Counselling in Caerphilly

Photo of Tena Thomas, Counsellor in Caerphilly, Wales
Tena Thomas
Counsellor, MSc, MBACP
Verified Verified
Caerphilly CF83
Hello there, my name is Tena and I am a counsellor based in South Wales and online. Thank you for clicking on my profile. No matter what your struggles are, the fact that you are on Psychology Today is already an important first step towards help and healing. If you want to know more about therapy and if it might be useful to you, please read on. Also, I welcome additional questions, so please feel free to get in touch. My contact details are listed on the side of this box.
Hello there, my name is Tena and I am a counsellor based in South Wales and online. Thank you for clicking on my profile. No matter what your struggles are, the fact that you are on Psychology Today is already an important first step towards help and healing. If you want to know more about therapy and if it might be useful to you, please read on. Also, I welcome additional questions, so please feel free to get in touch. My contact details are listed on the side of this box.
07594 114369 View 07594 114369
Photo of Donna Jackson, Psychotherapist in Caerphilly, Wales
Donna Jackson
Psychotherapist
Verified Verified
Caerphilly CF83
I work with children, adolescents and adults who experience a range of difficulties including depression, low self-esteem, body image issues, social Anxiety, General Anxiety, Health Anxiety, Obsessive Compulsive Disorder, Trauma, disordered eating and eating Disorders. I work in a non judgemental and compassionate manner and believe that the therapeutic relationship is a vital ingredient in supporting clients to identify and work towards their goals and changes desired.
I work with children, adolescents and adults who experience a range of difficulties including depression, low self-esteem, body image issues, social Anxiety, General Anxiety, Health Anxiety, Obsessive Compulsive Disorder, Trauma, disordered eating and eating Disorders. I work in a non judgemental and compassionate manner and believe that the therapeutic relationship is a vital ingredient in supporting clients to identify and work towards their goals and changes desired.
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Photo of Louise Duggan, Counsellor in Caerphilly, Wales
Louise Duggan
Counsellor, MBACP
Verified Verified
Caerphilly CF83
Are you feeling lonely, isolated, depressed, anxious or have thoughts of suicide? Have you experienced an event such as bereavement, loss of a job or the end of a relationship? Is your self esteem or confidence low? Do you feel trapped in a situation and see no way out? Are you a parent/carer and feel alone or that no one understands? I offer counselling to help you explore your feelings safely and without judgement. I specialise in anxiety and depression, self esteem, loss and change and parenting/caring, I also have professional and personal knowledge and understanding of Autism and PDA.
Are you feeling lonely, isolated, depressed, anxious or have thoughts of suicide? Have you experienced an event such as bereavement, loss of a job or the end of a relationship? Is your self esteem or confidence low? Do you feel trapped in a situation and see no way out? Are you a parent/carer and feel alone or that no one understands? I offer counselling to help you explore your feelings safely and without judgement. I specialise in anxiety and depression, self esteem, loss and change and parenting/caring, I also have professional and personal knowledge and understanding of Autism and PDA.
029 2271 0028 View 029 2271 0028
Photo of Maya Schofield, Counsellor in Caerphilly, Wales
Maya Schofield
Counsellor, BACP
Verified Verified
Caerphilly CF83  (Online Only)
I work with clients from a variety of backgrounds. I am keen to help no matter your age, gender identity, sexuality, race and so on. My aim is to help you use counselling as a place to be heard and to feel comfortable and safe. I work with clients living with various issues such as depression, anxiety, low self-esteem, bereavement, stress and so on. I am also able to help clients with a range of major life events such as bereavement, job loss and relationship breakdown. I provide an authentic and warm environment for you to feel comfortable enough to discuss things with me that you may not feel you can with others.
I work with clients from a variety of backgrounds. I am keen to help no matter your age, gender identity, sexuality, race and so on. My aim is to help you use counselling as a place to be heard and to feel comfortable and safe. I work with clients living with various issues such as depression, anxiety, low self-esteem, bereavement, stress and so on. I am also able to help clients with a range of major life events such as bereavement, job loss and relationship breakdown. I provide an authentic and warm environment for you to feel comfortable enough to discuss things with me that you may not feel you can with others.
029 2271 1039 View 029 2271 1039
Photo of Rhys Lewis in Caerphilly, Wales
Rhys Lewis
MSc
Verified Verified
Caerphilly CF83
