Counselling in Spilsby

Photo of Caroline M Cakebread, Psychotherapist in Spilsby, England
Caroline M Cakebread
Psychotherapist, MSc
Verified Verified
Spilsby PE23
Not accepting new clients
Making the decision to come to therapy/counselling can be a difficult and sometimes anxiety provoking one, and finding someone who you feel comfortable with can be a really positive and reassuring start. I offer an initial no commitment session where we can get to know each other a little, and where we can begin to look at what you would like to get out of the work we may do together. Part of the first session will include an outline of how I work, what to expect, discussing a working agreement where we will talk about confidentiality etc, but it is mainly an opportunity to talk and be heard in a non-judgmental space.
Making the decision to come to therapy/counselling can be a difficult and sometimes anxiety provoking one, and finding someone who you feel comfortable with can be a really positive and reassuring start. I offer an initial no commitment session where we can get to know each other a little, and where we can begin to look at what you would like to get out of the work we may do together. Part of the first session will include an outline of how I work, what to expect, discussing a working agreement where we will talk about confidentiality etc, but it is mainly an opportunity to talk and be heard in a non-judgmental space.
01975 522010 View 01975 522010
Photo of Vicki Steadman, Counsellor in Spilsby, England
Vicki Steadman
Counsellor, MBACP
Verified Verified
Spilsby PE23
There is no right or wrong reason for seeking counselling. It can help individuals learn, grow and understand. It can help people to make sense of circumstances or emotions that they are experiencing. It can offer an opportunity to explore and speak about things which simply aren’t talked about with anyone else. It can be helpful, informative, challenging and emotional. It can be whatever you need it to be. Our work together is driven by you; your experience, your preferences, your needs and your goals. I will seek to understand you and your experiences and what you hope to be different once our work together ends.
There is no right or wrong reason for seeking counselling. It can help individuals learn, grow and understand. It can help people to make sense of circumstances or emotions that they are experiencing. It can offer an opportunity to explore and speak about things which simply aren’t talked about with anyone else. It can be helpful, informative, challenging and emotional. It can be whatever you need it to be. Our work together is driven by you; your experience, your preferences, your needs and your goals. I will seek to understand you and your experiences and what you hope to be different once our work together ends.
01507 304797 View 01507 304797

