Counselling in Altrincham

Photo of Victoria Abadi, DCounsPsych, MBACP, Psychotherapist
Victoria Abadi
Psychotherapist, DCounsPsych, MBACP
Verified Verified
Altrincham WA15  (Online Only)
Congratulations on taking the first step towards dealing with yours or a loved ones addiction. If you have struggled with any form of addiction or been affected by a loved ones addiction then I imagine you have tried and tried again to get a handle on this problem. If you are reading this then I suspect it hasn’t worked on your own and you are looking for some tools to help you finally achieve the outcomes you are aiming for. Addiction is difficult to treat without professional guidance. I have worked as a qualified therapist working with addiction for over 20 years and know how to help once help is asked for. Reach out ask for help
Congratulations on taking the first step towards dealing with yours or a loved ones addiction. If you have struggled with any form of addiction or been affected by a loved ones addiction then I imagine you have tried and tried again to get a handle on this problem. If you are reading this then I suspect it hasn’t worked on your own and you are looking for some tools to help you finally achieve the outcomes you are aiming for. Addiction is difficult to treat without professional guidance. I have worked as a qualified therapist working with addiction for over 20 years and know how to help once help is asked for. Reach out ask for help
07723 458498 View 07723 458498
Photo of Reem Masri, MNCPS Acc., Counsellor
Reem Masri
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Altrincham WA14  (Online Only)
Feeling overwhelmed or unsure? You don’t have to navigate this alone. I’m here to provide a safe, supportive space where you can explore your thoughts and feelings openly. Whether you’re dealing with anxiety, stress, depression, low self esteem, relationship issues or just need someone to talk to, we’ll work together to find clarity and build a path forward. I speak Arabic, which allows me to connect with you in your preferred language and better understand cultural nuances.
Feeling overwhelmed or unsure? You don’t have to navigate this alone. I’m here to provide a safe, supportive space where you can explore your thoughts and feelings openly. Whether you’re dealing with anxiety, stress, depression, low self esteem, relationship issues or just need someone to talk to, we’ll work together to find clarity and build a path forward. I speak Arabic, which allows me to connect with you in your preferred language and better understand cultural nuances.
0161 524 1754 View 0161 524 1754
Photo of Geraldine Claire Osowska - Geraldine Claire Therapy, MBABCP, Psychotherapist
Geraldine Claire Therapy
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Altrincham WA14
Clients reach out to me when they have recognised that their past experiences are adversely effecting them and preventing them from leading a life which is balanced. My clients tend to have reached a point in their life where they are feeling anxious, low in mood and emotionally unregulated. They may have been diagnosed with an anxiety or mood difficulty or with PTSD, complex PTSD or BPD. The goals of my clients are to create a life where they feel they have been able to heal from their past experiences and developed a sense of mastery and effectiveness which enables them to feel they can safely move forwards and thrive.
Clients reach out to me when they have recognised that their past experiences are adversely effecting them and preventing them from leading a life which is balanced. My clients tend to have reached a point in their life where they are feeling anxious, low in mood and emotionally unregulated. They may have been diagnosed with an anxiety or mood difficulty or with PTSD, complex PTSD or BPD. The goals of my clients are to create a life where they feel they have been able to heal from their past experiences and developed a sense of mastery and effectiveness which enables them to feel they can safely move forwards and thrive.
0161 524 9685 View 0161 524 9685
Photo of Dr Javier Malda Castillo, PsychD, HCPC - Clin. Psych., Psychologist
Dr Javier Malda Castillo
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Altrincham WA14
I am a Clinical Psychologist, chartered member of the British Psychological Society (BPS) and registered with the Health and Care Professions Council. I have specialist training in psychological treatment for a wide range of difficulties both in the NHS and in private practice. I have completed a full IEDTA accredited training as an ISTDP therapist, teacher and supervisor and I have also been granted accreditation as MBT specialist supervisor by the Anna Freud Centre. I am a direct, studious and persistent clinician. I seek to deliver precise, empathic, supportive and scientific therapy to individuals, couples and groups.
