Counselling in Haverfordwest

Photo of Mark Fleetwood, BACP, Psychotherapist
Mark Fleetwood
Psychotherapist, BACP
Verified Verified
Haverfordwest SA62
My Aim is to focus on your needs and to work ethically and collaboratively to help to assist in moving you to a more comfortable and manageable space, and to provide techniques to help you to cope in troubled situations
My Aim is to focus on your needs and to work ethically and collaboratively to help to assist in moving you to a more comfortable and manageable space, and to provide techniques to help you to cope in troubled situations
01348 437241 View 01348 437241
Photo of Angharad E Rees - Turning Point Child Therapy Ltd, MSc, Psychotherapist
Turning Point Child Therapy Ltd
Psychotherapist, MSc
Verified Verified
Haverfordwest SA62
My name is Angharad and I have over 20 years of primary teaching experience, including 8 years as a head teacher, I have seen first hand the difficulties many children face, coupled with the lack of provision available to support their emotional and mental health needs. I am a qualified Child Therapist specialising in Play Therapy, with a MSc in Play Therapy. I believe the benefits of play therapy to be transformative - hence retraining to become a child therapist. Play Therapy is an effective therapy that helps children modify their behaviours, clarify their self-concept, and build healthy relationships.
My name is Angharad and I have over 20 years of primary teaching experience, including 8 years as a head teacher, I have seen first hand the difficulties many children face, coupled with the lack of provision available to support their emotional and mental health needs. I am a qualified Child Therapist specialising in Play Therapy, with a MSc in Play Therapy. I believe the benefits of play therapy to be transformative - hence retraining to become a child therapist. Play Therapy is an effective therapy that helps children modify their behaviours, clarify their self-concept, and build healthy relationships.
01437 809025 View 01437 809025
Photo of Steven Williams, MA, UKCP Trainee, Psychotherapist
Steven Williams
Psychotherapist, MA, UKCP Trainee
Verified Verified
Haverfordwest SA62
If you are experiencing stress, anxiety, low mood or if you are finding yourself feeling overwhelmed and in some way unbalanced by life events then I may be able to help. It can be understandably challenging to feel like this and sometimes we all need someone who can really listen and guide us through these times. My approach is to create a trusting, non-judgemental and supportive therapeutic environment so that we can explore together what feels most helpful and important to you.
If you are experiencing stress, anxiety, low mood or if you are finding yourself feeling overwhelmed and in some way unbalanced by life events then I may be able to help. It can be understandably challenging to feel like this and sometimes we all need someone who can really listen and guide us through these times. My approach is to create a trusting, non-judgemental and supportive therapeutic environment so that we can explore together what feels most helpful and important to you.
01437 805924 View 01437 805924
Photo of Michele M Ryan, MSc, MUKCP, Psychotherapist
Michele M Ryan
Psychotherapist, MSc, MUKCP
Verified Verified
Haverfordwest SA61
What informs my practice is a concern for respecting and valuing difference and the importance of caring communication in all relationships. We work together to bring about your own awareness of what needs to change in order move on in your life. Sometimes we are overwhelmed at what is happening to us, or we feel we have no control over our own lives. We can explore new ways of understanding ourselves and our relationships so that we can influence or even change our future. My approach is to work in collaboration with you. I am not the expert in your life, you are, but we can both bring our knowledges and expertise into the relation
What informs my practice is a concern for respecting and valuing difference and the importance of caring communication in all relationships. We work together to bring about your own awareness of what needs to change in order move on in your life. Sometimes we are overwhelmed at what is happening to us, or we feel we have no control over our own lives. We can explore new ways of understanding ourselves and our relationships so that we can influence or even change our future. My approach is to work in collaboration with you. I am not the expert in your life, you are, but we can both bring our knowledges and expertise into the relation
07971 955730 View 07971 955730
Photo of Kate Markham, MBACP, Counsellor
Kate Markham
Counsellor, MBACP
Verified Verified
Haverfordwest SA62
Hello! I am a qualified and experienced counsellor available to clients who recognise they are ready to talk and seek help with making sense of their lived experience and understanding their emotions, behaviours and reactions to life’s challenges.