More Therapists Nearby

Photo of Maria B. Hume, Counsellor in Spilsby, England
Maria B. Hume
Counsellor, MBACP Accred
Verified Verified
Boston PE22  (Online Only)
Experienced psychological therapist, using evidence-based interventions to explore ways of helping people creatively, practically and thoughtfully. This is a collaborative process and we adapt how we work that is most helpful for you. I adhere to the boundaries of the BACP Ethical Framework and strict data protection/confidentiality policies. <> In addition to psychological therapies, I offer an exploratory interviewing process with a detailed report, to enable people to gain a better understanding of what is happening for them. This report can be passed on to a GP for onward referral, if appropriate.
Experienced psychological therapist, using evidence-based interventions to explore ways of helping people creatively, practically and thoughtfully. This is a collaborative process and we adapt how we work that is most helpful for you. I adhere to the boundaries of the BACP Ethical Framework and strict data protection/confidentiality policies. <> In addition to psychological therapies, I offer an exploratory interviewing process with a detailed report, to enable people to gain a better understanding of what is happening for them. This report can be passed on to a GP for onward referral, if appropriate.
01205 334651 View 01205 334651
Photo of Jo Vickers, Psychotherapist in Spilsby, England
Jo Vickers
Psychotherapist, MNCPS Acc.
Verified Verified
Wrangle PE22
My aim is to co-create an environment that offers you a place to bring and share your unique experiences and begin to explore and understand how they have impacted you. I believe everyone can benefit from sharing their stories; often being truly heard for the first time. Nonetheless, this can feel odd initially, sat sharing information with a stranger. My creative approach to therapy responds to your individual needs to best support you whist undertaking this. My experience of working with survivors of trauma has been a live demonstration of the impact of previous and current experiences on our health.
My aim is to co-create an environment that offers you a place to bring and share your unique experiences and begin to explore and understand how they have impacted you. I believe everyone can benefit from sharing their stories; often being truly heard for the first time. Nonetheless, this can feel odd initially, sat sharing information with a stranger. My creative approach to therapy responds to your individual needs to best support you whist undertaking this. My experience of working with survivors of trauma has been a live demonstration of the impact of previous and current experiences on our health.
01522 440419 View 01522 440419
Photo of Willow Tree Counselling, Counsellor in Spilsby, England
Willow Tree Counselling
Counsellor, BACP
Verified Verified
Horncastle LN9
You may be feeling tired, no energy, a lack of interest in day to day life. Are you emotional for no reason..life just feels overwhelming? You might like to feel less anxiety, have more self confidence and increased assertiveness to reset your emotional balance and have better relationships with the people around you. The confidence to set boundaries, to feel less stressed, and to be more present and connected. To be more you.....have you lost the real you? Are you considering counselling as a way of talking about and exploring those feelings to help you see them from a different view point? It may help, and does help many people.
You may be feeling tired, no energy, a lack of interest in day to day life. Are you emotional for no reason..life just feels overwhelming? You might like to feel less anxiety, have more self confidence and increased assertiveness to reset your emotional balance and have better relationships with the people around you. The confidence to set boundaries, to feel less stressed, and to be more present and connected. To be more you.....have you lost the real you? Are you considering counselling as a way of talking about and exploring those feelings to help you see them from a different view point? It may help, and does help many people.
01673 262010 View 01673 262010
Photo of Breakthrough2Change, Counsellor in Spilsby, England
Breakthrough2Change
Counsellor, MSc, PNCPS Acc.
Verified Verified
Boston PE22
