Photo of Jason Michael Lumb, DCounsPsych
Jason Michael Lumb
DCounsPsych
Verified Verified
2 Endorsed
Are you concerned that your use of substances or problematic behaviour is getting out of control and is causing problems in your life? Or are you worried that you will not be able to cope without them, even though you would like to cut back or stop? Do you feel locked into thinking styles which are starting to dominate your life such as anxiety or depression and don't know what to do? Imagine if you could regain control of your life and situation so you felt happier, and were no longer dependant or worried about your substance use or problematic behaviours? Recovery is possible but sometimes we need a bit of help to get there
Are you concerned that your use of substances or problematic behaviour is getting out of control and is causing problems in your life? Or are you worried that you will not be able to cope without them, even though you would like to cut back or stop? Do you feel locked into thinking styles which are starting to dominate your life such as anxiety or depression and don't know what to do? Imagine if you could regain control of your life and situation so you felt happier, and were no longer dependant or worried about your substance use or problematic behaviours? Recovery is possible but sometimes we need a bit of help to get there
0131 381 0141 View 0131 381 0141
Photo of Jowita Kaminska, MCOSCA, Counsellor
Jowita Kaminska
Counsellor, MCOSCA
Verified Verified
My name is Jowita. I am a person who has experienced many of the emotions that you come here with. I offer empathic and nonjudgemental space where you can explore your difficulties. We can take a look at your past and get more understanding how it influences your present thinking, feeling and behaviour. I am interested what you want to change and will go alongside you to achieve it.
My name is Jowita. I am a person who has experienced many of the emotions that you come here with. I offer empathic and nonjudgemental space where you can explore your difficulties. We can take a look at your past and get more understanding how it influences your present thinking, feeling and behaviour. I am interested what you want to change and will go alongside you to achieve it.
0131 381 4244 View 0131 381 4244
Photo of Gemma Karami, MBACP, Counsellor
Gemma Karami
Counsellor, MBACP
Verified Verified
I understand that the prospect of seeking therapy can be a daunting one that’s why I approach therapy in a collaborative way, the expert on your life is you. I specialise in working with adults and work with clients seeking support with depression, anxiety, self-limiting beliefs, self-care, goal attainment, trauma, addiction and more. What’s important to you is at the centre of our work. I offer a safe and non-judgemental space to explore your difficulties in order to create a positive and lasting change in your life with the pace and direction that you need.
I understand that the prospect of seeking therapy can be a daunting one that’s why I approach therapy in a collaborative way, the expert on your life is you. I specialise in working with adults and work with clients seeking support with depression, anxiety, self-limiting beliefs, self-care, goal attainment, trauma, addiction and more. What’s important to you is at the centre of our work. I offer a safe and non-judgemental space to explore your difficulties in order to create a positive and lasting change in your life with the pace and direction that you need.
0131 381 2312 View 0131 381 2312
Photo of Maud Ray, MSc, MBACP, Counsellor
Maud Ray
Counsellor, MSc, MBACP
Verified Verified
I am an accomplished International Couple Psychosexual Therapist, (PG Dip) (Tavistock trained), BACP Accredited & COSRT registered, with a BSc (Hons) in Psychology. I have extensive experiencI have a wide range of clinical experience from both the public and private sectors. ​ ​My clients are from all over the world with varied multi-cultural backgrounds, ages, gender, sexuality, and brain configuration. The Psychosexual lens is raw, powerful, unique, no stone is left unturned. We look at your life; the biology, psychology, spirituality, physiology, past , present and future.
I am an accomplished International Couple Psychosexual Therapist, (PG Dip) (Tavistock trained), BACP Accredited & COSRT registered, with a BSc (Hons) in Psychology. I have extensive experiencI have a wide range of clinical experience from both the public and private sectors. ​ ​My clients are from all over the world with varied multi-cultural backgrounds, ages, gender, sexuality, and brain configuration. The Psychosexual lens is raw, powerful, unique, no stone is left unturned. We look at your life; the biology, psychology, spirituality, physiology, past , present and future.
01273 092176 View 01273 092176
Photo of Susan Nagle, DCounsPsych, BACP, Counsellor
Susan Nagle
Counsellor, DCounsPsych, BACP
Verified Verified