Hello! I am a qualified and experienced counsellor available to clients who recognise they are ready to talk and seek help with making sense of their lived experience and understanding their emotions, behaviours and reactions to life’s challenges.
01437 806197 View 01437 806197
Photo of Carrie-Ann Thomas - Calming Tides Counselling, MBACP, Counsellor
Calming Tides Counselling
Counsellor, MBACP
Verified Verified
Haverfordwest SA61
I'm Carrie-ann, a qualified counsellor who focuses on finding out your needs and tailoring your therapy to match. Asking for support is never an easy task and often the hardest step we take. Making small changes to put yourself first, will have a positive impact on your wellbeing . The key to self development rests within our own self belief, resilience and internal reassurance. If we have a solid core and good foundations, it's easier to take on life's difficulties. I work with helping people build upon the strength in knowing who they are, in order to empower and build confidence.
I'm Carrie-ann, a qualified counsellor who focuses on finding out your needs and tailoring your therapy to match. Asking for support is never an easy task and often the hardest step we take. Making small changes to put yourself first, will have a positive impact on your wellbeing . The key to self development rests within our own self belief, resilience and internal reassurance. If we have a solid core and good foundations, it's easier to take on life's difficulties. I work with helping people build upon the strength in knowing who they are, in order to empower and build confidence.
07763 405027 View 07763 405027
Photo of Lisa Jayne Maltby - Lisa Maltby Counselling & Therapy, MA, BACP, Counsellor
Lisa Maltby Counselling & Therapy
Counsellor, MA, BACP
Verified Verified
Haverfordwest SA61
I work in a very individually tailored way, I believe in the healing potential within each person and my focus is upon building a strong therapy relationship to facilitate support, awareness, insight and personal growth towards changes. I have over 17 years experience working with adolescents, parents and professionals . I work with a number of clients dealing with trauma, anxiety , depression and bereavement and loss . Other issues I work with include relationships, self-esteem, post-natal depression , transition and changes , divorce, separation . Adolescent and young adult issues include body image, eating disorders, depression.
I work in a very individually tailored way, I believe in the healing potential within each person and my focus is upon building a strong therapy relationship to facilitate support, awareness, insight and personal growth towards changes. I have over 17 years experience working with adolescents, parents and professionals . I work with a number of clients dealing with trauma, anxiety , depression and bereavement and loss . Other issues I work with include relationships, self-esteem, post-natal depression , transition and changes , divorce, separation . Adolescent and young adult issues include body image, eating disorders, depression.
07480 535812 View 07480 535812
Photo of Tanya Jespersen - Just Be Counselling Pembrokeshire, MBACP, Counsellor
Just Be Counselling Pembrokeshire
Counsellor, MBACP
Verified Verified
Haverfordwest SA61
All of us, at times, need somewhere safe to talk and be listened to. I provide therapy to both couples and individuals aged 18+. If you feel anxious, unhappy in your life or if you are going through a major life event, I offer a space for you to gain understanding of why you are feeling the way you are and how to move on or change old habits and patterns. I can help you safely explore your past and how it has influenced your present and help you find ways to start changing your future.
All of us, at times, need somewhere safe to talk and be listened to. I provide therapy to both couples and individuals aged 18+. If you feel anxious, unhappy in your life or if you are going through a major life event, I offer a space for you to gain understanding of why you are feeling the way you are and how to move on or change old habits and patterns. I can help you safely explore your past and how it has influenced your present and help you find ways to start changing your future.
07700 374292 View 07700 374292
Photo of Nikki Catto, MBACP, Counsellor
Nikki Catto
Counsellor, MBACP
Verified Verified
Haverfordwest SA61
With twenty years experience and constant study for personal and professional development , I can offer a safe and effective therapeutic space for you to explore and heal from a wide range of life issues . We discuss your objectives for therapy and use a range of therapeutic tools including simple psychoeducation so you understand the process,which I believe enables personal understanding and clarity . My goal for every client is long term sustainable change in the most effective way possible , and I keep that in mind for every individual with whom I am privileged to work with. I also offer supervision