If you are struggling with anxiety (worry), low mood or depression, relationship problems or distress, or suffering from the effects of trauma, I might be able to help you. I am a psychotherapist (person-centred experiential therapist) with additional training in Emotion Focused Individual therapy & Emotionally Focused Couple therapy. As my approach is emotion focused, my ideal client (individual or couple) would be willing to explore & work-through their painful emotions/feelings within therapy sessions by working with the therapist to achieve better mental, emotional relational well-being & resolution of problematic experiences.
If you are struggling with anxiety (worry), low mood or depression, relationship problems or distress, or suffering from the effects of trauma, I might be able to help you. I am a psychotherapist (person-centred experiential therapist) with additional training in Emotion Focused Individual therapy & Emotionally Focused Couple therapy. As my approach is emotion focused, my ideal client (individual or couple) would be willing to explore & work-through their painful emotions/feelings within therapy sessions by working with the therapist to achieve better mental, emotional relational well-being & resolution of problematic experiences.
01205 336971 View 01205 336971
Photo of Debbie Pries, Counsellor in Spilsby, England
Debbie Pries
Counsellor, BACP
Verified Verified
Boston PE22
Life can be a challenge for any of us at any given time, we can feel out of our depth, scared and generally overwhelmed! Counselling offers you a safe space to explore those struggles and find a way forward, regain balance and calm. As a counsellor I hope to support you on your journey and hopefully help in improving your emotional well being.
Life can be a challenge for any of us at any given time, we can feel out of our depth, scared and generally overwhelmed! Counselling offers you a safe space to explore those struggles and find a way forward, regain balance and calm. As a counsellor I hope to support you on your journey and hopefully help in improving your emotional well being.
01754 802730 View 01754 802730
Photo of Diane McCarthy, Counsellor in Spilsby, England
Diane McCarthy
Counsellor, MBACP
Verified Verified
1 Endorsed
Alford LN13
Hello I'm Diane a professional counsellor, I offer a safe, empathetic, non judgemental & confidential environment where you can share & explore whatever may be troubling you. By listening and paying special attention to what you are saying we can unravel any confused thoughts, feelings and beliefs, helping you to develop a greater understanding of yourself, your life & your relationships, empowering you to take control over your future. I am experienced and trained in a wide range of Counselling issues such as:- Trauma, PTSD, Abuse, depression, anxiety, stress (inc work related), Couples and relationships, bullying, family issues, divorce, separation, low self esteem & confidence and many others.
Hello I'm Diane a professional counsellor, I offer a safe, empathetic, non judgemental & confidential environment where you can share & explore whatever may be troubling you. By listening and paying special attention to what you are saying we can unravel any confused thoughts, feelings and beliefs, helping you to develop a greater understanding of yourself, your life & your relationships, empowering you to take control over your future. I am experienced and trained in a wide range of Counselling issues such as:- Trauma, PTSD, Abuse, depression, anxiety, stress (inc work related), Couples and relationships, bullying, family issues, divorce, separation, low self esteem & confidence and many others.
01507 304199 View 01507 304199
Photo of Kevin Sykes, Psychotherapist in Spilsby, England
Kevin Sykes
Psychotherapist, COSRT Accred
Verified Verified
1 Endorsed
Holbeck LN9
I am an experienced Relate trained Psychosexual Therapist and Relationship Psychotherapist and the Clinical Lead for Psychosexual Therapy throughout the Relate Penine and Calderdale regions but now based in Leeds City Centre. I have over 20 years of experience and more than 10,000 hours working alongside couples and individuals with sexual, emotional or relationship problems. I offer a judgement free practice using a cognitive therapeutic style tailored to meet your needs and help you reach your relationship goals.
I am an experienced Relate trained Psychosexual Therapist and Relationship Psychotherapist and the Clinical Lead for Psychosexual Therapy throughout the Relate Penine and Calderdale regions but now based in Leeds City Centre. I have over 20 years of experience and more than 10,000 hours working alongside couples and individuals with sexual, emotional or relationship problems. I offer a judgement free practice using a cognitive therapeutic style tailored to meet your needs and help you reach your relationship goals.
0113 487 2991 View 0113 487 2991

