Photo of Mandy Burvill, MA, MBACP, Counsellor
Mandy Burvill
Counsellor, MA, MBACP
Verified Verified
Through our lives we experience challenges, big and small. Talking through these challenges in a supportive environment can lead to greater understanding, increased self-awareness and clarity about possible ways forward. I have worked with people of all ages from a wide range of backgrounds – all are welcome.
Through our lives we experience challenges, big and small. Talking through these challenges in a supportive environment can lead to greater understanding, increased self-awareness and clarity about possible ways forward. I have worked with people of all ages from a wide range of backgrounds – all are welcome.
07956 856206 View 07956 856206
Photo of Josephine Sylvia Padfield, MBACP Accred, Psychotherapist
Josephine Sylvia Padfield
Psychotherapist, MBACP Accred
Verified Verified
My psychotherapy philosophy is that everyone has the resources within themselves to find meaning, purpose and fulfilment in their lives. Sometimes we need some help in accessing these internal resources. If you find yourself feeling stuck, depressed or anxious possibly from external life events, problematic relationship issues, or other internal psychological struggles which may be more difficult to understand, you may find it helpful to speak to a counsellor. Talking about issues of concern in a confidential environment can lead to greater understanding, more self awareness and clarity about best ways forward.
My psychotherapy philosophy is that everyone has the resources within themselves to find meaning, purpose and fulfilment in their lives. Sometimes we need some help in accessing these internal resources. If you find yourself feeling stuck, depressed or anxious possibly from external life events, problematic relationship issues, or other internal psychological struggles which may be more difficult to understand, you may find it helpful to speak to a counsellor. Talking about issues of concern in a confidential environment can lead to greater understanding, more self awareness and clarity about best ways forward.
01244 566482 View 01244 566482
Photo of Dr Carol Sadler, PsychD, HCPC - Clin. Psych., Psychologist
Dr Carol Sadler
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
I have extensive experience in supporting families, adults, children and young people with a variety of difficulties, including low mood and depression, low self-esteem, stress, anxiety, loss and bereavement, trauma, obsessive-compulsive disorder, relationship problems and issues around identity and belonging.
I have extensive experience in supporting families, adults, children and young people with a variety of difficulties, including low mood and depression, low self-esteem, stress, anxiety, loss and bereavement, trauma, obsessive-compulsive disorder, relationship problems and issues around identity and belonging.
07446 045884 View 07446 045884
Photo of Delyth Cole, MBACP, Counsellor
Delyth Cole
Counsellor, MBACP
Verified Verified
Whatever is bothering you ... it matters! - If it's causing you sleepless nights, it's a problem. ​ Taking care of your mental health is just as important as taking care of your physical health. ​ Therapy is absolutely here for the big crises or trauma's in your life, and so it should be - but it's not just for those ...​​ you may be thinking your issue is not important enough, or big enough, or serious enough to bring to therapy - but actually talking about it and getting it out of your head can really help.​ ​ ... It's better to catch it early than wait for it to actually become a crisis. I’m a safe pair of hands for either.
Whatever is bothering you ... it matters! - If it's causing you sleepless nights, it's a problem. ​ Taking care of your mental health is just as important as taking care of your physical health. ​ Therapy is absolutely here for the big crises or trauma's in your life, and so it should be - but it's not just for those ...​​ you may be thinking your issue is not important enough, or big enough, or serious enough to bring to therapy - but actually talking about it and getting it out of your head can really help.​ ​ ... It's better to catch it early than wait for it to actually become a crisis. I’m a safe pair of hands for either.
0151 453 4365 View 0151 453 4365
Photo of Kate Louise McDonald, MBACP, Psychotherapist
Kate Louise McDonald
Psychotherapist, MBACP
Verified Verified
So if you've reached this point I'm guessing you feel like you need some extra support and professional guidance. Life at times for all of us can seem overwhelming and our minds are like overfilled jugs of water or that junk draw that we have in our homes that just doesn't shut. Whatever your issue is, I believe I can help you. Together we can unfold what is going on for you, at your pace and then with my support, we can look at new ways of coping and reach a goal that you would love to achieve. The answers you're looking for, are already inside you. I help you find them, organize them and achieve them.