Are you struggling with any of the following issues? Anxiety, eating disorders, low self-esteem, self-harm, identity issues, bereavement and loss, family conflicts, depression, trauma, relationship or mental health issues? We all experience times in our life when we feel easily overwhelmed or anxious, have difficulty in relationships, or lack purpose in life. I am passionate about supporting people to grow and heal through acceptance and understanding. I can offer you a free 15 minute consultation with no obligation, Just text or email me on 07932595306
Are you struggling with any of the following issues? Anxiety, eating disorders, low self-esteem, self-harm, identity issues, bereavement and loss, family conflicts, depression, trauma, relationship or mental health issues? We all experience times in our life when we feel easily overwhelmed or anxious, have difficulty in relationships, or lack purpose in life. I am passionate about supporting people to grow and heal through acceptance and understanding. I can offer you a free 15 minute consultation with no obligation, Just text or email me on 07932595306
0131 381 1945 View 0131 381 1945
Photo of Laura MacEwen, MBACP, Counsellor
Laura MacEwen
Counsellor, MBACP
Verified Verified
I am an experienced counsellor and registered member of the BACP offering integrative counselling which means I can draw on different counselling approaches (including person centred, CBT, psychodynamic) to work with you in a way that suits you best. I can give you the space you need to explore any of the following: Anxiety and/ or depression, feeling stuck, challenging relationships, finding past experiences difficult, addictions, issues around sexuality, life transitions, coping mechanisms, childhood trauma and many more. Whatever is going on for you, I believe a space to talk to someone in a safe environment can be life changing.
I am an experienced counsellor and registered member of the BACP offering integrative counselling which means I can draw on different counselling approaches (including person centred, CBT, psychodynamic) to work with you in a way that suits you best. I can give you the space you need to explore any of the following: Anxiety and/ or depression, feeling stuck, challenging relationships, finding past experiences difficult, addictions, issues around sexuality, life transitions, coping mechanisms, childhood trauma and many more. Whatever is going on for you, I believe a space to talk to someone in a safe environment can be life changing.
0131 381 1710 View 0131 381 1710
Photo of Rachel Rickman, MBACP, Psychotherapist
Rachel Rickman
Psychotherapist, MBACP
Verified Verified
Hello I’m Rachel and a very warm welcome. As you find yourself here, you may be feeling stuck in life at the moment and perhaps issues or difficulties may be causing you distress or to feel overwhelmed. Perhaps you feel anxious, depressed or have low self esteem? Often through no fault of our own we can get caught up in these difficult cycles. The good news is I can help you get "unstuck" and help you to achieve lasting change in your life. I will help you move towards your goals and lead a more fulfilled life. I am here to support you every step of the way, giving you the space and time to discover yourself.
Hello I’m Rachel and a very warm welcome. As you find yourself here, you may be feeling stuck in life at the moment and perhaps issues or difficulties may be causing you distress or to feel overwhelmed. Perhaps you feel anxious, depressed or have low self esteem? Often through no fault of our own we can get caught up in these difficult cycles. The good news is I can help you get "unstuck" and help you to achieve lasting change in your life. I will help you move towards your goals and lead a more fulfilled life. I am here to support you every step of the way, giving you the space and time to discover yourself.
0131 381 8606 View 0131 381 8606
Photo of Miriam McHardy, MA, MBACP, Counsellor
Miriam McHardy
Counsellor, MA, MBACP
Verified Verified
Sometimes life's difficult. Whether it’s an overwhelming crisis, or a slow realisation that things aren't right, we can often end up feeling stuck or that life isn’t what we intended. That’s when counselling can help. As a psychodynamic counsellor, I believe our past experiences often have an effect on our present-day life and relationships, sometimes causing us to get stuck in unhelpful patterns. By working through some of those experiences in counselling it can help us understand how they might be affecting us now and use those insights to make positive changes.
Sometimes life's difficult. Whether it’s an overwhelming crisis, or a slow realisation that things aren't right, we can often end up feeling stuck or that life isn’t what we intended. That’s when counselling can help. As a psychodynamic counsellor, I believe our past experiences often have an effect on our present-day life and relationships, sometimes causing us to get stuck in unhelpful patterns. By working through some of those experiences in counselling it can help us understand how they might be affecting us now and use those insights to make positive changes.
01875 444624 View 01875 444624
Photo of Anna Shepherd, MSc, HCPC-Art Therap., Psychotherapist
