Counselling in Bradford-on-Avon

Photo of Emily Newman, Counsellor, MBACP Accred
Emily Newman
Counsellor, MBACP Accred
Verified Verified
Hello and welcome. There are times when we all need extra support to cope with life’s inevitable challenges, which can present themselves in different ways. My role is to offer you a caring, compassionate and confidential space to support you in finding your own way forward in coping with these challenges, and to help you make sense of any thoughts or feelings that you wish to share, or which may emerge during the counselling process. Counselling is different to confiding in family or friends as it it offers a private space to focus on whatever you wish to speak about, without the worry of someone else's feelings or judgements.
Hello and welcome. There are times when we all need extra support to cope with life’s inevitable challenges, which can present themselves in different ways. My role is to offer you a caring, compassionate and confidential space to support you in finding your own way forward in coping with these challenges, and to help you make sense of any thoughts or feelings that you wish to share, or which may emerge during the counselling process. Counselling is different to confiding in family or friends as it it offers a private space to focus on whatever you wish to speak about, without the worry of someone else's feelings or judgements.
01925 931063 View 01925 931063
Photo of Lindsay Watson, Psychotherapist, UKCP Trainee
Lindsay Watson
Psychotherapist, UKCP Trainee
Verified Verified
My approach centres on understanding you as an individual and seeking to build a relationship of trust with you over time. We’ll work at your pace, and with what you want to address. It depends on you but our work together might include: looking at current issues in your life from an alternative perspective; noticing how how patterns learnt in early life might be affecting you now; connecting into feelings that perhaps you have been avoiding; expressing thoughts or emotions you haven’t been able to share and facing issues from your past that have felt too tough to confront previously when, and if, it feels right.
My approach centres on understanding you as an individual and seeking to build a relationship of trust with you over time. We’ll work at your pace, and with what you want to address. It depends on you but our work together might include: looking at current issues in your life from an alternative perspective; noticing how how patterns learnt in early life might be affecting you now; connecting into feelings that perhaps you have been avoiding; expressing thoughts or emotions you haven’t been able to share and facing issues from your past that have felt too tough to confront previously when, and if, it feels right.
01225 234495 View 01225 234495
Photo of Kimberley Collins, Counsellor, MBACP
Kimberley Collins
Counsellor, MBACP
Verified Verified
Feeling disrupted and disconnected from your ‘normal’ self is so uncomfortable. Our system seeks balance and when we don’t feel we can achieve this with our usual strategies and our own resources seem stretched, a therapist can be useful. As a qualified and experienced MBACP Integrative Psychotherapeutic Counsellor, I work with adults, and young people. Most of my work has been with people who are questioning neurodivergent traits or people who have suffered traumatic relational experiences. Clients who have unresolved trauma endure dysregulating symptoms. These emotions are usually accompanied by various behavioural patterns.
Feeling disrupted and disconnected from your ‘normal’ self is so uncomfortable. Our system seeks balance and when we don’t feel we can achieve this with our usual strategies and our own resources seem stretched, a therapist can be useful. As a qualified and experienced MBACP Integrative Psychotherapeutic Counsellor, I work with adults, and young people. Most of my work has been with people who are questioning neurodivergent traits or people who have suffered traumatic relational experiences. Clients who have unresolved trauma endure dysregulating symptoms. These emotions are usually accompanied by various behavioural patterns.
01925 986787 View 01925 986787
Photo of Lucy Edwards, Counsellor, BACP
Lucy Edwards
Counsellor, BACP
Verified Verified
I'm Lucy, a fully qualified and experienced counsellor offering one to one, in person and online counselling sessions to adults (18+) I work with clients experiencing a wide range of circumstances and issues such as depression, anxiety, overwhelm, low-esteem, perinatal and post natal depression, trauma, parenting issues, loss, bereavement, addiction, relationship difficulties, insomnia, sexuality, identity, and life transitions to name a few.
I'm Lucy, a fully qualified and experienced counsellor offering one to one, in person and online counselling sessions to adults (18+) I work with clients experiencing a wide range of circumstances and issues such as depression, anxiety, overwhelm, low-esteem, perinatal and post natal depression, trauma, parenting issues, loss, bereavement, addiction, relationship difficulties, insomnia, sexuality, identity, and life transitions to name a few.