With twenty years experience and constant study for personal and professional development , I can offer a safe and effective therapeutic space for you to explore and heal from a wide range of life issues . We discuss your objectives for therapy and use a range of therapeutic tools including simple psychoeducation so you understand the process,which I believe enables personal understanding and clarity . My goal for every client is long term sustainable change in the most effective way possible , and I keep that in mind for every individual with whom I am privileged to work with. I also offer supervision
01994 227983 View 01994 227983
Photo of Sex And Relationship Therapist Deonne Wales, COSRT Accred, Counsellor
Sex And Relationship Therapist Deonne Wales
Counsellor, COSRT Accred
Verified Verified
Haverfordwest SA61
I offer you a unique therapeutic space in which we can discuss the difficulties that you may be having in your sex and relationship life. It is completely normal to have difficulty at some point in our lives but most of us may struggle to find someone that we feel comfortable with or trust to help us. We will work together to address any areas where you may feel stuck. I believe in establishing clear goals, helping you define your short, medium and long term aspirations for therapy. I welcome individuals and couples of all sexual orientations, gender identities and sexualities.
I offer you a unique therapeutic space in which we can discuss the difficulties that you may be having in your sex and relationship life. It is completely normal to have difficulty at some point in our lives but most of us may struggle to find someone that we feel comfortable with or trust to help us. We will work together to address any areas where you may feel stuck. I believe in establishing clear goals, helping you define your short, medium and long term aspirations for therapy. I welcome individuals and couples of all sexual orientations, gender identities and sexualities.
01646 404043 View 01646 404043
Photo of Post Natal Depression Counsellor Katie Leatham, MBACP Accred, Counsellor
Post Natal Depression Counsellor Katie Leatham
Counsellor, MBACP Accred
Verified Verified
Haverfordwest SA61
You are probably feeling very upset, alone and confused, maybe even ashamed and wondering if counselling could help? Everyone who comes to therapy has a unique set of issues but the underlying need to share the distress and be understood, is true for everyone. If you are struggling with parenting, postnatal depression, miscarriage or your identity during a life transition, you are not alone. I have lots of experience working with women (and men) who are struggling with life and want to feel better than they currently do. I also help younger people and teens who may have self esteem issues, feel sad, anxious or be self harming.
You are probably feeling very upset, alone and confused, maybe even ashamed and wondering if counselling could help? Everyone who comes to therapy has a unique set of issues but the underlying need to share the distress and be understood, is true for everyone. If you are struggling with parenting, postnatal depression, miscarriage or your identity during a life transition, you are not alone. I have lots of experience working with women (and men) who are struggling with life and want to feel better than they currently do. I also help younger people and teens who may have self esteem issues, feel sad, anxious or be self harming.
01792 949668 View 01792 949668
Meryl James
Psychologist, HCPC - Clin. Psych.
Verified Verified
Haverfordwest SA61
With more than 20 years’ experience working in the NHS, I work with people from a wide range of backgrounds and complexity. I have a great deal of experience in health psychology, including: cancer care, weight management including obesity (i.e. emotional eating; binge eating), low self-esteem, anxiety and depression as well as living with ill health and adjusting to life following injury, including brain injury, palliative care, bereavement and improving health. Together, we would work to develop a shared understanding of your strengths and difficulties, drawing on a range of therapy models, tailored to your specific needs.
With more than 20 years’ experience working in the NHS, I work with people from a wide range of backgrounds and complexity. I have a great deal of experience in health psychology, including: cancer care, weight management including obesity (i.e. emotional eating; binge eating), low self-esteem, anxiety and depression as well as living with ill health and adjusting to life following injury, including brain injury, palliative care, bereavement and improving health. Together, we would work to develop a shared understanding of your strengths and difficulties, drawing on a range of therapy models, tailored to your specific needs.
01646 402038 View 01646 402038