Anna Shepherd
Psychotherapist, MSc, HCPC-Art Therap.
Verified Verified
Hello. My name is Anna Shepherd. I have been a Psychotherapist for over 20 years. I offer Art Psychotherapy, Talking Therapy, EMDR and Mindfulness. Seeking help can feel a bit daunting. I offer a confidential space in which you will be supported to explore whatever brings you to therapy. I will meet you with gentle compassion, curiosity, warmth and humour. Meaningful connection will be the cornerstone of our work and together we will find helpful ways to ease whatever distress has brought you here.
Hello. My name is Anna Shepherd. I have been a Psychotherapist for over 20 years. I offer Art Psychotherapy, Talking Therapy, EMDR and Mindfulness. Seeking help can feel a bit daunting. I offer a confidential space in which you will be supported to explore whatever brings you to therapy. I will meet you with gentle compassion, curiosity, warmth and humour. Meaningful connection will be the cornerstone of our work and together we will find helpful ways to ease whatever distress has brought you here.
0131 381 1136 View 0131 381 1136
Photo of Janis Sinclair, PMCOSCA, Psychotherapist
Janis Sinclair
Psychotherapist, PMCOSCA
Verified Verified
Are you anxious and finding life overwhelming, suddenly the simplest decisions are impossible - this may be situational, relational or historical; large or small I offer a space to speak freely secure in the knowledge our sessions are confidential. My theory is person centred although I offer Integrative therapy which is a progressive form of psychotherapy that combines different therapeutic tools and approaches to fit the needs of the individual client.
Are you anxious and finding life overwhelming, suddenly the simplest decisions are impossible - this may be situational, relational or historical; large or small I offer a space to speak freely secure in the knowledge our sessions are confidential. My theory is person centred although I offer Integrative therapy which is a progressive form of psychotherapy that combines different therapeutic tools and approaches to fit the needs of the individual client.
01785 338104 View 01785 338104
Photo of Hazel Stevenson, MCOSCA, Counsellor
Hazel Stevenson
Counsellor, MCOSCA
Verified Verified
1 Endorsed
Welcome! Talking is a wonderful way to share what’s on your mind. You may not even know what is bothering you, but by talking, it helps to get in touch with your emotions and make sense of your thoughts. Changes are often small but can be significant. Speaking with someone who is really listening and can offer a non-judgemental space to fully express yourself, improve your self awareness, and accept you for being you, can help!
Welcome! Talking is a wonderful way to share what’s on your mind. You may not even know what is bothering you, but by talking, it helps to get in touch with your emotions and make sense of your thoughts. Changes are often small but can be significant. Speaking with someone who is really listening and can offer a non-judgemental space to fully express yourself, improve your self awareness, and accept you for being you, can help!
01764 915874 View 01764 915874
Photo of Heather Boyle - HB Psychotherapy and Counselling Services, MSc, MBACP, Psychotherapist
HB Psychotherapy and Counselling Services
Psychotherapist, MSc, MBACP
Verified Verified
Not accepting new clients
Is everything okay?....... This can be a difficult question to answer. Our default response is often "yes", but deep down, for a lot of us, that's simply not true. Often we struggle to verbalise it, can be exceptionally good at denying it even exists or spend copious amounts of emotional energy keeping it at bay. Perhaps you know why you don't feel okay and perhaps you don't. Either way, I can help. I offer a safe, confidential space to allow you to explore any issues you may be experiencing. "Above all things, to thine own self be true"- William Shakespeare.
Is everything okay?....... This can be a difficult question to answer. Our default response is often "yes", but deep down, for a lot of us, that's simply not true. Often we struggle to verbalise it, can be exceptionally good at denying it even exists or spend copious amounts of emotional energy keeping it at bay. Perhaps you know why you don't feel okay and perhaps you don't. Either way, I can help. I offer a safe, confidential space to allow you to explore any issues you may be experiencing. "Above all things, to thine own self be true"- William Shakespeare.
01875 632038 View 01875 632038
Photo of Maya Tomse, MA, MBACP, Psychotherapist
Maya Tomse
Psychotherapist, MA, MBACP
Verified Verified
Online Only
Hi, I'm Maya Tomse. I'm a Psychologist, a Psychotherapist and a Counsellor. I work with couples and individuals, online. I specialise in relationships, and troubles specific to transitions we go through, especially complex life transitions. My interest in transitions and relationships stems from my own personal experiences. I was born in Yugoslavia, a country that got torn apart by war when I was around 10 years old. Later, throughout my life I've lived and worked in many different countries and at present hold 3 different citizenships.