So if you've reached this point I'm guessing you feel like you need some extra support and professional guidance. Life at times for all of us can seem overwhelming and our minds are like overfilled jugs of water or that junk draw that we have in our homes that just doesn't shut. Whatever your issue is, I believe I can help you. Together we can unfold what is going on for you, at your pace and then with my support, we can look at new ways of coping and reach a goal that you would love to achieve. The answers you're looking for, are already inside you. I help you find them, organize them and achieve them.
0151 453 3084 View 0151 453 3084
Photo of Jennifer Roberts Peers - Peer Therapy, MBABCP, Psychotherapist
Peer Therapy
Psychotherapist, MBABCP
Verified Verified
2 Endorsed
I am a seeking to help people who are struggling with the impact of a traumatic experience. This may be an individual traumatic experience or multiple events. Often times people living with symptoms of trauma feel alone, isolated and hopeless. The thought of seeking help and recovery can feel overwhelming and uncertain. I would like to work with clients who are ready to take the first step, or are seeking lasting recovery from difficult past experiences.
I am a seeking to help people who are struggling with the impact of a traumatic experience. This may be an individual traumatic experience or multiple events. Often times people living with symptoms of trauma feel alone, isolated and hopeless. The thought of seeking help and recovery can feel overwhelming and uncertain. I would like to work with clients who are ready to take the first step, or are seeking lasting recovery from difficult past experiences.
0151 453 4737 View 0151 453 4737
Photo of Stephanie Anne Edwards, DCounsPsych, MBACP, Psychotherapist
Stephanie Anne Edwards
Psychotherapist, DCounsPsych, MBACP
Verified Verified
I believe each of us have the capacity to grow to reach our true potential. What can influence or inhibit our positive growth? Our life experiences are affected by childhood events, our relationships with parents. siblings, other family members, friendships, work etc, Our soil can be contaminated by others in our lives when we experience childhood trauma, grief, loss, shame and witnessing violence. being in abusive relationships, life and death situations. These experiences influence us as we grow up, our emotions, our beliefs, our thoughts and our behaviours. This can make us feel depressed, anxious, derailed and scared.
I believe each of us have the capacity to grow to reach our true potential. What can influence or inhibit our positive growth? Our life experiences are affected by childhood events, our relationships with parents. siblings, other family members, friendships, work etc, Our soil can be contaminated by others in our lives when we experience childhood trauma, grief, loss, shame and witnessing violence. being in abusive relationships, life and death situations. These experiences influence us as we grow up, our emotions, our beliefs, our thoughts and our behaviours. This can make us feel depressed, anxious, derailed and scared.
07723 441602 View 07723 441602
Photo of Dr Sophie E Harrison, PsychD, HCPC - Clin. Psych., Psychologist
Dr Sophie E Harrison
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
I am passionate about promoting change through self discovery in a safe therapeutic relationship. I work with people to develop an understanding of any difficulties, looking to identify patterns and look for changes and alternative approaches. I am passionate about trauma informed therapy and have a strong ethos of the more we understand of ourselves, the more we have accessible to reflect upon, to change and to develop. I consider myself to be warm, approachable and friendly, always looking to create safe and supportive spaces for individuals to feel comfortable in.
I am passionate about promoting change through self discovery in a safe therapeutic relationship. I work with people to develop an understanding of any difficulties, looking to identify patterns and look for changes and alternative approaches. I am passionate about trauma informed therapy and have a strong ethos of the more we understand of ourselves, the more we have accessible to reflect upon, to change and to develop. I consider myself to be warm, approachable and friendly, always looking to create safe and supportive spaces for individuals to feel comfortable in.
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Photo of Christina Bebbington, MA, MBACP, Psychotherapist
Christina Bebbington
Psychotherapist, MA, MBACP
Verified Verified
