Photo of Caroline Gratton, PsychD, HCPC - Clin. Psych., Psychologist
Caroline Gratton
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Waitlist for new clients
Hello, my name is Caroline and I am a Clinical Psychologist who specialises in work with people on the Autism Spectrum. I am trained to assess and diagnose Autistic Spectrum Disorders (ASD) and am interested in working with both men and women to understand their unique profile so that I can help them manage the challenges they face. I have considerable experience of working with girls and women with Autism who are often missed, misdiagnosed and misunderstood. Many of the people I work with have significant and complex mental health needs.
Hello, my name is Caroline and I am a Clinical Psychologist who specialises in work with people on the Autism Spectrum. I am trained to assess and diagnose Autistic Spectrum Disorders (ASD) and am interested in working with both men and women to understand their unique profile so that I can help them manage the challenges they face. I have considerable experience of working with girls and women with Autism who are often missed, misdiagnosed and misunderstood. Many of the people I work with have significant and complex mental health needs.
07723 487445 View 07723 487445
Photo of Paula Myrie, MSc, Counsellor
Paula Myrie
Counsellor, MSc
Verified Verified
You maybe feeling overwhelmed and challenged by your mental and emotional health. I can support you with various issues ranging from feeling worried, sad, lonely right through to issues around self esteem or trauma. A safe space is here for you to share and be heard without judgement. I will help you work towards achieving your goals so that you become more at peace in your life. I have an integrative approach which will allow you to talk freely about your feelings and if requested help you change any unwanted behaviours.
You maybe feeling overwhelmed and challenged by your mental and emotional health. I can support you with various issues ranging from feeling worried, sad, lonely right through to issues around self esteem or trauma. A safe space is here for you to share and be heard without judgement. I will help you work towards achieving your goals so that you become more at peace in your life. I have an integrative approach which will allow you to talk freely about your feelings and if requested help you change any unwanted behaviours.
020 3667 9257 View 020 3667 9257
Photo of Sarah Maddocks, MBABCP, Psychotherapist
Sarah Maddocks
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Waitlist for new clients
We all need to talk at times and sometimes we all need to take time out to work things through. This is a brave step, so it's important to know who I am and what I can offer; I am an experienced BABCP accredited CBT Psychotherapist and an EMDR Practitioner, I also interweave 3rd Wave CBT techniques including Compassion Focused Therapy (CFT) and Schema therapy into my clinical treatment. My background is mental health nursing and I'll always be a nurse at heart, believing that ultimately we are all human beings that feel pain and require compassion and non-judgemental support.
We all need to talk at times and sometimes we all need to take time out to work things through. This is a brave step, so it's important to know who I am and what I can offer; I am an experienced BABCP accredited CBT Psychotherapist and an EMDR Practitioner, I also interweave 3rd Wave CBT techniques including Compassion Focused Therapy (CFT) and Schema therapy into my clinical treatment. My background is mental health nursing and I'll always be a nurse at heart, believing that ultimately we are all human beings that feel pain and require compassion and non-judgemental support.
020 8138 9233 View 020 8138 9233
Photo of Michelle Dada, MBACP, Counsellor
Michelle Dada
Counsellor, MBACP
Verified Verified
West Wickham BR4  (Online Only)
Childhood trauma, unhealthy patterns, addiction and trauma can all result in unresolved pain. Being able to explore that pain in a non judgemental, confidential, empathic space can be an essential life changing experience. Many clients come to therapy wanting change and emotional health, awareness of where that pain comes from and the journey to understand its impact on our lives today is a crucial part of healing. Often our trauma is not recognised, believed or simply understood. Yet we're living with the impact of these issues. It takes courage to acknowledge our pain but for those who can it can give us the tools to change.
Childhood trauma, unhealthy patterns, addiction and trauma can all result in unresolved pain. Being able to explore that pain in a non judgemental, confidential, empathic space can be an essential life changing experience. Many clients come to therapy wanting change and emotional health, awareness of where that pain comes from and the journey to understand its impact on our lives today is a crucial part of healing. Often our trauma is not recognised, believed or simply understood. Yet we're living with the impact of these issues. It takes courage to acknowledge our pain but for those who can it can give us the tools to change.
