Counselling in Aylesbury

Photo of Dr Lisa Matthias, Psychologist in Aylesbury, England
Dr Lisa Matthias
Psychologist, PsychD, CPsychol
Verified Verified
Aylesbury HP22  (Online Only)
I am a dedicated and compassionate Counselling Psychologist with over fifteen years of experience working in the NHS and private sector. I have extensive experience of assessing and treating clients (adults, children and groups) across a broad range of NHS healthcare settings. This has included work in GP surgeries, primary care, IAPT and community mental health teams (CMHTs). Within these settings I have provided high quality evidence-based psychological therapies to people who present with a range of mental health difficulties from mild, moderate to severe and enduring.
I am a dedicated and compassionate Counselling Psychologist with over fifteen years of experience working in the NHS and private sector. I have extensive experience of assessing and treating clients (adults, children and groups) across a broad range of NHS healthcare settings. This has included work in GP surgeries, primary care, IAPT and community mental health teams (CMHTs). Within these settings I have provided high quality evidence-based psychological therapies to people who present with a range of mental health difficulties from mild, moderate to severe and enduring.
01296 929653 View 01296 929653
Photo of Tim Lockley, Psychotherapist in Aylesbury, England
Tim Lockley
Psychotherapist, MBACP
Verified Verified
Aylesbury HP22
​I’m a qualified and BACP registered psychotherapist offering online sessions with individuals. My focus is on creating a safe and supportive environment for clients to explore their thoughts and feelings. I believe in the importance of building a strong therapeutic relationship with my clients, and I work collaboratively with them to help identify and address their unique needs and challenges. My approach is relational, informed by both psychodynamic and person centred theories, which means that I draw from a wide body of theory, exploring how our pasts influence our presents, as well as what is happening in the 'here and now'.
​I’m a qualified and BACP registered psychotherapist offering online sessions with individuals. My focus is on creating a safe and supportive environment for clients to explore their thoughts and feelings. I believe in the importance of building a strong therapeutic relationship with my clients, and I work collaboratively with them to help identify and address their unique needs and challenges. My approach is relational, informed by both psychodynamic and person centred theories, which means that I draw from a wide body of theory, exploring how our pasts influence our presents, as well as what is happening in the 'here and now'.
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Photo of Chrissy Peel, Counsellor in Aylesbury, England
Chrissy Peel
Counsellor, MBACP
Verified Verified
1 Endorsed
Aylesbury HP21
When life events past or present become overwhelming, it can feel hard to cope with things alone & often hard to reach out to family or friends. If you are experiencing trauma & PTSD symptoms, such as anxiety, depression, flashbacks, panic attacks, anger issues, self-harm, low self-esteem, disconnection, shame, loss, isolation, we can work together at your pace to help you move through these feelings & behaviours. "Trauma is not what happens to you, it’s what happens inside you as a result of what happened to you. Trauma is that scarring that makes you less flexible, more rigid, less feeling and more defended." (Dr Gabor Mate)
When life events past or present become overwhelming, it can feel hard to cope with things alone & often hard to reach out to family or friends. If you are experiencing trauma & PTSD symptoms, such as anxiety, depression, flashbacks, panic attacks, anger issues, self-harm, low self-esteem, disconnection, shame, loss, isolation, we can work together at your pace to help you move through these feelings & behaviours. "Trauma is not what happens to you, it’s what happens inside you as a result of what happened to you. Trauma is that scarring that makes you less flexible, more rigid, less feeling and more defended." (Dr Gabor Mate)
01442 974608 View 01442 974608
Photo of Natalie McGourty, Counsellor in Aylesbury, England
Natalie McGourty
Counsellor, MBACP
Verified Verified
Aylesbury HP17
I am a qualified counsellor helping people with a wide range of issues and have considerable experience supporting people with anxiety. I offer a warm, friendly and confidential space for you to talk through any problems you may be facing, helping you to make sense of things and gain a better understanding of yourself whilst supporting you in any changes you wish to make.
I am a qualified counsellor helping people with a wide range of issues and have considerable experience supporting people with anxiety. I offer a warm, friendly and confidential space for you to talk through any problems you may be facing, helping you to make sense of things and gain a better understanding of yourself whilst supporting you in any changes you wish to make.
