McNaughton - integration counselling & psychotherapy, MRes, MBABCP, Psychotherapist
integration counselling & psychotherapy
Psychotherapist, MRes, MBABCP
Verified Verified
Galashiels TD1
Do you feel stuck in a particular cycle that is impacting your life and needs to change? Does regulating emotions seem impossible?thinking negatively? have difficultly trusting others or doubt yourself?..Our hope is to offer you the tools, techniques and the inspiration you need towards improving your wellbeing, and encouraging personal growth. Whether you would like some help with anger, anxiety, addiction, phobias, to improve your mood, process trauma or improve your self-esteem. Together we can work collaboratively to help you to make lasting changes which will allow you to improve your outlook and live life to the fullest.
Do you feel stuck in a particular cycle that is impacting your life and needs to change? Does regulating emotions seem impossible?thinking negatively? have difficultly trusting others or doubt yourself?..Our hope is to offer you the tools, techniques and the inspiration you need towards improving your wellbeing, and encouraging personal growth. Whether you would like some help with anger, anxiety, addiction, phobias, to improve your mood, process trauma or improve your self-esteem. Together we can work collaboratively to help you to make lasting changes which will allow you to improve your outlook and live life to the fullest.
07723 923797 View 07723 923797
Photo of Yvonne Earl, MBABCP, Psychotherapist
Yvonne Earl
Psychotherapist, MBABCP
Verified Verified
Melrose TD6
Hello, my name is Yvonne Earl. I am a psychological therapist with over thirty years experience working in the field of child and adolescent mental health. I offer evidence based, high quality assessment and treatment to children and young people. My sessions are tailored to the needs of the individual child or adolescent, as each and every person and family has their own strengths and difficulties. Specialities Low Self Esteem, Depression, Self Harm, Exam Stress, School Difficulties Anxiety, OCD, Phobias, Parenting Problems, Family/Work, Eating Disorders, Bereavement, Lack of Confidence, Parental Consultations.
Hello, my name is Yvonne Earl. I am a psychological therapist with over thirty years experience working in the field of child and adolescent mental health. I offer evidence based, high quality assessment and treatment to children and young people. My sessions are tailored to the needs of the individual child or adolescent, as each and every person and family has their own strengths and difficulties. Specialities Low Self Esteem, Depression, Self Harm, Exam Stress, School Difficulties Anxiety, OCD, Phobias, Parenting Problems, Family/Work, Eating Disorders, Bereavement, Lack of Confidence, Parental Consultations.
0131 381 8234 View 0131 381 8234
Photo of Bob Owtram, MBABCP, Psychotherapist
Bob Owtram
Psychotherapist, MBABCP
Verified Verified
Melrose TD6
Bob uses his expert understanding of CBT to help clients recover as quickly as possible from a range of common mental health problems associated with anxiety and depression. CBT is recommended by NICE for treating common mental health problems. Bob is also qualified to provide EMDR therapy for clients seeking to recover from traumatic experiences. EMDR is recommended by NICE for this purpose.
Bob uses his expert understanding of CBT to help clients recover as quickly as possible from a range of common mental health problems associated with anxiety and depression. CBT is recommended by NICE for treating common mental health problems. Bob is also qualified to provide EMDR therapy for clients seeking to recover from traumatic experiences. EMDR is recommended by NICE for this purpose.
01890 234752 View 01890 234752
Photo of Susanne Elisabetha Pugh, BACP, Counsellor
Susanne Elisabetha Pugh
Counsellor, BACP
Verified Verified
Galashiels TD1
Hello, I am Susanne and welcome to my profile, thank you for stopping by. I congratulate you on taking the first step to reaching out, whatever you are going through or experiencing at this time, you don’t have to go through it alone. I am an integrative Counsellor, with a grounding in Transactional Analysis. I offer you a safe empathic, confidential space where there is no judgement, just bring yourself. Sometimes life experiences can leave us feeling alone and vulnerable, we can work together to manage these difficulties.
Hello, I am Susanne and welcome to my profile, thank you for stopping by. I congratulate you on taking the first step to reaching out, whatever you are going through or experiencing at this time, you don’t have to go through it alone. I am an integrative Counsellor, with a grounding in Transactional Analysis. I offer you a safe empathic, confidential space where there is no judgement, just bring yourself. Sometimes life experiences can leave us feeling alone and vulnerable, we can work together to manage these difficulties.
01427 808054 View 01427 808054
Photo of Pauline Devaney Emdr, MBACP Snr. Accred, Counsellor
Pauline Devaney Emdr
Counsellor, MBACP Snr. Accred
Verified Verified
1 Endorsed
Galashiels TD1  (Online Only)
