Counselling in Cambridge

Photo of Dr Aleksandra Kralj, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Aleksandra Kralj
Psychologist, PsychD, HCPC - Clin. Psych.
You might be someone who does everything for other people while feeling burnt out, unappreciated, and unprioritised, often placing others’ needs above your own. On the outside you may look like you have it all together, having learned to survive by staying strong, keeping busy. Many of the people I work with feel they have to prove their worth by doing everything for everyone, and they often don’t even feel able to recognise what their own needs are. Together we can look at old patterns that taught you to self-sacrifice, help you recognise your needs and learn how to have them met, while building a stronger sense of self worth.
You might be someone who does everything for other people while feeling burnt out, unappreciated, and unprioritised, often placing others’ needs above your own. On the outside you may look like you have it all together, having learned to survive by staying strong, keeping busy. Many of the people I work with feel they have to prove their worth by doing everything for everyone, and they often don’t even feel able to recognise what their own needs are. Together we can look at old patterns that taught you to self-sacrifice, help you recognise your needs and learn how to have them met, while building a stronger sense of self worth.
01223 912736 View 01223 912736
Photo of Dr Michelle Miller. Specialising In Women., Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Michelle Miller. Specialising In Women.
Psychologist, DCounsPsych, HCPC - Couns. Psych.
1 Endorsed
I am a chartered psychologist (HCPC) and I specialise in women’s mental health. Anxiety, depression, sadness, ADHD, the impact of trauma, perinatal anxiety and depression, perimenopause and menopause. I have undertaken specialist training in menopause and can support you if you struggle with your mental health in perimenopause and menopause.
I am a chartered psychologist (HCPC) and I specialise in women’s mental health. Anxiety, depression, sadness, ADHD, the impact of trauma, perinatal anxiety and depression, perimenopause and menopause. I have undertaken specialist training in menopause and can support you if you struggle with your mental health in perimenopause and menopause.
01223 912530 View 01223 912530
Dr Melanie Rein
Psychotherapist, PhD, MUKCP
I am an analytical psychologist, psychotherapist, and supervisor based in Cambridge. While I work with a wide variety of people who have a range of issues and concerns, each person who comes to see me is special and each problem or concern they have is unique to them. Some of the concerns and issues that bring people to contact me are deep trauma and feelings of desperation, while others find themselves faced with an unexpected situation or difficult decision or want to explore and develop a deeper understanding of their life experience.
I am an analytical psychologist, psychotherapist, and supervisor based in Cambridge. While I work with a wide variety of people who have a range of issues and concerns, each person who comes to see me is special and each problem or concern they have is unique to them. Some of the concerns and issues that bring people to contact me are deep trauma and feelings of desperation, while others find themselves faced with an unexpected situation or difficult decision or want to explore and develop a deeper understanding of their life experience.
01223 679962 View 01223 679962
Photo of Sarah Kuppen, Counsellor, PhD, MUKCP
Sarah Kuppen
Counsellor, PhD, MUKCP
I am a fully accredited child, adolescent and young adult psychotherapeutic counsellor and chartered psychologist. When our feelings become overwhelming, it can be hard to know what to do, or where to turn. I work clinically with children, teens and young adults to explore difficult feelings and make them more manageable. I use talking and play therapy to help with difficulties such as depression and anxiety. I have extensive clinical experience working with young people and their families through my work in charities and schools and in my Child and Adolescent Psychotherapeutic Counselling training at the University of Cambridge.
I am a fully accredited child, adolescent and young adult psychotherapeutic counsellor and chartered psychologist. When our feelings become overwhelming, it can be hard to know what to do, or where to turn. I work clinically with children, teens and young adults to explore difficult feelings and make them more manageable. I use talking and play therapy to help with difficulties such as depression and anxiety. I have extensive clinical experience working with young people and their families through my work in charities and schools and in my Child and Adolescent Psychotherapeutic Counselling training at the University of Cambridge.
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Photo of Jo Elliott, Psychotherapist, MUKCP
Jo Elliott
Psychotherapist, MUKCP
Psychotherapy is a talking therapy that involves speaking about emotional difficulties with a trained professional. We may find ourselves needing support at different points in our lives. This might be in response to trauma, emotional distress, or overwhelming life events. Sometimes we want a confidential, objective space to explore our feelings, understand ourselves better, or make sense of patterns in how we think, feel, and relate to others. Therapy can also be a place to reflect, grow, and consider meaningful personal change.
Psychotherapy is a talking therapy that involves speaking about emotional difficulties with a trained professional. We may find ourselves needing support at different points in our lives. This might be in response to trauma, emotional distress, or overwhelming life events. Sometimes we want a confidential, objective space to explore our feelings, understand ourselves better, or make sense of patterns in how we think, feel, and relate to others. Therapy can also be a place to reflect, grow, and consider meaningful personal change.
01954 774525 View 01954 774525
Photo of Arushi Madaan, Psychotherapist, MA, BACP
Arushi Madaan
Psychotherapist, MA, BACP
You may be feeling overwhelmed, stuck, or unsure how to make sense of what you’re experiencing. Perhaps anxiety, stress, relationship difficulties, or emotional exhaustion are taking up space, or there’s a sense that something doesn’t feel quite right, even if it’s hard to name. You might be looking for a space where you can slow down, feel understood, and explore things at your own pace, without judgement or pressure. Therapy can offer time, support, and understanding during moments that feel confusing or heavy.
