Counselling in EC4R

Photo of Ryan Powell, Counsellor, DCounsPsych, MBACP Accred
Ryan Powell
Counsellor, DCounsPsych, MBACP Accred
1 Endorsed
London EC4R
I am trained in both couple’s therapy and individual therapy and also offer Supervision. As an Integrative Counsellor, I am here to walk beside you on your journey. My approach is empathetic and compassionate; however I will challenge my clients to help them achieve their goals. I have worked within the NHS and now within a university conducting short term solution focused therapy. I have created a successful private practice and I want the sessions to focus on my clients needs. I will provide the platform for you to discuss what you need to discuss and the safety of a confidential, caring and warm space.
I am trained in both couple’s therapy and individual therapy and also offer Supervision. As an Integrative Counsellor, I am here to walk beside you on your journey. My approach is empathetic and compassionate; however I will challenge my clients to help them achieve their goals. I have worked within the NHS and now within a university conducting short term solution focused therapy. I have created a successful private practice and I want the sessions to focus on my clients needs. I will provide the platform for you to discuss what you need to discuss and the safety of a confidential, caring and warm space.
020 4538 8657 View 020 4538 8657
Photo of Joyce Ghiraw, Psychotherapist, MSc, MUKCP
Joyce Ghiraw
Psychotherapist, MSc, MUKCP
1 Endorsed
London EC4R
I provide a caring, safe and insightful space for you to pause and be yourself. Supporting you to voice your inner struggles and to work through them with effect. I work with a wide range of issues, including relationships, attachment, self-esteem, anxiety, intrusive thoughts, childhood trauma, and emotional regulation. It energises me to see clients become happier and healthier selves, deeply rooted in their own potential. I am a registered psychotherapist, ACT-CBT certified, and a member of the UK Council for Psychotherapy, BAATN, and Metanoia Institute. My work is influenced by my interest in symbolism.
I provide a caring, safe and insightful space for you to pause and be yourself. Supporting you to voice your inner struggles and to work through them with effect. I work with a wide range of issues, including relationships, attachment, self-esteem, anxiety, intrusive thoughts, childhood trauma, and emotional regulation. It energises me to see clients become happier and healthier selves, deeply rooted in their own potential. I am a registered psychotherapist, ACT-CBT certified, and a member of the UK Council for Psychotherapy, BAATN, and Metanoia Institute. My work is influenced by my interest in symbolism.
020 3872 2644 View 020 3872 2644
Photo of Stefani Ross-Steen, Psychotherapist, MUKCP
Stefani Ross-Steen
Psychotherapist, MUKCP
London EC4R
You may be doing your best to keep going, but inside you feel anxious, overwhelmed, or stuck in patterns that don’t make sense -which is exhausting. I’m Stefani, a warm yet dynamic therapist. I work with people to feel steadier and more connected to themselves. I support a broad range of concerns, particularly anxiety (racing thoughts, tension, a sense of foreboding), OCD (intrusive thoughts, compulsions, confusing rituals), and low self-esteem (self-criticism, people-pleasing, feeling undervalued). I also help with perfectionism, over-achieving, addictions, and neurodivergent ways of thinking, processing, and sensing the world.
You may be doing your best to keep going, but inside you feel anxious, overwhelmed, or stuck in patterns that don’t make sense -which is exhausting. I’m Stefani, a warm yet dynamic therapist. I work with people to feel steadier and more connected to themselves. I support a broad range of concerns, particularly anxiety (racing thoughts, tension, a sense of foreboding), OCD (intrusive thoughts, compulsions, confusing rituals), and low self-esteem (self-criticism, people-pleasing, feeling undervalued). I also help with perfectionism, over-achieving, addictions, and neurodivergent ways of thinking, processing, and sensing the world.
020 3962 0406 View 020 3962 0406
Photo of Nigel Campbell, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Nigel Campbell
Psychologist, DCounsPsych, HCPC - Couns. Psych.
London EC4R
Hello, I’m a Chartered Counselling Psychologist and a Cognitive Behavioural Therapist (CBT) with over 17 years of experience and expertise. I work with adult individuals of varying ages. I’m professional and yet down-to-earth in my aim to help people find effective relief from psychological difficulties, work, life or relationship problems.
Hello, I’m a Chartered Counselling Psychologist and a Cognitive Behavioural Therapist (CBT) with over 17 years of experience and expertise. I work with adult individuals of varying ages. I’m professional and yet down-to-earth in my aim to help people find effective relief from psychological difficulties, work, life or relationship problems.