01296 340520 View 01296 340520
Photo of Asense Therapy - Marie Liddiard, Psychotherapist in Aylesbury, England
Asense Therapy - Marie Liddiard
Psychotherapist, PNCPS Acc.
Verified Verified
Aylesbury HP18
I can support you with issues which are having a negative impact on your mental health, including, helping you to overcome trauma, manage anxiety and stress or relationship difficulties, change unhelpful or unwanted habits and gain increased confidence and self-esteem. I am motivated by a deep desire to empower you to overcome challenges, find purpose, make positive changes and achieve greater well-being.
I can support you with issues which are having a negative impact on your mental health, including, helping you to overcome trauma, manage anxiety and stress or relationship difficulties, change unhelpful or unwanted habits and gain increased confidence and self-esteem. I am motivated by a deep desire to empower you to overcome challenges, find purpose, make positive changes and achieve greater well-being.
0191 743 2036 View 0191 743 2036
Photo of Lisa Dawn Pyper, Counsellor in Aylesbury, England
Lisa Dawn Pyper
Counsellor, MBACP
Verified Verified
Aylesbury HP22
Hello. My name is Lisa, I offer ADHD, and highly sensitive woman an online counselling service. Kindness, and respect are at the forefront of how I work with you, as an Integrative counsellor, I combine different therapeutic approaches to fit you as a person, depending on your own specific needs and individual personality.
Hello. My name is Lisa, I offer ADHD, and highly sensitive woman an online counselling service. Kindness, and respect are at the forefront of how I work with you, as an Integrative counsellor, I combine different therapeutic approaches to fit you as a person, depending on your own specific needs and individual personality.
01442 974571 View 01442 974571
Photo of Thea Brady, Psychotherapist in Aylesbury, England
Thea Brady
Psychotherapist, PNCPS Acc.
Not Verified Not Verified
Aylesbury HP19
I have experience working with individuals experiencing various difficulties such as depression, anxiety disorders (social anxiety, health anxiety, OCD), panic, phobias, trauma symptoms, low self-esteem and confidence, relationship/communication breakdowns, stress or a feeling of disconnect from yourself and others. I offer a safe and non-judgmental space to explore difficult emotions or conflicts you may wish to address. I work using a variety of methods whereby I can support by offering alternative coping strategies and techniques in line with CBT or offer reflection to help you increase your awareness of your needs.
I have experience working with individuals experiencing various difficulties such as depression, anxiety disorders (social anxiety, health anxiety, OCD), panic, phobias, trauma symptoms, low self-esteem and confidence, relationship/communication breakdowns, stress or a feeling of disconnect from yourself and others. I offer a safe and non-judgmental space to explore difficult emotions or conflicts you may wish to address. I work using a variety of methods whereby I can support by offering alternative coping strategies and techniques in line with CBT or offer reflection to help you increase your awareness of your needs.
01442 506256 View 01442 506256
Photo of Annie Kissane, Psychotherapist in Aylesbury, England
Annie Kissane
Psychotherapist, MSc, MBACP Snr. Accred
Verified Verified
Aylesbury HP21
Exploring the possibility of counselling/psychotherapy is a courageous step, one which can enable you to become more fully yourself. Therapy should be a place where you can feel safe and accepted, where you find it easier to share things that are concerning you. It can be a place where you come to find out more about yourself, to challenge yourself and make choices and decisions that lead towards a more positive and hopeful future. Sometimes there is something from our past, an event or an aspect of ourselves, that seems to be holding us back, and therapy can support us in addressing those things too. Be in touch for more info...
Exploring the possibility of counselling/psychotherapy is a courageous step, one which can enable you to become more fully yourself. Therapy should be a place where you can feel safe and accepted, where you find it easier to share things that are concerning you. It can be a place where you come to find out more about yourself, to challenge yourself and make choices and decisions that lead towards a more positive and hopeful future. Sometimes there is something from our past, an event or an aspect of ourselves, that seems to be holding us back, and therapy can support us in addressing those things too. Be in touch for more info...
01296 340612 View 01296 340612
Photo of Adebola Ajayi, Counsellor in Aylesbury, England
Adebola Ajayi
Counsellor, MA, MBACP
Verified Verified
Aylesbury HP21  (Online Only)
