Counselling in BS15
![Photo of Tanya Ratcliff - Tanya Ratcliff Counselling, MBACP, Counsellor](https://photos.psychologytoday.com/517e4440-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
If you're considering counselling, you're probably experiencing some emotional challenges. Perhaps you’re feeling stuck or your struggling with loss, relationships and uncertainty. Battling feelings of depression, worthlessness, anxiety, or stress. Maybe using now unhelpful coping strategies like food, drugs and alcohol to manage. I offer confidential private 1-1 counselling with adults of all ages (+18) on a variety of issues and have specialist knowledge and experience in both mental health and substance misuse.
If you're considering counselling, you're probably experiencing some emotional challenges. Perhaps you’re feeling stuck or your struggling with loss, relationships and uncertainty. Battling feelings of depression, worthlessness, anxiety, or stress. Maybe using now unhelpful coping strategies like food, drugs and alcohol to manage. I offer confidential private 1-1 counselling with adults of all ages (+18) on a variety of issues and have specialist knowledge and experience in both mental health and substance misuse.
![Photo of Charlene Wolf, BACP, Counsellor](https://photos.psychologytoday.com/bbe0d329-49a4-4d3a-a541-135543a25093/1/320x400.jpeg)
I am a qualified integrative Counsellor offering in person sessions only. I offer a warm, compassionate approach in a non judgemental space. I have experience working with bereavement, anxiety, anger, depression, chronic pain, life transitions and communication within relationships.
I am a qualified integrative Counsellor offering in person sessions only. I offer a warm, compassionate approach in a non judgemental space. I have experience working with bereavement, anxiety, anger, depression, chronic pain, life transitions and communication within relationships.
![Photo of Anne Amara, MNCPS Acc., Counsellor](https://photos.psychologytoday.com/b7f725d7-c9d4-4f9d-b568-e180ec508192/1/320x400.jpeg)
I offer a confidential and non-judgemental space for people who wish to deepen their understanding and awareness of themselves, to find support in a time of distress or to address a particular issue. I tailor my work to your specific needs. I work with each person in a unique and individual way, at a pace that suits them. You will be heard in confidence, without judgement and with your needs at the heart of our time together. I am a proud member of the LGBTQIA+ community and am a dedicated and compassionate counsellor with a deep understanding and commitment to serving the diverse needs of this community.
I offer a confidential and non-judgemental space for people who wish to deepen their understanding and awareness of themselves, to find support in a time of distress or to address a particular issue. I tailor my work to your specific needs. I work with each person in a unique and individual way, at a pace that suits them. You will be heard in confidence, without judgement and with your needs at the heart of our time together. I am a proud member of the LGBTQIA+ community and am a dedicated and compassionate counsellor with a deep understanding and commitment to serving the diverse needs of this community.
![Photo of Jordan Hodge - The Apsley Clinic, MA, MUKCP, Psychotherapist](https://photos.psychologytoday.com/3d6cda07-2baa-4a14-a943-7579f613efa9/2/320x400.png)
At the Apsley Clinic, we have a team of dedicated Practitioners who can assess, treat, and support your mental health needs within just 72 hours of referral. We strive to support you as soon as possible, offering a range of Psychological therapies, including Psychotherapy and Counselling. Our experienced medical professionals put your Mental Health needs first. We are proud to provide a high quality multi-disciplinary team of therapists and Mental Health Practitioners to provide Psychological support that is client centred and tailored to you . Our goal is to make you feel better as quickly as possible.
At the Apsley Clinic, we have a team of dedicated Practitioners who can assess, treat, and support your mental health needs within just 72 hours of referral. We strive to support you as soon as possible, offering a range of Psychological therapies, including Psychotherapy and Counselling. Our experienced medical professionals put your Mental Health needs first. We are proud to provide a high quality multi-disciplinary team of therapists and Mental Health Practitioners to provide Psychological support that is client centred and tailored to you . Our goal is to make you feel better as quickly as possible.