01925 986079 View 01925 986079
Photo of Lee Roethenbaugh, Psychotherapist, MA, MUKCP
Lee Roethenbaugh
Psychotherapist, MA, MUKCP
Verified Verified
Sustaining our inner selves and living the life we want to live can be challenging in today's complex and uncertain world. Psychotherapy can help you through a difficult time whether it’s due to stress, relationship issues or persistent feelings of dissatisfaction, anxiety, depression or an unresolved past. I hold the core belief that every person possesses inherent value and the right to genuine human connection: Our natural, human need to be heard, to be witnessed and deeply understood. The experience of feeling truly 'met' by another person can bring change and clarity where healing can occur.
Sustaining our inner selves and living the life we want to live can be challenging in today's complex and uncertain world. Psychotherapy can help you through a difficult time whether it’s due to stress, relationship issues or persistent feelings of dissatisfaction, anxiety, depression or an unresolved past. I hold the core belief that every person possesses inherent value and the right to genuine human connection: Our natural, human need to be heard, to be witnessed and deeply understood. The experience of feeling truly 'met' by another person can bring change and clarity where healing can occur.
01480 279838 View 01480 279838
Photo of Jacqui Edmiston - Jacqui Edmiston, Innox Counselling, Counsellor, BACP
Jacqui Edmiston, Innox Counselling
Counsellor, BACP
Verified Verified
Serves Area
Asking for help can be very daunting: sometimes it’s hard even to articulate your thoughts, let alone work out how to find someone who might be able to help make sense of it all. I understand this. I’ve been an advocate of ‘talking therapy’ for many years and I know how comforting it can be to share what’s going on in a space that feels safe, supportive and kind. In fact, it is my own experience of being a therapist’s client that has led me to the journey I am now on.
Asking for help can be very daunting: sometimes it’s hard even to articulate your thoughts, let alone work out how to find someone who might be able to help make sense of it all. I understand this. I’ve been an advocate of ‘talking therapy’ for many years and I know how comforting it can be to share what’s going on in a space that feels safe, supportive and kind. In fact, it is my own experience of being a therapist’s client that has led me to the journey I am now on.
01225 435097 View 01225 435097
Photo of Jennifer Parsons - JP Counselling , Counsellor, MNCPS Acc.
JP Counselling
Counsellor, MNCPS Acc.
Verified Verified
Serves Area
My ideal client is someone who is ready to start the journey of self discovery in a safe and non judgmentaI space. I enjoy working with clients who are not really sure why they feel the way they do, but know that something is not quite right and feel the need to investigate this further. I have a particular interest and expertise in working with clients who have anxiety, depression, lack of self confidence and body image issues along with relationship difficulties. I work with clients to identify their needs and goals to create a unique personal treatment plan in order for them to reach their goals within a sensible time frame.
My ideal client is someone who is ready to start the journey of self discovery in a safe and non judgmentaI space. I enjoy working with clients who are not really sure why they feel the way they do, but know that something is not quite right and feel the need to investigate this further. I have a particular interest and expertise in working with clients who have anxiety, depression, lack of self confidence and body image issues along with relationship difficulties. I work with clients to identify their needs and goals to create a unique personal treatment plan in order for them to reach their goals within a sensible time frame.
07723 486462 View 07723 486462
Photo of Louise Blake, Counsellor, MBACP
Louise Blake
Counsellor, MBACP
Verified Verified
Serves Area
Looking for something to be different in your life? Maybe you're dealing with persistent anxiety, navigating difficult relationships, or feeling a deep sense of dissatisfaction. Perhaps you're desperate for change, but feel trapped, stuck, unsure or unable to take action. Or maybe you're feeling overwhelmed by life events and the expectations placed on yourself from you or others? If you're seeking hope, change, transformation, and a deeper understanding of yourself and your relationships, then I can help you to find this.
Looking for something to be different in your life? Maybe you're dealing with persistent anxiety, navigating difficult relationships, or feeling a deep sense of dissatisfaction. Perhaps you're desperate for change, but feel trapped, stuck, unsure or unable to take action. Or maybe you're feeling overwhelmed by life events and the expectations placed on yourself from you or others? If you're seeking hope, change, transformation, and a deeper understanding of yourself and your relationships, then I can help you to find this.
01249 471450 View 01249 471450
