Counselling in Gravesend

Photo of Leigh Amanda in Gravesend, England
Leigh Amanda
Verified Verified
Gravesend DA11  (Online Only)
As someone who has experienced low mood and anxiety I aim to be a therapist who is warm, caring and approachable. To give back. If you are feeling low or anxious and would like to talk to me online, from the comfort of your own home I am the therapist for you.
As someone who has experienced low mood and anxiety I aim to be a therapist who is warm, caring and approachable. To give back. If you are feeling low or anxious and would like to talk to me online, from the comfort of your own home I am the therapist for you.
01474 551826 View 01474 551826
Photo of Alaine Garnett, Counsellor in Gravesend, England
Alaine Garnett
Counsellor, MBACP
Verified Verified
Gravesend DA11
Are you struggling? Could be with worrying about direction in your life, Brain fog with menopause, Anxiety with everyday life, A bereavement that has been difficult. We can work together to achieve a calmness giving you the skills based on your individual needs, therefore enabling you to be confident in moving forward. I can offer an honest and warm environment for you to feel safe to explore and understand any difficulties you're experiencing. Life can sometimes feel overwhelming, you may have a particular problem that is concerning you, a traumatic experience, sometimes our loved ones are too close to hear how we really feel.
Are you struggling? Could be with worrying about direction in your life, Brain fog with menopause, Anxiety with everyday life, A bereavement that has been difficult. We can work together to achieve a calmness giving you the skills based on your individual needs, therefore enabling you to be confident in moving forward. I can offer an honest and warm environment for you to feel safe to explore and understand any difficulties you're experiencing. Life can sometimes feel overwhelming, you may have a particular problem that is concerning you, a traumatic experience, sometimes our loved ones are too close to hear how we really feel.
01474 554908 View 01474 554908
Photo of Rukshana Ali, Psychologist in Gravesend, England
Rukshana Ali
Psychologist, HCPC - Clin. Psych.
Verified Verified
Gravesend DA11  (Online Only)
Life can be tough at times and sometimes we need a bit of help to manage. I offer psychological assessment and intervention for children, young people and adults. I have specialist expertise in working with long term health conditions including, dermatology (e.g. acne, eczema, alopecia, hair pulling, skin picking and genetic skin diseases), weight management, diabetes, endocrine disorders, respiratory, renal and cardiac issues, amongst others.
Life can be tough at times and sometimes we need a bit of help to manage. I offer psychological assessment and intervention for children, young people and adults. I have specialist expertise in working with long term health conditions including, dermatology (e.g. acne, eczema, alopecia, hair pulling, skin picking and genetic skin diseases), weight management, diabetes, endocrine disorders, respiratory, renal and cardiac issues, amongst others.
01474 554905 View 01474 554905
Photo of Fenns Counseling , Counsellor in Gravesend, England
Fenns Counseling
Counsellor, BACP
Verified Verified
Gravesend DA12
Are you experiencing a feeling of being stuck or lost in a moment, exhaustion from felt pressures or maybe struggling with feelings that can, are, or have become Overwhelming for you ? It may feel difficult to express or share these feelings with those around us. Not wanting to feel misunderstood, negatively Judged or a burden on others.
Are you experiencing a feeling of being stuck or lost in a moment, exhaustion from felt pressures or maybe struggling with feelings that can, are, or have become Overwhelming for you ? It may feel difficult to express or share these feelings with those around us. Not wanting to feel misunderstood, negatively Judged or a burden on others.
01732 441086 View 01732 441086
Photo of Shanice Cox, Counsellor in Gravesend, England
Shanice Cox
Counsellor, MNCPS Acc.
Verified Verified
Gravesend DA11  (Online Only)
Not accepting new clients
Do you feel like life should feel better? Are you in a dark place and trying to find the light? My name is Shanice and I am an REBT therapist, but a human first. I’ve experienced anxiety and depression and understand how hopeless struggling with your mental health can feel. I help people to manage life better and to realise that there is light. I do this by helping you to identify the underlying belief that is creating your pain and going through a structured process of changing that belief.
Do you feel like life should feel better? Are you in a dark place and trying to find the light? My name is Shanice and I am an REBT therapist, but a human first. I’ve experienced anxiety and depression and understand how hopeless struggling with your mental health can feel. I help people to manage life better and to realise that there is light. I do this by helping you to identify the underlying belief that is creating your pain and going through a structured process of changing that belief.