020 4538 2484 View 020 4538 2484
Photo of Shelley Williams, MUKCP, Psychotherapist
Shelley Williams
Psychotherapist, MUKCP
Verified Verified
My approach is warm, relational and non-judgemental. I work with a broad range of issues including anxiety, depression, family and relationship issues, bereavement and trauma. Whatever brings you to seek counselling now, through exploring with you what is happening, and how you are feeling, in the context of your own unique life story, I aim to help you work through what is deeply troubling you. This may mean helping you to work through some difficult and painful experiences and feelings, and so I am mindful of your needs and will be guided by you.
My approach is warm, relational and non-judgemental. I work with a broad range of issues including anxiety, depression, family and relationship issues, bereavement and trauma. Whatever brings you to seek counselling now, through exploring with you what is happening, and how you are feeling, in the context of your own unique life story, I aim to help you work through what is deeply troubling you. This may mean helping you to work through some difficult and painful experiences and feelings, and so I am mindful of your needs and will be guided by you.
020 4538 3715 View 020 4538 3715
Photo of Dr Rachel Blundell, PsychD, HCPC - Clin. Psych., Psychologist
Dr Rachel Blundell
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
I am a Clinical Psychologist with extensive experience in the NHS, third sector as well as private therapy. I specialise in working with adults who experience anxiety, low mood or stress. I am trained in evidence based therapies such as Cognitive Behavioural Therapy, Acceptance and Commitment Therapy and Compassion Focused Therapy. Therapy is tailored to individual need and goals, using a person centred and strengths based approach. I also have experience adapting therapy for adults with a diagnosis of autism and learning disabilities.
I am a Clinical Psychologist with extensive experience in the NHS, third sector as well as private therapy. I specialise in working with adults who experience anxiety, low mood or stress. I am trained in evidence based therapies such as Cognitive Behavioural Therapy, Acceptance and Commitment Therapy and Compassion Focused Therapy. Therapy is tailored to individual need and goals, using a person centred and strengths based approach. I also have experience adapting therapy for adults with a diagnosis of autism and learning disabilities.
020 3984 8286 View 020 3984 8286
Photo of Norris Plummer, MBACP, Counsellor
Norris Plummer
Counsellor, MBACP
Verified Verified
I have been working with clients in London who have been experiencing a range of issues, including bereavement, anxiety, depression, self-harm, suicidal thoughts, stress, relationship issues and trauma. Every client is unique. I seek to provide a professional, supportive, confidential environment for you to reflect on what is concerning you. One size does not fit all. This means listening very carefully and for you to be heard clearly; this allows you to begin to process your thoughts and feelings and to begin to be able to make sense of your feelings, difficulties and challenges. Contributing to you living life on your terms.
I have been working with clients in London who have been experiencing a range of issues, including bereavement, anxiety, depression, self-harm, suicidal thoughts, stress, relationship issues and trauma. Every client is unique. I seek to provide a professional, supportive, confidential environment for you to reflect on what is concerning you. One size does not fit all. This means listening very carefully and for you to be heard clearly; this allows you to begin to process your thoughts and feelings and to begin to be able to make sense of your feelings, difficulties and challenges. Contributing to you living life on your terms.
07402 160578 View 07402 160578
Photo of Seema Bhatti, PsychD, HCPC - Couns. Psych., Psychologist
Seema Bhatti
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
I am an HCPC registered Counselling Psychologist and trained CBT and DBT therapist. I have been working in mental health for 9 years with both NHS and private health care experience. I work inline with my values of openness, integrity, non judgemental stance and positive regard. I have an interest in equality and diversity which is considered in the work I do and reflected in my academic research.
I am an HCPC registered Counselling Psychologist and trained CBT and DBT therapist. I have been working in mental health for 9 years with both NHS and private health care experience. I work inline with my values of openness, integrity, non judgemental stance and positive regard. I have an interest in equality and diversity which is considered in the work I do and reflected in my academic research.
01798 306635 View 01798 306635
Photo of Erica Jane Ruse Whalley, MBACP Accred, Counsellor
Erica Jane Ruse Whalley
Counsellor, MBACP Accred
Verified Verified
West Wickham BR4  (Online Only)