Hi I'm Rhys Lewis, founder of The Relationship Clinic Wales and author of the book 300 Ways To Improve Your Relationship. I'm a professionally qualified counsellor based in Blackwood, South Wales, UK. I specialise in relationship counselling. I offer an affordable 25 minute initial consultation which can be paid for and booked online via my website. If you're busy working in the day I offer evening and weekend appointments. If you're struggling in your relationship you should consider getting some help. Relationship counselling will help you to talk through your issues and will allow you to be heard by your partner.
Hi I'm Rhys Lewis, founder of The Relationship Clinic Wales and author of the book 300 Ways To Improve Your Relationship. I'm a professionally qualified counsellor based in Blackwood, South Wales, UK. I specialise in relationship counselling. I offer an affordable 25 minute initial consultation which can be paid for and booked online via my website. If you're busy working in the day I offer evening and weekend appointments. If you're struggling in your relationship you should consider getting some help. Relationship counselling will help you to talk through your issues and will allow you to be heard by your partner.
01443 809649 View 01443 809649
Photo of Tamsin Cuthbert, Psychotherapist in Caerphilly, Wales
Tamsin Cuthbert
Psychotherapist, MA, MBACP
Verified Verified
Caerphilly CF83
Hi, I'm Tamsin, a qualified Integrative Counsellor & Psychotherapist, offering you a safe and comfortable space to explore the issues you are struggling with. My counselling approach is person-centred, so the focus will be on your story, and enabling you to gain new awareness and understanding of your experiences, the coping patterns you’ve developed, and the best way forward towards positive change. By integrating different counselling theories and therapeutic practices, we can use the most appropriate talking and creative interventions to help you get a new and clearer perspective.
Hi, I'm Tamsin, a qualified Integrative Counsellor & Psychotherapist, offering you a safe and comfortable space to explore the issues you are struggling with. My counselling approach is person-centred, so the focus will be on your story, and enabling you to gain new awareness and understanding of your experiences, the coping patterns you’ve developed, and the best way forward towards positive change. By integrating different counselling theories and therapeutic practices, we can use the most appropriate talking and creative interventions to help you get a new and clearer perspective.
01446 501075 View 01446 501075
Photo of Steven Hampson: - Intergrated Counselling Services, Counsellor in Caerphilly, Wales
Steven Hampson: - Intergrated Counselling Services
Counsellor, MBACP
Verified Verified
Caerphilly CF83
As a counsellor of 19 years, my aim has been to provide a safe and supportive environment to help clients find solutions to their personal issues and anxieties. Together we will explore how to resolve any ongoing emotions in a proactive and healthy way that is at the clients pace. As a qualified supervision counsellor I provide the necessary supervision to counsellors and students around the South Wales area, providing a cohesive effort to ensure the welfare and safety of the client. This can be on an individual or group basis.
As a counsellor of 19 years, my aim has been to provide a safe and supportive environment to help clients find solutions to their personal issues and anxieties. Together we will explore how to resolve any ongoing emotions in a proactive and healthy way that is at the clients pace. As a qualified supervision counsellor I provide the necessary supervision to counsellors and students around the South Wales area, providing a cohesive effort to ensure the welfare and safety of the client. This can be on an individual or group basis.
01633 358333 View 01633 358333
Photo of Jeremy Young, Psychotherapist in Caerphilly, Wales
Jeremy Young
Psychotherapist, MA, MUKCP
Verified Verified
Caerphilly CF83
At certain life stages we may experience anxiety, depression, low self-esteem, feelings of a loss or meaningless, loss of direction or purpose, or difficulty with building meaningful relationships. I will work with you to identify what these symptoms mean and how they may be pointing you to discover a deeper sense of self. My approach is integrative and allows for self-discovery. My methodology offers focus, allowing you to explore and connect to a truer sense of who you are. I encourage you to develop a sense of curiosity to understand yourself more profoundly. We will work together, to support your needs.
At certain life stages we may experience anxiety, depression, low self-esteem, feelings of a loss or meaningless, loss of direction or purpose, or difficulty with building meaningful relationships. I will work with you to identify what these symptoms mean and how they may be pointing you to discover a deeper sense of self. My approach is integrative and allows for self-discovery. My methodology offers focus, allowing you to explore and connect to a truer sense of who you are. I encourage you to develop a sense of curiosity to understand yourself more profoundly. We will work together, to support your needs.