A warm welcome, I am accredited Integrative Counsellor & EMDR practitioner, trained in Flash Technique (recent advances in processing distress/trauma). I apply myself to the needs of the individual in a way that is appropriate therapeutically. I have 20+ years experience and specialise in trauma. The therapeutic relationship will be at the heart of the therapeutic process, deepening your insight and understanding to reduce symptoms and empower you to attain a richer life. EMDR is an evidence-based powerful therapy best known for treating PTSD also successful with anxiety, depression, pain and more. EMDR is recognised by NICE & WHO
A warm welcome, I am accredited Integrative Counsellor & EMDR practitioner, trained in Flash Technique (recent advances in processing distress/trauma). I apply myself to the needs of the individual in a way that is appropriate therapeutically. I have 20+ years experience and specialise in trauma. The therapeutic relationship will be at the heart of the therapeutic process, deepening your insight and understanding to reduce symptoms and empower you to attain a richer life. EMDR is an evidence-based powerful therapy best known for treating PTSD also successful with anxiety, depression, pain and more. EMDR is recognised by NICE & WHO
01382 919574 View 01382 919574
Photo of Dr Michelle Kitson, PsychD, HCPC - Clin. Psych., Psychologist
Dr Michelle Kitson
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Innerleithen EH44  (Online Only)
I am an experienced Clinical Psychologist who can provide high quality evidence based psychological assessment and treatment for a range of mental health difficulties. I have over a decade of clinical experience and continue to hold senior positions within NHS mental health services. I have specialised in supporting individuals affected by trauma and adverse events across their lives. I also have extensive experience in working with people affected by anxiety disorders such as OCD; generalised anxiety; panic attacks and phobias; social anxiety and fears around health.
I am an experienced Clinical Psychologist who can provide high quality evidence based psychological assessment and treatment for a range of mental health difficulties. I have over a decade of clinical experience and continue to hold senior positions within NHS mental health services. I have specialised in supporting individuals affected by trauma and adverse events across their lives. I also have extensive experience in working with people affected by anxiety disorders such as OCD; generalised anxiety; panic attacks and phobias; social anxiety and fears around health.
View
Photo of Doreen Morici, MSc
Doreen Morici
MSc
Verified Verified
Innerleithen EH44
Therapy is a gift--giving yourself permission to receive, to be heard, and to learn healthy and adaptive ways to be in relationship to self and others. Helping identify and transmute beliefs that no longer serve... from "I'm not good enough" to "I am worthy"; moving from fear to love and acceptance. A space to feel and understand your emotions, and let go. Offering a wholistic, integrative, and person-centered approach to wellness and empowerment while supporting you to find balance, hold boundaries, explore spirituality, and connect to your authentic self--moving out of your head and grounding into your heart, body, and soul.
Therapy is a gift--giving yourself permission to receive, to be heard, and to learn healthy and adaptive ways to be in relationship to self and others. Helping identify and transmute beliefs that no longer serve... from "I'm not good enough" to "I am worthy"; moving from fear to love and acceptance. A space to feel and understand your emotions, and let go. Offering a wholistic, integrative, and person-centered approach to wellness and empowerment while supporting you to find balance, hold boundaries, explore spirituality, and connect to your authentic self--moving out of your head and grounding into your heart, body, and soul.
0131 381 0296 View 0131 381 0296
Photo of Marie Finlay, MNCPS Acc., Psychotherapist
Marie Finlay
Psychotherapist, MNCPS Acc.
Verified Verified
1 Endorsed
Melrose TD6
Are you a parent concerned about your child's happiness, anxiety, well-being or behaviour? I’m here to help. With over 30 years of experience working with children and young people including as a CBT therapist, I specialise in empowering young individuals to conquer anxiety and take control of their lives. Behaviours like anger often mask underlying feelings and needs. Anger might conceal feelings of frustration, hurt, or fear. In many cases, these behaviours serve as a defence mechanism to cope with internal struggles such as stress, insecurity, or unresolved emotions.
Are you a parent concerned about your child's happiness, anxiety, well-being or behaviour? I’m here to help. With over 30 years of experience working with children and young people including as a CBT therapist, I specialise in empowering young individuals to conquer anxiety and take control of their lives. Behaviours like anger often mask underlying feelings and needs. Anger might conceal feelings of frustration, hurt, or fear. In many cases, these behaviours serve as a defence mechanism to cope with internal struggles such as stress, insecurity, or unresolved emotions.
01578 517323 View 01578 517323
Photo of Liselle Van Zyl, MUKCP, Psychotherapist
Liselle Van Zyl
Psychotherapist, MUKCP
