Counselling in Leura, NSW

Photo of Christie Little, Psychotherapist, PACFA
Christie Little
Psychotherapist, PACFA
2 Endorsed
Leura, NSW 2780
I am a trauma informed psychotherapist and counsellor. I specialise in trauma, complex PTSD, grief, suicide bereavement, relationships, anxiety, depression, self-worth, stress management and purposeful living. My intention is to support you to navigate life’s past and present challenges while deepening your capacity to achieve an enduring sense of peace, safety, agency and wellbeing. I offer clinical sessions at Leura Wellness, nature based sessions in the Blue Mountains area and online to anywhere.
I am a trauma informed psychotherapist and counsellor. I specialise in trauma, complex PTSD, grief, suicide bereavement, relationships, anxiety, depression, self-worth, stress management and purposeful living. My intention is to support you to navigate life’s past and present challenges while deepening your capacity to achieve an enduring sense of peace, safety, agency and wellbeing. I offer clinical sessions at Leura Wellness, nature based sessions in the Blue Mountains area and online to anywhere.
(08) 7831 2913 View (08) 7831 2913
Photo of Tao de Haas, Psychotherapist, MA, PACFA
Tao de Haas
Psychotherapist, MA, PACFA
Leura, NSW 2780
As a Social Ecologist & relational therapist, Tao has a great ability to get to the core of issues & challenges quickly. With over 35 years experience, he helps his clients gain insight, greater self-awareness, & an understanding that, as individuals we're influenced by many factors beyond our control. This leads to self-acceptance & self-compassion.
As a Social Ecologist & relational therapist, Tao has a great ability to get to the core of issues & challenges quickly. With over 35 years experience, he helps his clients gain insight, greater self-awareness, & an understanding that, as individuals we're influenced by many factors beyond our control. This leads to self-acceptance & self-compassion.
(03) 6159 2102 View (03) 6159 2102
Photo of Kristy Herring - Kristy - Innisfree Psychology, Psychologist, MPsych, PsyBA - Clin. Psych
Kristy - Innisfree Psychology
Psychologist, MPsych, PsyBA - Clin. Psych
Leura, NSW 2780
Appointments available for Individuals & Couples. If you would like to live a more fulfilling life, learn better ways to cope and feel more hope for the future, I encourage you to make contact. My style of therapy includes trauma-informed approaches that review underlying beliefs, address unwanted behaviours and thought patterns, and support improvements in your relationships. The aim of treatment is to guide you to process your emotions, talk about your feelings, and to develop practical skills that assist you to make meaningful change in your life.
Appointments available for Individuals & Couples. If you would like to live a more fulfilling life, learn better ways to cope and feel more hope for the future, I encourage you to make contact. My style of therapy includes trauma-informed approaches that review underlying beliefs, address unwanted behaviours and thought patterns, and support improvements in your relationships. The aim of treatment is to guide you to process your emotions, talk about your feelings, and to develop practical skills that assist you to make meaningful change in your life.
(02) 4503 8937 View (02) 4503 8937
Photo of Teresa Wilkinson - Willow Tree Counselling, Psychologist, MA, Assoc MAPS
Willow Tree Counselling
Psychologist, MA, Assoc MAPS
Leura, NSW 2780
Willow Tree Counselling service is a specialised counselling service for people who have experienced Trauma and Attachment issues and other difficult life experiences. My approach is informed by research about the remarkable ability of people to survive and thrive after experiencing trauma. I am informed by practiced based evidence (Scott Miller) which means the therapy is tailored around what works for you. This means that I will check in with you throughout your therapy to see how helpful it is for you and adjust our focus so that you get an individualised therapy and, most importantly, one that you find helpful.
Willow Tree Counselling service is a specialised counselling service for people who have experienced Trauma and Attachment issues and other difficult life experiences. My approach is informed by research about the remarkable ability of people to survive and thrive after experiencing trauma. I am informed by practiced based evidence (Scott Miller) which means the therapy is tailored around what works for you. This means that I will check in with you throughout your therapy to see how helpful it is for you and adjust our focus so that you get an individualised therapy and, most importantly, one that you find helpful.
(02) 9053 4696 View (02) 9053 4696
Photo of Helen Stringer - Interwoven Sandplay Counselling, Counsellor, ACA-L2
Interwoven Sandplay Counselling
Counsellor, ACA-L2