Waitlist for new clients
I have a passion to work with people who are in a transition period in life. You may well be aware that you are stuck or unhappy in some way and yet feel powerless to change. It may seem impossible to move forward, yet the idea of staying in the exact same position in life is equally traumatic. Remaining stuck is to deny our authentic self, the part of us that knows and yearns for a better way to be. My work is to journey with you, helping you connect with who you really are.
I have a passion to work with people who are in a transition period in life. You may well be aware that you are stuck or unhappy in some way and yet feel powerless to change. It may seem impossible to move forward, yet the idea of staying in the exact same position in life is equally traumatic. Remaining stuck is to deny our authentic self, the part of us that knows and yearns for a better way to be. My work is to journey with you, helping you connect with who you really are.
0151 453 1428 View 0151 453 1428
Photo of Jo Costi, MBABCP, Psychotherapist
Jo Costi
Psychotherapist, MBABCP
Verified Verified
3 Endorsed
I am a local CBT service offering CBT to Adults and Young People over age 12. If you are finding that anxiety, low mood, burnout are taking over, Cognitive Behavioural Therapy (CBT) can help you begin to take back control of your life and create the change that you deserve.' She genuinely cares about your problems and is extremely empathetic, offering insight and guidance that I’ll cherish forever'. 'I was apprehensive but Jo immediately put me at ease and created a safe space for me to be vulnerable and to truly open up.' are just some of the comments from clients I have received.
I am a local CBT service offering CBT to Adults and Young People over age 12. If you are finding that anxiety, low mood, burnout are taking over, Cognitive Behavioural Therapy (CBT) can help you begin to take back control of your life and create the change that you deserve.' She genuinely cares about your problems and is extremely empathetic, offering insight and guidance that I’ll cherish forever'. 'I was apprehensive but Jo immediately put me at ease and created a safe space for me to be vulnerable and to truly open up.' are just some of the comments from clients I have received.
0151 453 1611 View 0151 453 1611
Photo of Liz Heald, MBACP, Counsellor
Liz Heald
Counsellor, MBACP
Verified Verified
I am a fully qualified Integrative Counsellor and CBT & DBT Practitioner based on the Wirral, UK. I am a registered member of the British Association for Counselling and Psychotherapy and an individual member of the British Association for Behavioural and Cognitive Psychotherapies. As my surname perfectly encapsulates, I have a passion for helping others on their healing journey to find inner peace, by working with clients to explore their issues in an empathic, non-judgemental and impartial way. For full information on how I work, check out my website: www.healdtherapy.com
I am a fully qualified Integrative Counsellor and CBT & DBT Practitioner based on the Wirral, UK. I am a registered member of the British Association for Counselling and Psychotherapy and an individual member of the British Association for Behavioural and Cognitive Psychotherapies. As my surname perfectly encapsulates, I have a passion for helping others on their healing journey to find inner peace, by working with clients to explore their issues in an empathic, non-judgemental and impartial way. For full information on how I work, check out my website: www.healdtherapy.com
0151 453 3304 View 0151 453 3304
Photo of Jennifer Shaw - Jen Shaw @ Perseverance Counselling Services, MBACP, Counsellor
Jen Shaw @ Perseverance Counselling Services
Counsellor, MBACP
Verified Verified
Waitlist for new clients
Hello my name is Jen and I am a fully qualified therapist who loves counselling. I have lots of experience working with neurodiverse adults, young people and children so find it easy to adapt my style to suit my clients needs. I have a genuine passion for the work I do, as i enjoy helping people feel better about themselves.
Hello my name is Jen and I am a fully qualified therapist who loves counselling. I have lots of experience working with neurodiverse adults, young people and children so find it easy to adapt my style to suit my clients needs. I have a genuine passion for the work I do, as i enjoy helping people feel better about themselves.
0151 453 0647 View 0151 453 0647
Photo of Helen Louise Jones - Helen Jones CBT and EMDR Therapy, MSc, MBABCP, Psychotherapist
Helen Jones CBT and EMDR Therapy
Psychotherapist, MSc, MBABCP
Verified Verified
Online Only