Hi, sometimes it no longer seems enough to talk to friends or family, and we need further support and insight to get back on track. I work with adults, teenagers and children, offering a range of therapeutic methods, to find which suit you best. I am a fully trained and accredited Counsellor with the British Assiciation of Counselling and Psychologists, I am trained in person centred, Psycho- dynamic and CBT and I offer many creative techniques such as Jungian Kallffian Sandplay which is a gentle but extremely effective way of working with children, teenagers and adults. I would really like to hear from you, please send a text (0781 209 7293) or email (stillvoice.ej@gmail.com) so that we can arrange a time for an initial phone call to discuss how I can help you.
Hi, sometimes it no longer seems enough to talk to friends or family, and we need further support and insight to get back on track. I work with adults, teenagers and children, offering a range of therapeutic methods, to find which suit you best. I am a fully trained and accredited Counsellor with the British Assiciation of Counselling and Psychologists, I am trained in person centred, Psycho- dynamic and CBT and I offer many creative techniques such as Jungian Kallffian Sandplay which is a gentle but extremely effective way of working with children, teenagers and adults. I would really like to hear from you, please send a text (0781 209 7293) or email (stillvoice.ej@gmail.com) so that we can arrange a time for an initial phone call to discuss how I can help you.
020 3962 1569 View 020 3962 1569
Photo of undefined - Matt Donovan, MUKCP, Psychotherapist
Matt Donovan
Psychotherapist, MUKCP
Verified Verified
I specialise in working with people who are experiencing a loss of meaning in their lives and may be questioning their own sense of direction and identity; often characterised by such beliefs as 'I don't recognise myself anymore' or 'I don't like the person I've become'. Likewise I have a great deal of experience working with people who have come to question their ability to cope, persevere or succeed; often expressed as deep feelings of hopelessness or helplessness and beliefs such as 'I'm know deep down I'm not good enough’ or 'there's just no way I can get through this'
I specialise in working with people who are experiencing a loss of meaning in their lives and may be questioning their own sense of direction and identity; often characterised by such beliefs as 'I don't recognise myself anymore' or 'I don't like the person I've become'. Likewise I have a great deal of experience working with people who have come to question their ability to cope, persevere or succeed; often expressed as deep feelings of hopelessness or helplessness and beliefs such as 'I'm know deep down I'm not good enough’ or 'there's just no way I can get through this'
07723 429542 View 07723 429542
Photo of Chenie Miller, MBACP, Counsellor
Chenie Miller
Counsellor, MBACP
Verified Verified
As human beings we are all different so why shouldn't our package of support be as unique as we are? I am a fully qualified and experienced integrative therapeutic counsellor. I am also a registered member of the National Counselling Society and the British Association of Counselling and Psychotherapy
As human beings we are all different so why shouldn't our package of support be as unique as we are? I am a fully qualified and experienced integrative therapeutic counsellor. I am also a registered member of the National Counselling Society and the British Association of Counselling and Psychotherapy
01805 643052 View 01805 643052
Photo of David Poynor, MBACP Accred, Counsellor
David Poynor
Counsellor, MBACP Accred
Verified Verified
You might feel as though you are losing control. That life is delivering more than you can handle or you feel broken beyond repair. It's not unusual to experience feelings like these. It can be difficult to manage them or to believe that things will ever change. Perhaps you are dissatisfied with personal relationships or in your job. I offer a safe and confidential space to explore, reflect and grapple with the issues that impact upon your life. For more information about the service I provide or to book online please click the website link or visit www.cherryorchardtherapy.com
You might feel as though you are losing control. That life is delivering more than you can handle or you feel broken beyond repair. It's not unusual to experience feelings like these. It can be difficult to manage them or to believe that things will ever change. Perhaps you are dissatisfied with personal relationships or in your job. I offer a safe and confidential space to explore, reflect and grapple with the issues that impact upon your life. For more information about the service I provide or to book online please click the website link or visit www.cherryorchardtherapy.com
020 8059 2143 View 020 8059 2143
Photo of Anita Evenden, MBACP Accred, Counsellor
Anita Evenden
Counsellor, MBACP Accred
Verified Verified