01446 501473 View 01446 501473
Photo of Gemma Greenland, Counsellor in Caerphilly, Wales
Gemma Greenland
Counsellor, MSc, MNCPS Acc.
Verified Verified
Caerphilly CF83  (Online Only)
I can only imagine how hard it feels to reach out for help for yourself or your child; to want things to feel better and not know how to make it happen. This is what I can help you with. Maybe you or your child feel anxious all the time and just want to feel safe? Or perhaps you can't seem to get rid of that little voice inside that tells you you'll never be good enough? Maybe your child is struggling with understanding themselves and the world around them and you just want them to feel happy and safe? I understand that situations like these can feel overwhelming and I am passionate about helping people overcome them and feel better
I can only imagine how hard it feels to reach out for help for yourself or your child; to want things to feel better and not know how to make it happen. This is what I can help you with. Maybe you or your child feel anxious all the time and just want to feel safe? Or perhaps you can't seem to get rid of that little voice inside that tells you you'll never be good enough? Maybe your child is struggling with understanding themselves and the world around them and you just want them to feel happy and safe? I understand that situations like these can feel overwhelming and I am passionate about helping people overcome them and feel better
029 2010 3039 View 029 2010 3039
Photo of Healthy Thinking CBT, Psychotherapist in Caerphilly, Wales
Healthy Thinking CBT
Psychotherapist, MSc, MBABCP
Verified Verified
Caerphilly CF83
My name is Sarah Morgan and I am an accredited Cognitive Behavioural Psychotherapist working with children, young people and adults. I have experience of working with a range of mental health difficulties such as anxiety, depression, PTSD, OCD, self-esteem and stress. Through life we can often be faced with challenges and experiences that can affect our wellbeing and ability to function in the way we would like. It could affect our emotions such as causing us to feel low, anxious or stressed. It could also affect the thoughts we have and the way we behave.
My name is Sarah Morgan and I am an accredited Cognitive Behavioural Psychotherapist working with children, young people and adults. I have experience of working with a range of mental health difficulties such as anxiety, depression, PTSD, OCD, self-esteem and stress. Through life we can often be faced with challenges and experiences that can affect our wellbeing and ability to function in the way we would like. It could affect our emotions such as causing us to feel low, anxious or stressed. It could also affect the thoughts we have and the way we behave.
01443 706481 View 01443 706481
Photo of Kathy Jane Griffiths, Counsellor in Caerphilly, Wales
Kathy Jane Griffiths
Counsellor, MBACP
Verified Verified
Caerphilly CF83
I began training to become a counsellor after I had personal experience of therapy and how it can help. Whether you are going through a traumatic time or life changing event or finding everyday life overwhelming, counselling can help. I believe that we all have the right to thrive and that spending time understanding your feelings can give you the power to change and make tomorrow better. I can offer you a calm and safe space away from the noise of life where you are free to be who you really are, explore the struggles you are going through and find a new way forward.
I began training to become a counsellor after I had personal experience of therapy and how it can help. Whether you are going through a traumatic time or life changing event or finding everyday life overwhelming, counselling can help. I believe that we all have the right to thrive and that spending time understanding your feelings can give you the power to change and make tomorrow better. I can offer you a calm and safe space away from the noise of life where you are free to be who you really are, explore the struggles you are going through and find a new way forward.
01443 706483 View 01443 706483
Photo of Liz Brotherton, Counsellor in Caerphilly, Wales
Liz Brotherton
Counsellor, MBACP
Verified Verified
Caerphilly CF83
Life can feel very heavy at times, unexpected events can flaw us and day to day pressures can get to us too. I can offer individuals and couples a safe space to explore whatever it is that's troubling you. My way of working includes looking at what your anxieties, behaviours and values mean to you and the role they play in your life. Together we can identify the root causes of your struggles, along with where your personal responsibility and power lies.
Life can feel very heavy at times, unexpected events can flaw us and day to day pressures can get to us too. I can offer individuals and couples a safe space to explore whatever it is that's troubling you. My way of working includes looking at what your anxieties, behaviours and values mean to you and the role they play in your life. Together we can identify the root causes of your struggles, along with where your personal responsibility and power lies.