Verified Verified
Galashiels TD1
Walking and talking therapy. I am currently offering short-term walking and talking therapy in Richmond Park/Terrace Gardens and River walk.I specialise in Gestalt psychotherapy, having trained at the Metanoia Institute in London. My approach is also enriched by transpersonal, eco-psychology, and archetypal psychology. In addition I have pursued advance training in trauma-focused therapies, including Brainspotting and CRM. I work with individuals and couples, supporting them through a variety of challenges such as anxiety and depression, trauma, bereavement, adoption, relationship issues, loss, life transitions, and self-growth.
Walking and talking therapy. I am currently offering short-term walking and talking therapy in Richmond Park/Terrace Gardens and River walk.I specialise in Gestalt psychotherapy, having trained at the Metanoia Institute in London. My approach is also enriched by transpersonal, eco-psychology, and archetypal psychology. In addition I have pursued advance training in trauma-focused therapies, including Brainspotting and CRM. I work with individuals and couples, supporting them through a variety of challenges such as anxiety and depression, trauma, bereavement, adoption, relationship issues, loss, life transitions, and self-growth.
07475 660023 View 07475 660023
Photo of Rachel Megahy - Prism Psychology, HCPC - Clin. Psych., Psychologist
Prism Psychology
Psychologist, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Galashiels TD1  (Online Only)
Not accepting new clients
I work with a wide range of issues including: anxiety, depression, stress, psychological issues caused by physical health problems (e.g. diabetes, chronic pain), phobias, obsessive-compulsive issues (OCD), personality issues, low self-esteem, managing life transitions (such as retirement or having a baby) and many more issues. I specialise in working with individuals suffering from eating disorders (including anorexia nervosa, bulimia nervosa and binge eating disorder) and those who have experienced psychological trauma, including childhood sexual abuse and post-traumatic stress disorder.
I work with a wide range of issues including: anxiety, depression, stress, psychological issues caused by physical health problems (e.g. diabetes, chronic pain), phobias, obsessive-compulsive issues (OCD), personality issues, low self-esteem, managing life transitions (such as retirement or having a baby) and many more issues. I specialise in working with individuals suffering from eating disorders (including anorexia nervosa, bulimia nervosa and binge eating disorder) and those who have experienced psychological trauma, including childhood sexual abuse and post-traumatic stress disorder.
01427 809594 View 01427 809594
Photo of Dr Chrissie Wanner, PhD, MNCPS Acc., Counsellor
Dr Chrissie Wanner
Counsellor, PhD, MNCPS Acc.
Verified Verified
Melrose TD6
Free initial online consultation to discuss your needs and how we might work together. I offer safe, steady, calm, warm, and non-judgemental support to work through current or past difficulties that might feel too big or complex to face alone. I'm happy to work with individuals from all backgrounds and walks of life, either online or in person. I'm also happy to work flexibly around childcare and/or work commitments.
Free initial online consultation to discuss your needs and how we might work together. I offer safe, steady, calm, warm, and non-judgemental support to work through current or past difficulties that might feel too big or complex to face alone. I'm happy to work with individuals from all backgrounds and walks of life, either online or in person. I'm also happy to work flexibly around childcare and/or work commitments.
01578 517317 View 01578 517317
Photo of Dr Michael Wood, BACP, Counsellor
Dr Michael Wood
Counsellor, BACP
Verified Verified
Melrose TD6
I believe that what help us come unstuck is being in a therapeutic relationship with another person who provides care, empathy, and discretion while being a whole, honest, and personal human being. I will accompany you as we journey through what's causing you pain, anxiety, or grief, and provide you with the experience of being in a real relationship with someone who values you and, most importantly, wants to see you flourish. If you're looking for someone to tell you what to do, I'm not for you. But if you're looking for someone who'll help you to work out what's happened and how to move forward, please get in touch.
I believe that what help us come unstuck is being in a therapeutic relationship with another person who provides care, empathy, and discretion while being a whole, honest, and personal human being. I will accompany you as we journey through what's causing you pain, anxiety, or grief, and provide you with the experience of being in a real relationship with someone who values you and, most importantly, wants to see you flourish. If you're looking for someone to tell you what to do, I'm not for you. But if you're looking for someone who'll help you to work out what's happened and how to move forward, please get in touch.
01623 701412 View 01623 701412
Photo of Sheila Emma Bannerman, MBACP, Counsellor
Sheila Emma Bannerman
Counsellor, MBACP
Verified Verified
Hawick TD9
01450 393916 View 01450 393916