Do you want someone to listen and understand how things are for you? I am passionate about being with you in your concerns. Whatever they may be. I am currently working online and face to face. if you are nervous about this, please give me a call and I can arrange a taster session. Sometimes we all need someone to listen, accept and help us to work through our problems and just be with us in times of distress. Give me a call or email and see if we can work together? I work regularly with clients across the country but also locally. I have a garden office which is purpose built for sessions and is comfortable and confidential.
Do you want someone to listen and understand how things are for you? I am passionate about being with you in your concerns. Whatever they may be. I am currently working online and face to face. if you are nervous about this, please give me a call and I can arrange a taster session. Sometimes we all need someone to listen, accept and help us to work through our problems and just be with us in times of distress. Give me a call or email and see if we can work together? I work regularly with clients across the country but also locally. I have a garden office which is purpose built for sessions and is comfortable and confidential.
020 3909 8944 View 020 3909 8944
Photo of Kalpana Rao, DCounsPsych, MBACP Accred, Counsellor
Kalpana Rao
Counsellor, DCounsPsych, MBACP Accred
Verified Verified
Let's Talk... Therapy gives you the opportunity to explore how life is for you, how you feel about it and how you react during certain situations, all with the aim of finding solutions that work for you. My aim is to provide a confidential, non-judgemental and accepting environment where I can help you explore your issues no matter what they are. Unresolved issues can cause great unhappiness and therapy can help to unlock suppressed feelings and emotions.
Let's Talk... Therapy gives you the opportunity to explore how life is for you, how you feel about it and how you react during certain situations, all with the aim of finding solutions that work for you. My aim is to provide a confidential, non-judgemental and accepting environment where I can help you explore your issues no matter what they are. Unresolved issues can cause great unhappiness and therapy can help to unlock suppressed feelings and emotions.
07723 475112 View 07723 475112
Photo of undefined - Charlotte Denton, MA, MBACP Accred, Counsellor
Charlotte Denton
Counsellor, MA, MBACP Accred
Verified Verified
Waitlist for new clients
Hello. My name is Charlotte Denton and I'm a qualified integrative counsellor with a Masters in Counselling and Psychotherapy Practice. I am an accredited member of the BACP. I can offer short, long term or single sessions online nationally/internationally. I will be led by what is important to you and the goals you would like to achieve by coming to counselling. It's a collaborative process in a safe, non-judgemental, confidential space where we will find a greater understanding of yourself, which can assist you in making clearer decisions for your future.
Hello. My name is Charlotte Denton and I'm a qualified integrative counsellor with a Masters in Counselling and Psychotherapy Practice. I am an accredited member of the BACP. I can offer short, long term or single sessions online nationally/internationally. I will be led by what is important to you and the goals you would like to achieve by coming to counselling. It's a collaborative process in a safe, non-judgemental, confidential space where we will find a greater understanding of yourself, which can assist you in making clearer decisions for your future.
020 8059 2349 View 020 8059 2349
Photo of Bethany Ashley-Smith, COSRT General, Counsellor
Bethany Ashley-Smith
Counsellor, COSRT General
Verified Verified
1 Endorsed
Do you struggle with ADHD, Addiction or Trauma? Have you tried ways of managing any of these aspects and felt that its not working, not sustainable or just to painful? Maybe you dont know where to start or really what the problem is. Therapy or coaching is a great place to start your journey and make sense of how you feel, what you would like to achieve and what this may look like. Sometimes life can feel complicated and feeling heard and making sense of why you may be feeling like you do can be a great starting place.
Do you struggle with ADHD, Addiction or Trauma? Have you tried ways of managing any of these aspects and felt that its not working, not sustainable or just to painful? Maybe you dont know where to start or really what the problem is. Therapy or coaching is a great place to start your journey and make sense of how you feel, what you would like to achieve and what this may look like. Sometimes life can feel complicated and feeling heard and making sense of why you may be feeling like you do can be a great starting place.
020 3835 5605 View 020 3835 5605
Photo of Amanda Jane Morris. Counsellor Supervisor- Bacp Accred, DCounsPsych, MBACP, Psychotherapist
Amanda Jane Morris. Counsellor Supervisor- Bacp Accred
Psychotherapist, DCounsPsych, MBACP
Verified Verified
1 Endorsed
West Wickham BR4  (Online Only)
