Counselling in Alnmouth

Photo of Tabitha Appleby, Psychotherapist, MBACP Accred
Tabitha Appleby
Psychotherapist, MBACP Accred
Serves Area
I am BACP Accredited integrative psychotherapist working with adults and couples. I am also an EMDR Accredited Therapist and BACP Couples Counsellor and regularly work with neurodiversity. I provide a free initial short call service to get more information regarding the presenting issue. Integrative means that I have many tools and can adapt my style to meet my clients needs. EMDR can help with trauma, phobias and anxiety and I work with Couples to help with communication and better relationships. I work online at the moment sessions prices are £80 for assessment, £60 for EMDR and talking therapy, £140 for couples.
I am BACP Accredited integrative psychotherapist working with adults and couples. I am also an EMDR Accredited Therapist and BACP Couples Counsellor and regularly work with neurodiversity. I provide a free initial short call service to get more information regarding the presenting issue. Integrative means that I have many tools and can adapt my style to meet my clients needs. EMDR can help with trauma, phobias and anxiety and I work with Couples to help with communication and better relationships. I work online at the moment sessions prices are £80 for assessment, £60 for EMDR and talking therapy, £140 for couples.
01798 304026 View 01798 304026

More Therapists Nearby

Photo of Dr Sonia Pace, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Sonia Pace
Psychologist, PsychD, HCPC - Clin. Psych.
3 Endorsed
Hello, I’m Dr Sonia Pace, Consultant Clinical Psychologist. I have over 16 years experience working with adults with a range of psychological and mental health difficulties. I work collaboratively with you each step of the way creating a supportive environment that enables self-discovery and growth. Therapy involves creating a safe space to develop a greater understanding of why you might be experiencing current difficulties and then using this understanding to tailor an approach that meets your individual needs.
Hello, I’m Dr Sonia Pace, Consultant Clinical Psychologist. I have over 16 years experience working with adults with a range of psychological and mental health difficulties. I work collaboratively with you each step of the way creating a supportive environment that enables self-discovery and growth. Therapy involves creating a safe space to develop a greater understanding of why you might be experiencing current difficulties and then using this understanding to tailor an approach that meets your individual needs.
0191 743 0344 View 0191 743 0344
Photo of Dr Sarah Woods, Psychologist, HCPC - Clin. Psych.
Dr Sarah Woods
Psychologist, HCPC - Clin. Psych.
1 Endorsed
Morpeth NE61
Waitlist for new clients
Are you looking for CBT, EMDR or acceptance and commitment therapy? Do you struggle with depression, anxiety, symptoms of trauma (PTSD) or adjustment to physical health problems? Or perhaps you feel stuck and feel life has lost some meaning for you. I can help you understand why you feel this way and help you learn new coping skills to move forwards. Over the years, I have helped many people reach their goals, heal from trauma and overcome their difficulties. Making changes can be hard but improving our well being and truly connecting with the important things in life can make us feel fulfilled and increase satisfaction.
Are you looking for CBT, EMDR or acceptance and commitment therapy? Do you struggle with depression, anxiety, symptoms of trauma (PTSD) or adjustment to physical health problems? Or perhaps you feel stuck and feel life has lost some meaning for you. I can help you understand why you feel this way and help you learn new coping skills to move forwards. Over the years, I have helped many people reach their goals, heal from trauma and overcome their difficulties. Making changes can be hard but improving our well being and truly connecting with the important things in life can make us feel fulfilled and increase satisfaction.
07476 563250 View 07476 563250
Photo of Jane Spowart, Psychotherapist, MUKCP
Jane Spowart
Psychotherapist, MUKCP
Morpeth NE61
Do you believe that ‘you just have to get on with it’, but you’re finding it hard? Are you struggling with an issue at the moment or troubled by a situation in your past? Feeling sad, anxious, overwhelmed, defeated or 'stuck'? If you need someone to listen to you empathically and without judgement so that you can make sense of what is happening in your life, I can provide a safe place to support you to feel empowered to make positive changes in your life.
Do you believe that ‘you just have to get on with it’, but you’re finding it hard? Are you struggling with an issue at the moment or troubled by a situation in your past? Feeling sad, anxious, overwhelmed, defeated or 'stuck'? If you need someone to listen to you empathically and without judgement so that you can make sense of what is happening in your life, I can provide a safe place to support you to feel empowered to make positive changes in your life.