Does life feel quite overwhelming? Are you struggling with your identity? Are you finding it difficult to cope? You may be struggling to make sense of your world and your place in the world and trying to answer the 'who am I?, why am I here?' questions. You may have experienced childhood trauma which you are trying to make sense of. Life can feel challenging with ups and downs. We face unexpected situations that test our resilience and ability to cope. These challenges can impact on relationships, self esteem, work. family etc. We are not equipped to figure it all out alone.
Does life feel quite overwhelming? Are you struggling with your identity? Are you finding it difficult to cope? You may be struggling to make sense of your world and your place in the world and trying to answer the 'who am I?, why am I here?' questions. You may have experienced childhood trauma which you are trying to make sense of. Life can feel challenging with ups and downs. We face unexpected situations that test our resilience and ability to cope. These challenges can impact on relationships, self esteem, work. family etc. We are not equipped to figure it all out alone.
01442 501111 View 01442 501111
Photo of Daniel Robinson, Counsellor in Aylesbury, England
Daniel Robinson
Counsellor, MA, MBACP
Verified Verified
Aylesbury HP18
I am an integrative counsellor and counselling tutor trained in psychodynamic, person-centred and CBT approaches. I offer both short and long-term counselling to adults in the form of face to face, online, phone and ‘walk & talk' sessions. Using an integrative approach enables me, with my knowledge and experience, to adapt my therapeutic model to suit my client's needs, enabling change in the most beneficial way possible. Underpinning all my therapeutic work is the knowledge that it is ultimately the quality of the relationship between client and therapist - that's you and me - that heals.
I am an integrative counsellor and counselling tutor trained in psychodynamic, person-centred and CBT approaches. I offer both short and long-term counselling to adults in the form of face to face, online, phone and ‘walk & talk' sessions. Using an integrative approach enables me, with my knowledge and experience, to adapt my therapeutic model to suit my client's needs, enabling change in the most beneficial way possible. Underpinning all my therapeutic work is the knowledge that it is ultimately the quality of the relationship between client and therapist - that's you and me - that heals.
01296 321190 View 01296 321190
Photo of Julie Arnold, Counsellor in Aylesbury, England
Julie Arnold
Counsellor, DCounsPsych, MBACP
Verified Verified
1 Endorsed
Aylesbury HP18
Waitlist for new clients
Hello, I work with a range of issues, including anxiety and depression. Being heard and accepted for being who you truly are, can feel incredibly empowering. When this is taken away, our thoughts can trigger unhelpful behaviours, increasing low mood. Which in turn can play havoc with our emotions. When we feel lonely and isolated, overwhelming feelings can flood our thoughts and fears. I can offer you a safe, warm, and confidential space to explore any issues that may contribute towards your anxiety and depression. I am here to listen to you in an non-judgemental way, and to support you with any changes you wish to make.
Hello, I work with a range of issues, including anxiety and depression. Being heard and accepted for being who you truly are, can feel incredibly empowering. When this is taken away, our thoughts can trigger unhelpful behaviours, increasing low mood. Which in turn can play havoc with our emotions. When we feel lonely and isolated, overwhelming feelings can flood our thoughts and fears. I can offer you a safe, warm, and confidential space to explore any issues that may contribute towards your anxiety and depression. I am here to listen to you in an non-judgemental way, and to support you with any changes you wish to make.
01442 501237 View 01442 501237
Photo of Karen Lesley Ryle, Counsellor in Aylesbury, England
Karen Lesley Ryle
Counsellor, MSc, MBACP Accred
Verified Verified
1 Endorsed
Aylesbury HP19
Since I qualified in 2003 I have gained a lot of experience of working with individuals and couples. Expanding my practice to include the supervision of the work completed by other Counsellors. Many of my clients have experienced traumatic events in their lives, often suffering from stress and anxiety which is impacting their everyday life. By exploring such events we can reduce the impact they have on the life of the client, lower stress and anxiety levels. Self medication and relationship issues can be a common theme with many clients. By discovering the reasons why clients behave this way we can explore healthier life choice.
Since I qualified in 2003 I have gained a lot of experience of working with individuals and couples. Expanding my practice to include the supervision of the work completed by other Counsellors. Many of my clients have experienced traumatic events in their lives, often suffering from stress and anxiety which is impacting their everyday life. By exploring such events we can reduce the impact they have on the life of the client, lower stress and anxiety levels. Self medication and relationship issues can be a common theme with many clients. By discovering the reasons why clients behave this way we can explore healthier life choice.