As a Senior Accredited Integrative Psychotherapist /Supervisor with over 10 years experience working with young people and adults. I offer a safe, confidential, collaborative space , (either online (GDPR safe) or face 2 face, for us to work together and find a way forward. I specialise in working with children and teenagers also SEN, often holding the sessions in their home environment as this enables them to relax more. Trained in CBT, Person-Centred and Psycho-dynamic, working with a range of issues such as stress, depression, anxiety, self harm, intrusive/suicidal thoughts, panic attacks, OCD, bereavement and more.
As a Senior Accredited Integrative Psychotherapist /Supervisor with over 10 years experience working with young people and adults. I offer a safe, confidential, collaborative space , (either online (GDPR safe) or face 2 face, for us to work together and find a way forward. I specialise in working with children and teenagers also SEN, often holding the sessions in their home environment as this enables them to relax more. Trained in CBT, Person-Centred and Psycho-dynamic, working with a range of issues such as stress, depression, anxiety, self harm, intrusive/suicidal thoughts, panic attacks, OCD, bereavement and more.
07723 492342 View 07723 492342
Photo of undefined - Caroline Jackson Couples & Individual Counselling, MBACP, Counsellor
Caroline Jackson Couples & Individual Counselling
Counsellor, MBACP
Verified Verified
Reaching out for help takes so much guts. I offer a safe space for you to say how things REALLY are, as well as looking at how you would like them to be. Being able to share what is going on with someone who knows how to respond can be such a relief. It's important to find a counsellor whom you can trust and who will understand you. I am a fully qualified integrative counsellor. This means I draw from a range of therapeutic approaches depending on my client's needs. I offer a safe and confidential space which is private and discreet, just outside Bromley, in KESTON VILLAGE. Make yourself a priority!
Reaching out for help takes so much guts. I offer a safe space for you to say how things REALLY are, as well as looking at how you would like them to be. Being able to share what is going on with someone who knows how to respond can be such a relief. It's important to find a counsellor whom you can trust and who will understand you. I am a fully qualified integrative counsellor. This means I draw from a range of therapeutic approaches depending on my client's needs. I offer a safe and confidential space which is private and discreet, just outside Bromley, in KESTON VILLAGE. Make yourself a priority!
020 8176 6804 View 020 8176 6804
Photo of Paul Fitzpatrick, MBACP, Counsellor
Paul Fitzpatrick
Counsellor, MBACP
Verified Verified
1 Endorsed
I have been in that unimaginable place, where I did not know where to turn or even where to begin to make the necessary changes to improve my life. It is through my own positive experiences of counselling that I decided to train to become a counsellor. I understand that taking that first step towards seeking support can seem very challenging. It is with this empathetic thought in mind, and the ethical framework that I work within that I always endeavour to establish a transparent and trusting therapeutic relationship, without judgement, in a safe and confidential environment.
I have been in that unimaginable place, where I did not know where to turn or even where to begin to make the necessary changes to improve my life. It is through my own positive experiences of counselling that I decided to train to become a counsellor. I understand that taking that first step towards seeking support can seem very challenging. It is with this empathetic thought in mind, and the ethical framework that I work within that I always endeavour to establish a transparent and trusting therapeutic relationship, without judgement, in a safe and confidential environment.
01689 664649 View 01689 664649
Photo of Priya Vigneswaran, HCPC - Clin. Psych., Psychologist
Priya Vigneswaran
Psychologist, HCPC - Clin. Psych.
Verified Verified
Priya excels in helping children and young people recover from issues of anxiety, depression, bullying, loneliness and stress. Priya has specialist training in: Cognitive Behaviour Therapy, Narrative Therapy, Play Therapy, Family Therapy and Child Psychotherapy.
Priya excels in helping children and young people recover from issues of anxiety, depression, bullying, loneliness and stress. Priya has specialist training in: Cognitive Behaviour Therapy, Narrative Therapy, Play Therapy, Family Therapy and Child Psychotherapy.
01689 661247 View 01689 661247

See more therapy options for BR4

How does your Counsellor compare?

Number of Counsellors in BR4

30+

Average cost per session

£60

Counsellors in BR4 who prioritize treating:

92% Depression
89% Anxiety
86% Self Esteem
83% Stress
72% Relationship Issues
67% Bereavement
67% Divorce

Average years in practice

12 Years

Top 3 insurances accepted

50% Aviva
50% AXA PPP
50% WPA

How Counsellors in BR4 see their clients

84% In Person and Online
16% Online Only

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counselling

How can I find a therapist in BR4?

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.