Counselling in CB3

Photo of Dr Marzio Ascione, Psychologist, PsychD, CPsychol
Dr Marzio Ascione
Psychologist, PsychD, CPsychol
Dr Marzio Ascione is a Consultant HCPC registered clinical psychologist and Associate Fellow of BPS. Dr Ascione has over 20 years’ experience in clinical neuropsychology and mental health within the NHS and private sector. He has worked as Clinical Psychologist and Researcher for Cambridge University Hospital, Central and North West London NHS Foundation Trust, East London and City Mental Health Trust, West London Mental Health Trust, University of Milan, King’s College London. Dr Ascione sees patients at London and Cambridge clinics. Please contact our office for further information.
Dr Marzio Ascione is a Consultant HCPC registered clinical psychologist and Associate Fellow of BPS. Dr Ascione has over 20 years’ experience in clinical neuropsychology and mental health within the NHS and private sector. He has worked as Clinical Psychologist and Researcher for Cambridge University Hospital, Central and North West London NHS Foundation Trust, East London and City Mental Health Trust, West London Mental Health Trust, University of Milan, King’s College London. Dr Ascione sees patients at London and Cambridge clinics. Please contact our office for further information.
020 3974 2199 View 020 3974 2199
Photo of Deborah Meyler, Psychotherapist, MA, MUKCP
Deborah Meyler
Psychotherapist, MA, MUKCP
Underpinning psychoanalytic psychotherapy is a vast body of work that began with Freud, but the theory doesn't have an overt presence in the room. Psychotherapy in practice is more a process of discovery for both therapist and client. It can be challenging, exciting, frightening – even funny – as we both try to better understand the circumstances and patterns that have brought you to therapy. I offer an initial session for £40, which of course holds no obligation to continue.
Underpinning psychoanalytic psychotherapy is a vast body of work that began with Freud, but the theory doesn't have an overt presence in the room. Psychotherapy in practice is more a process of discovery for both therapist and client. It can be challenging, exciting, frightening – even funny – as we both try to better understand the circumstances and patterns that have brought you to therapy. I offer an initial session for £40, which of course holds no obligation to continue.
View
Photo of Dr Tali Artman Partock, Psychotherapist, PhD, UKCP Trainee
Dr Tali Artman Partock
Psychotherapist, PhD, UKCP Trainee
As a psychoanalyst trainee, I offer a space where you can speak freely and be deeply heard. We’ll explore patterns in your life that may be rooted in early experiences, unconscious dynamics, or painful histories. My approach is grounded in curiosity and respect for your unique story. We’ll listen closely to your words and what might be hiding behind them, opening a space for change: understanding what holds you back, facing what you may not yet want to know, and finding new ways of relating to yourself and others. Therapy is a commitment, but also an opportunity for deep collaboration. If you're ready to begin, reach out.
As a psychoanalyst trainee, I offer a space where you can speak freely and be deeply heard. We’ll explore patterns in your life that may be rooted in early experiences, unconscious dynamics, or painful histories. My approach is grounded in curiosity and respect for your unique story. We’ll listen closely to your words and what might be hiding behind them, opening a space for change: understanding what holds you back, facing what you may not yet want to know, and finding new ways of relating to yourself and others. Therapy is a commitment, but also an opportunity for deep collaboration. If you're ready to begin, reach out.
01223 912818 View 01223 912818
Photo of Annabel Hollick, Psychotherapist, MA, MUKCP
Annabel Hollick
Psychotherapist, MA, MUKCP
I work psychoanalytically which involves paying particular attention to the words spoken and can reveal the unconscious processes that drive us. Each individual has their own unique response to their own upbringing and life’s circumstances. Life may seem overwhelming and out of control following a recent event or trauma. Talking to someone and being fully listened to, without being judged, can be the start of a process of coming to terms with difficult and traumatic experiences.
I work psychoanalytically which involves paying particular attention to the words spoken and can reveal the unconscious processes that drive us. Each individual has their own unique response to their own upbringing and life’s circumstances. Life may seem overwhelming and out of control following a recent event or trauma. Talking to someone and being fully listened to, without being judged, can be the start of a process of coming to terms with difficult and traumatic experiences.
01223 679863 View 01223 679863
Photo of Dr Adelais Mills, Psychotherapist, PhD, UKCP Trainee
Dr Adelais Mills
Psychotherapist, PhD, UKCP Trainee