020 4652 3391 View 020 4652 3391
Photo of Carole Simpkins, Counsellor, MA, MBACP Accred
Carole Simpkins
Counsellor, MA, MBACP Accred
London EC4R
I offer counselling and supervision face-to-face in London and online. You may be feeling anxious, depressed, angry, confused, struggling in relationships or with bereavement, or simply be curious about yourself.
I offer counselling and supervision face-to-face in London and online. You may be feeling anxious, depressed, angry, confused, struggling in relationships or with bereavement, or simply be curious about yourself.
020 4634 3564 View 020 4634 3564
Photo of Shinobu Matsuo, Psychotherapist, MUKCP
Shinobu Matsuo
Psychotherapist, MUKCP
London EC4R
I am an experienced psychodynamic psychotherapist working in the City of London offering therapy in both English and Japanese. I have over ten years experience with people suffering with anxiety, stress, depression, a loss or bereavement, issues with relationships, issues with sexuality or problems at work. I also have extensive experience working with people who have issues with alcohol and drugs. I trained at WPF Therapy, an organisation renowned for its rigorous approach to professional training and clinical practice.
I am an experienced psychodynamic psychotherapist working in the City of London offering therapy in both English and Japanese. I have over ten years experience with people suffering with anxiety, stress, depression, a loss or bereavement, issues with relationships, issues with sexuality or problems at work. I also have extensive experience working with people who have issues with alcohol and drugs. I trained at WPF Therapy, an organisation renowned for its rigorous approach to professional training and clinical practice.
020 3962 0214 View 020 3962 0214
Photo of Dr Esther Rose, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Esther Rose
Psychologist, PsychD, HCPC - Clin. Psych.
London EC4R
I am a Clinical Psychologist and Trainee Psychosexual Therapist. I am Chartered with the British Psychological Society, registered with the Health and Care Professions Council and with nearly 15 years post-qualification experience. I work in private practice in the City offering psychological therapy to individuals and couples. Due to my psychosexual therapy training, I am currently only accepting clients with sexual difficulties including: erectile dysfunction, premature ejaculation, vaginismus and dyspareunia, low arousal and compulsive sexual behaviours (e.g. pornography addiction). I offer reduced rates for psychosexual therapy.
I am a Clinical Psychologist and Trainee Psychosexual Therapist. I am Chartered with the British Psychological Society, registered with the Health and Care Professions Council and with nearly 15 years post-qualification experience. I work in private practice in the City offering psychological therapy to individuals and couples. Due to my psychosexual therapy training, I am currently only accepting clients with sexual difficulties including: erectile dysfunction, premature ejaculation, vaginismus and dyspareunia, low arousal and compulsive sexual behaviours (e.g. pornography addiction). I offer reduced rates for psychosexual therapy.
020 3869 5840 View 020 3869 5840
Photo of Naomi Milton, Psychotherapist, MUKCP
Naomi Milton
Psychotherapist, MUKCP
3 Endorsed
London EC4R
I am a UKCP registered psychotherapist providing therapy for those with anxiety, depression, relationship issues, work-related stress and many more presenting issues. I offer a warm and professional environment and tailor my way of working to help you feel comfortable but also work to gauge how much challenge you will need to facilitate change to move towards a healthier way of being.
I am a UKCP registered psychotherapist providing therapy for those with anxiety, depression, relationship issues, work-related stress and many more presenting issues. I offer a warm and professional environment and tailor my way of working to help you feel comfortable but also work to gauge how much challenge you will need to facilitate change to move towards a healthier way of being.
020 3856 7664 View 020 3856 7664
Photo of Ella Tekdag, Counsellor, MBACP
Ella Tekdag
Counsellor, MBACP
2 Endorsed
London EC4R
My name is Ella and I am a therapist based in London. You may be struggling with anxiety, social anxiety, stress, depression, overwhelm, feelings of loneliness, significant loss and grief. Maybe you are struggling with important relationships in your life. Perhaps your struggle is not that clear and you have a feeling that something isn't quite right. Experiences such as anxiety, stress and depression can be symptoms of a deeper unease. Over time emotions can become trapped or inaccessible to us, and often we harbour hidden thoughts and feelings that have never been said out loud. Together, we can help you find clarity and relief.