![Photo of Simon Copleston, MBACP, Counsellor](https://photos.psychologytoday.com/5d262558-a627-4a73-91dc-4c6564638bd1/1/320x400.jpeg)
People come to counselling for many different reasons. It’s a brave first step to make; to decide that you might need or want help processing your thoughts and feelings with another person. Counselling can often help us to understand ourselves better; reframe the way we experience ourselves and help us to open up to the possibility of change. As a counsellor, my focus is on the relationship that is co-created in a safe, non-judgemental space with clients. I believe that once we feel that we are being listened to and heard by another we can express our authentic self; the parts of us that may be hidden in everyday life.
People come to counselling for many different reasons. It’s a brave first step to make; to decide that you might need or want help processing your thoughts and feelings with another person. Counselling can often help us to understand ourselves better; reframe the way we experience ourselves and help us to open up to the possibility of change. As a counsellor, my focus is on the relationship that is co-created in a safe, non-judgemental space with clients. I believe that once we feel that we are being listened to and heard by another we can express our authentic self; the parts of us that may be hidden in everyday life.
![Photo of Emmy Lathom, MBACP, Counsellor](https://photos.psychologytoday.com/90d901ed-f866-4310-82a6-1ad9c2828f40/1/320x400.jpeg)
I am a registered counsellor with the BACP and in the final stages of completing a Doctorate in Counselling Psychology. As a neurodivergent therapist, I prioritise creating an accepting space and focus on building a strong therapeutic relationship. I use an integrative approach, drawing on relational psychodynamic, systemic, CBT, and third-wave therapies. I also offer the Rewind Technique for PTSD, this takes two to three sessions and does not require you to disclose any trauma. I work with a variety of clients, including, children, adolescents, adults, couples and families. I offer sessions online and outdoors (walk-and-talk).
I am a registered counsellor with the BACP and in the final stages of completing a Doctorate in Counselling Psychology. As a neurodivergent therapist, I prioritise creating an accepting space and focus on building a strong therapeutic relationship. I use an integrative approach, drawing on relational psychodynamic, systemic, CBT, and third-wave therapies. I also offer the Rewind Technique for PTSD, this takes two to three sessions and does not require you to disclose any trauma. I work with a variety of clients, including, children, adolescents, adults, couples and families. I offer sessions online and outdoors (walk-and-talk).
![Photo of Alex Joy Davies Walsh - Alex Joy Therapy, MA, MBACP, Psychotherapist](https://photos.psychologytoday.com/81f6c292-697f-4bea-ab10-580e45bac34c/3/320x400.jpeg)
I believe therapy can be a transformative experience. Whether you have recently been through a difficult or traumatic experience, are feeling lost, low, are struggling with negative self-image, or you just feel it may be helpful to have a space to untangle your thoughts and develop a deeper understanding of yourself, I can hold a safe and non-judgemental space for you. My work is integrative (meaning I draw from different therapy theories), and is client-centred, at your pace, gentle and compassionate.
I believe therapy can be a transformative experience. Whether you have recently been through a difficult or traumatic experience, are feeling lost, low, are struggling with negative self-image, or you just feel it may be helpful to have a space to untangle your thoughts and develop a deeper understanding of yourself, I can hold a safe and non-judgemental space for you. My work is integrative (meaning I draw from different therapy theories), and is client-centred, at your pace, gentle and compassionate.
![Photo of Michelle Dias, MNCPS Acc., Counsellor](https://photos.psychologytoday.com/a78f8445-5fe7-4577-bf62-0176dc92cb1e/2/320x400.jpeg)
Hey, I’m Michelle, an insured and qualified Counsellor and Supervisor. As a Person-Centred integrative Counsellor, within the bounds of a supportive, therapeutic relationship. I am here to listen and support you with whatever you bring to sessions. The sessions are tailored to you as your journey is unique, and so is your therapy. Therefore, I would draw on various approaches and models which would best benefit you in a safe, non judgemental and supportive space in order for you to gain clarity, self-awareness and confidence in life. I offer individual sessions for both short or long term counselling, dependent what you'd like.
Hey, I’m Michelle, an insured and qualified Counsellor and Supervisor. As a Person-Centred integrative Counsellor, within the bounds of a supportive, therapeutic relationship. I am here to listen and support you with whatever you bring to sessions. The sessions are tailored to you as your journey is unique, and so is your therapy. Therefore, I would draw on various approaches and models which would best benefit you in a safe, non judgemental and supportive space in order for you to gain clarity, self-awareness and confidence in life. I offer individual sessions for both short or long term counselling, dependent what you'd like.