Perhaps you’re finding it hard to feel at ease in your body, your sexuality, or your relationships—feeling weighed down by anxiety, shame, or confusion about who you are or what you want. I work with both adults and young people, often those facing complex challenges that may be rooted in painful or traumatic experiences. Some people come after having had CBT or other time-limited therapies before and feeling frustrated it hasn’t brought the change they hoped for. Others already understand a lot about their struggles but still feel stuck with painful symptoms.
Perhaps you’re finding it hard to feel at ease in your body, your sexuality, or your relationships—feeling weighed down by anxiety, shame, or confusion about who you are or what you want. I work with both adults and young people, often those facing complex challenges that may be rooted in painful or traumatic experiences. Some people come after having had CBT or other time-limited therapies before and feeling frustrated it hasn’t brought the change they hoped for. Others already understand a lot about their struggles but still feel stuck with painful symptoms.
01223 912007 View 01223 912007
Photo of Ambreen Rehman, Counsellor, MNCPS Acc.
Ambreen Rehman
Counsellor, MNCPS Acc.
Sometimes it is difficult for us to understand and cope and the circumstances surrounding us do not allow us to explore . Sharing thoughts and feelings has been one of the most refreshing, relaxing techniques. A lot can be achieved if it is done in the company of a trustworthy, experienced, trained professional, who is willing to be a part of your world. You will be bringing and sharing yourself with me. I will listen, understand and walk along with you on your journey of finding your way through the paths you find difficult to walk on. I will help you build a comfortable environment for yourself, without being judgemental .
Sometimes it is difficult for us to understand and cope and the circumstances surrounding us do not allow us to explore . Sharing thoughts and feelings has been one of the most refreshing, relaxing techniques. A lot can be achieved if it is done in the company of a trustworthy, experienced, trained professional, who is willing to be a part of your world. You will be bringing and sharing yourself with me. I will listen, understand and walk along with you on your journey of finding your way through the paths you find difficult to walk on. I will help you build a comfortable environment for yourself, without being judgemental .
01223 657984 View 01223 657984
Photo of Mark Williams, Counsellor, MA, MBACP
Mark Williams
Counsellor, MA, MBACP
1 Endorsed
At times, we can all experience difficult thoughts and feelings or a sense of being “stuck”: counselling can help us work through these, develop a better relationship with ourselves and those around us, and gain clarity and insight into the issues that are causing us problems. I believe that we all possess the resources to work through our problems, but at times these can become hidden and feel out of reach. My aim is to help you identify what you need and re-connect with your own resources.
At times, we can all experience difficult thoughts and feelings or a sense of being “stuck”: counselling can help us work through these, develop a better relationship with ourselves and those around us, and gain clarity and insight into the issues that are causing us problems. I believe that we all possess the resources to work through our problems, but at times these can become hidden and feel out of reach. My aim is to help you identify what you need and re-connect with your own resources.
01223 679708 View 01223 679708
Photo of Quintus Farrell, Psychotherapist, MA, MUKCP
Quintus Farrell
Psychotherapist, MA, MUKCP
1 Endorsed
You may be facing difficulties with how you feel, for no particular reason, or from a known cause. It could be historical or it may have just arisen for you for no known reason. Are you looking for a safe place to look at and explore what is happening for you? I offer a space where you can make sense of what is happening.
You may be facing difficulties with how you feel, for no particular reason, or from a known cause. It could be historical or it may have just arisen for you for no known reason. Are you looking for a safe place to look at and explore what is happening for you? I offer a space where you can make sense of what is happening.
01223 679746 View 01223 679746
Photo of Dr Lucy Wilman, Psychologist, HCPC - Couns. Psych.
Dr Lucy Wilman
Psychologist, HCPC - Couns. Psych.
I'm a Counselling Psychologist. I used to work in NHS services and I now work outside in nature. Therapy with me uses walk and talk appointments at parks in Cambridge or a nature reserve near St Neots. This provides a different experience than being sat inside and can change how engaging in therapy feels. Some people find it easier to talk about difficulties in walk and talk sessions. I provide therapy for a wide range of difficulties including anxiety, depression, and couples counselling. I offer a free 30 minute telephone conversation to find out what help is needed and to answer any questions.