01670 332490 View 01670 332490
Photo of James Blacklock, Psychotherapist, MSc, MBABCP
James Blacklock
Psychotherapist, MSc, MBABCP
2 Endorsed
Online Only
Are anxiety, OCD, or past trauma making daily life feel overwhelming? Maybe intrusive thoughts are keeping you stuck, social situations feel unbearable, or memories from the past won’t let go. You might feel frustrated, exhausted, or like nothing has worked so far. But change is possible. My clients want to feel in control, break free from negative cycles, and move forward with confidence. Whether you’re struggling with self-doubt, panic, or overwhelming stress, I provide a structured yet compassionate approach to help you regain balance. Therapy isn’t just about coping—it’s about transforming how you experience life.
Are anxiety, OCD, or past trauma making daily life feel overwhelming? Maybe intrusive thoughts are keeping you stuck, social situations feel unbearable, or memories from the past won’t let go. You might feel frustrated, exhausted, or like nothing has worked so far. But change is possible. My clients want to feel in control, break free from negative cycles, and move forward with confidence. Whether you’re struggling with self-doubt, panic, or overwhelming stress, I provide a structured yet compassionate approach to help you regain balance. Therapy isn’t just about coping—it’s about transforming how you experience life.
0191 743 3235 View 0191 743 3235
Photo of Dr Charley Blackwell, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Charley Blackwell
Psychologist, PsychD, HCPC - Clin. Psych.
3 Endorsed
Serves Area
I have worked in mental health services for 10 years across a wide variety of settings including inpatient, community, and outpatient services with children, working-age, and older adults. I have experience working with a wide range of mental health difficulties including anxiety, anger, phobias, depression and mood difficulties, personality disorder, neurodiversity (ASD, ADHD), unusual experiences (often referred to as psychosis), and behaviour that challenges. I also have experience supporting families and carers.
I have worked in mental health services for 10 years across a wide variety of settings including inpatient, community, and outpatient services with children, working-age, and older adults. I have experience working with a wide range of mental health difficulties including anxiety, anger, phobias, depression and mood difficulties, personality disorder, neurodiversity (ASD, ADHD), unusual experiences (often referred to as psychosis), and behaviour that challenges. I also have experience supporting families and carers.
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Photo of Fennec Adams, Counsellor, DCounsPsych, BACP
Fennec Adams
Counsellor, DCounsPsych, BACP
Online Only
I offer Integrative Counselling, as well as Clinical Supervision. I have experience of working with a range of individuals and issues. I think it is really important to understand and acknowledge the complexity of every individual's experience. I endeavour to do this by holding an open mind and creating a safe, boundaried space in which we can work. I incorporate a range of theories and skills in order to best facilitate your individual process and needs. I work in a sex and kink positive way, with all types of relationship styles. Neurodiversity and how that shapes how we experience the world is also a big part of my practice.
I offer Integrative Counselling, as well as Clinical Supervision. I have experience of working with a range of individuals and issues. I think it is really important to understand and acknowledge the complexity of every individual's experience. I endeavour to do this by holding an open mind and creating a safe, boundaried space in which we can work. I incorporate a range of theories and skills in order to best facilitate your individual process and needs. I work in a sex and kink positive way, with all types of relationship styles. Neurodiversity and how that shapes how we experience the world is also a big part of my practice.
01273 099026 View 01273 099026
Photo of Dr Joanne Dixon, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Joanne Dixon
Psychologist, PsychD, HCPC - Clin. Psych.
Online Only
I'm Jo, a Consultant Clinical Psychologist, CAT Practitioner and Supervisor. Lots of people struggle with their mental health at times and feel like they're not enough. Maybe you have a hard time liking yourself, find it hard to get your voice heard and feel like giving up trying or feel like it's only you struggling? We all have lots of messy feelings and I help people make sense of these. I love working alongside people to develop an understanding of what's gone on and how to make changes. I am experienced in been working with people with worry, mood, difficult relationship patterns, trauma and the effects these have on a person.