![Photo of Susan Jane Chesworth - Cloud Nine Counselling , BACP, Counsellor](https://photos.psychologytoday.com/2ccfd429-2719-4a99-ac01-8c31032bfac5/2/320x400.jpeg)
Your counselling journey will be a unique reflection of you and your needs. Counselling lends itself both to short-term work, for example, to help you identify current challenges and action changes and longer term work, if you wish perhaps to gain a better understanding of established behaviour patterns or how your childhood, relationships or past development can continue to impact you. Non judgemental support, connection and the ability to be truly heard can increasingly be missing in our lives and counselling can provide this. You may already know what brings you to counselling or you may discover this on your journey.
Your counselling journey will be a unique reflection of you and your needs. Counselling lends itself both to short-term work, for example, to help you identify current challenges and action changes and longer term work, if you wish perhaps to gain a better understanding of established behaviour patterns or how your childhood, relationships or past development can continue to impact you. Non judgemental support, connection and the ability to be truly heard can increasingly be missing in our lives and counselling can provide this. You may already know what brings you to counselling or you may discover this on your journey.
![Photo of Melissa Kent, MBABCP, Psychotherapist](https://photos.psychologytoday.com/b06b5667-3d14-4851-b1bf-3455bf082a0b/2/320x400.png)
I am here for you. I understand the busy demands of day-to-day life and know how challenging it can be to find space for self-care. My services are based on the premise, that you are the expert in knowing yourself; I’m simply here to guide you in the process. As a Psychological Wellbeing Practitioner, I am a qualified Behavioural and Cognitive Psychotherapist, trained in delivering Cognitive Behavioural Therapy (CBT) interventions working across all ages.
I am here for you. I understand the busy demands of day-to-day life and know how challenging it can be to find space for self-care. My services are based on the premise, that you are the expert in knowing yourself; I’m simply here to guide you in the process. As a Psychological Wellbeing Practitioner, I am a qualified Behavioural and Cognitive Psychotherapist, trained in delivering Cognitive Behavioural Therapy (CBT) interventions working across all ages.
![Photo of Jamie Smithson, MA, MUKCP, Counsellor](https://photos.psychologytoday.com/2427b946-840f-4b54-8013-9a7017ed698a/1/320x400.jpeg)
There are many reasons we seek counselling throughout life. Perhaps you’re feeling sad, depressed, or anxious. Maybe you're going through loss or bereavement, struggling with anger or battling addictions. Or maybe you just don't feel yourself! Whatever it is you bring to counselling, I offer a confidential, non-judgemental and compassionate space to explore, unpack and work through the challenges you are facing.
There are many reasons we seek counselling throughout life. Perhaps you’re feeling sad, depressed, or anxious. Maybe you're going through loss or bereavement, struggling with anger or battling addictions. Or maybe you just don't feel yourself! Whatever it is you bring to counselling, I offer a confidential, non-judgemental and compassionate space to explore, unpack and work through the challenges you are facing.
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![Photo of John Halkett, MBACP, Counsellor](https://photos.psychologytoday.com/46f5d878-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I have a working knowledge of 12 step addiction programmes and very beneficial in aid there if required. I will help you to help yourself, you're worth it.
I have a working knowledge of 12 step addiction programmes and very beneficial in aid there if required. I will help you to help yourself, you're worth it.
![Photo of Kate Burn, MA, HCPC-Art Therap., Psychotherapist](https://photos.psychologytoday.com/eeef3a70-f6c2-4db0-b141-6f4daf0d06c0/1/320x400.png)
I offer a space for children, young people and their families using a blended approach of art therapy and psychodynamic psychotherapy to come alongside each individual to help them to explore their inner world. With over 15 years of experience working in a number of settings, including schools, charitable organisations and the NHS, I love to meet new people and work together to build a trusting relationship in which thoughts and feelings can be explored and understood. The added dynamic of art and play allows an opportunity for children’s primary mode of communication to enable expression where words sometimes cannot be found.
