Photo of Maaike Beech, MBACP Accred, Psychotherapist
Maaike Beech
Psychotherapist, MBACP Accred
Verified Verified
Are you struggling with the aftermath of trauma? Sleeping difficulties, concentration problems, flashbacks, nightmares, avoidance of triggers, a numbness or disconnect, the body being on alert, negative thoughts, etc. There is a way to feel better, more grounded, safer and more connected. With 17+ years experience, my team of qualified trauma therapists and I provide counselling and safe trauma therapy for young people and adults. We will always prioritise your safety, so that trauma therapy doesn't become too overwhelming. We also work with loss, grief, identity, depression, anxiety and stress.
Are you struggling with the aftermath of trauma? Sleeping difficulties, concentration problems, flashbacks, nightmares, avoidance of triggers, a numbness or disconnect, the body being on alert, negative thoughts, etc. There is a way to feel better, more grounded, safer and more connected. With 17+ years experience, my team of qualified trauma therapists and I provide counselling and safe trauma therapy for young people and adults. We will always prioritise your safety, so that trauma therapy doesn't become too overwhelming. We also work with loss, grief, identity, depression, anxiety and stress.
01702 967374 View 01702 967374
Photo of Christine Nutt Msc, MSc, MUKCP, Psychotherapist
Christine Nutt Msc
Psychotherapist, MSc, MUKCP
Verified Verified
If you think you may need counselling or psychotherapy, you are not alone. At times we are all faced with confusing or painful situations, feelings of dissatisfaction, anxiety, stress or depression, painful losses, traumatic or unhappy memories, difficult decisions or the need for change. My way of working is relational, conveying warmth, empathy and compassion for my clients, so I will not analyse you, judge you or try to impose my values and beliefs on you but I will offer you my full attention and respect your individuality. In essence, my aim is to encourage you to trust, accept and value yourself, strengthening self-esteem.
If you think you may need counselling or psychotherapy, you are not alone. At times we are all faced with confusing or painful situations, feelings of dissatisfaction, anxiety, stress or depression, painful losses, traumatic or unhappy memories, difficult decisions or the need for change. My way of working is relational, conveying warmth, empathy and compassion for my clients, so I will not analyse you, judge you or try to impose my values and beliefs on you but I will offer you my full attention and respect your individuality. In essence, my aim is to encourage you to trust, accept and value yourself, strengthening self-esteem.
01702 418722 View 01702 418722
Photo of Denise Moffat - Space2Breathe Counselling, DCounsPsych, MBACP, Counsellor
Space2Breathe Counselling
Counsellor, DCounsPsych, MBACP
Verified Verified
Starting counselling can be a very daunting and scary prospect. There are many different types of counselling to choose from and it might feel overwhelming knowing where to begin and which counsellor to choose. ​I believe the most important factor in an effective counselling outcome comes down to the therapeutic relationship. I can provide a safe space for you to breathe and just be you! Based in South Essex, I am a warm, open, friendly and qualified counsellor. I enjoy walking in nature with my Labradoodles taking in the fresh air.
Starting counselling can be a very daunting and scary prospect. There are many different types of counselling to choose from and it might feel overwhelming knowing where to begin and which counsellor to choose. ​I believe the most important factor in an effective counselling outcome comes down to the therapeutic relationship. I can provide a safe space for you to breathe and just be you! Based in South Essex, I am a warm, open, friendly and qualified counsellor. I enjoy walking in nature with my Labradoodles taking in the fresh air.
01702 967772 View 01702 967772
Photo of Kelly Elizabeth Walters, MBACP Accred, Psychotherapist
Kelly Elizabeth Walters
Psychotherapist, MBACP Accred
Verified Verified
I am a qualified and experienced Trauma counsellor and accredited member of the BACP working in Rochford, Southend, Essex and online. I am a professionally trained counsellor dealing within many fields including, but not only, CPTSD, trauma, addictive and dependent behaviours, perception-altering drugs including cannabis, anxiety-driven behaviour, relational issues and sexual abuse. As of July 2024, I will be an EMDR therapist and can offer these services. It's all about you. Counselling focuses on your needs. Using my skills I aim to help you achieve the change you are looking for.