Leura, NSW 2780
As a wholistic counsellor my goal is to engage you in a meaningful self-exploration process to support healing and personal growth. I specialise in a symbol-work method that's effective in reaching deeper, underlying issues. These issues can present as stress, relationship problems, work issues, conflict, insecurity, low self-worth, anxiety, depression, anger, sadness, frustration, confusion, hoarding, addiction. Potential outcomes are heightened self-awareness, unveiling of hidden/unconscious truths, emotional blockages released, increased self-esteem, heightened clarity, reduced confusion, improvement in general wellbeing.
As a wholistic counsellor my goal is to engage you in a meaningful self-exploration process to support healing and personal growth. I specialise in a symbol-work method that's effective in reaching deeper, underlying issues. These issues can present as stress, relationship problems, work issues, conflict, insecurity, low self-worth, anxiety, depression, anger, sadness, frustration, confusion, hoarding, addiction. Potential outcomes are heightened self-awareness, unveiling of hidden/unconscious truths, emotional blockages released, increased self-esteem, heightened clarity, reduced confusion, improvement in general wellbeing.
(02) 4703 5045 View (02) 4703 5045
Photo of Pete O'Malley, Psychologist, MPsych, PsyBA - Clin. Psych
Pete O'Malley
Psychologist, MPsych, PsyBA - Clin. Psych
Leura, NSW 2780
I’m a warm and compassionate clinical psychologist who puts building strong and supportive relationships at the heart of my practice. I provide individudal therapy for adults (20+) across a range of issues. Together we'll focus on your growing strengths as much as the challenges you're facing. I have a background in working with complex challenges including PTSD, complex PTSD, personality, mood and anxiety disorders. I also work part-time at the specialist trauma and addictions clinic, the Birchtree Centre, in Sydney.
I’m a warm and compassionate clinical psychologist who puts building strong and supportive relationships at the heart of my practice. I provide individudal therapy for adults (20+) across a range of issues. Together we'll focus on your growing strengths as much as the challenges you're facing. I have a background in working with complex challenges including PTSD, complex PTSD, personality, mood and anxiety disorders. I also work part-time at the specialist trauma and addictions clinic, the Birchtree Centre, in Sydney.
(07) 4357 3662 View (07) 4357 3662
Photo of Karlo Seci, Psychologist, PsyBA General
Karlo Seci
Psychologist, PsyBA General
Serves Area
Waitlist for new clients
I'm highly inspired to work with clients that are willing to find ways to overcome their challenges. Whether it's anxiety, depression, trauma, relationship issues, life transitions, grief or other 'stuck' places, I believe there is a way to come to a healthier mental-emotional equilibrium. Thoughts, emotions and behaviors can all serve as a key to enter deeper into oneself. I am here to help find the way inside where one can see how to change.
I'm highly inspired to work with clients that are willing to find ways to overcome their challenges. Whether it's anxiety, depression, trauma, relationship issues, life transitions, grief or other 'stuck' places, I believe there is a way to come to a healthier mental-emotional equilibrium. Thoughts, emotions and behaviors can all serve as a key to enter deeper into oneself. I am here to help find the way inside where one can see how to change.
(02) 4708 9554 View (02) 4708 9554
Photo of Michelle Montgomery, Psychologist, PsyBA General
Michelle Montgomery
Psychologist, PsyBA General
Serves Area
You might be bright, capable and outwardly coping, but privately exhausted from keeping everything together. Maybe you’re neurodivergent, or a parent of a young person who is struggling with school, anxiety or burnout. You might also be a teacher or other helping professional carrying a lot for other people. You want life to feel more sustainable and more like your own, without having to become a different person.
You might be bright, capable and outwardly coping, but privately exhausted from keeping everything together. Maybe you’re neurodivergent, or a parent of a young person who is struggling with school, anxiety or burnout. You might also be a teacher or other helping professional carrying a lot for other people. You want life to feel more sustainable and more like your own, without having to become a different person.
(03) 4152 1105 View (03) 4152 1105
Photo of Aneta Zydzik-Plucinska, Psychotherapist
Aneta Zydzik-Plucinska
Psychotherapist
Serves Area