01296 340244 View 01296 340244
Photo of Lucy Ginger in Aylesbury, England
Lucy Ginger
Verified Verified
Aylesbury HP22
Trauma can become locked inside both our mind and body. Past traumatic events can be triggered by many different situations and people that you may encounter. These experiences, if not processed properly in our brains can make living day to day unpleasant, with negative feelings about ourselves, difficulties with anxiety, unexplained fears, avoidance, dissociation and many more distressing experiences. EMDR works to help the brain naturally process the trauma so that it can be left in the past. Please see my website for more details- www.Lucy ginger.co.uk
Trauma can become locked inside both our mind and body. Past traumatic events can be triggered by many different situations and people that you may encounter. These experiences, if not processed properly in our brains can make living day to day unpleasant, with negative feelings about ourselves, difficulties with anxiety, unexplained fears, avoidance, dissociation and many more distressing experiences. EMDR works to help the brain naturally process the trauma so that it can be left in the past. Please see my website for more details- www.Lucy ginger.co.uk
01296 254460 View 01296 254460
Photo of Pauline Jayne Counselling, Counsellor in Aylesbury, England
Pauline Jayne Counselling
Counsellor, MBACP
Verified Verified
Aylesbury HP22
Hi I'm Pauline, Sometimes life just feels to difficult or painful, you feel heavy hearted, deflated, depressed, anxious, lost, the light at the end of the tunnel is just not there to see and you don’t know how to make changes to feel different. In my experience having someone to talk to who listens, understands, and supports you, is the start to making the changes needed for you to feel different. To work on not only see the light at the end of the dark tunnel, but actually reach it and walk into it.
Hi I'm Pauline, Sometimes life just feels to difficult or painful, you feel heavy hearted, deflated, depressed, anxious, lost, the light at the end of the tunnel is just not there to see and you don’t know how to make changes to feel different. In my experience having someone to talk to who listens, understands, and supports you, is the start to making the changes needed for you to feel different. To work on not only see the light at the end of the dark tunnel, but actually reach it and walk into it.
01296 340130 View 01296 340130
Photo of Paul Doble, Psychotherapist in Aylesbury, England
Paul Doble
Psychotherapist, MA, MBACP
Verified Verified
Aylesbury HP20
I am an experienced counsellor, psychotherapist & lecturer with availability to see private clients for therapy or clinical supervision. If you are facing a difficult time in your life I can help with a programme of therapy tailored to you & your needs. I aim to create for you a warm, safe, supportive space where you can explore areas of your life that feel difficult, problematic or painful. Here's a testimonial from CT (not their real name) "I met with Paul when I was struggling to cope in various areas of my life. It was such a positive decision, I learned so much about myself and how to cope with issues I was dealing with".
I am an experienced counsellor, psychotherapist & lecturer with availability to see private clients for therapy or clinical supervision. If you are facing a difficult time in your life I can help with a programme of therapy tailored to you & your needs. I aim to create for you a warm, safe, supportive space where you can explore areas of your life that feel difficult, problematic or painful. Here's a testimonial from CT (not their real name) "I met with Paul when I was struggling to cope in various areas of my life. It was such a positive decision, I learned so much about myself and how to cope with issues I was dealing with".
07446 954353 View 07446 954353
Photo of Dr Debby Moss, Counsellor in Aylesbury, England
Dr Debby Moss
Counsellor, PhD, MBACP
Verified Verified
2 Endorsed
Aylesbury HP18
Seeking support when life feels hard can be overwhelming. But by reaching out, you have taken the first step. Counselling can help you better understand the changes happening in your life, explore what is important to you, and support you in better communicating your needs to those around you. It can enable you to explore how you can come to sense of acceptance and become more confident with your life choices.
Seeking support when life feels hard can be overwhelming. But by reaching out, you have taken the first step. Counselling can help you better understand the changes happening in your life, explore what is important to you, and support you in better communicating your needs to those around you. It can enable you to explore how you can come to sense of acceptance and become more confident with your life choices.
01296 929268 View 01296 929268
Photo of Sharn Jenkins, Counsellor in Aylesbury, England
Sharn Jenkins
Counsellor, BACP
Verified Verified
1 Endorsed
Aylesbury HP19