I am a qualified and experienced Trauma counsellor and accredited member of the BACP working in Rochford, Southend, Essex and online. I am a professionally trained counsellor dealing within many fields including, but not only, CPTSD, trauma, addictive and dependent behaviours, perception-altering drugs including cannabis, anxiety-driven behaviour, relational issues and sexual abuse. As of July 2024, I will be an EMDR therapist and can offer these services. It's all about you. Counselling focuses on your needs. Using my skills I aim to help you achieve the change you are looking for.
01702 967790 View 01702 967790
Photo of Jackie Morley, MA, MNCPS Acc., Counsellor
Jackie Morley
Counsellor, MA, MNCPS Acc.
Verified Verified
I have a background in Social Care where I worked with complex family and relationship issues. Through my experience I have come to understand how instrumental caring, supportive relationships are to reducing stress and increasing emotional well-being. It has led to a passion for working as a therapist to help people improve relationships, to feel connected to, heard and valued by spouses, partners, friends and family. Through resolving conflict, repairing hurt, anger and where you are able to let go of resentments it can lead to a healthier sex-life and sexual functioning.
I have a background in Social Care where I worked with complex family and relationship issues. Through my experience I have come to understand how instrumental caring, supportive relationships are to reducing stress and increasing emotional well-being. It has led to a passion for working as a therapist to help people improve relationships, to feel connected to, heard and valued by spouses, partners, friends and family. Through resolving conflict, repairing hurt, anger and where you are able to let go of resentments it can lead to a healthier sex-life and sexual functioning.
01702 967396 View 01702 967396
Photo of Kay DIAMOND, UKCP Trainee, Counsellor
Kay DIAMOND
Counsellor, UKCP Trainee
Verified Verified
1 Endorsed
Hello, I'm Kay. I understand that choosing the right therapist can be difficult. I believe the most important factor is that you feel comfortable with them and are able to be yourself. So, I offer a free no obligation consultation for you to get a feel for how we might work together. Whether you are experiencing relationship troubles, anxiety, depression, low self-esteem, difficult childhood experiences, loss, bereavement (including pets) or you'd like to explore your patterns of behaviour. It is a privilege to be in entrusted with personal thoughts and feelings.
Hello, I'm Kay. I understand that choosing the right therapist can be difficult. I believe the most important factor is that you feel comfortable with them and are able to be yourself. So, I offer a free no obligation consultation for you to get a feel for how we might work together. Whether you are experiencing relationship troubles, anxiety, depression, low self-esteem, difficult childhood experiences, loss, bereavement (including pets) or you'd like to explore your patterns of behaviour. It is a privilege to be in entrusted with personal thoughts and feelings.
01702 967034 View 01702 967034
Photo of Denise Gleed - Shine Counselling Therapy, MNCPS Acc., Counsellor
Shine Counselling Therapy
Counsellor, MNCPS Acc.
Verified Verified
I specialise in supporting people who are Autistic, Dyslexic or have ADHD. Are you awaiting an assessment for Autism? ADHD or Dyslexia? Or have already been diagnosed ? or are you supporting a child that is struggling with a Neurodiversity ? I Can Help Support You NOW ! with no wait list times.
I specialise in supporting people who are Autistic, Dyslexic or have ADHD. Are you awaiting an assessment for Autism? ADHD or Dyslexia? Or have already been diagnosed ? or are you supporting a child that is struggling with a Neurodiversity ? I Can Help Support You NOW ! with no wait list times.
01268 202732 View 01268 202732
Photo of Dawn Crockford, MBACP, Counsellor
Dawn Crockford
Counsellor, MBACP
Verified Verified
Do you feel unfulfilled, unhappy, unwell (Dr has given the 'all clear') or unsure why you keep reacting in certain ways? Together we can explore these concerns and the counselling journey will help improve your self-awareness as to the reasons for these emotions. Life can be hard and sometimes giving yourself 'time out' and the opportunity in a confidential, non-judgmental space to be open and honest with how you are thinking, feeling and behaving, will hopefully allow you to feel lighter and content with whom you are and have a positive impact on your future.
Do you feel unfulfilled, unhappy, unwell (Dr has given the 'all clear') or unsure why you keep reacting in certain ways? Together we can explore these concerns and the counselling journey will help improve your self-awareness as to the reasons for these emotions. Life can be hard and sometimes giving yourself 'time out' and the opportunity in a confidential, non-judgmental space to be open and honest with how you are thinking, feeling and behaving, will hopefully allow you to feel lighter and content with whom you are and have a positive impact on your future.
07480 486532 View 07480 486532
Photo of Carl Adams, MBACP, Counsellor
Carl Adams
Counsellor, MBACP