My name is Ella and I am a therapist based in London. You may be struggling with anxiety, social anxiety, stress, depression, overwhelm, feelings of loneliness, significant loss and grief. Maybe you are struggling with important relationships in your life. Perhaps your struggle is not that clear and you have a feeling that something isn't quite right. Experiences such as anxiety, stress and depression can be symptoms of a deeper unease. Over time emotions can become trapped or inaccessible to us, and often we harbour hidden thoughts and feelings that have never been said out loud. Together, we can help you find clarity and relief.
020 4538 2160 View 020 4538 2160
Photo of Omolara Arthur - Christian Match Counselling, Counsellor, MA, MBACP
Christian Match Counselling
Counsellor, MA, MBACP
London EC4R
Feeling overwhelmed or just need someone to talk to? We provide leading mental health support from qualified Christian counsellors — offering individual and couples therapy, in-person and online. Our team of qualified counsellors and psychotherapists provide mental health support that integrates faith with therapeutic practice. We use a variety of therapy approaches to meet your unique needs, and to ensure you find the right match for your therapy goals.
Feeling overwhelmed or just need someone to talk to? We provide leading mental health support from qualified Christian counsellors — offering individual and couples therapy, in-person and online. Our team of qualified counsellors and psychotherapists provide mental health support that integrates faith with therapeutic practice. We use a variety of therapy approaches to meet your unique needs, and to ensure you find the right match for your therapy goals.
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Photo of Karin Pappenheim, Psychotherapist, DCounsPsych, BPC
Karin Pappenheim
Psychotherapist, DCounsPsych, BPC
1 Endorsed
London EC4R
People come to therapy for lots of different reasons. You might be feeling anxious, depressed, stressed or unhappy, stuck or lost in life or in your relationships. Under pressure at work, not sure where your life is going? Maybe you feel as if the same patterns seem to keep repeating and causing hurt in your personal life and relationships, or you may have a crisis or specific problem you need to resolve or traumatic past experiences, such as abuse, bullying or bereavement. Everyone is different so whatever your own personal reasons for seeking therapy, I offer a safe and confidential place to talk and to achieve positive changes.
People come to therapy for lots of different reasons. You might be feeling anxious, depressed, stressed or unhappy, stuck or lost in life or in your relationships. Under pressure at work, not sure where your life is going? Maybe you feel as if the same patterns seem to keep repeating and causing hurt in your personal life and relationships, or you may have a crisis or specific problem you need to resolve or traumatic past experiences, such as abuse, bullying or bereavement. Everyone is different so whatever your own personal reasons for seeking therapy, I offer a safe and confidential place to talk and to achieve positive changes.
020 3319 6349 View 020 3319 6349
Photo of Bev Reid, Psychotherapist, MA, BPC
Bev Reid
Psychotherapist, MA, BPC
London EC4R
Working in the heart of the City of London (EC4R) I am a qualified psychodynamic psychotherapist, experienced with working with people who at times feel stuck and need help and understanding to navigate issues such as anxiety, depression, burn out, addiction, bereavement and relationship problems. I offer a confidential space, where together we can begin to think about and make sense of difficult feelings which are stopping you moving forward.
Working in the heart of the City of London (EC4R) I am a qualified psychodynamic psychotherapist, experienced with working with people who at times feel stuck and need help and understanding to navigate issues such as anxiety, depression, burn out, addiction, bereavement and relationship problems. I offer a confidential space, where together we can begin to think about and make sense of difficult feelings which are stopping you moving forward.
020 3838 0635 View 020 3838 0635
Photo of Indu Dua, Psychotherapist, MBACP Accred
Indu Dua
Psychotherapist, MBACP Accred
2 Endorsed
London EC4R
I am a trauma-trained and neurodiversity-informed therapist who works with individuals, couples or trainees who may seem like they’re managing on the outside but feel overwhelmed or stuck inside. You might be facing trauma, grief, relationship challenges, burnout, or major life changes such as moving, career shifts, pregnancy, or parenthood. You may feel caught between cultures or exhausted from navigating neurodivergence. I offer a safe, understanding space to explore your feelings, uncover patterns, build confidence, and reconnect with a sense of yourself and what matters most.