I'm Jo, a Consultant Clinical Psychologist, CAT Practitioner and Supervisor. Lots of people struggle with their mental health at times and feel like they're not enough. Maybe you have a hard time liking yourself, find it hard to get your voice heard and feel like giving up trying or feel like it's only you struggling? We all have lots of messy feelings and I help people make sense of these. I love working alongside people to develop an understanding of what's gone on and how to make changes. I am experienced in been working with people with worry, mood, difficult relationship patterns, trauma and the effects these have on a person.
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Photo of Joseph Tyson-Adams, Psychotherapist, MBABCP
Joseph Tyson-Adams
Psychotherapist, MBABCP
Serves Area
Hi. My name is Joseph Tyson-Adams, I am a Cognitive Behavioural Therapist (CBT) and EMDR (trauma therapy) practitioner. I have worked in the NHS over the last 20 years, currently working as a Senior Psychotherapist. If you are suffering from past traumas, stress, depression or anxiety issues, I am here to help. I have worked with clients to improve their mental health & reclaim their lives. I would find it a huge privilege & pleasure to join you on your journey towards your goals. We offer a free telephone consultation to discuss issues affecting you & support we could offer.
Hi. My name is Joseph Tyson-Adams, I am a Cognitive Behavioural Therapist (CBT) and EMDR (trauma therapy) practitioner. I have worked in the NHS over the last 20 years, currently working as a Senior Psychotherapist. If you are suffering from past traumas, stress, depression or anxiety issues, I am here to help. I have worked with clients to improve their mental health & reclaim their lives. I would find it a huge privilege & pleasure to join you on your journey towards your goals. We offer a free telephone consultation to discuss issues affecting you & support we could offer.
0191 743 4697 View 0191 743 4697
Photo of Kelly Jane Oliver Dougall, Counsellor, MNCPS Acc.
Kelly Jane Oliver Dougall
Counsellor, MNCPS Acc.
Serves Area
I work with strong, down-to-earth women who are trying to rebuild confidence after being cancelled, bullied, or harassed - often in their workplaces, relationships, or communities. Perhaps you’ve been pushed out of a job, made to feel like the problem for speaking up, or found yourself questioning everything - just to keep the peace. I’ve been through that too, and I know how disorienting it can feel. In our sessions, you’ll get practical, honest support - with no jargon, no judgement. Together, we’ll work through the behaviour patterns and emotional fallout that are keeping you stuck, so you can start making clearer decisions
I work with strong, down-to-earth women who are trying to rebuild confidence after being cancelled, bullied, or harassed - often in their workplaces, relationships, or communities. Perhaps you’ve been pushed out of a job, made to feel like the problem for speaking up, or found yourself questioning everything - just to keep the peace. I’ve been through that too, and I know how disorienting it can feel. In our sessions, you’ll get practical, honest support - with no jargon, no judgement. Together, we’ll work through the behaviour patterns and emotional fallout that are keeping you stuck, so you can start making clearer decisions
0191 743 9801 View 0191 743 9801
Photo of Elli Rhodes, Psychotherapist, MSc, MBACP
Elli Rhodes
Psychotherapist, MSc, MBACP
1 Endorsed
Hello! I work with children, young people and adults who are experiencing difficult times, and support them in exploring the roots of their situations, patterns, thoughts and feelings, so that we can make real lasting change together. I offer shorter and longer term work and am an integrative practitioner.
Hello! I work with children, young people and adults who are experiencing difficult times, and support them in exploring the roots of their situations, patterns, thoughts and feelings, so that we can make real lasting change together. I offer shorter and longer term work and am an integrative practitioner.
0191 743 3371 View 0191 743 3371
Photo of Stephanie Kelly - Safe Space Psychology - Dr Stephanie Kelly, Psychologist, HCPC - Clin. Psych.
Safe Space Psychology - Dr Stephanie Kelly
Psychologist, HCPC - Clin. Psych.
Serves Area
I am a Clinical Psychologist with experience working with clients struggling with relational difficulties, trauma and other emotional and other psychological difficulties such as complex grief, low mood and anxiety. Working with male, female and non-binary clients, my aim is to personalise all therapeutic approaches to each individual client's specific needs. Over the years, I have worked in a wide variety of settings including acute and secure hospitals, community mental health services as well as in custodial settings with experience supporting adults, adolescents and families.