Hi, I'm Maya Tomse. I'm a Psychologist, a Psychotherapist and a Counsellor. I work with couples and individuals, online. I specialise in relationships, and troubles specific to transitions we go through, especially complex life transitions. My interest in transitions and relationships stems from my own personal experiences. I was born in Yugoslavia, a country that got torn apart by war when I was around 10 years old. Later, throughout my life I've lived and worked in many different countries and at present hold 3 different citizenships.
0131 297 6069 View 0131 297 6069
Photo of Elspeth Campbell, MNCPS Acc., Psychotherapist
Elspeth Campbell
Psychotherapist, MNCPS Acc.
Verified Verified
I help people to understand and manage ADHD, anxiety, burnout, depression, stress, feel less overwhelmed and regain control of their lives. I use evidence-based techniques and tailored interventions that are designed to equip you with the tools and strategies you need to manage your life effectively.
I help people to understand and manage ADHD, anxiety, burnout, depression, stress, feel less overwhelmed and regain control of their lives. I use evidence-based techniques and tailored interventions that are designed to equip you with the tools and strategies you need to manage your life effectively.
01620 670493 View 01620 670493
Photo of Laura Savage, BACP, Counsellor
Laura Savage
Counsellor, BACP
Verified Verified
Are you feeling anxious or overwhelmed? I specialize in helping women reconnect with themselves and rediscover a sense of calm and joy. At Reconnect Counselling, I offer tailored counselling and psychotherapy services for women. Whether you're navigating motherhood, struggling with anxiety or depression, facing relationship issues, or coping with the loss of a miscarriage, I’m here to support you. Together, we can explore your thoughts and emotions, helping you reconnect with the parts of yourself that you may feel have been lost. My approach is grounded in compassion, empowerment, and a belief that change is possibl
Are you feeling anxious or overwhelmed? I specialize in helping women reconnect with themselves and rediscover a sense of calm and joy. At Reconnect Counselling, I offer tailored counselling and psychotherapy services for women. Whether you're navigating motherhood, struggling with anxiety or depression, facing relationship issues, or coping with the loss of a miscarriage, I’m here to support you. Together, we can explore your thoughts and emotions, helping you reconnect with the parts of yourself that you may feel have been lost. My approach is grounded in compassion, empowerment, and a belief that change is possibl
0131 381 5140 View 0131 381 5140
Photo of Marian Willoner, BACP, Counsellor
Marian Willoner
Counsellor, BACP
Verified Verified
I have some availability for both in person and online sessions - do get in touch. Are you finding it all too much? Stressed out? Not sure which direction to take? Or maybe you are struggling with isolation or lack of confidence in social situations? Maybe you are dealing with being neuro-diverse (ADHD or autism) in a neuro-typical world? Perhaps you want to be more your authentic self or make a transition in your life? Are you trying to cope with a difficult situation such as grief, loss, illness, caring or a break up? In all these situations I can listen to you, support you and help you to find ways forward.
I have some availability for both in person and online sessions - do get in touch. Are you finding it all too much? Stressed out? Not sure which direction to take? Or maybe you are struggling with isolation or lack of confidence in social situations? Maybe you are dealing with being neuro-diverse (ADHD or autism) in a neuro-typical world? Perhaps you want to be more your authentic self or make a transition in your life? Are you trying to cope with a difficult situation such as grief, loss, illness, caring or a break up? In all these situations I can listen to you, support you and help you to find ways forward.
0131 381 8542 View 0131 381 8542
Photo of Dr Adele Leithead, DCounsPsych, HCPC - Couns. Psych., Psychologist
Dr Adele Leithead
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
1 Endorsed
Online Only
We may all experience distress at some point in our lives. Maybe you feel that you struggle to keep on top of things; think you are 'not good enough'; struggle in relation to others; feel down; lack confidence; worry; or are stuck due to disturbing memories. Distress presents in numerous ways and how we deal with it can be dependent on our experiences. Many experiences are out of our control. If you are having difficulties with emotions, thoughts, behaviours or relationships (maybe even a combination), you may be at a point where you are thinking about change and need some help achieving this. We can explore your hopes together.