Verified Verified
Life can bring us many difficulties, challenges, issues, stresses and anxieties. It can also bring many over whelming feelings such as pain, anger, sadness, hopelessness, guilt and regret. I am a gentle, emphathic, non judgmental counsellor; I see myself as a down to earth regular person and believe in talking to people on their own level.
Life can bring us many difficulties, challenges, issues, stresses and anxieties. It can also bring many over whelming feelings such as pain, anger, sadness, hopelessness, guilt and regret. I am a gentle, emphathic, non judgmental counsellor; I see myself as a down to earth regular person and believe in talking to people on their own level.
01702 904166 View 01702 904166
Photo of Lesley Patchick - Lesley Patchick Counselling, MBACP Accred, Counsellor
Lesley Patchick Counselling
Counsellor, MBACP Accred
Verified Verified
Rochford SS4  (Online Only)
As an experienced BACP Accredited counsellor, with diverse & varied counselling experience, I can offer you a professional, safe, cared-for & confidential environment which will support you in exploring the aspects of your life that are troubling you. People enter therapy for many reasons. Whatever your circumstances or the obstacles you face, having a confidential space where you are not judged, where it is safe for you to be totally 'you', will be key to assisting you in your journey to a life that feels happier & more content. I can provide this for you.
As an experienced BACP Accredited counsellor, with diverse & varied counselling experience, I can offer you a professional, safe, cared-for & confidential environment which will support you in exploring the aspects of your life that are troubling you. People enter therapy for many reasons. Whatever your circumstances or the obstacles you face, having a confidential space where you are not judged, where it is safe for you to be totally 'you', will be key to assisting you in your journey to a life that feels happier & more content. I can provide this for you.
01702 680337 View 01702 680337
Photo of Yvette White, BACP, Counsellor
Yvette White
Counsellor, BACP
Verified Verified
2 Endorsed
5 Star Google reviews and 5000+ hours... Solution Focused Couples programme £595. Anxiety, Depression and Stress Management  specialist. Marriage /Couples counsellor..  Are you struggling with Anxiety, Abuse, Bereavement, or relationship issues, then I can help! I also deal with Low self-esteem, Death Anxiety, Abuse, ADHD, Divorce, Depression, Career path, Cancer support, Generalised Anxiety Disorder, Pain management, Panic Disorder, PTSD, Rape crisis, Relationship issues, Self harm, Trauma and Low self esteem.  I also work as a solution focused Marriage/Couples Counsellor.
5 Star Google reviews and 5000+ hours... Solution Focused Couples programme £595. Anxiety, Depression and Stress Management  specialist. Marriage /Couples counsellor..  Are you struggling with Anxiety, Abuse, Bereavement, or relationship issues, then I can help! I also deal with Low self-esteem, Death Anxiety, Abuse, ADHD, Divorce, Depression, Career path, Cancer support, Generalised Anxiety Disorder, Pain management, Panic Disorder, PTSD, Rape crisis, Relationship issues, Self harm, Trauma and Low self esteem.  I also work as a solution focused Marriage/Couples Counsellor.
01702 967863 View 01702 967863
Photo of Sharon Tracy Horwood - Sharon Horwood Counselling, MBACP, Counsellor
Sharon Horwood Counselling
Counsellor, MBACP
Verified Verified
4 Endorsed
I want to help you recover from burnout, stress & low self esteem. Are you dealing with depression, anxiety, or wanting non-judgemental support? Have you or a loved one been through a life changing medical trauma? Sometimes we don't listen to our bodies until we're forced. I had a brain injury many years ago that affected every aspect of my life & left me disabled! Hence, I also know the challenges of being a single parent. In my previous career I loved working with and inspiring young people, this is still close to my heart. If you are a young person unsure which direction to take your future, use me to help you find your answers.
I want to help you recover from burnout, stress & low self esteem. Are you dealing with depression, anxiety, or wanting non-judgemental support? Have you or a loved one been through a life changing medical trauma? Sometimes we don't listen to our bodies until we're forced. I had a brain injury many years ago that affected every aspect of my life & left me disabled! Hence, I also know the challenges of being a single parent. In my previous career I loved working with and inspiring young people, this is still close to my heart. If you are a young person unsure which direction to take your future, use me to help you find your answers.
01702 967443 View 01702 967443
Photo of Sian Elizabeth Hines, PNCPS Acc., Counsellor
Sian Elizabeth Hines
Counsellor, PNCPS Acc.
Verified Verified
1 Endorsed