More Therapists Nearby

Photo of Shirley Ann Brocklehurst, MA, Psychotherapist
Shirley Ann Brocklehurst
Psychotherapist, MA
Verified Verified
Whitchurch SA62
Perhaps you have landed on this page because things aren’t going well for you and you want to look at things another way. It could be your body is telling you something is not right. If you are finding that the things that used to work for you no longer do, it seems logical that more of the same is not going to get you somewhere different. Maybe I can help? I work somatically, which means accessing and enhancing the connection between mind and body. It is an aspect that’s often overlooked in talking therapy, however the body holds meaningful insights into our story and helps us to re-frame the way we look at things
Perhaps you have landed on this page because things aren’t going well for you and you want to look at things another way. It could be your body is telling you something is not right. If you are finding that the things that used to work for you no longer do, it seems logical that more of the same is not going to get you somewhere different. Maybe I can help? I work somatically, which means accessing and enhancing the connection between mind and body. It is an aspect that’s often overlooked in talking therapy, however the body holds meaningful insights into our story and helps us to re-frame the way we look at things
01270 433376 View 01270 433376
Photo of Sheena Letford - Bridgewalk Counselling, BACP, Counsellor
Bridgewalk Counselling
Counsellor, BACP
Verified Verified
Sutton SA62
Well done for taking the first step to accessing support, alleviating some of the feelings of distress. This Is the hardest step and a daunting one, but hoping my profile encourages you to start your therapeutic journey. The integrative approach enables me to be responsive to your needs, to tailor the therapy to suit your specific concern. I am experienced in providing therapy to clients - suffering from complex and enduring mental health issues in difficult situations at times. I am well practiced in a wide range of skills, techniques and interventions to facilitate change, growth and to strengthen where there may be distress.
Well done for taking the first step to accessing support, alleviating some of the feelings of distress. This Is the hardest step and a daunting one, but hoping my profile encourages you to start your therapeutic journey. The integrative approach enables me to be responsive to your needs, to tailor the therapy to suit your specific concern. I am experienced in providing therapy to clients - suffering from complex and enduring mental health issues in difficult situations at times. I am well practiced in a wide range of skills, techniques and interventions to facilitate change, growth and to strengthen where there may be distress.
0121 752 2915 View 0121 752 2915
Photo of Karina Godwin - Karina Godwin Psychotherapy, MA, MBACP, Psychotherapist
Karina Godwin Psychotherapy
Psychotherapist, MA, MBACP
Verified Verified
Sutton SA62  (Online Only)
Know thyself is an ancient aphorism that encourages individuals to explore and gain a deeper understanding of themselves. The phrase dates back to ancient Greece, where it was inscribed on the Temple of Apollo at Delphi. At its core, know thyself is a call to introspection, self-awareness, and personal growth. It encourages you to look within, explore your thoughts and emotions, and gain insight into their motivations, values, and beliefs. By knowing yourself, you can better understand your strengths and weaknesses, make more informed choices, and live a more authentic and fulfilling life.
Know thyself is an ancient aphorism that encourages individuals to explore and gain a deeper understanding of themselves. The phrase dates back to ancient Greece, where it was inscribed on the Temple of Apollo at Delphi. At its core, know thyself is a call to introspection, self-awareness, and personal growth. It encourages you to look within, explore your thoughts and emotions, and gain insight into their motivations, values, and beliefs. By knowing yourself, you can better understand your strengths and weaknesses, make more informed choices, and live a more authentic and fulfilling life.
020 4538 8026 View 020 4538 8026
Photo of Philomena Lane - CBT Pembrokeshire, MA, MBABCP, Psychotherapist
CBT Pembrokeshire
Psychotherapist, MA, MBABCP
Verified Verified
Pembroke Dock SA72
My name is Philomena Lane, I am an Accredited Cognitive Behavioural Psychotherapist, EMDR therapist and Consultative supervisor. I have been working in the field of mental health for over 20 years as a registered mental health nurse and a community mental health nurse, both here in the NHS and abroad. Up until recently for many years I worked as a Cognitive Behavioural Psychotherapist and supervisor in the NHS, before leaving to expand my private practice. I have developed a real passion for helping people overcome the difficulties they face in life in practical and lasting ways.
My name is Philomena Lane, I am an Accredited Cognitive Behavioural Psychotherapist, EMDR therapist and Consultative supervisor. I have been working in the field of mental health for over 20 years as a registered mental health nurse and a community mental health nurse, both here in the NHS and abroad. Up until recently for many years I worked as a Cognitive Behavioural Psychotherapist and supervisor in the NHS, before leaving to expand my private practice. I have developed a real passion for helping people overcome the difficulties they face in life in practical and lasting ways.
01437 809170 View 01437 809170
Photo of Hannah Smith, BACP, Counsellor