Strategic psychotherapy is a brief therapy which is solution-focused and outcome-based. It focuses on HOW you do what you do and not WHY. I won’t be delving into your past and seek “reasons” (ie tough childhood), I uncover and address the very pillars you have unconsciously developed that create and sustain the problem. The integration of hypnotherapy accelerates the therapeutic outcomes. Clients experience relief more rapidly, as the hypnotic state enhances receptivity to change, streamlining the path to recovery.
Strategic psychotherapy is a brief therapy which is solution-focused and outcome-based. It focuses on HOW you do what you do and not WHY. I won’t be delving into your past and seek “reasons” (ie tough childhood), I uncover and address the very pillars you have unconsciously developed that create and sustain the problem. The integration of hypnotherapy accelerates the therapeutic outcomes. Clients experience relief more rapidly, as the hypnotic state enhances receptivity to change, streamlining the path to recovery.
(02) 4501 7422 View (02) 4501 7422
Photo of Curtis John McDonald - Holistic Psychology & Psychotherapy, Psychologist, MPsych, PsyBA Prov
Holistic Psychology & Psychotherapy
Psychologist, MPsych, PsyBA Prov
Serves Area
Hi there, I’m Curtis, a psychologist and psychotherapist practicing in-person and remotely from the Blue Mountains. My approach is holistic, humanistic and integrative. That means I work with you as a whole person – mind, body, relationships and spirit – guided by initial conversations and assessments to help determine the areas of focus that are suitable for you. My work draws from a number of modalities, including Internal Family Systems, Acceptance and Commitment Therapy, existential and Jungian perspectives, Cognitive Behavioural Therapy, and many other evidence-based practices.
Hi there, I’m Curtis, a psychologist and psychotherapist practicing in-person and remotely from the Blue Mountains. My approach is holistic, humanistic and integrative. That means I work with you as a whole person – mind, body, relationships and spirit – guided by initial conversations and assessments to help determine the areas of focus that are suitable for you. My work draws from a number of modalities, including Internal Family Systems, Acceptance and Commitment Therapy, existential and Jungian perspectives, Cognitive Behavioural Therapy, and many other evidence-based practices.
(02) 6105 9175 View (02) 6105 9175
Photo of Sarah Gee, Counsellor, MC, ACA-L2
Sarah Gee
Counsellor, MC, ACA-L2
Serves Area
Based in the Blue Mountains (mid-mountains) I offer counselling for teens, young adults and adults, in-person and online. If you need help to navigate anxiety, depression, or life difficulties, I would be honoured to walk beside you. I work with clients offering a strengths-based approach, enhancing skills for emotion regulation and increasing capacity. I am a gentle and intuitive counsellor, who creates a supportive and accepting space for clients to explore thoughts and emotions. My counselling studio in Linden, is an inviting, quiet, nature-based space where clients feel relaxed & heard. Expressive Arts Therapies also available.
Based in the Blue Mountains (mid-mountains) I offer counselling for teens, young adults and adults, in-person and online. If you need help to navigate anxiety, depression, or life difficulties, I would be honoured to walk beside you. I work with clients offering a strengths-based approach, enhancing skills for emotion regulation and increasing capacity. I am a gentle and intuitive counsellor, who creates a supportive and accepting space for clients to explore thoughts and emotions. My counselling studio in Linden, is an inviting, quiet, nature-based space where clients feel relaxed & heard. Expressive Arts Therapies also available.
(02) 4501 7114 View (02) 4501 7114
Photo of Michelle Grosvenor - Associated Psychology Practice, Psychologist, PsyBA General
Associated Psychology Practice
Psychologist, PsyBA General
Serves Area
Feeling overwhelmed, stuck, or disconnected? Whether you’re facing challenges with mood, anxiety, relationships, or motivation, you don’t have to face it alone. We’re here to help. Our team of Psychologists and Mental Health Accredited Social Workers offers compassionate, evidence-based therapy for individuals, couples, and families. We work collaboratively to support meaningful change and emotional well-being. We also provide comprehensive assessments for children and teens, including ADHD, autism (ASD), and cognitive evaluations, to help guide understanding, support, and next steps.
Feeling overwhelmed, stuck, or disconnected? Whether you’re facing challenges with mood, anxiety, relationships, or motivation, you don’t have to face it alone. We’re here to help. Our team of Psychologists and Mental Health Accredited Social Workers offers compassionate, evidence-based therapy for individuals, couples, and families. We work collaboratively to support meaningful change and emotional well-being. We also provide comprehensive assessments for children and teens, including ADHD, autism (ASD), and cognitive evaluations, to help guide understanding, support, and next steps.