I offer a space for children, young people and their families using a blended approach of art therapy and psychodynamic psychotherapy to come alongside each individual to help them to explore their inner world. With over 15 years of experience working in a number of settings, including schools, charitable organisations and the NHS, I love to meet new people and work together to build a trusting relationship in which thoughts and feelings can be explored and understood. The added dynamic of art and play allows an opportunity for children’s primary mode of communication to enable expression where words sometimes cannot be found.
![Photo of Garthine Walker, MUKCP, Psychotherapist](https://photos.psychologytoday.com/4da2cfba-9edc-44e9-9f1f-fb988c648cd0/1/320x400.jpeg)
Do you fear the worst things you say to yourself are true? Holding it together on the outside might feel like hanging on by your fingernails inside. You may be crushed by external circumstances or overwhelmed by internal turmoil. Perhaps you’re driven to overachieve at great personal cost, yet never seem to reach your potential in relationships, creativity or career. Familiar ways of coping no longer work, whether that’s immersive daydreaming, masking undiagnosed ADHD, or endless people-pleasing. It's hard to express what you want or need to live an authentic, fulfilled life. You simply cannot - you choose not to - go on like this.
Do you fear the worst things you say to yourself are true? Holding it together on the outside might feel like hanging on by your fingernails inside. You may be crushed by external circumstances or overwhelmed by internal turmoil. Perhaps you’re driven to overachieve at great personal cost, yet never seem to reach your potential in relationships, creativity or career. Familiar ways of coping no longer work, whether that’s immersive daydreaming, masking undiagnosed ADHD, or endless people-pleasing. It's hard to express what you want or need to live an authentic, fulfilled life. You simply cannot - you choose not to - go on like this.
![Photo of Sarah Weaver, MA, MBACP, Counsellor](https://photos.psychologytoday.com/4f5b7ab7-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
We all have times in life when things seem to get on top of us. We may feel confused, anxious or depressed. Sometimes it feels like we are just going round in circles, getting nowhere in particular. Having someone to talk to can lighten the load and this is often easier with someone other than family or friends.
We all have times in life when things seem to get on top of us. We may feel confused, anxious or depressed. Sometimes it feels like we are just going round in circles, getting nowhere in particular. Having someone to talk to can lighten the load and this is often easier with someone other than family or friends.
![Photo of Tracy Sheppard, MNCPS Acc., Counsellor](https://photos.psychologytoday.com/8dbd4c5a-d5b1-46cc-9f4d-3926cac3f6f1/1/320x400.jpeg)
I’m an Integrative Therapist who offers counselling for Adults and Children (aged 9 years +) teenagers and young people in Bristol and South Gloucestershire areas with face-to-face or online sessions available. I understand how unsettling starting counselling can feel, but also a chance to unburden, move on and flourish. A place to experience care, compassion and connection where you’ll be able to explore your thoughts, feelings and concerns without judgment, criticism or consequence. A private space just for you to gain clarity or explore changes for the future.
I’m an Integrative Therapist who offers counselling for Adults and Children (aged 9 years +) teenagers and young people in Bristol and South Gloucestershire areas with face-to-face or online sessions available. I understand how unsettling starting counselling can feel, but also a chance to unburden, move on and flourish. A place to experience care, compassion and connection where you’ll be able to explore your thoughts, feelings and concerns without judgment, criticism or consequence. A private space just for you to gain clarity or explore changes for the future.
![Photo of Kenny McCarthy, UKCP Trainee, Psychotherapist](https://photos.psychologytoday.com/93d70185-8b89-4d78-bd09-f7c847b0dce2/2/320x400.jpeg)
I offer a safe, non-judgmental space to be supported as you move through difficulty and suffering whether it be emotional pain, anxiety, depression, shame, loneliness or loss. Therapy can also support you to reconnect with what makes you come alive – with wholeness, purpose and meaning. Every part of you is welcome here and there are no subjects that cannot be explored.
I offer a safe, non-judgmental space to be supported as you move through difficulty and suffering whether it be emotional pain, anxiety, depression, shame, loneliness or loss. Therapy can also support you to reconnect with what makes you come alive – with wholeness, purpose and meaning. Every part of you is welcome here and there are no subjects that cannot be explored.