Hannah Smith
Counsellor, BACP
Verified Verified
Sutton SA62
Everyone deserves to have a space where you can share your story while feeling safe, accepted and heard. A space where you can be you. We all encounter difficulties in life, some may feel more challenging than others to cope with alone. These struggles may cause you to feel sad, anxious or overwhelmed. It could be a crisis that you are encountering now or a past experience that you are struggling with. I offer a space where we can explore these, it’s possible to work through this together. Therapy can help you overcome the challenges you are experiencing in life and get to a place of freedom and renewed hope.
Everyone deserves to have a space where you can share your story while feeling safe, accepted and heard. A space where you can be you. We all encounter difficulties in life, some may feel more challenging than others to cope with alone. These struggles may cause you to feel sad, anxious or overwhelmed. It could be a crisis that you are encountering now or a past experience that you are struggling with. I offer a space where we can explore these, it’s possible to work through this together. Therapy can help you overcome the challenges you are experiencing in life and get to a place of freedom and renewed hope.
01483 963045 View 01483 963045
Photo of Cerian Farmahan, MBACP, Psychotherapist
Cerian Farmahan
Psychotherapist, MBACP
Verified Verified
Narberth SA67
Hi, I’m Cerian and I'm trained in Adlerian Counselling and Psychotherapy and have a Degree in Psychology. I can support people with a range of presenting issues, and can work with clients from anywhere in the UK, online or over the phone. I also offer face-to-face sessions at a centre near Narberth, Pembrokeshire. I am a compassionate therapist who works alongside my clients at their own pace; providing you with support, encouragement and specialised techniques in a confidential safe space, to guide you on your therapeutic journey to better wellbeing and greater understanding of self. Insight plus action equals change!
Hi, I’m Cerian and I'm trained in Adlerian Counselling and Psychotherapy and have a Degree in Psychology. I can support people with a range of presenting issues, and can work with clients from anywhere in the UK, online or over the phone. I also offer face-to-face sessions at a centre near Narberth, Pembrokeshire. I am a compassionate therapist who works alongside my clients at their own pace; providing you with support, encouragement and specialised techniques in a confidential safe space, to guide you on your therapeutic journey to better wellbeing and greater understanding of self. Insight plus action equals change!
01834 820749 View 01834 820749
Photo of Brett Campbell, MBACP, Psychotherapist
Brett Campbell
Psychotherapist, MBACP
Verified Verified
1 Endorsed
Pembroke Dock SA72
Hi, I'm Brett. My aim is to provide you with a confidential, supportive space where you feel safe to talk about whatever is distressing you or holding you back in life. I believe that the relationship between client and therapist is key to the outcome of therapy. My priority is to build a relationship of trust where we can work together for therapeutic change.
Hi, I'm Brett. My aim is to provide you with a confidential, supportive space where you feel safe to talk about whatever is distressing you or holding you back in life. I believe that the relationship between client and therapist is key to the outcome of therapy. My priority is to build a relationship of trust where we can work together for therapeutic change.
01437 809167 View 01437 809167
Photo of Lyndsay Gent - Sage Psychotherapy & Counselling, Counsellor
Sage Psychotherapy & Counselling
Counsellor
Verified Verified
Milford Haven SA73
Hi I’m Lyndsay Gent (née Sage). I am a qualified Adlerian Psychotherapist and Counsellor. I also use a variety of modalities and the various training and CPD courses I have attended to tailor therapy to my clients individual needs. You can find a little more info on my Facebook page or Instagram. I offer therapy from my home in Pembrokeshire, in a secure relaxed environment or online, whichever you feel would work for you. Counselling can be a scary prospect, but taking that first step in making contact is often the hardest. Please contact me for a free 15 minute consultation.
Hi I’m Lyndsay Gent (née Sage). I am a qualified Adlerian Psychotherapist and Counsellor. I also use a variety of modalities and the various training and CPD courses I have attended to tailor therapy to my clients individual needs. You can find a little more info on my Facebook page or Instagram. I offer therapy from my home in Pembrokeshire, in a secure relaxed environment or online, whichever you feel would work for you. Counselling can be a scary prospect, but taking that first step in making contact is often the hardest. Please contact me for a free 15 minute consultation.
07864 011852 View 07864 011852

See more therapy options for Haverfordwest

How does your Counsellor compare?

Number of Counsellors in Haverfordwest

10+

Average cost per session

£50

Counsellors in Haverfordwest who prioritize treating:

75% Anxiety
75% Trauma and PTSD
75% Self Esteem
67% Relationship Issues
67% Depression
67% Women's Issues
67% Stress

Average years in practice

16 Years

Top 3 insurances accepted

67% Any/Out-of-network Insurance
67% Aviva
67% AXA PPP

How Counsellors in Haverfordwest see their clients

100% In Person and Online

Gender breakdown

76% Female
16% Male
8% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Haverfordwest?

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.