I am a trauma-trained and neurodiversity-informed therapist who works with individuals, couples or trainees who may seem like they’re managing on the outside but feel overwhelmed or stuck inside. You might be facing trauma, grief, relationship challenges, burnout, or major life changes such as moving, career shifts, pregnancy, or parenthood. You may feel caught between cultures or exhausted from navigating neurodivergence. I offer a safe, understanding space to explore your feelings, uncover patterns, build confidence, and reconnect with a sense of yourself and what matters most.
020 4572 5251 View 020 4572 5251
Photo of Yvonne Bullen, Psychotherapist, MUKCP
Yvonne Bullen
Psychotherapist, MUKCP
3 Endorsed
London EC4R
As an experienced Psychotherapist & Supervisor, I work with warmth, sensitivity and compassion, fully accepting and being present to your unique situation. I realise beginning therapy can feel daunting, but finding someone you feel able to talk to and share your thoughts and feelings with, can bring immense relief; offering you a pathway towards being able to cope better and lead a more contented life. Perhaps you're struggling with depression or anxiety related disorders, experiencing relationship difficulties or have memories of past trauma or a difficult childhood which are impacting on your ability to cope with day to day life?
As an experienced Psychotherapist & Supervisor, I work with warmth, sensitivity and compassion, fully accepting and being present to your unique situation. I realise beginning therapy can feel daunting, but finding someone you feel able to talk to and share your thoughts and feelings with, can bring immense relief; offering you a pathway towards being able to cope better and lead a more contented life. Perhaps you're struggling with depression or anxiety related disorders, experiencing relationship difficulties or have memories of past trauma or a difficult childhood which are impacting on your ability to cope with day to day life?
01923 961507 View 01923 961507
Photo of Richard Wiltshire, Psychotherapist, MSc, MUKCP
Richard Wiltshire
Psychotherapist, MSc, MUKCP
London EC4R
I am an experienced Trauma and Systemic Psychotherapist. Accredited as an EMDR Therapist, I specialise in supporting child, adolescent and adult clients struggling with PTSD, depression, anxiety, and maladaptive coping strategies including self-harm and self medication.
I am an experienced Trauma and Systemic Psychotherapist. Accredited as an EMDR Therapist, I specialise in supporting child, adolescent and adult clients struggling with PTSD, depression, anxiety, and maladaptive coping strategies including self-harm and self medication.
020 4572 1886 View 020 4572 1886
Photo of Mahnoor Tughral - Mahnoor Tughral - Trust Within Therapies, Psychotherapist, MBACP
I work with people who often carry a great deal internally while continuing to function well in everyday life. From the outside, others may see you as capable or resilient, but privately you may feel emotionally exhausted, disconnected, or directionless. You may also be living with the long-term impact of past hurt while trying to meet the demands of work, family, or daily life. I support clients exploring experiences like loss, burnout, relationship difficulties, identity struggles, cultural displacement, periods of significant change or transition, and more. This support starts by building trust within the therapy relationship.
I work with people who often carry a great deal internally while continuing to function well in everyday life. From the outside, others may see you as capable or resilient, but privately you may feel emotionally exhausted, disconnected, or directionless. You may also be living with the long-term impact of past hurt while trying to meet the demands of work, family, or daily life. I support clients exploring experiences like loss, burnout, relationship difficulties, identity struggles, cultural displacement, periods of significant change or transition, and more. This support starts by building trust within the therapy relationship.
020 4652 0219 View 020 4652 0219
Photo of Amanda Stewart
Amanda Stewart
Verified Verified
London EC4R
Hello, I'm a Integrative therapist specialising in childhood trauma/attachment issues and chronic stress/anxiety. I use a unique blend of powerful approaches - EMDR, somatic therapy & inner child work - to regulate the nervous system, restore your natural capability to cope & change any beliefs which are holding you back. This is especially effective for those who have tried talking therapies & positive thinking, still feel stuck and need to go deeper. Great for shame, low self-esteem & trust issues.
Hello, I'm a Integrative therapist specialising in childhood trauma/attachment issues and chronic stress/anxiety. I use a unique blend of powerful approaches - EMDR, somatic therapy & inner child work - to regulate the nervous system, restore your natural capability to cope & change any beliefs which are holding you back. This is especially effective for those who have tried talking therapies & positive thinking, still feel stuck and need to go deeper. Great for shame, low self-esteem & trust issues.