Online Therapists

Photo of Sivadharshinie (Dharshi) Chelvendra - Leap Psychological Services, DCounsPsych, HCPC - Couns. Psych., Psychologist
Leap Psychological Services
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Edinburgh EH7
Life can throw you a curveball when you least expect it. From day-to-day issues to unforeseen crises and mental health difficulties; many obstacles can stop you from pursuing your dreams. These situations can be hard to deal with alone. That is why Leap Psychological Services offer face-to-face and online psychological wellbeing therapies/counselling and life and personal coaching services. Covering the United Kingdom and the rest of the world, we work with both individuals and groups and can work in various languages. We team up with trusted independent psychological wellbeing practitioners, life and personal coaches worldwide.
Life can throw you a curveball when you least expect it. From day-to-day issues to unforeseen crises and mental health difficulties; many obstacles can stop you from pursuing your dreams. These situations can be hard to deal with alone. That is why Leap Psychological Services offer face-to-face and online psychological wellbeing therapies/counselling and life and personal coaching services. Covering the United Kingdom and the rest of the world, we work with both individuals and groups and can work in various languages. We team up with trusted independent psychological wellbeing practitioners, life and personal coaches worldwide.
0131 322 1691 View 0131 322 1691
Photo of Jacqueline Titus, MBACP, Counsellor
Jacqueline Titus
Counsellor, MBACP
Verified Verified
1 Endorsed
Glasgow G20
Engaging in therapy can be a big step to take and I welcome you. You might be looking to know more about yourself, you might be looking for change or you might have specific issue you would like some help to think about and work through, we can do that work together.
Engaging in therapy can be a big step to take and I welcome you. You might be looking to know more about yourself, you might be looking for change or you might have specific issue you would like some help to think about and work through, we can do that work together.
View

How does your Counsellor compare?

Number of Counsellors in Selkirk

< 10

Counsellors in Selkirk who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Addiction
100% Domestic Abuse
100% Life Coaching
100% Bereavement

Average years in practice

11 Years

Gender breakdown

100% Male

How Counsellors in Selkirk see their clients

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

How can I find a therapist in Selkirk?

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.