I can help you to reach the potential that you want and deserve to reach by helping you to understand your past, present and future. To help you to work through relationship problems, self esteem issues or letting go of the past. To enable you to see past blocks and obstacles so that you can control, minimise and eliminate any anxieties. To work with the negative emotions that you feel so that you can identify quickly what your emotions are telling you and then challenge them so that they do not control you. To magnify the positives and build on them for complete self confidence.
I can help you to reach the potential that you want and deserve to reach by helping you to understand your past, present and future. To help you to work through relationship problems, self esteem issues or letting go of the past. To enable you to see past blocks and obstacles so that you can control, minimise and eliminate any anxieties. To work with the negative emotions that you feel so that you can identify quickly what your emotions are telling you and then challenge them so that they do not control you. To magnify the positives and build on them for complete self confidence.
01702 967425 View 01702 967425
Photo of Marc Freeman, MBACP, Counsellor
Marc Freeman
Counsellor, MBACP
Verified Verified
If you are finding life difficult, or struggling to understand or change the way you feel, talking to somebody can really help. Sometimes reaching out is the best thing you can do, and it can really help you put things into perspective and learn new ways of coping and dealing with the difficulties in your life. I have linked an example of how I work in this video: https://youtu.be/g4YMqJdPoj0
If you are finding life difficult, or struggling to understand or change the way you feel, talking to somebody can really help. Sometimes reaching out is the best thing you can do, and it can really help you put things into perspective and learn new ways of coping and dealing with the difficulties in your life. I have linked an example of how I work in this video: https://youtu.be/g4YMqJdPoj0
01702 680152 View 01702 680152
Photo of Karen Haynes - Karen Haynes, BACP, Counsellor
Karen Haynes
Counsellor, BACP
Verified Verified
I am an Integrative therapist which means I use various therapies and tailor the therapy to your needs, as we all are individuals and I feel an indIvidual approach offers the bespoke service clients require. Some people may respond well to CBT or DBT, others prefer a more Humanistic approach. The Psychodynamic approach works well when looking into our core thoughts and TA works wonders with communication. I work collaboratively with the client to get the best results for you.
I am an Integrative therapist which means I use various therapies and tailor the therapy to your needs, as we all are individuals and I feel an indIvidual approach offers the bespoke service clients require. Some people may respond well to CBT or DBT, others prefer a more Humanistic approach. The Psychodynamic approach works well when looking into our core thoughts and TA works wonders with communication. I work collaboratively with the client to get the best results for you.
01702 411182 View 01702 411182
Photo of Valerie Thompson, MA, BACP, Counsellor
Valerie Thompson
Counsellor, MA, BACP
Verified Verified
I am a couples counsellor / relationship therapist. I focus on helping couples and individuals lead more contented lives. You may feel the spark has gone from your relationship, navigating a new one or not in a relationship at all. No matter what your circumstance, the chances are, if you are reading this, you have concerns about how you’re relating to others. If you're concerned about any of the following issues in your relationship, I may be able to help you: trust and jealousy, intimacy, family relationships, communication, self-esteem, infidelity, understanding each other, depression and anxiety, separation and divorce.
I am a couples counsellor / relationship therapist. I focus on helping couples and individuals lead more contented lives. You may feel the spark has gone from your relationship, navigating a new one or not in a relationship at all. No matter what your circumstance, the chances are, if you are reading this, you have concerns about how you’re relating to others. If you're concerned about any of the following issues in your relationship, I may be able to help you: trust and jealousy, intimacy, family relationships, communication, self-esteem, infidelity, understanding each other, depression and anxiety, separation and divorce.
01702 410098 View 01702 410098
Photo of Rob Marks, MHGI, Psychotherapist
Rob Marks
Psychotherapist, MHGI
Verified Verified
Are you feeling low, exhausted? Worry stops you sleeping or you wake feeling anxious - racing heart, churning stomach? Do you have repetitive negative thoughts, ruminate on the past, blame yourself when setbacks happen and worry about future events, usually assuming the worst? Maybe you’re short-tempered at work or with your partner and find little joy in things you used to love doing. Do you want to get back on with life as soon as possible? To sleep better, feel more energetic and motivated, better able to be there for your partner. To see things differently and improve your effectiveness at work and relationships with colleagues?