020 4634 2437 View 020 4634 2437
Photo of Bella Moorhouse, Psychotherapist, MA, MBACP
Bella Moorhouse
Psychotherapist, MA, MBACP
London EC4R
I am an intergrative psychotherapist based in Central London. I offer open ended therapy, both online and in-person in Marylebone and the City of London. I am a registered member of the BACP and hold a PGCert in Psychotherapy and Counselling from Regent's University. I have specialist experience in neurodivergence, ADHD and Autism. Coming to therapy is a personal experience, whether you want to focus on a specific issue or explore yourself and relationships in general. Working together, we can look at patterns that may feel unhelpful are holding you back.
I am an intergrative psychotherapist based in Central London. I offer open ended therapy, both online and in-person in Marylebone and the City of London. I am a registered member of the BACP and hold a PGCert in Psychotherapy and Counselling from Regent's University. I have specialist experience in neurodivergence, ADHD and Autism. Coming to therapy is a personal experience, whether you want to focus on a specific issue or explore yourself and relationships in general. Working together, we can look at patterns that may feel unhelpful are holding you back.
020 4634 4069 View 020 4634 4069
Photo of Gail Wilkinson Pgdip Mbacp (Accred), Counsellor, MBACP Accred
Gail Wilkinson Pgdip Mbacp (Accred)
Counsellor, MBACP Accred
London EC4R
You may be feeling anxious, disconnected, struggling with self-esteem or relationships. Perhaps you often feel you don’t belong, feel misunderstood, or find it hard to have your needs met. You might be navigating, anger, frustration, grief, identity questions, or a sense of not being fully yourself in your life or work. Perhaps you’ve felt stuck for a while, or have a sense that something isn’t quite right but can’t yet name what it is. I have expertise helping clients overcome addiction, anxiety, childhood trauma, depression, relationship and identity issues. Whatever brings you here, you don’t have to figure it out alone.
You may be feeling anxious, disconnected, struggling with self-esteem or relationships. Perhaps you often feel you don’t belong, feel misunderstood, or find it hard to have your needs met. You might be navigating, anger, frustration, grief, identity questions, or a sense of not being fully yourself in your life or work. Perhaps you’ve felt stuck for a while, or have a sense that something isn’t quite right but can’t yet name what it is. I have expertise helping clients overcome addiction, anxiety, childhood trauma, depression, relationship and identity issues. Whatever brings you here, you don’t have to figure it out alone.
020 3917 4235 View 020 3917 4235
Photo of Eleanor Koike, Psychotherapist, MA, MBACP
Eleanor Koike
Psychotherapist, MA, MBACP
Serves Area
Counselling is a space to talk, think and be listened to in confidence with a trained professional who will respect you and your experiences. Life can be challenging especially when we are dealing with difficult or overwhelming feelings. It is often hard to understand the root of one's own pain and perhaps talking to friends and family is too difficult or does not seem to bring about the change and acceptance you seek. For those feeling stuck or isolated, counselling will improve your emotional wellbeing and help you feel more in control of your life, and with the right counsellor it will lead to positive and lasting change.
Counselling is a space to talk, think and be listened to in confidence with a trained professional who will respect you and your experiences. Life can be challenging especially when we are dealing with difficult or overwhelming feelings. It is often hard to understand the root of one's own pain and perhaps talking to friends and family is too difficult or does not seem to bring about the change and acceptance you seek. For those feeling stuck or isolated, counselling will improve your emotional wellbeing and help you feel more in control of your life, and with the right counsellor it will lead to positive and lasting change.
020 3823 6816 View 020 3823 6816

How does your Counsellor compare?

Number of Counsellors in EC4R

30+

Average cost per session

£85

Counsellors in EC4R who prioritize treating:

92% Depression
92% Anxiety
89% Self Esteem
84% Relationship Issues
84% Stress
73% Bereavement
70% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

68% Aviva
55% Vitality
50% AXA PPP

How Counsellors in EC4R see their clients

89% In Person and Online
11% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counselling

How can I find a therapist in EC4R?

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.