Photo of Laura Appel - Laura Appel - Mindful Therapist, Psychotherapist, MA, MUKCP
Laura Appel - Mindful Therapist
Psychotherapist, MA, MUKCP
Verified Verified
2 Endorsed
Serves Area
Welcome. I'm a UKCP accredited Core Process Psychotherapist with a BSc in Psychology, a diploma in humanistic psychotherapeutic couselling and a Masters (MA) in mindfulness-based psychotherapeutic practice. It's natural to experience difficult periods in life where we can benefit from additional support. I've lived experience of the transformational power of the therapeutic relationship and its capacity to support healing and well-being. I'll welcome you to a safe supportive space where you will be deeply listened to and held with compassion. I'm happy to work in person and online with adults of all ages and histories.
Welcome. I'm a UKCP accredited Core Process Psychotherapist with a BSc in Psychology, a diploma in humanistic psychotherapeutic couselling and a Masters (MA) in mindfulness-based psychotherapeutic practice. It's natural to experience difficult periods in life where we can benefit from additional support. I've lived experience of the transformational power of the therapeutic relationship and its capacity to support healing and well-being. I'll welcome you to a safe supportive space where you will be deeply listened to and held with compassion. I'm happy to work in person and online with adults of all ages and histories.
07568 661689 View 07568 661689
Photo of Karen Tate, Psychotherapist, MBABCP
Karen Tate
Psychotherapist, MBABCP
Verified Verified
Online Only
I am a qualified and BABCP accredited Cognitive Behavioural Therapist, experienced in treating anxiety, depression and PTSD. If you want to find ways to think and do things differently to feel better, then CBT could be right for you. Together, in a safe and structured way, we will make sense of what may be keeping you stuck and empower you to learn strategies to work towards your own goals. This could involve learning new coping techniques, challenging negative thoughts and beliefs, or experimenting with different ways of doing things. By the end of therapy you should have new tools to be able to live your life differently.
I am a qualified and BABCP accredited Cognitive Behavioural Therapist, experienced in treating anxiety, depression and PTSD. If you want to find ways to think and do things differently to feel better, then CBT could be right for you. Together, in a safe and structured way, we will make sense of what may be keeping you stuck and empower you to learn strategies to work towards your own goals. This could involve learning new coping techniques, challenging negative thoughts and beliefs, or experimenting with different ways of doing things. By the end of therapy you should have new tools to be able to live your life differently.
07498 554517 View 07498 554517
Photo of Jessica Sheppard, Counsellor, MBACP
Jessica Sheppard
Counsellor, MBACP
Verified Verified
1 Endorsed
Serves Area
Welcome. Taking this first step shows courage, and I'm here to support you. I offer a space where you can explore your thoughts and feelings at your own pace. Whether you're feeling overwhelmed, seeking clarity, relief, or just need someone to talk to, I’m here for you. At the heart of my practice is a commitment to create a space where you feel seen, heard, and understood. I'll meet you where you are and walk alongside you as we explore your hopes, goals, and next steps. Together, we'll figure out the next steps that feel right for you—at your pace, on your terms. You don’t have to do this alone
Welcome. Taking this first step shows courage, and I'm here to support you. I offer a space where you can explore your thoughts and feelings at your own pace. Whether you're feeling overwhelmed, seeking clarity, relief, or just need someone to talk to, I’m here for you. At the heart of my practice is a commitment to create a space where you feel seen, heard, and understood. I'll meet you where you are and walk alongside you as we explore your hopes, goals, and next steps. Together, we'll figure out the next steps that feel right for you—at your pace, on your terms. You don’t have to do this alone
01908 024559 View 01908 024559
Photo of Kim Swinden - Women's Time Counselling, Counsellor, DCounsPsych, MBACP Accred
Women's Time Counselling
Counsellor, DCounsPsych, MBACP Accred
Verified Verified
Serves Area
I am an accredited Integrative Counsellor who supports women through life with the wide range of issues women encounter, such as mental wellbeing, relationships, neurodiversity, cultural responsibilities, trauma and loss. I also support women with self-esteem, confidence, making a meaningful life and personal growth. I help you to feel safe, understood and supported, to help you make sense of what has happened, find ways to cope, look at choices, help you feel more in control and less overwhelmed, help you feel more connected with yourself, and live more positively.