I'm a Counselling Psychologist. I used to work in NHS services and I now work outside in nature. Therapy with me uses walk and talk appointments at parks in Cambridge or a nature reserve near St Neots. This provides a different experience than being sat inside and can change how engaging in therapy feels. Some people find it easier to talk about difficulties in walk and talk sessions. I provide therapy for a wide range of difficulties including anxiety, depression, and couples counselling. I offer a free 30 minute telephone conversation to find out what help is needed and to answer any questions.
01487 801917 View 01487 801917
Photo of Deirdre MacGinley, Counsellor, MA, MBACP Accred
Deirdre MacGinley
Counsellor, MA, MBACP Accred
Do you feel frightened that your world might fall apart if you look at your sexuality or gender? Maybe you have thoughts going round and round in your head, and feel like you’ve lost track of perspective. Maybe you: don't like sex/like sex 'too much' /wrong kind of sex? Your gender doesn't fit with other people's idea of you. You may feel you are betraying your family, children or culture by expressing yourself. You may believe that what’s inside you is too shocking, or wrong or too much for the people around you. You may feel like there’s no-one you can talk to, which can be very isolating .
Do you feel frightened that your world might fall apart if you look at your sexuality or gender? Maybe you have thoughts going round and round in your head, and feel like you’ve lost track of perspective. Maybe you: don't like sex/like sex 'too much' /wrong kind of sex? Your gender doesn't fit with other people's idea of you. You may feel you are betraying your family, children or culture by expressing yourself. You may believe that what’s inside you is too shocking, or wrong or too much for the people around you. You may feel like there’s no-one you can talk to, which can be very isolating .
View
Photo of Sarah Boucher, Counsellor, MBACP
Sarah Boucher
Counsellor, MBACP
Hello, I'm Sarah, a BACP-registered counsellor with a focus on workplace and academic wellbeing and navigating major life or career transitions. Whether you're feeling stressed or overwhelmed at work, facing challenges in your academic environment, or stuck in unhelpful patterns in your work or personal life, I’ll support you in exploring what’s going on and help you move toward greater clarity, confidence, and balance. My approach is integrative and relational, shaped by your unique experiences and goals. I believe meaningful change happens when you feel heard and respected.
Hello, I'm Sarah, a BACP-registered counsellor with a focus on workplace and academic wellbeing and navigating major life or career transitions. Whether you're feeling stressed or overwhelmed at work, facing challenges in your academic environment, or stuck in unhelpful patterns in your work or personal life, I’ll support you in exploring what’s going on and help you move toward greater clarity, confidence, and balance. My approach is integrative and relational, shaped by your unique experiences and goals. I believe meaningful change happens when you feel heard and respected.
01223 912302 View 01223 912302
Photo of Slavitsa Mirovic - Chesterton Counselling&Psychotherapy, MSc MPhil MA, Psychotherapist, MSc, MBACP Accred
Chesterton Counselling&Psychotherapy, MSc MPhil MA
Psychotherapist, MSc, MBACP Accred
Individual and Couple Therapy! If you suffer from anxiety, depression, relationship difficulties, trauma or at times you do not feel like yourself I can help you find a “better place”. Together, we can explore challenges in your life; why there is a struggle and what potential changes you may wish to make. Together, we can embrace decisions about your current situation, your needs and your goals.
Individual and Couple Therapy! If you suffer from anxiety, depression, relationship difficulties, trauma or at times you do not feel like yourself I can help you find a “better place”. Together, we can explore challenges in your life; why there is a struggle and what potential changes you may wish to make. Together, we can embrace decisions about your current situation, your needs and your goals.
01223 622468 View 01223 622468
Photo of Sophie Lucas, Psychotherapist, MA, HCPC-Art Therap.
Sophie Lucas
Psychotherapist, MA, HCPC-Art Therap.
Serves Area
I am an HCPC registered art therapist based in Cambridgeshire. I offer in-person sessions or creative virtual sessions. I provide a safe, trauma informed and neuro-affirmative space for children, young people and adults to explore emotions via creativity and play. With over 20 years of experience working with young people I build trusting and effective therapeutic relationships and tailor support to each individual’s needs. Building a space within which they can work through experiences and difficulties.