We may all experience distress at some point in our lives. Maybe you feel that you struggle to keep on top of things; think you are 'not good enough'; struggle in relation to others; feel down; lack confidence; worry; or are stuck due to disturbing memories. Distress presents in numerous ways and how we deal with it can be dependent on our experiences. Many experiences are out of our control. If you are having difficulties with emotions, thoughts, behaviours or relationships (maybe even a combination), you may be at a point where you are thinking about change and need some help achieving this. We can explore your hopes together.
01875 440623 View 01875 440623
Photo of Jocelyn Mckinlay, Psychotherapist
Jocelyn Mckinlay
Psychotherapist
Verified Verified
1 Endorsed
Hi, my name is Jocelyn, I am a Cognitive Behaviour Therapist. If you found my page, you must be struggling with some difficulties in your life. Reaching out for help and support is a brave first step - welldone. After my own personal experience of various traumas, grief and ADHD identification, I experienced the profound benefits of therapy. As a result of the personaI growth I decided to retain professionally in order to support others with their difficulties. I believe that change is truly possible for everyone, don't struggle alone. I create a calm and supportive space where we can work in collaboration to improve your life.
Hi, my name is Jocelyn, I am a Cognitive Behaviour Therapist. If you found my page, you must be struggling with some difficulties in your life. Reaching out for help and support is a brave first step - welldone. After my own personal experience of various traumas, grief and ADHD identification, I experienced the profound benefits of therapy. As a result of the personaI growth I decided to retain professionally in order to support others with their difficulties. I believe that change is truly possible for everyone, don't struggle alone. I create a calm and supportive space where we can work in collaboration to improve your life.
01875 444626 View 01875 444626
Photo of Rose Noonan, MBACP Accred, Counsellor
Rose Noonan
Counsellor, MBACP Accred
Verified Verified
Hi thank you for visiting my profile page, you’ve just taken the courageous first step to look for help through counselling. Sometimes we face challenges in our day-to-day lives which can be stressful, frustrating and difficult to manage. Turning to someone you don’t know can be daunting and confusing making you feel vulnerable and scared. However, counselling offers a safe, caring confidential space to explore, and discuss your difficulties. I will listen and support you with empathy and respect. I will work with you in an open, honest and non-judgemental way.
Hi thank you for visiting my profile page, you’ve just taken the courageous first step to look for help through counselling. Sometimes we face challenges in our day-to-day lives which can be stressful, frustrating and difficult to manage. Turning to someone you don’t know can be daunting and confusing making you feel vulnerable and scared. However, counselling offers a safe, caring confidential space to explore, and discuss your difficulties. I will listen and support you with empathy and respect. I will work with you in an open, honest and non-judgemental way.
01875 444490 View 01875 444490
Photo of Ian Burke - Clinical Forensic Psychology , PsychD, Psychologist
Clinical Forensic Psychology
Psychologist, PsychD
Verified Verified
Clinical Forensic Psychology is a child focused psychology practice specialising in the assessment and treatment of children and young people presenting with emotional and mental health difficulties related to experiences of trauma. In addition, I also provide treatment for children who are struggling with a wide range of emotional and behavioural difficulties. If you think I can help you or your child please get in contact with me for a no obligation discussion. You can find my website at www.clinicalforensic.com
Clinical Forensic Psychology is a child focused psychology practice specialising in the assessment and treatment of children and young people presenting with emotional and mental health difficulties related to experiences of trauma. In addition, I also provide treatment for children who are struggling with a wide range of emotional and behavioural difficulties. If you think I can help you or your child please get in contact with me for a no obligation discussion. You can find my website at www.clinicalforensic.com
01764 915909 View 01764 915909
1

See more therapy options for EH21

How does your Counsellor compare?

Number of Counsellors in EH21

20+

Average cost per session

£60

Counsellors in EH21 who prioritize treating:

100% Anxiety
100% Self Esteem
89% Relationship Issues
82% Depression
79% Stress
71% Bereavement
64% Parenting

Average years in practice

5 Years

Top 3 insurances accepted

100% Bupa
67% Aviva
67% AXA PPP

How Counsellors in EH21 see their clients

83% In Person and Online
17% Online Only

Gender breakdown

82% Female
11% Male
7% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in EH21?

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.