01737 948057 View 01737 948057
Photo of Tracy Jarvis BA(Hons) TJ Counselling, Counsellor in Gravesend, England
Tracy Jarvis BA(Hons) TJ Counselling
Counsellor, MBACP
Verified Verified
Gravesend DA12
I am an Integrative counsellor which means that I use a variety of counselling approaches dependant on your needs and what you want to achieve in the counselling process. Throughout the process you decide what you want to talk about and the pace you want to go. I will listen to you and help you to express and understand your emotions. Sometimes I use writing, drawing and toys to help you express difficult emotions. I have experience in helping people who want to talk through issues of Spirituality, especially their Christian faith.
I am an Integrative counsellor which means that I use a variety of counselling approaches dependant on your needs and what you want to achieve in the counselling process. Throughout the process you decide what you want to talk about and the pace you want to go. I will listen to you and help you to express and understand your emotions. Sometimes I use writing, drawing and toys to help you express difficult emotions. I have experience in helping people who want to talk through issues of Spirituality, especially their Christian faith.
01375 350600 View 01375 350600
Photo of Gemma Harris, Psychotherapist in Gravesend, England
Gemma Harris
Psychotherapist, MBACP
Verified Verified
Gravesend DA12
Deciding to attend therapy is a difficult and brave decision. It is important that you find a therapist with whom you can feel comfortable in being your authentic self, I aim to provide you with that experience. I believe there is no position or age from which positive change cannot be made and will support you in the process. Alternatively, if you have a goal that you wish to achieve, either personally or professionally, it is vital you find someone who can bring energy, enthusiasm and pragmatism to your sessions. I also have experience in the corporate space and provide seminars on a number of issues and coaching for groups.
Deciding to attend therapy is a difficult and brave decision. It is important that you find a therapist with whom you can feel comfortable in being your authentic self, I aim to provide you with that experience. I believe there is no position or age from which positive change cannot be made and will support you in the process. Alternatively, if you have a goal that you wish to achieve, either personally or professionally, it is vital you find someone who can bring energy, enthusiasm and pragmatism to your sessions. I also have experience in the corporate space and provide seminars on a number of issues and coaching for groups.
01375 808532 View 01375 808532
Photo of Fiona Phillips, Counsellor in Gravesend, England
Fiona Phillips
Counsellor, BACP
Verified Verified
Gravesend DA12
Hi, I'm Fiona. Welcome to my profile. I am an experienced, and qualified counsellor who loves her job. I understand how difficult it is to approach counselling, and know how daunting, scary and anxiety provoking it can be to choose the "right counsellor for you". Perhaps your daily life leaves you confused enough, without having to make yet another decision. Perhaps your goal is to understand yourself more fully, or learn ways of accepting past experiences, and finding a more relaxed, and happier way to move forward. If you are looking for someone patient, warm and non judgemental, I'd really like to be that person to help you.
Hi, I'm Fiona. Welcome to my profile. I am an experienced, and qualified counsellor who loves her job. I understand how difficult it is to approach counselling, and know how daunting, scary and anxiety provoking it can be to choose the "right counsellor for you". Perhaps your daily life leaves you confused enough, without having to make yet another decision. Perhaps your goal is to understand yourself more fully, or learn ways of accepting past experiences, and finding a more relaxed, and happier way to move forward. If you are looking for someone patient, warm and non judgemental, I'd really like to be that person to help you.
01474 556844 View 01474 556844
Photo of Sarah Jane Hutchinson, Counsellor in Gravesend, England
Sarah Jane Hutchinson
Counsellor, MBACP Accred
Verified Verified
Gravesend DA12
Having worked with young people, adults, couples and groups, I am hugely passionate about supporting people from all walks of life and whose experience of mental health have been varied. I am committed to providing a confidential, non-judgemental and a safe space for people to share difficult feelings and experiences. I have experience in working with a number of issues, from stress, anxiety and depression to post traumatic stress and personality disorders, I have been privileged in being able to support people in the development of their awareness, resilience, confidence and an improved sense of mental health & wellbeing.