Hi, I’m Helen - a BABCP-accredited Cognitive Behavioural Therapist ('CBT') and Eye Movement Desensitisation Reprocessing ('EMDR') practitioner. I spent 15 years working within NHS mental health services. For the past 3 years, I have worked as a private practitioner. I hold a Postgraduate Diploma in CBT and an MSc in Applied Social Studies.
Hi, I’m Helen - a BABCP-accredited Cognitive Behavioural Therapist ('CBT') and Eye Movement Desensitisation Reprocessing ('EMDR') practitioner. I spent 15 years working within NHS mental health services. For the past 3 years, I have worked as a private practitioner. I hold a Postgraduate Diploma in CBT and an MSc in Applied Social Studies.
01244 563543 View 01244 563543
Photo of Neil Cadwallader - Inscape Psychotherapy, MA, MUKCP, Psychotherapist
Inscape Psychotherapy
Psychotherapist, MA, MUKCP
Verified Verified
Meols CH48
Waitlist for new clients
Psychotherapy can help support you with a range of concerns. You could be feeling troubled by something in your life. You could be feeling low or anxious, perhaps from a bereavement, trauma or abuse. You may find it difficult to sustain healthy relationships. You may be experiencing chronic pain, an addiction to something that is doing you harm, or trying to come to terms with a frightening medical diagnosis. You may also hope to understand and love yourself and others better, to become more authentic, to understand the pain of being human, or to seek spiritual fulfilment.
Psychotherapy can help support you with a range of concerns. You could be feeling troubled by something in your life. You could be feeling low or anxious, perhaps from a bereavement, trauma or abuse. You may find it difficult to sustain healthy relationships. You may be experiencing chronic pain, an addiction to something that is doing you harm, or trying to come to terms with a frightening medical diagnosis. You may also hope to understand and love yourself and others better, to become more authentic, to understand the pain of being human, or to seek spiritual fulfilment.
0151 541 4056 View 0151 541 4056
Photo of Carol McGrath, MBABCP, Psychotherapist
Carol McGrath
Psychotherapist, MBABCP
Verified Verified
Not accepting new clients
As an experienced Psychotherapist I deal with members of the public as well as current and ex Emergency Services staff. (I am ex Services). Are you stressed and overwhelmed with life in general and/or work procedures, pressures, time restraints, lack of staff? Maybe you don't know what to deal with because you are so exhausted with numerous issues which are having a negative impact on your life. Or you may know what you want to deal with specifically but are too embarrassed to seek help. I can help you focus on the most important issues which will start you on your road to recovery and getting your life back on track. Take Care.
As an experienced Psychotherapist I deal with members of the public as well as current and ex Emergency Services staff. (I am ex Services). Are you stressed and overwhelmed with life in general and/or work procedures, pressures, time restraints, lack of staff? Maybe you don't know what to deal with because you are so exhausted with numerous issues which are having a negative impact on your life. Or you may know what you want to deal with specifically but are too embarrassed to seek help. I can help you focus on the most important issues which will start you on your road to recovery and getting your life back on track. Take Care.
01923 961983 View 01923 961983
Photo of Victoria Lacey - GetCBT (Victoria Lacey, CBT Therapist; EMDR), MBABCP, Psychotherapist
GetCBT (Victoria Lacey, CBT Therapist; EMDR)
Psychotherapist, MBABCP
Verified Verified
3 Endorsed
NOW offering a Special Rate for trauma focused EMDR for a limited time! Looking for an Anxiety Specialist? Therapy should be a partnership, that capitalises on your knowledge of your history and self, and your therapists knowledge of how go apply gold standard evidence based interventions and treatments to make you feel better. I started GetCBT to provide you with a First Class Psychotherapy experience working with Depression & Low self-esteem & specialising in Anxiety & Panic Attacks, Worry, OCD, PTSD, Phobia's, Social Anxiety & Health Anxiety. Check out our Google & Trustpilot reviews to read how others found working together.
NOW offering a Special Rate for trauma focused EMDR for a limited time! Looking for an Anxiety Specialist? Therapy should be a partnership, that capitalises on your knowledge of your history and self, and your therapists knowledge of how go apply gold standard evidence based interventions and treatments to make you feel better. I started GetCBT to provide you with a First Class Psychotherapy experience working with Depression & Low self-esteem & specialising in Anxiety & Panic Attacks, Worry, OCD, PTSD, Phobia's, Social Anxiety & Health Anxiety. Check out our Google & Trustpilot reviews to read how others found working together.
0151 453 3877 View 0151 453 3877