Online Therapists

Photo of Jessica Rigby, Counsellor in Spilsby, England
Jessica Rigby
Counsellor, MBACP
Verified Verified
Braintree CM7  (Online Only)
Realising that you might need to talk to someone can be an unsettling experience. If you have found yourself looking for support, there are many counsellors here who can help. Finding the right person can be tricky. I'd encourage you to look around, send some emails, get a feel for who you are talking to, and don't feel like you have to stick with the same person even if you initially felt the match was good. I offer a free consultation so that we can get a feel for whether we will work well together. I don't believe there is such thing as an ideal client. If you want to talk, I want to listen.
Realising that you might need to talk to someone can be an unsettling experience. If you have found yourself looking for support, there are many counsellors here who can help. Finding the right person can be tricky. I'd encourage you to look around, send some emails, get a feel for who you are talking to, and don't feel like you have to stick with the same person even if you initially felt the match was good. I offer a free consultation so that we can get a feel for whether we will work well together. I don't believe there is such thing as an ideal client. If you want to talk, I want to listen.
01376 315804 View 01376 315804
Photo of Dr Kat Sephton, Psychologist in Spilsby, England
Dr Kat Sephton
Psychologist, CPsychol
Verified Verified
Rugby CV23
Hi, I'm Dr Kat Sephton, HCPC registered and BPS chartered Clinical Psychologist and owner of Renew Psychology. I specialise in Neuropsychology, supporting those with neurological conditions (e.g. MS, Dementia, Parkinson's), stroke, traumatic brain injury, and illness affecting the brain. I provide individual therapy, neuropsychological assessment and rehabilitation, training and consultation. I have more than a decades experience working in mental health and physical health services, hospitals, care homes and in patients own homes.
Hi, I'm Dr Kat Sephton, HCPC registered and BPS chartered Clinical Psychologist and owner of Renew Psychology. I specialise in Neuropsychology, supporting those with neurological conditions (e.g. MS, Dementia, Parkinson's), stroke, traumatic brain injury, and illness affecting the brain. I provide individual therapy, neuropsychological assessment and rehabilitation, training and consultation. I have more than a decades experience working in mental health and physical health services, hospitals, care homes and in patients own homes.
01788 228409 View 01788 228409
Photo of Izzy Savege, Psychotherapist in Spilsby, England
Izzy Savege
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
1 Endorsed
York YO23  (Online Only)
Hello there! I’m Izzy, a queer Art Therapist, workshop creator and artist. Whether it's anxiety, stress, burnout or stuckness - I would love to support you. I'll help you to embrace your creativity, increase your resilience and feel resourced to navigate the ups and downs. Many of the people I work with are creative or queer, or both, but you don't have to have arty experience to benefit from Art Therapy.
Hello there! I’m Izzy, a queer Art Therapist, workshop creator and artist. Whether it's anxiety, stress, burnout or stuckness - I would love to support you. I'll help you to embrace your creativity, increase your resilience and feel resourced to navigate the ups and downs. Many of the people I work with are creative or queer, or both, but you don't have to have arty experience to benefit from Art Therapy.
01904 949324 View 01904 949324
Photo of Dr Jenny Ward, Psychologist in Spilsby, England
Dr Jenny Ward
Psychologist, HCPC - Clin. Psych.
Verified Verified
Huddersfield HD8  (Online Only)
I am an experienced HCPC registered Clinical Psychologist. I offer a welcoming and collaborative space to explore your therapeutic goals. My specialism is in Cognitive Analytic Therapy and EMDR. I help clients experiencing difficulties in their relationships, coping with emotions, low mood and low self-worth. I also work with trauma (EMDR trained and IFS-informed). My clients often want to understand their past experiences, how these have impacted how they relate to themselves and others, and explore making changes to feel more empowered, safe, and able to cope with life's stressors.
I am an experienced HCPC registered Clinical Psychologist. I offer a welcoming and collaborative space to explore your therapeutic goals. My specialism is in Cognitive Analytic Therapy and EMDR. I help clients experiencing difficulties in their relationships, coping with emotions, low mood and low self-worth. I also work with trauma (EMDR trained and IFS-informed). My clients often want to understand their past experiences, how these have impacted how they relate to themselves and others, and explore making changes to feel more empowered, safe, and able to cope with life's stressors.
View
Photo of Diane Susan Pulley, Psychotherapist in Spilsby, England
Diane Susan Pulley
Psychotherapist, MBACP Accred
Verified Verified
Warwick CV35
I am Di Pulley and have been a (BACP) Accredited therapist since 2004, having graduated from Warwick University. I am also a Master Life Coach and a member of the Association for Coaching, and a BUPA affiliated practitioner, registered number 30037598.
I am Di Pulley and have been a (BACP) Accredited therapist since 2004, having graduated from Warwick University. I am also a Master Life Coach and a member of the Association for Coaching, and a BUPA affiliated practitioner, registered number 30037598.
01789 331090 View 01789 331090
Photo of Vivienne Rawnsley, Counsellor in Spilsby, England
Vivienne Rawnsley
Counsellor, MBACP
Verified Verified
1 Endorsed
Halifax HX3
Experiencing unwanted, anxious feelings that are getting in the way of how you live each day? Unhappy in your closest relationships and looking for more? Questioning your ability to go to work and fulfil the job you're expected to do? Anxious about how you're going to cope with all that's coming your way? Thoughts from things in the past resurface reminding you of things you'd rather forget? Questioning yourself and going over and over what to do, how things could have been different, will life ever be ok again? Life going OK then something happens? Wondering who you can talk to? Who'll have the time to listen? Who can help?