Having worked with young people, adults, couples and groups, I am hugely passionate about supporting people from all walks of life and whose experience of mental health have been varied. I am committed to providing a confidential, non-judgemental and a safe space for people to share difficult feelings and experiences. I have experience in working with a number of issues, from stress, anxiety and depression to post traumatic stress and personality disorders, I have been privileged in being able to support people in the development of their awareness, resilience, confidence and an improved sense of mental health & wellbeing.
01474 552770 View 01474 552770
Photo of Rosie at Changing 'Arts and Minds, Counsellor in Gravesend, England
Rosie at Changing 'Arts and Minds
Counsellor, MA, BACP
Verified Verified
Gravesend DA11
Hi, my name is Rosie Heartland. I am a recently qualified Transpersonal Arts Therapist and counsellor. In this post pandemic world, many people are suffering from anxiety, depression and the trauma brought on by not only the insecurities of these times, but also by adverse childhood experiences. Taking that leap to enter into therapy is very difficult and I understand how scary the thought of opening up to a stranger can be. I hope to offer you compassion, understanding and a listening ear, so you feel at ease within our therapeutic relationship and your well-being goals can be addressed through non-threatening Creative therapy.
Hi, my name is Rosie Heartland. I am a recently qualified Transpersonal Arts Therapist and counsellor. In this post pandemic world, many people are suffering from anxiety, depression and the trauma brought on by not only the insecurities of these times, but also by adverse childhood experiences. Taking that leap to enter into therapy is very difficult and I understand how scary the thought of opening up to a stranger can be. I hope to offer you compassion, understanding and a listening ear, so you feel at ease within our therapeutic relationship and your well-being goals can be addressed through non-threatening Creative therapy.
01474 556889 View 01474 556889
Photo of Emma Farrell, Counsellor in Gravesend, England
Emma Farrell
Counsellor, MBACP Snr. Accred
Verified Verified
Gravesend DA12
Sometimes we can all feel stuck and not know which way to turn. Life can feel overwhelming or out of control. It can feel like it's not heading in the direction that we want. We can get stuck in cycles, repeating the same behaviours, knowingly or unknowingly. You're in the right place, counselling can help! Counselling focuses on your future and moving past any blocks preventing you from living the life you wish. Together we will explore your present difficulties, as well as past experiences that have led to your current situation.
Sometimes we can all feel stuck and not know which way to turn. Life can feel overwhelming or out of control. It can feel like it's not heading in the direction that we want. We can get stuck in cycles, repeating the same behaviours, knowingly or unknowingly. You're in the right place, counselling can help! Counselling focuses on your future and moving past any blocks preventing you from living the life you wish. Together we will explore your present difficulties, as well as past experiences that have led to your current situation.
01474 559491 View 01474 559491
Photo of Andreea Achim, Counsellor in Gravesend, England
Andreea Achim
Counsellor, MSc, MBACP
Verified Verified
Gravesend DA12  (Online Only)
Whether we have suffered a life shattering event or we live with a feeling that something is missing in our lives, our resilience can become depleted. Repeated feelings of anxiety, stress and depression, left unchecked, can start to gain control over our everyday lives, keeping us stuck, unfulfilled and isolated. Using a tailored integrative approach, I am here to facilitate a process by which we can examine and engage with challenges in a way that promotes your resilience and helps you move forward in the direction that feels right and authentic to you.
Whether we have suffered a life shattering event or we live with a feeling that something is missing in our lives, our resilience can become depleted. Repeated feelings of anxiety, stress and depression, left unchecked, can start to gain control over our everyday lives, keeping us stuck, unfulfilled and isolated. Using a tailored integrative approach, I am here to facilitate a process by which we can examine and engage with challenges in a way that promotes your resilience and helps you move forward in the direction that feels right and authentic to you.
01474 558838 View 01474 558838
Photo of Janie Elizabeth Bannan, Counsellor in Gravesend, England
Janie Elizabeth Bannan
Counsellor, FNCPS
Verified Verified
Gravesend DA12
My agenda is YOUR agenda. I have a passion and belief in counselling. A secure and professional relationship being key. I am trained and qualified to support you through your counselling journey. Bringing both academic knowledge and life experience. I am a widow who raised two children as a single parent and has survived breast cancer twice. I grasp the depth of pain and trauma, life can throw at us. I have worked extensively in schools with teens and young adolescents, young business and sports professionals to support them reach their potential, since becoming qualified 12 years +. Lets focus on what you want to facilitate change.