I am a Clinical Psychologist with experience working with clients struggling with relational difficulties, trauma and other emotional and other psychological difficulties such as complex grief, low mood and anxiety. Working with male, female and non-binary clients, my aim is to personalise all therapeutic approaches to each individual client's specific needs. Over the years, I have worked in a wide variety of settings including acute and secure hospitals, community mental health services as well as in custodial settings with experience supporting adults, adolescents and families.
0191 743 0381 View 0191 743 0381
Photo of Pete Askew, Counsellor, MA, MBACP
Pete Askew
Counsellor, MA, MBACP
Morpeth NE61
Feeling as though you have lost something of yourself is a lonely and disorientating place to be. A recent experience such as a relationship problem, work related stress, illness, or a bereavement may have brought you to this place, or a negative experience in your past may have contributed to you feeling this way throughout life. Working through these things, and through any symptoms of anxiety, depression, anger, shame, or grief, can help you feel more whole, and to make changes for the future.
Feeling as though you have lost something of yourself is a lonely and disorientating place to be. A recent experience such as a relationship problem, work related stress, illness, or a bereavement may have brought you to this place, or a negative experience in your past may have contributed to you feeling this way throughout life. Working through these things, and through any symptoms of anxiety, depression, anger, shame, or grief, can help you feel more whole, and to make changes for the future.
01661 525154 View 01661 525154
Photo of Marnie Cameron, Counsellor, MBACP
Marnie Cameron
Counsellor, MBACP
Welcoming, friendly therapist, working with adults and young people for over 19 years. Counselling offers you a safe, non judgmental space where you can freely explore your inner thoughts and feelings in confidence. I specialise in working with Anxiety, Sadness, Childhood Wounding and Trauma. I'm an Autism Spectrum Clinical Specialist and am currently completing ADHD Service Provider Training.
Welcoming, friendly therapist, working with adults and young people for over 19 years. Counselling offers you a safe, non judgmental space where you can freely explore your inner thoughts and feelings in confidence. I specialise in working with Anxiety, Sadness, Childhood Wounding and Trauma. I'm an Autism Spectrum Clinical Specialist and am currently completing ADHD Service Provider Training.
0191 743 4437 View 0191 743 4437
Photo of Next Step Ne - Next Step Psychotherapy & Wellbeing, Psychotherapist, MBACP
Experienced & friendly professionals. BOOK a FREE consultation ONLINE 24 hours a day at a time that’s convenient for yourself simply by clicking on our website. We offer Counselling & Psychotherapy for adults, couples, children and young people. with private clinics in Gosforth and Monkseaton. As well as therapy we also offer therapeutic parenting programs, dramatherapy, work with schools, businesses as well and training in and around the North East.
Experienced & friendly professionals. BOOK a FREE consultation ONLINE 24 hours a day at a time that’s convenient for yourself simply by clicking on our website. We offer Counselling & Psychotherapy for adults, couples, children and young people. with private clinics in Gosforth and Monkseaton. As well as therapy we also offer therapeutic parenting programs, dramatherapy, work with schools, businesses as well and training in and around the North East.
0191 580 4468 View 0191 580 4468
Photo of Monica Ann Julian - LOTUS Mind, Counsellor, MA, MBACP
LOTUS Mind
Counsellor, MA, MBACP
I have been a Counsellor / Psychotherapist / Hypnotherapist for over 25years I specialised in the field addiction for many years. Working within addiction offered a wide and varied opportunity to work and become familiar with many client issues. Clients relying upon substances, use as a coping mechanism, however substance use causes further mental health issues which further complicates their ability to cope. I now work solely within private practice based at home where clients can relax in a confidential informal setting. This allows them time explore their own needs in a time frame which meets their own specific needs.
I have been a Counsellor / Psychotherapist / Hypnotherapist for over 25years I specialised in the field addiction for many years. Working within addiction offered a wide and varied opportunity to work and become familiar with many client issues. Clients relying upon substances, use as a coping mechanism, however substance use causes further mental health issues which further complicates their ability to cope. I now work solely within private practice based at home where clients can relax in a confidential informal setting. This allows them time explore their own needs in a time frame which meets their own specific needs.