I am a Clinical Psychologist, chartered member of the British Psychological Society (BPS) and registered with the Health and Care Professions Council. I have specialist training in psychological treatment for a wide range of difficulties both in the NHS and in private practice. I have completed a full IEDTA accredited training as an ISTDP therapist, teacher and supervisor and I have also been granted accreditation as MBT specialist supervisor by the Anna Freud Centre. I am a direct, studious and persistent clinician. I seek to deliver precise, empathic, supportive and scientific therapy to individuals, couples and groups.
0161 524 9967 View 0161 524 9967
Photo of Laura Nash, MBACP, Counsellor
Laura Nash
Counsellor, MBACP
Verified Verified
Altrincham WA14  (Online Only)
Welcome! I hope that my words here help you to feel seen and leave you feeling hopeful of a better tomorrow.​ I am passionate about normalising seeking support when we need to. It is a gift to yourself and your future generations. It's important to know that we all experience times in our life that are overwhelming, challenging and sometimes paralysing. I firmly believe that you do not need to have experienced something catastrophic to justify why you might be finding things difficult. I will help you to discover a new way of moving forward which feels positive, and is aligned with who you are and what you want for your life.​
Welcome! I hope that my words here help you to feel seen and leave you feeling hopeful of a better tomorrow.​ I am passionate about normalising seeking support when we need to. It is a gift to yourself and your future generations. It's important to know that we all experience times in our life that are overwhelming, challenging and sometimes paralysing. I firmly believe that you do not need to have experienced something catastrophic to justify why you might be finding things difficult. I will help you to discover a new way of moving forward which feels positive, and is aligned with who you are and what you want for your life.​
View
Photo of Dr Ishba Rehman, PsychD, HCPC - Couns. Psych., Psychologist
Dr Ishba Rehman
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
1 Endorsed
Altrincham WA14  (Online Only)
Are you struggling with low mood and anxiety? Do you have difficulties with your self-esteem, body image your relationship with food? Have you experienced a traumatic life event? Struggling in your relationships at home and at work? Or are you experiencing an overall lack of happiness and fulfilment in your life which makes you less hopeful for the future? Then you are not alone. Many of us experience these difficulties, at various points in our lives. The good thing is, you are here now, wanting to seek help. To get started, you can request an initial appointment with Dr Ishba Rehman (free of cost) to discuss your needs and goals.
Are you struggling with low mood and anxiety? Do you have difficulties with your self-esteem, body image your relationship with food? Have you experienced a traumatic life event? Struggling in your relationships at home and at work? Or are you experiencing an overall lack of happiness and fulfilment in your life which makes you less hopeful for the future? Then you are not alone. Many of us experience these difficulties, at various points in our lives. The good thing is, you are here now, wanting to seek help. To get started, you can request an initial appointment with Dr Ishba Rehman (free of cost) to discuss your needs and goals.
0161 524 0193 View 0161 524 0193
Photo of Emma Harris, MA, MBACP, Counsellor
Emma Harris
Counsellor, MA, MBACP
Verified Verified
Altrincham WA14
It isn't often, in our everyday lives, that we feel truly heard, understood and accepted without sensing judgement or criticism from others. I deeply acknowledge and understand the loneliness that comes from struggling in silence with life's difficulties. Therapy offers you a calm space to begin to tell your story; permission to pause and reflect on what you have been through, validate your response to trauma and loss and gently navigate the path forward. I will support you on your therapeutic journey, gently empowering you to realise your inner resources and ways of coping and navigating your world so that you feel more in control.
It isn't often, in our everyday lives, that we feel truly heard, understood and accepted without sensing judgement or criticism from others. I deeply acknowledge and understand the loneliness that comes from struggling in silence with life's difficulties. Therapy offers you a calm space to begin to tell your story; permission to pause and reflect on what you have been through, validate your response to trauma and loss and gently navigate the path forward. I will support you on your therapeutic journey, gently empowering you to realise your inner resources and ways of coping and navigating your world so that you feel more in control.
0161 524 0306 View 0161 524 0306
Photo of Caroline Bellman, MSc, MBACP, Psychotherapist
Caroline Bellman
Psychotherapist, MSc, MBACP
Verified Verified