More Therapists Nearby

Photo of Dr Kate Rose, PsychD, HCPC - Clin. Psych., Psychologist
Dr Kate Rose
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
I help people to overcome their past, so that they can embrace their future. So often, the things we are struggling with in life, can be linked back to our early life experiences or difficult life events, which can have a huge impact on how we feel about ourselves, our relationships with others and our overall well being. My goal is to help my clients understand and make sense of their past experiences and explore how their current difficulties may fit into this. I help them to learn new skills and break old patterns so that they can reclaim the life that they want.
I help people to overcome their past, so that they can embrace their future. So often, the things we are struggling with in life, can be linked back to our early life experiences or difficult life events, which can have a huge impact on how we feel about ourselves, our relationships with others and our overall well being. My goal is to help my clients understand and make sense of their past experiences and explore how their current difficulties may fit into this. I help them to learn new skills and break old patterns so that they can reclaim the life that they want.
01829 701714 View 01829 701714
Photo of Holly Driver Dos Santos, MSc, MBABCP, Psychotherapist
Holly Driver Dos Santos
Psychotherapist, MSc, MBABCP
Verified Verified
I can treat panic, generalised anxiety, social anxiety, phobias, OCD, PTSD, depression and anxiety and low mood associated to low self esteem. I will always offer a psychological assessment as the first CBT session, so can advise at the end of the first session of a provisional diagnosis and whether CBT is likely to help. The therapy is goal- focused, evidence-based, and involves making changes with my support to overcome your difficulties. It can be extremely difficult to know what your goals are when highly anxious or depressed, so I can help you to work out what you are aiming to change. I can help you if aged 16 or above.
I can treat panic, generalised anxiety, social anxiety, phobias, OCD, PTSD, depression and anxiety and low mood associated to low self esteem. I will always offer a psychological assessment as the first CBT session, so can advise at the end of the first session of a provisional diagnosis and whether CBT is likely to help. The therapy is goal- focused, evidence-based, and involves making changes with my support to overcome your difficulties. It can be extremely difficult to know what your goals are when highly anxious or depressed, so I can help you to work out what you are aiming to change. I can help you if aged 16 or above.
0151 453 4586 View 0151 453 4586
Photo of Helen Newman, MNCPS Acc., Counsellor
Helen Newman
Counsellor, MNCPS Acc.
Verified Verified
We all experience difficulties and challenges at some point in our lives which can leave us feeling anxious, stressed and worried. We all have past experiences that can still affect us in the here and now. Trying to make sense of these issues and experiences and trying to find our place in the world can often feel overwhelming and frightening, especially if we believe that we are the only ones feeling this way. Effective counselling can give you the time and space you need to help you to explore and begin to make sense of the issues affecting your life and allow you to focus on the changes you may want to make.
We all experience difficulties and challenges at some point in our lives which can leave us feeling anxious, stressed and worried. We all have past experiences that can still affect us in the here and now. Trying to make sense of these issues and experiences and trying to find our place in the world can often feel overwhelming and frightening, especially if we believe that we are the only ones feeling this way. Effective counselling can give you the time and space you need to help you to explore and begin to make sense of the issues affecting your life and allow you to focus on the changes you may want to make.
01923 961195 View 01923 961195
Photo of Peter Churchill, MBABCP, Psychotherapist
Peter Churchill
Psychotherapist, MBABCP
Verified Verified
Online Only
Hi. I'm Pete and I've been practicing as a therapist in the NHS for over 20 years. I now work as a Senior Lecturer in Cognitive Behavioural Therapy (CBT) and have a private therapy practice too, offering therapy and clinical supervision. Whatever it is that brings you to therapy, I will aim to build a safe place where we can work together to overcome whatever is causing you distress.
Hi. I'm Pete and I've been practicing as a therapist in the NHS for over 20 years. I now work as a Senior Lecturer in Cognitive Behavioural Therapy (CBT) and have a private therapy practice too, offering therapy and clinical supervision. Whatever it is that brings you to therapy, I will aim to build a safe place where we can work together to overcome whatever is causing you distress.
01253 835738 View 01253 835738

See more therapy options for CH48

How does your Counsellor compare?

Number of Counsellors in CH48

10+

Average cost per session

£65

Counsellors in CH48 who prioritize treating:

88% Depression
88% Anxiety
88% Self Esteem
75% Stress
69% Relationship Issues
63% Bereavement
56% Obsessive-Compulsive (OCD)

Average years in practice

9 Years

Top 3 insurances accepted

67% Any/Out-of-network Insurance
67% Healix
33% Cigna and Evernorth

How Counsellors in CH48 see their clients

94% In Person and Online
6% Online Only

Gender breakdown

94% Female
6% Male
FAQs - About Therapy and Counselling

How can I find a therapist in CH48?

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.