(02) 4058 4502 View (02) 4058 4502
Clare Russell-Williams
Psychologist, MPsych, MAPS
Serves Area
Clare is a warm and compassionate Clinical Psychologist with a depth of experience treating a range of difficulties including anxiety, depression, Post-Traumatic Stress Disorder (PTSD), complex trauma, perinatal mental health, grief and loss, transition and adjustment issues, and self-esteem difficulties. Clare has worked in both inpatient and outpatient settings and has extensive experience working with veterans and emergency service personnel who have experienced trauma. She also has specialist skills in working with women who are experiencing difficulties during the perinatal period and currently works with the Gidget Foundation.
Clare is a warm and compassionate Clinical Psychologist with a depth of experience treating a range of difficulties including anxiety, depression, Post-Traumatic Stress Disorder (PTSD), complex trauma, perinatal mental health, grief and loss, transition and adjustment issues, and self-esteem difficulties. Clare has worked in both inpatient and outpatient settings and has extensive experience working with veterans and emergency service personnel who have experienced trauma. She also has specialist skills in working with women who are experiencing difficulties during the perinatal period and currently works with the Gidget Foundation.
(02) 4708 9525 View (02) 4708 9525
Photo of Florence Thum, Psychotherapist, PACFA
Florence Thum
Psychotherapist, PACFA
Serves Area
Hi there! I work with teenagers and adults from diverse gender, cultural and socioeconomic background in areas of personal growth and development, communication and conflict, stress and anxiety, interpersonal relationships, mid-life questioning, existential or spiritual issues, grief and loss. I have worked in different professional settings from law to education and psychotherapy, and attuned to socio-cultural impacts on our mental health. Our session is a safe space for awareness and healing and to lean towards positive action.
Hi there! I work with teenagers and adults from diverse gender, cultural and socioeconomic background in areas of personal growth and development, communication and conflict, stress and anxiety, interpersonal relationships, mid-life questioning, existential or spiritual issues, grief and loss. I have worked in different professional settings from law to education and psychotherapy, and attuned to socio-cultural impacts on our mental health. Our session is a safe space for awareness and healing and to lean towards positive action.
(02) 4503 8982 View (02) 4503 8982
Photo of Megan Drummond - Megan Drummond Psychotherapy, Psychotherapist
Megan Drummond Psychotherapy
Psychotherapist
1 Endorsed
Online Only
You deserve therapy that sees the whole of you, not just your symptoms. I offer personalised, evidence-based support tailored to what matters most in your life. Whether you're navigating anxiety, relationship stress, the lingering impact of trauma, or the confusion and pain of narcissistic dynamics, I provide a grounded, compassionate space where healing is possible and change feels achievable.
You deserve therapy that sees the whole of you, not just your symptoms. I offer personalised, evidence-based support tailored to what matters most in your life. Whether you're navigating anxiety, relationship stress, the lingering impact of trauma, or the confusion and pain of narcissistic dynamics, I provide a grounded, compassionate space where healing is possible and change feels achievable.
(02) 9100 0639 View (02) 9100 0639
Photo of Patricia Preston, Psychologist, PsyBA General
Patricia Preston
Psychologist, PsyBA General
Serves Area
As a Psychologist and Somatic Psychotherapist with specialized training in Sensorimotor Psychotherapy, Internal Family Systems, EMDR, Deep Brain Reorienting and Jungian Sandplay, my focus is on working with clients who are active participants in their healing. By integrating various therapeutic modalities, I aim to partner people in navigating and healing from a wide range of issues including trauma and dissociative responses. My approach is holistic and emphasises the interconnectedness of mind and body in the journey toward self-discovery and authenticity.
As a Psychologist and Somatic Psychotherapist with specialized training in Sensorimotor Psychotherapy, Internal Family Systems, EMDR, Deep Brain Reorienting and Jungian Sandplay, my focus is on working with clients who are active participants in their healing. By integrating various therapeutic modalities, I aim to partner people in navigating and healing from a wide range of issues including trauma and dissociative responses. My approach is holistic and emphasises the interconnectedness of mind and body in the journey toward self-discovery and authenticity.
(02) 4058 4778 View (02) 4058 4778