I am an accredited Integrative Counsellor who supports women through life with the wide range of issues women encounter, such as mental wellbeing, relationships, neurodiversity, cultural responsibilities, trauma and loss. I also support women with self-esteem, confidence, making a meaningful life and personal growth. I help you to feel safe, understood and supported, to help you make sense of what has happened, find ways to cope, look at choices, help you feel more in control and less overwhelmed, help you feel more connected with yourself, and live more positively.
07422 942599 View 07422 942599
Photo of Gemma Mason, Psychotherapist, MSc, MUKCP
Gemma Mason
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
Serves Area
Not accepting new clients
I approach working with clients as meeting the individual within their current situation. I hold a non-judgemental position and offer unconditional acceptance. I work with a diverse population but I am unable to offer access to my practice room for wheelchairs
I approach working with clients as meeting the individual within their current situation. I hold a non-judgemental position and offer unconditional acceptance. I work with a diverse population but I am unable to offer access to my practice room for wheelchairs
07723 492916 View 07723 492916
Photo of Kathryn Tiffanie Wood-Heath, Counsellor, DCounsPsych, MBACP
Kathryn Tiffanie Wood-Heath
Counsellor, DCounsPsych, MBACP
Verified Verified
Serves Area
Hello, thank you for exploring through my profile. I am a counsellor who specialises in helping people who are going through tough transitions in their lives and their relationships. Are you going through a difficult move? Are you going off to university, changing careers or are moving into retirement? Are you navigating through a tough relationship, trying to make sense of online dating or going through a divorce? I am passionate about helping people work through the anxiety that major life changes can bring, and I help them to clear up the fog of confusion.
Hello, thank you for exploring through my profile. I am a counsellor who specialises in helping people who are going through tough transitions in their lives and their relationships. Are you going through a difficult move? Are you going off to university, changing careers or are moving into retirement? Are you navigating through a tough relationship, trying to make sense of online dating or going through a divorce? I am passionate about helping people work through the anxiety that major life changes can bring, and I help them to clear up the fog of confusion.
01327 223907 View 01327 223907
Photo of Billie-Jude Thorpe, Counsellor, MBACP
Billie-Jude Thorpe
Counsellor, MBACP
Verified Verified
Serves Area
Internal Family Systems is a psychotherapeutic approach that helps people deal with the legacy of trauma. We will work collaboratively, understanding what is being brought to the room and making sense of it together in an environment of safety and respect. I hope that our time together will deepen your self awareness, curiosity and a capacity for a fuller sense of you. Through expanding and deepening your understanding of yourself, compassion and perspectives can broaden- loosening the bolts on personal narratives or beliefs and creating room and opportunities for a different experience.
Internal Family Systems is a psychotherapeutic approach that helps people deal with the legacy of trauma. We will work collaboratively, understanding what is being brought to the room and making sense of it together in an environment of safety and respect. I hope that our time together will deepen your self awareness, curiosity and a capacity for a fuller sense of you. Through expanding and deepening your understanding of yourself, compassion and perspectives can broaden- loosening the bolts on personal narratives or beliefs and creating room and opportunities for a different experience.
View
Photo of Katherine Engel, Psychotherapist, MA, HCPC-Art Therap.
Katherine Engel
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
Serves Area
Whether you are seeking to tackle a difficult problem in your life, deepen your self-understanding or enhance your relationship dynamics, psychotherapy can help you to navigate the challenges you face supported rather than alone. Through reflection on present experiences and exploration of past events you can discover new insights and pave the way for new possibilities to emerge in your lives and relationships.
Whether you are seeking to tackle a difficult problem in your life, deepen your self-understanding or enhance your relationship dynamics, psychotherapy can help you to navigate the challenges you face supported rather than alone. Through reflection on present experiences and exploration of past events you can discover new insights and pave the way for new possibilities to emerge in your lives and relationships.
01373 485623 View 01373 485623
Photo of Jade Luck, Psychotherapist, UKCP Trainee
Jade Luck
Psychotherapist, UKCP Trainee
Verified Verified
Serves Area
Life can be full of unexpected challenges that can leave us feeling low, anxious or disconnected from ourselves. Having a safe, confidential space to explore what’s going on in our lives can help us to feel less alone and find a way forward. My approach incorporates mindfulness with psychodynamic psychotherapy. I can support you to work through past and present issues that are currently impacting on you in your life.