I appreciate that taking the first step towards counselling can feel daunting and take courage. Whether you're facing challenges, seeking personal growth, or simply need someone to talk to, I'm here to support you. Feel free to reach out to schedule a session or to inquire about any questions you may have. I am a dedicated and compassionate counsellor committed to supporting you on your journey toward emotional well-being and personal growth. With a background in integrative counselling, I offer a safe and non-judgmental space for you to explore your thoughts, feelings and any challenges you may face.
I appreciate that taking the first step towards counselling can feel daunting and take courage. Whether you're facing challenges, seeking personal growth, or simply need someone to talk to, I'm here to support you. Feel free to reach out to schedule a session or to inquire about any questions you may have. I am a dedicated and compassionate counsellor committed to supporting you on your journey toward emotional well-being and personal growth. With a background in integrative counselling, I offer a safe and non-judgmental space for you to explore your thoughts, feelings and any challenges you may face.
01296 929286 View 01296 929286
Photo of Home Counties Therapy in Aylesbury, England
Home Counties Therapy
MSc
Verified Verified
Aylesbury HP20
We specialise in working with people with Borderline Personality Disorder, Dual Diagnosis, Addiction and Autistic Spectrum Disorder/Pathological Demand Avoidance. Our highly skilled team will work with you to find the solutions that you are looking for.
We specialise in working with people with Borderline Personality Disorder, Dual Diagnosis, Addiction and Autistic Spectrum Disorder/Pathological Demand Avoidance. Our highly skilled team will work with you to find the solutions that you are looking for.
01296 827049 View 01296 827049
Photo of Robert Fowler, Counsellor in Aylesbury, England
Robert Fowler
Counsellor, BACP
Verified Verified
Aylesbury HP21
You may find the decision to come to counselling a difficult one to make, so I offer a phone call to begin with, to find out what you expect or would like to achieve through counselling as well as to reassure you, before we meet in person. Taking that first step may be daunting, so I offer a neutral, relaxed and safe space for therapy within the Aylesbury area. Having worked with Bucks Mind Charity, I have gained experience in working with depression, anxiety, stress, trauma and low self-esteem, working with clients of all ages.
You may find the decision to come to counselling a difficult one to make, so I offer a phone call to begin with, to find out what you expect or would like to achieve through counselling as well as to reassure you, before we meet in person. Taking that first step may be daunting, so I offer a neutral, relaxed and safe space for therapy within the Aylesbury area. Having worked with Bucks Mind Charity, I have gained experience in working with depression, anxiety, stress, trauma and low self-esteem, working with clients of all ages.
01442 504383 View 01442 504383
Photo of Chryso Johnstone, Counsellor in Aylesbury, England
Chryso Johnstone
Counsellor, MNCPS Acc.
Verified Verified
Aylesbury HP20
There are a lot of reasons why you might be looking into therapist right now. It could be that you feel as though you have lost yourself or are confused about who you are. Maybe it's a sense of feeling lost in the world or you're feeling overwhelmed, weary or confused. Perhaps relationships are difficult or you're experiencing pressures in life and they are starting to feel out of control. Therapy is a space to explore experiences and find ways to live through them with the bonus of someone by your side being there for you during that time. Sometimes you may not be able to put a name to what it is you are experiencing and that's OK.
There are a lot of reasons why you might be looking into therapist right now. It could be that you feel as though you have lost yourself or are confused about who you are. Maybe it's a sense of feeling lost in the world or you're feeling overwhelmed, weary or confused. Perhaps relationships are difficult or you're experiencing pressures in life and they are starting to feel out of control. Therapy is a space to explore experiences and find ways to live through them with the bonus of someone by your side being there for you during that time. Sometimes you may not be able to put a name to what it is you are experiencing and that's OK.
01296 929229 View 01296 929229

See more therapy options for Aylesbury

How does your Counsellor compare?

Number of Counsellors in Aylesbury

80+

Average cost per session

£60

Counsellors in Aylesbury who prioritize treating:

89% Anxiety
85% Self Esteem
83% Depression
77% Relationship Issues
76% Stress
68% Bereavement
63% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

60% Aviva
60% AXA PPP
50% Vitality

How Counsellors in Aylesbury see their clients

88% In Person and Online
12% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Aylesbury?

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.