![Photo of Sally Ellis, BACP, Counsellor](https://photos.psychologytoday.com/33974dde-2897-4125-a30f-0ed1a97eb794/1/320x400.jpeg)
I'm a qualified counsellor, Supervisor & hypnotherapist working with individuals and couples, I work with Neurodiversity, LGBTQAI+ community, Depression, Anxiety, Relationships/Family difficulties, Sexual Abuse, Domestic Abuse, Grief, Life changes/ Transitions. I offer a confidential, safe space for you to explore a variety of issues. I aim to develop a trusting relationship which is non-judgemental and wholly accepting you and your own way of navigating life. I am an integrative counsellor working from a person centered core .
I'm a qualified counsellor, Supervisor & hypnotherapist working with individuals and couples, I work with Neurodiversity, LGBTQAI+ community, Depression, Anxiety, Relationships/Family difficulties, Sexual Abuse, Domestic Abuse, Grief, Life changes/ Transitions. I offer a confidential, safe space for you to explore a variety of issues. I aim to develop a trusting relationship which is non-judgemental and wholly accepting you and your own way of navigating life. I am an integrative counsellor working from a person centered core .
![Photo of Julie Rose Sanders, MA](https://photos.psychologytoday.com/03095993-b926-4288-8abb-9dde29632c8a/1/320x400.jpeg)
I have over 25 years experience in supporting people with ADHD, Autism and developmental trauma. I share techniques to improve executive functioning, set goals, develop self awareness and unlock potential. It helps to understand how developmental trauma impacts on the nervous system and current relationships. Learning new ways to dialogue, to listen, to feel heard is important. As a person-centred therapist I welcome a deep personal engagement and human connection. It is vital to feel safe for healing to take place. In a trusting relationship you will become more confident and more able to be your true self.
I have over 25 years experience in supporting people with ADHD, Autism and developmental trauma. I share techniques to improve executive functioning, set goals, develop self awareness and unlock potential. It helps to understand how developmental trauma impacts on the nervous system and current relationships. Learning new ways to dialogue, to listen, to feel heard is important. As a person-centred therapist I welcome a deep personal engagement and human connection. It is vital to feel safe for healing to take place. In a trusting relationship you will become more confident and more able to be your true self.
![Photo of Lucy Williams - LucyJayne Counselling, BACP, Counsellor](https://photos.psychologytoday.com/33523412-d28c-426b-b3e8-abdaf346d111/1/320x400.jpeg)
Looking for light and hope in an uncertain world? Getting the niggly feeling that you aren’t who you want to be? Finding it hard to cope with thoughts and emotions that overwhelm and confuse? Sometimes we don’t need to be falling apart to look for a supportive space or a listening ear. I believe that, as human beings, we all want to live purposeful and meaningful lives and that this is unique to each individual. My passion is being able to hear and connect with people to build an open, compassionate and hopeful relationship.
Looking for light and hope in an uncertain world? Getting the niggly feeling that you aren’t who you want to be? Finding it hard to cope with thoughts and emotions that overwhelm and confuse? Sometimes we don’t need to be falling apart to look for a supportive space or a listening ear. I believe that, as human beings, we all want to live purposeful and meaningful lives and that this is unique to each individual. My passion is being able to hear and connect with people to build an open, compassionate and hopeful relationship.
See more therapy options for BS15
How does your Counsellor compare?
Number of Counsellors in BS15
30+
Average cost per session
£57
Counsellors in BS15 who prioritize treating:
97% | Anxiety |
94% | Self Esteem |
91% | Depression |
91% | Stress |
84% | Relationship Issues |
75% | Trauma and PTSD |
72% | Bereavement |
Average years in practice
7 Years
Top 3 insurances accepted
100% | WPA |
50% | APRIL UK |
50% | Aviva |
How Counsellors in BS15 see their clients
82% | In Person and Online | |
18% | Online Only |
Gender breakdown
74% | Female | |
26% | Male |
FAQs - About Therapy and Counselling
How can I find a therapist in BS15?
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
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.
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.
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.