Are you feeling low, exhausted? Worry stops you sleeping or you wake feeling anxious - racing heart, churning stomach? Do you have repetitive negative thoughts, ruminate on the past, blame yourself when setbacks happen and worry about future events, usually assuming the worst? Maybe you’re short-tempered at work or with your partner and find little joy in things you used to love doing. Do you want to get back on with life as soon as possible? To sleep better, feel more energetic and motivated, better able to be there for your partner. To see things differently and improve your effectiveness at work and relationships with colleagues?
01702 967055 View 01702 967055
Photo of Angela McCleave, MSc, MBACP Accred, Counsellor
Angela McCleave
Counsellor, MSc, MBACP Accred
Verified Verified
I am a BACP Accredited therapist with a wealth of life experience, as well as experience with counselling people going through a wide range of emotional life events. You do not have to do this on your own. The first step is the hardest and that is to make the call to reach out for help. I offer sessions via telephone, video, or face-to-face.
I am a BACP Accredited therapist with a wealth of life experience, as well as experience with counselling people going through a wide range of emotional life events. You do not have to do this on your own. The first step is the hardest and that is to make the call to reach out for help. I offer sessions via telephone, video, or face-to-face.
01702 967623 View 01702 967623
Photo of Gary Mewes, MBACP, Counsellor
Gary Mewes
Counsellor, MBACP
Verified Verified
1 Endorsed
I am committed to providing a safe non judgemental space for you to discuss any issues that may be affecting you life, relationships and general wellbeing. We are all unique individuals facing different life challenges, which we may find difficult to express in our relationships. Therapy can provide a safe space to discuss any issues that you are struggling with. I work from an integrative approach, which means I will endeavour to tailor our sessions to meet your own personal requirements, allowing you to gain the most out of your therapy.
I am committed to providing a safe non judgemental space for you to discuss any issues that may be affecting you life, relationships and general wellbeing. We are all unique individuals facing different life challenges, which we may find difficult to express in our relationships. Therapy can provide a safe space to discuss any issues that you are struggling with. I work from an integrative approach, which means I will endeavour to tailor our sessions to meet your own personal requirements, allowing you to gain the most out of your therapy.
01702 967115 View 01702 967115
Photo of Tracey Anne Denton - Wright Counselling, MBACP Accred, Counsellor
Wright Counselling
Counsellor, MBACP Accred
Verified Verified
Do you sometimes feel overwhelmed by the stresses in life? Feel unable to make decisions? Do you condemn yourself for making the 'wrong' decision? We can be good at condemning ourselves and be our worst critic. Discovering what patterns are happening for us over and over again, and preparing yourself for these, knowing what you can and can't do, can feel empowering. Being able to express yourself knowing that you can be heard without fear, embarrassment or shame but with acceptance of you as a person can be life changing. I can help you look at making changes and find bespoke ways to support and establish a way forward for you.
Do you sometimes feel overwhelmed by the stresses in life? Feel unable to make decisions? Do you condemn yourself for making the 'wrong' decision? We can be good at condemning ourselves and be our worst critic. Discovering what patterns are happening for us over and over again, and preparing yourself for these, knowing what you can and can't do, can feel empowering. Being able to express yourself knowing that you can be heard without fear, embarrassment or shame but with acceptance of you as a person can be life changing. I can help you look at making changes and find bespoke ways to support and establish a way forward for you.
01702 411337 View 01702 411337
1

See more therapy options for SS4

How does your Counsellor compare?

Number of Counsellors in SS4

20+

Average cost per session

£50

Counsellors in SS4 who prioritize treating:

90% Anxiety
90% Self Esteem
83% Depression
76% Relationship Issues
76% Stress
72% Bereavement
69% Divorce

Average years in practice

10 Years

Top 3 insurances accepted

44% Bupa
33% Any/Out-of-network Insurance
11% Other

How Counsellors in SS4 see their clients

97% In Person and Online
3% Online Only

Gender breakdown

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

How can I find a therapist in SS4?

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.