029 2271 0168 View 029 2271 0168
Photo of Hayley Lorraine Edwards, Counsellor in Caerphilly, Wales
Hayley Lorraine Edwards
Counsellor, MBACP
Verified Verified
Caerphilly CF83
As a qualified therapist, I hold a BSc (Hons) degree in Systemic Counselling from The Family Institute (University of South Wales). I am a systemically trained counsellor,’ Systemic' therapy really means 'relational' as it emphasises the fact that people live in a world with others, not just inside their heads or bodies. I work with relationships, looking at patterns, communication, and desired changes. My main approach is person-centred therapy, although I will often use other therapeutic approaches and techniques that I believe will work well with my client.
As a qualified therapist, I hold a BSc (Hons) degree in Systemic Counselling from The Family Institute (University of South Wales). I am a systemically trained counsellor,’ Systemic' therapy really means 'relational' as it emphasises the fact that people live in a world with others, not just inside their heads or bodies. I work with relationships, looking at patterns, communication, and desired changes. My main approach is person-centred therapy, although I will often use other therapeutic approaches and techniques that I believe will work well with my client.
029 2271 0243 View 029 2271 0243
Photo of Fortitude Mums, Psychologist in Caerphilly, Wales
Fortitude Mums
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Caerphilly CF83
Getting pregnant…giving birth…adjusting to being a parent…managing health and mood challenges…knowing what to do with your baby. It is full of expectations and adjustments which can leave us with overwhelming emotions. I know what this is like and have met so many Mums who feel the same. Hello, I am Dr Sarah-Louise Hurst and I am passionate about providing you with therapy to help you create the change you are looking for. I can provide a tailor made therapy plan and equip you with psychological tools to make your day-to-day and experience of motherhood increasingly meaningful.
Getting pregnant…giving birth…adjusting to being a parent…managing health and mood challenges…knowing what to do with your baby. It is full of expectations and adjustments which can leave us with overwhelming emotions. I know what this is like and have met so many Mums who feel the same. Hello, I am Dr Sarah-Louise Hurst and I am passionate about providing you with therapy to help you create the change you are looking for. I can provide a tailor made therapy plan and equip you with psychological tools to make your day-to-day and experience of motherhood increasingly meaningful.
029 2271 7171 View 029 2271 7171
Photo of Karen Mary Woodley, Counsellor in Caerphilly, Wales
Karen Mary Woodley
Counsellor, MA, MNCPS Acc.
Verified Verified
Caerphilly CF83
I love what the Humanistic Integrative Psychotherapy College (HIPC) says: "Humanistic Integrative Psychotherapy relies upon the importance of the relationship between the therapist and client to enable mind, body, feeling, and soul to come together as a whole." I know how vital the one-to-one relationship is in helping you re-discover or discover who you are for the first time and find your place in the world. My approach is relational, where we work together on the issues you want to look at co-creatively.
I love what the Humanistic Integrative Psychotherapy College (HIPC) says: "Humanistic Integrative Psychotherapy relies upon the importance of the relationship between the therapist and client to enable mind, body, feeling, and soul to come together as a whole." I know how vital the one-to-one relationship is in helping you re-discover or discover who you are for the first time and find your place in the world. My approach is relational, where we work together on the issues you want to look at co-creatively.
01952 780152 View 01952 780152
John Evans
Counsellor, BACP
Verified Verified
1 Endorsed
Caerphilly CF83
Having worked in the care profession all my life, my goal was always to help people to improve their lives. I completed my training as a counsellor some years ago and now work primarily in a volunteer capacity though I keep some time to work privately. My focus about helping people hasn't changed. I will want to listen carefully to you and what you want though some people take time to understand their needs and often have little idea how to go about it.
Having worked in the care profession all my life, my goal was always to help people to improve their lives. I completed my training as a counsellor some years ago and now work primarily in a volunteer capacity though I keep some time to work privately. My focus about helping people hasn't changed. I will want to listen carefully to you and what you want though some people take time to understand their needs and often have little idea how to go about it.
029 2167 1832 View 029 2167 1832
Photo of Dr Elinor MacCormac, Psychologist in Caerphilly, Wales
Dr Elinor MacCormac
Psychologist, HCPC - Clin. Psych.
Verified Verified
2 Endorsed
Caerphilly CF83