Altrincham WA15
I am a qualified Psychotherapeutic Counsellor with a Masters in Clinical Forensic Psychology based in South Manchester, and a registered member of the British Association of Counselling and Psychotherapy. I have worked in healthcare for over 20 years across a number of different specialities including substance misuse, trauma, forensics, neurodiversity, OCD, bereavement, anxiety and depression. I am also a qualified Chinese Medicine Acupuncturist (BAcC registered) and Yoga therapist which I am able to incorporate into sessions if this would be beneficial to you.
I am a qualified Psychotherapeutic Counsellor with a Masters in Clinical Forensic Psychology based in South Manchester, and a registered member of the British Association of Counselling and Psychotherapy. I have worked in healthcare for over 20 years across a number of different specialities including substance misuse, trauma, forensics, neurodiversity, OCD, bereavement, anxiety and depression. I am also a qualified Chinese Medicine Acupuncturist (BAcC registered) and Yoga therapist which I am able to incorporate into sessions if this would be beneficial to you.
0161 524 0883 View 0161 524 0883
Photo of Karen Foran Psychotherapist, MSc, MBACP Accred, Psychotherapist
Karen Foran Psychotherapist
Psychotherapist, MSc, MBACP Accred
Verified Verified
Altrincham WA14  (Online Only)
Hey, I'm a psychotherapist working online. My approach to therapy is integrative, meaning I use different therapy methods, such as EMDR, that will help with your process. My speciality is working with trauma, specifically childhood and sexual trauma. I have additional training working with neurodivergence and EMDR. Further information on my training and background can be found on my website listed below.
Hey, I'm a psychotherapist working online. My approach to therapy is integrative, meaning I use different therapy methods, such as EMDR, that will help with your process. My speciality is working with trauma, specifically childhood and sexual trauma. I have additional training working with neurodivergence and EMDR. Further information on my training and background can be found on my website listed below.
0161 696 8402 View 0161 696 8402
Photo of Sara Wells, MA, MBACP, Counsellor
Sara Wells
Counsellor, MA, MBACP
Verified Verified
Altrincham WA14
I am a qualified psychotherapeutic counsellor. I offer a warm, open-minded and non-judgemental space for adults to share and explore their issues in confidence. My approach is tailored to the specific needs and circumstances of each person.
I am a qualified psychotherapeutic counsellor. I offer a warm, open-minded and non-judgemental space for adults to share and explore their issues in confidence. My approach is tailored to the specific needs and circumstances of each person.
0161 524 2911 View 0161 524 2911
Photo of Clare Higgins, MBABCP, Psychotherapist
Clare Higgins
Psychotherapist, MBABCP
Verified Verified
Altrincham WA15  (Online Only)
Welcome. Thank you for taking the time to view my profile. My name is Clare, and I am an accredited CBT Therapist and Mindfulness Teacher with a background in humanistic therapy. I am experienced in providing both group and individual therapy in both inpatient and outpatient settings in the NHS, charitable organisations and the private sector. I am person centred in my approach which means that I put you the client at the centre of everything that I do and provide an empathic and non-judgemental space. I understand that it can be daunting reaching out for support and I am skilled at putting clients at ease.
Welcome. Thank you for taking the time to view my profile. My name is Clare, and I am an accredited CBT Therapist and Mindfulness Teacher with a background in humanistic therapy. I am experienced in providing both group and individual therapy in both inpatient and outpatient settings in the NHS, charitable organisations and the private sector. I am person centred in my approach which means that I put you the client at the centre of everything that I do and provide an empathic and non-judgemental space. I understand that it can be daunting reaching out for support and I am skilled at putting clients at ease.
View
Photo of Louise Mackintosh, MBACP, Counsellor
Louise Mackintosh
Counsellor, MBACP
Verified Verified
Altrincham WA15
Individuals and couples decide to look for therapy for many reasons; stress, anxiety or depression, difficulties in relationships; anything that's stopping them living the life they want. I place importance on helping clients understand the causes, not simply focusing on the symptoms. Ultimately, knowing yourself better is the key to a more fulfilling life, with improved relationships and feeling better within yourself on a day to day basis.
Individuals and couples decide to look for therapy for many reasons; stress, anxiety or depression, difficulties in relationships; anything that's stopping them living the life they want. I place importance on helping clients understand the causes, not simply focusing on the symptoms. Ultimately, knowing yourself better is the key to a more fulfilling life, with improved relationships and feeling better within yourself on a day to day basis.