0191 917 5944 View 0191 917 5944
Photo of Angela Hotchkiss, Counsellor, MA, MBACP
Angela Hotchkiss
Counsellor, MA, MBACP
Alnwick NE66
When it seems like there's nowhere for you to turn; when you feel like you are heading for "rock-bottom" ; you have hit crisis point, or you feel you have lost your direction, no matter what the reason, talking to a counsellor can help you to find your way through your struggle; a way that is right for you.
When it seems like there's nowhere for you to turn; when you feel like you are heading for "rock-bottom" ; you have hit crisis point, or you feel you have lost your direction, no matter what the reason, talking to a counsellor can help you to find your way through your struggle; a way that is right for you.
07723 465604 View 07723 465604
Photo of Marcin Jacek Zielonka, Psychotherapist, MA, HCPC-Drama Therap.
Marcin Jacek Zielonka
Psychotherapist, MA, HCPC-Drama Therap.
Dealing with anxiety and depression can be overwhelming, and starting therapy is a significant step toward healing. While talking can be helpful, it isn’t always enough—sometimes it’s difficult to put our thoughts and feelings into words, or we may simply feel exhausted from trying. Arts Psychotherapies, like Dramatherapy, offer an alternative way to explore and express emotions that words can’t fully capture.
Dealing with anxiety and depression can be overwhelming, and starting therapy is a significant step toward healing. While talking can be helpful, it isn’t always enough—sometimes it’s difficult to put our thoughts and feelings into words, or we may simply feel exhausted from trying. Arts Psychotherapies, like Dramatherapy, offer an alternative way to explore and express emotions that words can’t fully capture.
01670 332582 View 01670 332582
Photo of Lyndsey Waugh, Psychotherapist, MA, MBACP
Lyndsey Waugh
Psychotherapist, MA, MBACP
I am a professionally qualified psychotherapist, supervisor and trainer. Establishing in private practice in 2013, with private practices in Gosforth and Monkseaton. My knowledge and skills have developed through my psychotherapeutic work in private practice, I will share this knowledge with you where it would be helpful, to enable you to develop tools to use in everyday life beyond therapy. I’m particularly proud of my track record over the last nearly 10 years as a Psychotherapist & in practice, I consider myself friendly and warming, my passion, innovative ideas and solutions particularly around psycho-education with and adults.
I am a professionally qualified psychotherapist, supervisor and trainer. Establishing in private practice in 2013, with private practices in Gosforth and Monkseaton. My knowledge and skills have developed through my psychotherapeutic work in private practice, I will share this knowledge with you where it would be helpful, to enable you to develop tools to use in everyday life beyond therapy. I’m particularly proud of my track record over the last nearly 10 years as a Psychotherapist & in practice, I consider myself friendly and warming, my passion, innovative ideas and solutions particularly around psycho-education with and adults.
0191 743 9785 View 0191 743 9785
Photo of Chiu Ue Wan, Psychotherapist, MSc, HCPC-Art Therap.
Chiu Ue Wan
Psychotherapist, MSc, HCPC-Art Therap.
Chiu is a certified art psychotherapist based in the North East. Over the past five years, Chiu has delivered art therapy to individuals and groups in a wide range of settings, including the NHS, care homes, SEN schools, and local council services across London,Edinburgh, Newcastle and Northumberland. My belief lies in the immense power of empathy, active listening, and providing a safe and inclusive environment for each person. I’ve witnessed how art creation serves as a non-verbal avenue, offering glimpses into the subconscious and aiding in processing trauma.
Chiu is a certified art psychotherapist based in the North East. Over the past five years, Chiu has delivered art therapy to individuals and groups in a wide range of settings, including the NHS, care homes, SEN schools, and local council services across London,Edinburgh, Newcastle and Northumberland. My belief lies in the immense power of empathy, active listening, and providing a safe and inclusive environment for each person. I’ve witnessed how art creation serves as a non-verbal avenue, offering glimpses into the subconscious and aiding in processing trauma.
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How does your Counsellor compare?

Number of Counsellors in Alnmouth

< 10

Counsellors in Alnmouth who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Domestic Abuse
100% Infertility
100% Bereavement
100% Trauma and PTSD

Average years in practice

7 Years

Gender breakdown

100% Female

How Counsellors in Alnmouth see their clients

100% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in Alnmouth?

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.