My agenda is YOUR agenda. I have a passion and belief in counselling. A secure and professional relationship being key. I am trained and qualified to support you through your counselling journey. Bringing both academic knowledge and life experience. I am a widow who raised two children as a single parent and has survived breast cancer twice. I grasp the depth of pain and trauma, life can throw at us. I have worked extensively in schools with teens and young adolescents, young business and sports professionals to support them reach their potential, since becoming qualified 12 years +. Lets focus on what you want to facilitate change.
01474 556750 View 01474 556750
Photo of Jake Fisher, Counsellor in Gravesend, England
Jake Fisher
Counsellor, DCounsPsych, MBACP
Verified Verified
Gravesend DA12
When we try to surpress strong emotions, they have a nasty habit of impacting on our lives in other ways through our behaviours. We can try to ignore them or numb them but they are still there. After a while the pressure grows and it starts to impact on those around us, our jobs, our families. You may feel alone and isolated and struggling to find the answer.
When we try to surpress strong emotions, they have a nasty habit of impacting on our lives in other ways through our behaviours. We can try to ignore them or numb them but they are still there. After a while the pressure grows and it starts to impact on those around us, our jobs, our families. You may feel alone and isolated and struggling to find the answer.
01474 770799 View 01474 770799
Photo of Solve and Evolve Therapies, Psychotherapist in Gravesend, England
Solve and Evolve Therapies
Psychotherapist, MBABCP
Verified Verified
Gravesend DA12
I'm an accredited Cognitive Behavioural Psychotherapist and Counsellor with almost 20yrs experience in mental health. I support Adults and Adolescents (12-17yrs). I have additional training in EMDR Therapy and Supervision, with over 10 years experience Supervising within the NHS and private practice. I have a special interest in PTSD and trauma. I also specialise in anxiety disorders (ie. PTSD, Panic, Health, GAD, Social Anxiety and Phobias) depression and low self-esteem. I Supervise Trainees on the level 7 Masters in CBT as well as other qualified clinicians. F2F and Remote.
I'm an accredited Cognitive Behavioural Psychotherapist and Counsellor with almost 20yrs experience in mental health. I support Adults and Adolescents (12-17yrs). I have additional training in EMDR Therapy and Supervision, with over 10 years experience Supervising within the NHS and private practice. I have a special interest in PTSD and trauma. I also specialise in anxiety disorders (ie. PTSD, Panic, Health, GAD, Social Anxiety and Phobias) depression and low self-esteem. I Supervise Trainees on the level 7 Masters in CBT as well as other qualified clinicians. F2F and Remote.
01634 968295 View 01634 968295
Photo of Trish Flood, Counsellor in Gravesend, England
Trish Flood
Counsellor, MBACP
Verified Verified
Gravesend DA12
Hi, I'm Trish. I appreciate how daunting looking for counsellors can be. With over 10 years experience working in the Probation Service I have met people from all walks of life, with many different concerns including anxiety, trauma, depression, sexual and physical abuse and addictions. I am a qualified life coach, offering bespoke packages of 4, 8 and 12 months which allows me to mentor you to move towards your goals. I work with the whole person and I run meditation/mindfulness groups and offer one to one sessions. I work between Longfield and Gravesend. I am a Reiki Master and EFT practitioner.
Hi, I'm Trish. I appreciate how daunting looking for counsellors can be. With over 10 years experience working in the Probation Service I have met people from all walks of life, with many different concerns including anxiety, trauma, depression, sexual and physical abuse and addictions. I am a qualified life coach, offering bespoke packages of 4, 8 and 12 months which allows me to mentor you to move towards your goals. I work with the whole person and I run meditation/mindfulness groups and offer one to one sessions. I work between Longfield and Gravesend. I am a Reiki Master and EFT practitioner.
01474 559473 View 01474 559473
Photo of M Ozlem Kaldi, Psychotherapist in Gravesend, England
M Ozlem Kaldi
Psychotherapist, MA, BACP
Verified Verified
Gravesend DA12
I'm here to support client's who have challenging lives which are affected by anxiety disorders, depression, bereavement or who feels stuck in their relationship patterns. We build our attachment styles from a young age. We can find ourselves stuck in the same attachment patterns as we get older. I have supported clients to face their own attachment fears that impact their personal relationships. Also worked with clients who have self-harm and suicidal ideation and supported them to face their missing voids.