I am an HCPC registered art therapist based in Cambridgeshire. I offer in-person sessions or creative virtual sessions. I provide a safe, trauma informed and neuro-affirmative space for children, young people and adults to explore emotions via creativity and play. With over 20 years of experience working with young people I build trusting and effective therapeutic relationships and tailor support to each individual’s needs. Building a space within which they can work through experiences and difficulties.
01223 657656 View 01223 657656
Photo of Kate Camps, Psychotherapist, MBABCP
Kate Camps
Psychotherapist, MBABCP
1 Endorsed
Serves Area
I’m a compassionate and dedicated Therapist committed to helping you create meaningful change. Together, we’ll identify negative thought patterns, explore behaviours and develop practical skills to better navigate life’s challenges. My approach is empathetic and personalised, creating a safe, non-judgmental space for growth. Whether you're facing anxiety, depression, or life transitions, I’m here to support you in building a healthier mindset for lasting change. Email me about working together to unlock your full potential.
I’m a compassionate and dedicated Therapist committed to helping you create meaningful change. Together, we’ll identify negative thought patterns, explore behaviours and develop practical skills to better navigate life’s challenges. My approach is empathetic and personalised, creating a safe, non-judgmental space for growth. Whether you're facing anxiety, depression, or life transitions, I’m here to support you in building a healthier mindset for lasting change. Email me about working together to unlock your full potential.
01223 657975 View 01223 657975
Photo of Sumita Bhola, Counsellor, MA, MBACP
Sumita Bhola
Counsellor, MA, MBACP
Serves Area
My aim is simple: to help people who need some support in life. I will listen to whatever you need to share, however difficult the subject matter may be. If you can’t find the words to express the way you feel, I will help you to discover a way to bring out those emotions. I work collaboratively with you and I sincerely believe people can gain so much more by working together on a problem. I will definitely help you to understand yourself better. I firmly believe that increasing your self-knowledge will lead to greater potential for an improved quality of life. I aim to help you fulfil your personal goals whatever they may be.
My aim is simple: to help people who need some support in life. I will listen to whatever you need to share, however difficult the subject matter may be. If you can’t find the words to express the way you feel, I will help you to discover a way to bring out those emotions. I work collaboratively with you and I sincerely believe people can gain so much more by working together on a problem. I will definitely help you to understand yourself better. I firmly believe that increasing your self-knowledge will lead to greater potential for an improved quality of life. I aim to help you fulfil your personal goals whatever they may be.
01223 869542 View 01223 869542
Photo of Luisa Maria Vieira, Counsellor, BACP
Luisa Maria Vieira
Counsellor, BACP
Serves Area
I provide counselling and therapy for individuals and couples on an open-ended basis, with the aim of enabling you to find the inner resources to enhance your life and to live it more fully. I offer a soulful perspective in a safe space where hopefully you will feel comfortable to talk, in particularly about things that may have been difficult to express until now, without any fear of judgement. People have sough my help in the past for a wide variety of reasons, including: feeling depressed, flat, anxious, isolated, panic attacks. Relationships issues. Bereavement, including the loss of a child. Feelings related to trauma, etc.
I provide counselling and therapy for individuals and couples on an open-ended basis, with the aim of enabling you to find the inner resources to enhance your life and to live it more fully. I offer a soulful perspective in a safe space where hopefully you will feel comfortable to talk, in particularly about things that may have been difficult to express until now, without any fear of judgement. People have sough my help in the past for a wide variety of reasons, including: feeling depressed, flat, anxious, isolated, panic attacks. Relationships issues. Bereavement, including the loss of a child. Feelings related to trauma, etc.
01223 628062 View 01223 628062
Photo of Dr Nuria Segarra - Cambridge Psychology Centre (Clinical Psychology), Psychologist, PsychD, HCPC - Clin. Psych.
Cambridge Psychology Centre (Clinical Psychology)
Psychologist, PsychD, HCPC - Clin. Psych.
Serves Area
Dr Nuria Segarra is a bilingual Clinical Psychologist, CBT therapist, and Neuroscientist with a PhD in Neuroscience and training from UCL. She supports adults and young people with challenges such as anxiety, depression, trauma, OCD, and psychosis. Her approach integrates CBT with neuroscience-informed, trauma-sensitive care. She also offers specialist psychological and neuropsychological assessments to clarify diagnoses and guide treatment. Fluent in English and Spanish, she provides culturally responsive support grounded in compassion, clarity, and evidence-based practice.