More Therapists Nearby

Photo of Nuh Mikail Imanov, Counsellor, ACA-L1
Nuh Mikail Imanov
Counsellor, ACA-L1
Serves Area
Life’s not always the best to us, but we can always make something good out of life - and sometimes all we need to achieve that is a little extra assistance. It is my commitment to help you discover and fulfil your true potential.
Life’s not always the best to us, but we can always make something good out of life - and sometimes all we need to achieve that is a little extra assistance. It is my commitment to help you discover and fulfil your true potential.
(02) 7804 4671 View (02) 7804 4671
Photo of Rebecca Rymer - Tranquil Minds Counselling Services, Counsellor, ACA-L1
Tranquil Minds Counselling Services
Counsellor, ACA-L1
Serves Area
Tranquil Minds is a compassionate space dedicated to nurturing the well-being of children through child centred play-based therapy. Children sometimes struggle to talk about their feelings and understand their emotions. We aim to provide a supportive environment where children can explore, express, and navigate the challenges of growing up. NDIS plan and self managed clients welcome. No waitlist. Book one session or ongoing sessions. Life can be hard, and sometimes you need someone to listen to you. We also provide therapy for adult clients who suffer from Hoarding Disorder, anxiety, OCD and addiction.
Tranquil Minds is a compassionate space dedicated to nurturing the well-being of children through child centred play-based therapy. Children sometimes struggle to talk about their feelings and understand their emotions. We aim to provide a supportive environment where children can explore, express, and navigate the challenges of growing up. NDIS plan and self managed clients welcome. No waitlist. Book one session or ongoing sessions. Life can be hard, and sometimes you need someone to listen to you. We also provide therapy for adult clients who suffer from Hoarding Disorder, anxiety, OCD and addiction.
(02) 5301 6084 View (02) 5301 6084
Photo of Dylan Fuller, Psychologist, MPsych, PsyBA General
Dylan Fuller
Psychologist, MPsych, PsyBA General
Serves Area
Feel paralysed by anxiety, depression, OCD loops or a mind that won’t switch off? I’m a Sydney-based psychologist with 10+ years of experience who helps adults and older teens (16+) face fears, quiet self-criticism and rebuild a life that feels genuinely meaningful.
Feel paralysed by anxiety, depression, OCD loops or a mind that won’t switch off? I’m a Sydney-based psychologist with 10+ years of experience who helps adults and older teens (16+) face fears, quiet self-criticism and rebuild a life that feels genuinely meaningful.
(02) 7804 4380 View (02) 7804 4380
Photo of Mandy Halabi, Psychologist, PsyBA General
Mandy Halabi
Psychologist, PsyBA General
2 Endorsed
Serves Area
Only you can decide who you want to be, and I am passionate in helping you get there. With over half a decade of experience and a toolbox of modalities I tailor treatment for your unique issues, and I tune treatment for your unique mind. As a trauma-focused psychologist, I utilize evidence-based EMDR; Schema; mindfulness and CBT, collaborating with clients to alter negative self-beliefs, improve relationships and reduce trauma triggers. I give you all the space you need to learn, share, to cry and to laugh and take that journey to being you.
Only you can decide who you want to be, and I am passionate in helping you get there. With over half a decade of experience and a toolbox of modalities I tailor treatment for your unique issues, and I tune treatment for your unique mind. As a trauma-focused psychologist, I utilize evidence-based EMDR; Schema; mindfulness and CBT, collaborating with clients to alter negative self-beliefs, improve relationships and reduce trauma triggers. I give you all the space you need to learn, share, to cry and to laugh and take that journey to being you.
(02) 8105 5796 View (02) 8105 5796

How does your Therapist compare?

Number of Therapists in Leura, NSW

10+

Average cost per session

$190

Therapists in Leura, NSW who prioritize treating:

94% Self Esteem
88% Depression
88% Anxiety
88% Stress
69% Life Transitions
63% Relationship Issues
63% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

83% Medicare Rebates
33% Bupa
33% Australian Unity

How Therapists in Leura, NSW see their clients

94% In Person and Online
6% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Leura?

Search for nearby psychologists or counsellors by inputting your city, suburb, 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 Australian Counselling Association and the Psychotherapy and Counselling Federation of Australia. Psychologists must be registered in the Australian Health Practitioner Regulation Agency (AHPRA). Most Social Workers listed in the directory are members of the Australian Association of Social Workers (AASW).

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 social workers, psychotherapists and counsellors in Australia, 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 Australia.

Psychologists have earned a 4 year undergraduate degree in psychology and have completed a postgraduate internship or postgraduate degree. Psychotherapists generally have an undergraduate degree in a health related field in addition to 3-4 years of specialist training in psychotherapy and a period of personal psychotherapy. In order to belong to a professional organisation such as the ACA or PACFA, counsellors and psychotherapists are required to have completed a certain level of AQF qualifications and/ or an approved training course as well as clinical and supervision hours. Social Workers registered with the AASW are required to have a Bachelor’s or Master’s degree in Social Work from an accredited institution.

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, the cost of a therapy session in Australia could be between $100 and $250. 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 Better Access Scheme is a government program offering Medicare rebates for mental health care. To access the program you will need to be assessed and diagnosed by your GP and get a Mental Health Plan. This will allow you to receive up to 10 individual sessions and 10 group sessions a year with practitioners who accept bulk billing, with no out of pocket costs for you.

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 ACA, PACFA, or the APS 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 is the potential or known harm to the client or others or when a minor is in danger, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.