Experiencing unwanted, anxious feelings that are getting in the way of how you live each day? Unhappy in your closest relationships and looking for more? Questioning your ability to go to work and fulfil the job you're expected to do? Anxious about how you're going to cope with all that's coming your way? Thoughts from things in the past resurface reminding you of things you'd rather forget? Questioning yourself and going over and over what to do, how things could have been different, will life ever be ok again? Life going OK then something happens? Wondering who you can talk to? Who'll have the time to listen? Who can help?
01422 412646 View 01422 412646
Photo of Shane Lutkin, Psychotherapist in Spilsby, England
Shane Lutkin
Psychotherapist, MA, MBACP
Verified Verified
Norwich NR4
I have studied focusing, CBT, mindfulness, couples and group facilitation, coaching and creative thinking. At Emotionalskills we offer a straightforward therapeutic skills course designed specifically to help each unique client individually. I am a member of the British Association for Counselling & Psychotherapy (BACP) and work with: adults, young people (15 plus), older people who thought they were too old to change, couples who want to stop arguing, struggling family units and people who want to realise a fulfilling life.
I have studied focusing, CBT, mindfulness, couples and group facilitation, coaching and creative thinking. At Emotionalskills we offer a straightforward therapeutic skills course designed specifically to help each unique client individually. I am a member of the British Association for Counselling & Psychotherapy (BACP) and work with: adults, young people (15 plus), older people who thought they were too old to change, couples who want to stop arguing, struggling family units and people who want to realise a fulfilling life.
01603 980295 View 01603 980295
Photo of Change Well Therapies with Kathryn in Spilsby, England
Change Well Therapies with Kathryn
Verified Verified
Woodford SK7
Hello and welcome to my profile. I offer a non judgemental, sensitive service, regardless of the problem. It could be a rational fear or irrational phobia holding you back, some issues can feel embarrassing, you may be overwhelmed with shame or guilt. Or maybe you're fed up with an unexplained physical health problem. I am passionate about helping people heal, forgive themselves and appreciate that they did the best they could do with the resources that were available to them at that time. I understand that everyone experiences things differently, everything is relative. I will help you find yourself again.
Hello and welcome to my profile. I offer a non judgemental, sensitive service, regardless of the problem. It could be a rational fear or irrational phobia holding you back, some issues can feel embarrassing, you may be overwhelmed with shame or guilt. Or maybe you're fed up with an unexplained physical health problem. I am passionate about helping people heal, forgive themselves and appreciate that they did the best they could do with the resources that were available to them at that time. I understand that everyone experiences things differently, everything is relative. I will help you find yourself again.
01625 920853 View 01625 920853
Photo of Sharon Andrea Shaw, Psychotherapist in Spilsby, England
Sharon Andrea Shaw
Psychotherapist, MBBS, MBACP
Verified Verified
Doncaster DN6
Feeling SAD, CONFUSED and/or ANGRY? Feeling stuck/trapped? What's the point? Nothing changes? I know the fears of opening up emotionally or mentally. I also know now of how beneficial it is for YOU. To have time to understand your 'self' so that YOU can process and heal, change YOUR future. It's empowering. I have studied for 6 years, to Masters level. Committed to my own personal development. Losing nearly three stone in weight (an emotional eater). Unattached from drinking 5 times a week to now occasionally socially or sometimes I just drink water and ice! Smoking and a fitter body is next. YOU are important! Take control back!
Feeling SAD, CONFUSED and/or ANGRY? Feeling stuck/trapped? What's the point? Nothing changes? I know the fears of opening up emotionally or mentally. I also know now of how beneficial it is for YOU. To have time to understand your 'self' so that YOU can process and heal, change YOUR future. It's empowering. I have studied for 6 years, to Masters level. Committed to my own personal development. Losing nearly three stone in weight (an emotional eater). Unattached from drinking 5 times a week to now occasionally socially or sometimes I just drink water and ice! Smoking and a fitter body is next. YOU are important! Take control back!
01302 496594 View 01302 496594
Photo of Candice Faye O'Neil, Counsellor in Spilsby, England
Candice Faye O'Neil
Counsellor, MSc, MNCPS Acc.
Verified Verified
1 Endorsed
Loughborough LE12
Hi, I'm Candice. I'm a qualified and highly experienced Counsellor & Psychotherapist and final year Counselling Psychology Doctoral student. I offer skilled and compassionate therapy services centred around increasing your sense of agency, awareness and autonomy. I am most skilled in supporting individuals who have experienced childhood trauma. However, I am also skilled and experienced in supporting everyday challenges to complex and enduring difficulties using evidence based practises. My therapeutic approach is directed towards developing your awareness and self knowledge to facilitate your ability to accept or change and adapt.
Hi, I'm Candice. I'm a qualified and highly experienced Counsellor & Psychotherapist and final year Counselling Psychology Doctoral student. I offer skilled and compassionate therapy services centred around increasing your sense of agency, awareness and autonomy. I am most skilled in supporting individuals who have experienced childhood trauma. However, I am also skilled and experienced in supporting everyday challenges to complex and enduring difficulties using evidence based practises. My therapeutic approach is directed towards developing your awareness and self knowledge to facilitate your ability to accept or change and adapt.
01509 273774 View 01509 273774
Photo of Joshua Holmes, Psychotherapist in Spilsby, England
Joshua Holmes
Psychotherapist, PhD, ACP
Verified Verified
Hertford SG14
I am qualified to work with parents, infants, children, adolescents and young adults up to the age of 25.
I am qualified to work with parents, infants, children, adolescents and young adults up to the age of 25.
View

How does your Counsellor compare?

Number of Counsellors in Spilsby

< 10

Counsellors in Spilsby who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Bereavement
100% Family Conflict
50% Addiction
50% Domestic Abuse

Average years in practice

7 Years

Gender breakdown

100% Female

How Counsellors in Spilsby see their clients

100% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in Spilsby?

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.