Dr Nuria Segarra is a bilingual Clinical Psychologist, CBT therapist, and Neuroscientist with a PhD in Neuroscience and training from UCL. She supports adults and young people with challenges such as anxiety, depression, trauma, OCD, and psychosis. Her approach integrates CBT with neuroscience-informed, trauma-sensitive care. She also offers specialist psychological and neuropsychological assessments to clarify diagnoses and guide treatment. Fluent in English and Spanish, she provides culturally responsive support grounded in compassion, clarity, and evidence-based practice.
01223 650670 View 01223 650670
Photo of Dr Rebecca Moran, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Rebecca Moran
Psychologist, PsychD, HCPC - Clin. Psych.
Serves Area
I am a Clinical Psychologist and EMDR therapist, registered with the Health & Care Professions Council (HCPC, Reg: PYL041023). For over a decade, I have worked in public healthcare settings in the UK and Ireland; helping people, of all ages, to cope with and recover from emotional and behavioural difficulties such as Attachment issues, Anxiety, Depression, PTSD, phobias and the impact of Trauma/Developmental Trauma. My approach is warm, compassionate, and empathetic. I provide a supportive and confidential space for you to safely explore your difficulties and current needs.
I am a Clinical Psychologist and EMDR therapist, registered with the Health & Care Professions Council (HCPC, Reg: PYL041023). For over a decade, I have worked in public healthcare settings in the UK and Ireland; helping people, of all ages, to cope with and recover from emotional and behavioural difficulties such as Attachment issues, Anxiety, Depression, PTSD, phobias and the impact of Trauma/Developmental Trauma. My approach is warm, compassionate, and empathetic. I provide a supportive and confidential space for you to safely explore your difficulties and current needs.
01245 945723 View 01245 945723
Photo of Samantha Newport, Counsellor, MBACP
Samantha Newport
Counsellor, MBACP
1 Endorsed
Serves Area
It all begins with an idea, and then a decision. Maybe you want to launch a new version of you? Maybe you want to close a chapter on a bad experience and transform your life into something more? Or maybe you’re finally ready to make peace with a hard goodbye – to a relationship, a phase of life, or an identity? You've arrived here because somewhere inside, you're ready to turn your life into your most powerful creative project yet. When you tell your story, you transform the shame that once held you back into the strength that now propels you forward. I'm here to help you do that.
It all begins with an idea, and then a decision. Maybe you want to launch a new version of you? Maybe you want to close a chapter on a bad experience and transform your life into something more? Or maybe you’re finally ready to make peace with a hard goodbye – to a relationship, a phase of life, or an identity? You've arrived here because somewhere inside, you're ready to turn your life into your most powerful creative project yet. When you tell your story, you transform the shame that once held you back into the strength that now propels you forward. I'm here to help you do that.
01903 959575 View 01903 959575
Photo of Monika Sobczak, Psychotherapist, MSc, MBACP
Monika Sobczak
Psychotherapist, MSc, MBACP
Serves Area
Is anxiety taking pleasure out of your life? Finding it difficult to believe in yourself again? Life seems overwhelming? I assist you in unravelling your troubles. Through honest dialogue, I will provide you with a reliable, meaningful, supportive and ethically confidential relationship. There are several contrasting approaches in the counselling/therapy field where I integrate powerful ideas from most of them in order to meet your needs.
Is anxiety taking pleasure out of your life? Finding it difficult to believe in yourself again? Life seems overwhelming? I assist you in unravelling your troubles. Through honest dialogue, I will provide you with a reliable, meaningful, supportive and ethically confidential relationship. There are several contrasting approaches in the counselling/therapy field where I integrate powerful ideas from most of them in order to meet your needs.
01223 981512 View 01223 981512

How does your Counsellor compare?

Number of Counsellors in CB3

50+

Average cost per session

£73

Counsellors in CB3 who prioritize treating:

95% Anxiety
90% Depression
88% Self Esteem
83% Relationship Issues
83% Stress
75% Bereavement
75% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

67% Aviva
62% AXA PPP
57% Bupa

How Counsellors in CB3 see their clients

78% In Person and Online
22% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in CB3?

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.