I'm here to support client's who have challenging lives which are affected by anxiety disorders, depression, bereavement or who feels stuck in their relationship patterns. We build our attachment styles from a young age. We can find ourselves stuck in the same attachment patterns as we get older. I have supported clients to face their own attachment fears that impact their personal relationships. Also worked with clients who have self-harm and suicidal ideation and supported them to face their missing voids.
01322 923374 View 01322 923374
Photo of Kiran Sandhu, Counsellor in Gravesend, England
Kiran Sandhu
Counsellor, BACP
Verified Verified
Gravesend DA11
Hello and welcome to all of you who are taking the courageous step to find a therapist to help you. My clients have often commented on how relaxed and empowered they feel when working with me. This enables the exploration of emotions, behaviour and thought processes to help overcome concerns and issues. My work ethos is that successful counselling comes from a safe and trusting relationship, guided by professional principles. If you are struggling to cope with challenging situations your self-care starts here. You have nothing to lose by giving me a call because I believe everyone is capable of change with the right support.
Hello and welcome to all of you who are taking the courageous step to find a therapist to help you. My clients have often commented on how relaxed and empowered they feel when working with me. This enables the exploration of emotions, behaviour and thought processes to help overcome concerns and issues. My work ethos is that successful counselling comes from a safe and trusting relationship, guided by professional principles. If you are struggling to cope with challenging situations your self-care starts here. You have nothing to lose by giving me a call because I believe everyone is capable of change with the right support.
01322 936163 View 01322 936163
Photo of Nic Nistor, Psychologist in Gravesend, England
Nic Nistor
Psychologist, MA, HCPC - Clin. Psych.
Verified Verified
Gravesend DA12
Are you feeling anxious? Excessive worries are ruining your life?  Are you unable to live the life you want and struggle to achieve your goals? Do you struggle with work?  Do you believe that nobody understand you? Do you feel scared and anxious when around other people or that the world is not safe? Do you find difficult to trust other and to make friends or to maintain a relation? Do you feel alone and disconnected? Do you feel that people are against you? Does it feel  that others are giving you a hard time?  Have you been told you are weird? Do you feel like you are different from everyone else and that you don't fit in?
Are you feeling anxious? Excessive worries are ruining your life?  Are you unable to live the life you want and struggle to achieve your goals? Do you struggle with work?  Do you believe that nobody understand you? Do you feel scared and anxious when around other people or that the world is not safe? Do you find difficult to trust other and to make friends or to maintain a relation? Do you feel alone and disconnected? Do you feel that people are against you? Does it feel  that others are giving you a hard time?  Have you been told you are weird? Do you feel like you are different from everyone else and that you don't fit in?
01634 563610 View 01634 563610
Photo of Dr Helen Layton, Psychologist in Gravesend, England
Dr Helen Layton
Psychologist, HCPC - Clin. Psych.
Verified Verified
Gravesend DA11
I am an experienced Clinical Psychologist who has been working in NHS mental health services for over 10 years. I am currently working in a specialist Perinatal Mental Health Service within the NHS. I have specialised in providing therapy for individuals and couples who are struggling with their feelings during pregnancy and/or parenthood. This might be changes in mood, struggles processing a previous loss, traumatic birth, unexpected feelings during parenthood and/or difficulties with bonding with your baby/babies.
I am an experienced Clinical Psychologist who has been working in NHS mental health services for over 10 years. I am currently working in a specialist Perinatal Mental Health Service within the NHS. I have specialised in providing therapy for individuals and couples who are struggling with their feelings during pregnancy and/or parenthood. This might be changes in mood, struggles processing a previous loss, traumatic birth, unexpected feelings during parenthood and/or difficulties with bonding with your baby/babies.
020 3816 3652 View 020 3816 3652

See more therapy options for Gravesend

How does your Counsellor compare?

Number of Counsellors in Gravesend

30+

Average cost per session

£52

Counsellors in Gravesend who prioritize treating:

95% Anxiety
92% Depression
90% Self Esteem
85% Relationship Issues
82% Stress
77% Trauma and PTSD
77% Coping Skills

Average years in practice

6 Years

Top 3 insurances accepted

73% Aviva
73% AXA PPP
73% Bupa

How Counsellors in Gravesend see their clients

72% In Person and Online
28% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Gravesend?

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.