0161 524 0086 View 0161 524 0086
Photo of Rachel Harris, MA, MBACP, Counsellor
Rachel Harris
Counsellor, MA, MBACP
Verified Verified
Altrincham WA15
Hi, my name is Rachel. I work with both adults and young people. I offer a warm and safe space in which we can explore your emotions and the areas of your life that are causing you concerns. I have experience in trauma, domestic abuse, loss and grief. During the sessions we can work together to understand what you have experienced and endured and how this is affecting your every day life. I work in an authentic, empathic and genuine approach. I do not direct clients, instead we experience a journey of discovery and healing.
Hi, my name is Rachel. I work with both adults and young people. I offer a warm and safe space in which we can explore your emotions and the areas of your life that are causing you concerns. I have experience in trauma, domestic abuse, loss and grief. During the sessions we can work together to understand what you have experienced and endured and how this is affecting your every day life. I work in an authentic, empathic and genuine approach. I do not direct clients, instead we experience a journey of discovery and healing.
0161 524 9428 View 0161 524 9428
Photo of Katrina Mary Chaplin, DCounsPsych, MBACP, Counsellor
Katrina Mary Chaplin
Counsellor, DCounsPsych, MBACP
Verified Verified
Altrincham WA15
There are many reasons why clients seek therapy - bereavement and loss, depression, anxiety, work or family stresses. Sometimes, a client will come, not with any particular issue, but because they are feeling stuck in their lives, and need help to move forward.
There are many reasons why clients seek therapy - bereavement and loss, depression, anxiety, work or family stresses. Sometimes, a client will come, not with any particular issue, but because they are feeling stuck in their lives, and need help to move forward.
0161 524 3722 View 0161 524 3722
Photo of Amber Nicole Ledger - Therapy With Amber , MSc, MBABCP, Psychotherapist
Therapy With Amber
Psychotherapist, MSc, MBABCP
Verified Verified
Altrincham WA15
My approach is clinical, caring and collaborative. My clients generally start treatment when they feel stuck, anxious or have experienced a significant event. By providing a safe space, we explore the presenting difficulties, whilst exploring what happened, what is maintaining the problem and what can we do to reframe or change the current situation. Clients usually start with the goal of I want to be happy or I want to feel like myself again, So we explore exactly what is happiness to you? Why do you currently not have it? What happened? and what would need to change for you to have it? Then we collaboratively bridge the gap.
My approach is clinical, caring and collaborative. My clients generally start treatment when they feel stuck, anxious or have experienced a significant event. By providing a safe space, we explore the presenting difficulties, whilst exploring what happened, what is maintaining the problem and what can we do to reframe or change the current situation. Clients usually start with the goal of I want to be happy or I want to feel like myself again, So we explore exactly what is happiness to you? Why do you currently not have it? What happened? and what would need to change for you to have it? Then we collaboratively bridge the gap.
0161 524 8070 View 0161 524 8070
Photo of Rachel Newell, MA, MBACP, Counsellor
Rachel Newell
Counsellor, MA, MBACP
Verified Verified
Altrincham WA15
Hello, Thank you for taking the time to look at my profile. My name is Rachel and I am here to listen, my question for you is, do you feel heard? Being genuinely heard by someone, who is non-judgemental and empathic, can be an extremely powerful experience. You may be struggling with feeling overwhelmed, anxious, sad or angry, or maybe something else entirely but the important thing is that you don’t have to manage it alone.
Hello, Thank you for taking the time to look at my profile. My name is Rachel and I am here to listen, my question for you is, do you feel heard? Being genuinely heard by someone, who is non-judgemental and empathic, can be an extremely powerful experience. You may be struggling with feeling overwhelmed, anxious, sad or angry, or maybe something else entirely but the important thing is that you don’t have to manage it alone.
0161 524 2485 View 0161 524 2485
Photo of Jo Barritt, MBACP, Counsellor
Jo Barritt
Counsellor, MBACP
Verified Verified
Altrincham WA14  (Online Only)