I am particularly passionate about working with people who experience low self-esteem or feelings of shame and inadequacy, and to manage the impact of trauma/PTSD. I understand how devastating these feelings and experiences can be and I use a compassionate and trauma-informed perspective to understand and support my clients. I am experienced and passionate about gender and any related challenges and can offer a safe space to consider, discuss and explore gender and trans issues.
I am particularly passionate about working with people who experience low self-esteem or feelings of shame and inadequacy, and to manage the impact of trauma/PTSD. I understand how devastating these feelings and experiences can be and I use a compassionate and trauma-informed perspective to understand and support my clients. I am experienced and passionate about gender and any related challenges and can offer a safe space to consider, discuss and explore gender and trans issues.
01446 509847 View 01446 509847
Photo of Stephen Martin, Counsellor in Caerphilly, Wales
Stephen Martin
Counsellor, MBACP
Verified Verified
1 Endorsed
Caerphilly CF83
All clients are different. I look to adapt to everyone I meet and am an open person who someone can talk through their issues with. Looking at who you are, how your world is structured and the ifs, wants and needs are all very important in looking to move forward in your life. There is no perfect life, but there is a better life you can understand and work with in going forward.
All clients are different. I look to adapt to everyone I meet and am an open person who someone can talk through their issues with. Looking at who you are, how your world is structured and the ifs, wants and needs are all very important in looking to move forward in your life. There is no perfect life, but there is a better life you can understand and work with in going forward.
01443 803615 View 01443 803615
Photo of Dr Alex Morey, Psychologist in Caerphilly, Wales
Dr Alex Morey
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Caerphilly CF83  (Online Only)
My approach to therapy focuses on creating a safe and non-judgmental therapeutic space in which clients feel heard, understood, and empowered to make changes in their life. I believe in collaborating with clients to help them achieve their objectives and goals, tailoring support to meet their individual needs and personal priorities. As a Clinical Psychologist, I deliver evidence-based interventions to help individuals improve their mental health and well-being. I have experience working with a range of difficulties, including anxiety, low mood, OCD, and trauma.
My approach to therapy focuses on creating a safe and non-judgmental therapeutic space in which clients feel heard, understood, and empowered to make changes in their life. I believe in collaborating with clients to help them achieve their objectives and goals, tailoring support to meet their individual needs and personal priorities. As a Clinical Psychologist, I deliver evidence-based interventions to help individuals improve their mental health and well-being. I have experience working with a range of difficulties, including anxiety, low mood, OCD, and trauma.
01633 603429 View 01633 603429
Photo of Arfa Begum, Counsellor in Caerphilly, Wales
Arfa Begum
Counsellor, DCounsPsych, MBACP
Verified Verified
Caerphilly CF83
Hello, I hope you are all well and I can understand the uncertainty, struggle, stress, and worries this COVID-19 pandemic has brought about. We are all in a similar boat and highly likely experiencing similar emotions. I would like to do my bit and my best to help you get through this difficult time. Hence, I am offering low-cost counseling for those experiencing financial difficulties or receiving universal credit. I can help with achieving mental well-being through mindfulness techniques and strategies that can help instantly switch off from those worrying vicious cycles of thoughts.
Hello, I hope you are all well and I can understand the uncertainty, struggle, stress, and worries this COVID-19 pandemic has brought about. We are all in a similar boat and highly likely experiencing similar emotions. I would like to do my bit and my best to help you get through this difficult time. Hence, I am offering low-cost counseling for those experiencing financial difficulties or receiving universal credit. I can help with achieving mental well-being through mindfulness techniques and strategies that can help instantly switch off from those worrying vicious cycles of thoughts.
029 2267 1991 View 029 2267 1991

See more therapy options for Caerphilly

How does your Counsellor compare?

Number of Counsellors in Caerphilly

20+

Average cost per session

£50

Counsellors in Caerphilly who prioritize treating:

95% Depression
95% Anxiety
95% Self Esteem
95% Stress
82% Relationship Issues
73% Trauma and PTSD
73% Coping Skills

Average years in practice

7 Years

Top 3 insurances accepted

67% Aviva
67% Bupa
67% Vitality

How Counsellors in Caerphilly see their clients

87% In Person and Online
13% Online Only

Gender breakdown

69% Female
31% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Caerphilly?

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.