Life can be full of unexpected challenges that can leave us feeling low, anxious or disconnected from ourselves. Having a safe, confidential space to explore what’s going on in our lives can help us to feel less alone and find a way forward. My approach incorporates mindfulness with psychodynamic psychotherapy. I can support you to work through past and present issues that are currently impacting on you in your life.
01225 617276 View 01225 617276
Photo of Anna Bulgakova, Psychotherapist, MSc, MUKCP
Anna Bulgakova
Psychotherapist, MSc, MUKCP
Verified Verified
Serves Area
Are you looking for change? Do you want to move beyond the pain of your current situation or past traumas? Are you experiencing relationship difficulties and don't know how to go beyond the current situation? Whatever the issues you are facing, I will work with you to help you move towards the place you (both) want to be. I have extensive knowledge of working with clients with a range of mental health difficulties, including people in emotional crisis. I believe that every person has the potential for recovery and growth, with as an individual or within relationship with another person. Transformation is always possible.
Are you looking for change? Do you want to move beyond the pain of your current situation or past traumas? Are you experiencing relationship difficulties and don't know how to go beyond the current situation? Whatever the issues you are facing, I will work with you to help you move towards the place you (both) want to be. I have extensive knowledge of working with clients with a range of mental health difficulties, including people in emotional crisis. I believe that every person has the potential for recovery and growth, with as an individual or within relationship with another person. Transformation is always possible.
0117 325 2694 View 0117 325 2694
Photo of Tessa Strickland, Psychotherapist, MA, MUKCP
Tessa Strickland
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
Serves Area
Are you struggling with a relationship or juggling the competing demands of your private and professional life? Are you feeling stuck and uncertain about how to fulfil your potential? Have you recently lost someone close to you? I first sought help as a young mother and the benefits were so enormous, I chose to train as a psychotherapist myself. I work one-to-one and with couples, helping you to identify patterns in your relationship with others, and with yourself, and establishing ways of changing those patterns that do not serve you.
Are you struggling with a relationship or juggling the competing demands of your private and professional life? Are you feeling stuck and uncertain about how to fulfil your potential? Have you recently lost someone close to you? I first sought help as a young mother and the benefits were so enormous, I chose to train as a psychotherapist myself. I work one-to-one and with couples, helping you to identify patterns in your relationship with others, and with yourself, and establishing ways of changing those patterns that do not serve you.
01225 530240 View 01225 530240
Photo of Heather Coombe, Counsellor, MBACP Accred
Heather Coombe
Counsellor, MBACP Accred
Verified Verified
Serves Area
If you change nothing, nothing changes but it can be hard to know where to begin. I feel it starts with you being heard and valued. Having your story and your feelings witnessed and validated is extraordinarily powerful and provides the catalyst for change. You will gain a clarity and a sense of perspective as well as an understanding of why you behave in the way you do. Talking to me will feel different from talking to a friend or family member. I will offer you insights and reflections, not opinions or solutions. I am interested in you and your experiences and they matter to me, but as I'm not involved I can remain objective.
If you change nothing, nothing changes but it can be hard to know where to begin. I feel it starts with you being heard and valued. Having your story and your feelings witnessed and validated is extraordinarily powerful and provides the catalyst for change. You will gain a clarity and a sense of perspective as well as an understanding of why you behave in the way you do. Talking to me will feel different from talking to a friend or family member. I will offer you insights and reflections, not opinions or solutions. I am interested in you and your experiences and they matter to me, but as I'm not involved I can remain objective.
07968 953384 View 07968 953384
1

See more therapy options for Bradford-on-Avon

How does your Counsellor compare?

Number of Counsellors in Bradford-on-Avon

20+

Average cost per session

£60

Counsellors in Bradford-on-Avon who prioritize treating:

92% Anxiety
88% Depression
84% Relationship Issues
80% Bereavement
80% Self Esteem
80% Stress
64% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

60% AXA PPP
40% Aviva
40% Vitality

How Counsellors in Bradford-on-Avon see their clients

96% In Person and Online
4% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Bradford-on-Avon?

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.