Hi, I'm Jo, I'm a qualified counsellor and have many years of experience. I currently work for the NHS as well as in private practice.  I understand that sometimes we all need someone to talk to, life can become overwhelming, confusing, or distressing for anyone, for many different reasons.  This is where counselling, and I, can be useful.  Counselling can be just the place to untangle your thoughts and make sense of what is going on for you, and how you might like it to change. I recognise that everyone is different. We are all individuals, and I therefore believe that therapy should also be unique to you, and your experience.
Hi, I'm Jo, I'm a qualified counsellor and have many years of experience. I currently work for the NHS as well as in private practice.  I understand that sometimes we all need someone to talk to, life can become overwhelming, confusing, or distressing for anyone, for many different reasons.  This is where counselling, and I, can be useful.  Counselling can be just the place to untangle your thoughts and make sense of what is going on for you, and how you might like it to change. I recognise that everyone is different. We are all individuals, and I therefore believe that therapy should also be unique to you, and your experience.
07447 986856 View 07447 986856
Photo of Lucie Abadi-Johns, UKCP Trainee, Psychotherapist
Lucie Abadi-Johns
Psychotherapist, UKCP Trainee
Verified Verified
Altrincham WA15
Taking the first step towards therapy may feel intimidating, even scary, but rest assured, you're not alone. I understand the courage it takes to seek support, especially if it's your first time. That's why I'm here to create a safe, non-judgmental space where you can explore your thoughts, feelings, and experiences without fear of criticism or shame.
Taking the first step towards therapy may feel intimidating, even scary, but rest assured, you're not alone. I understand the courage it takes to seek support, especially if it's your first time. That's why I'm here to create a safe, non-judgmental space where you can explore your thoughts, feelings, and experiences without fear of criticism or shame.
0161 524 7659 View 0161 524 7659
Photo of Jane Goodstone, MSc, MBACP, Counsellor
Jane Goodstone
Counsellor, MSc, MBACP
Verified Verified
Altrincham WA14
Hi, I'm Jane, a qualified person- centred counsellor offering you a space to talk about what's going on in your life that maybe weighing you down. I work with adults of all ages experiencing a wide range of issues. Maybe you are experiencing relationship issues or have lost someone close? Maybe you are feeling down or are trying to manage difficult emotions? Maybe you are finding life a struggle, juggling the demands of children, partners, ageing parents, work and home? Whatever the circumstances, talking to a trained professional can really help. Working together, we can help you to connect to a more joyful and fulfilled life.
Hi, I'm Jane, a qualified person- centred counsellor offering you a space to talk about what's going on in your life that maybe weighing you down. I work with adults of all ages experiencing a wide range of issues. Maybe you are experiencing relationship issues or have lost someone close? Maybe you are feeling down or are trying to manage difficult emotions? Maybe you are finding life a struggle, juggling the demands of children, partners, ageing parents, work and home? Whatever the circumstances, talking to a trained professional can really help. Working together, we can help you to connect to a more joyful and fulfilled life.
0161 524 3559 View 0161 524 3559
Photo of Kirren Kaur - My Therapy Mind , MBABCP, Psychotherapist
My Therapy Mind
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Altrincham WA14
Welcome, to My Therapy Mind, our aim is to provide you with a safe and supportive space for you to become your own therapist. Collectively we aim to change your dysfunctional thinking styles and unhelpful coping behaviours that may be feeding your mental health. I'm Kirren Kaur, a passionate accredited Cognitive Behavioural Therapies with experience of working in a variety of NHS service, Private work and managing day to day life.
Welcome, to My Therapy Mind, our aim is to provide you with a safe and supportive space for you to become your own therapist. Collectively we aim to change your dysfunctional thinking styles and unhelpful coping behaviours that may be feeding your mental health. I'm Kirren Kaur, a passionate accredited Cognitive Behavioural Therapies with experience of working in a variety of NHS service, Private work and managing day to day life.
0161 524 9906 View 0161 524 9906
1

See more therapy options for Altrincham

How does your Counsellor compare?

Number of Counsellors in Altrincham

100+

Average cost per session

£70

Counsellors in Altrincham who prioritize treating:

84% Anxiety
79% Depression
77% Self Esteem
75% Stress
69% Relationship Issues
64% Trauma and PTSD
60% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

59% Aviva
57% AXA PPP
46% Bupa

How Counsellors in Altrincham see their clients

77% In Person and Online
23% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Altrincham?

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.