You may be feeling overwhelmed, stuck, or unsure how to make sense of what you’re experiencing. Perhaps anxiety, stress, relationship difficulties, or emotional exhaustion are taking up space, or there’s a sense that something doesn’t feel quite right, even if it’s hard to name. You might be looking for a space where you can slow down, feel understood, and explore things at your own pace, without judgement or pressure. Therapy can offer time, support, and understanding during moments that feel confusing or heavy.
01223 912037 View 01223 912037
Photo of Richard George, Psychotherapist, MBABCP
Richard George
Psychotherapist, MBABCP
Hello. I’m Richard and I’m an established psychotherapist based in Cambridge. I provide a safe environment for you to discuss your difficulties and express yourself without fear of being judged and where your privacy is assured. As an experienced psychotherapist who has worked in the NHS for 18 years and private practice for 5 years, I have a wealth of clinical experience to draw on. I offer evidence based therapies for a range of difficulties. Have a look through my website. If you have any questions, please don't hesitate to get in touch. I welcome clients from all cultural backgrounds, faiths, sexual identities and orientation.
Hello. I’m Richard and I’m an established psychotherapist based in Cambridge. I provide a safe environment for you to discuss your difficulties and express yourself without fear of being judged and where your privacy is assured. As an experienced psychotherapist who has worked in the NHS for 18 years and private practice for 5 years, I have a wealth of clinical experience to draw on. I offer evidence based therapies for a range of difficulties. Have a look through my website. If you have any questions, please don't hesitate to get in touch. I welcome clients from all cultural backgrounds, faiths, sexual identities and orientation.
01223 659381 View 01223 659381
Photo of Monika Kubaczewska-Szymanska, Psychotherapist, MSc, MBACP
Monika Kubaczewska-Szymanska
Psychotherapist, MSc, MBACP
Cambridge CB21
I am a qualified integrative counsellor ,CBT psychotherapist working towards accreditation and a EFT couples therapist . I work mainly in the humanistic approach, and I also use elements from other approaches such as CBT (cognitive-behavioural therapy) or psychodynamic therapy, which allows me to choose optimal therapeutic strategies for each client individually. The values ​​on which the humanistic approach is based, such as empathy, respect, authenticity and perception of values ​​in every human being, are very close to me. I firmly believe that being truly understood, heard and accepted the way you are can change our lives.
I am a qualified integrative counsellor ,CBT psychotherapist working towards accreditation and a EFT couples therapist . I work mainly in the humanistic approach, and I also use elements from other approaches such as CBT (cognitive-behavioural therapy) or psychodynamic therapy, which allows me to choose optimal therapeutic strategies for each client individually. The values ​​on which the humanistic approach is based, such as empathy, respect, authenticity and perception of values ​​in every human being, are very close to me. I firmly believe that being truly understood, heard and accepted the way you are can change our lives.
01223 869475 View 01223 869475
Photo of Dr Kirsten Keighley - Dr Kirsten Keighley - Binge Eating Therapist, Counsellor, PhD, MBACP
I support people with binge eating, emotional eating, weight loss struggles, eating disorders, ADHD, Autism, low self-esteem, and bulimia. I have 17 years’ experience as a behaviour change and obesity prevention scientist at Cambridge University. I help clients discover and take charge of their hidden eating triggers and transform their relationship with food. Sessions often focus on getting freedom from constant thoughts about food and weight and escaping the cycle of yo-yo dieting. Gain understanding about what has prevented you from recovery in the past so you can overcome that, and live life without restriction or bingeing.
I support people with binge eating, emotional eating, weight loss struggles, eating disorders, ADHD, Autism, low self-esteem, and bulimia. I have 17 years’ experience as a behaviour change and obesity prevention scientist at Cambridge University. I help clients discover and take charge of their hidden eating triggers and transform their relationship with food. Sessions often focus on getting freedom from constant thoughts about food and weight and escaping the cycle of yo-yo dieting. Gain understanding about what has prevented you from recovery in the past so you can overcome that, and live life without restriction or bingeing.
01954 776163 View 01954 776163
Photo of Julie Mark, Counsellor, MBACP
Julie Mark
Counsellor, MBACP
Hello and welcome. Asking for help can be so very difficult, and at a time when you may be feeling at your most vulnerable. As a mature, accredited and insured therapist I endeavour to put you at ease and work with you to best suit your needs. I work as a Person-Centred therapist, very passionate about the potential of every individual that I encounter. The time spent in therapy is your time, a space just for you. Qualified for over 9 years, I have worked with adults, young adults, teens and children in a variety of settings. I am currently working in person and on line, with home visits possible under certain circumstances.
Hello and welcome. Asking for help can be so very difficult, and at a time when you may be feeling at your most vulnerable. As a mature, accredited and insured therapist I endeavour to put you at ease and work with you to best suit your needs. I work as a Person-Centred therapist, very passionate about the potential of every individual that I encounter. The time spent in therapy is your time, a space just for you. Qualified for over 9 years, I have worked with adults, young adults, teens and children in a variety of settings. I am currently working in person and on line, with home visits possible under certain circumstances.
01223 622455 View 01223 622455
Photo of Guy Snape - Guy Snape Counselling, Counsellor, MSc, MNCPS Acc.
Guy Snape Counselling
Counsellor, MSc, MNCPS Acc.
Feeling down? Stressed, anxious or depressed? I can help. We all have our "stuff" - pressure of work, relationship difficulties, painful memories or trauma, feelings of worthlessness, difficulty sleeping, phobias: modern life can feel overwhelming. Just like our physical health, everyone has times when their mental wellbeing is not at its best.
Feeling down? Stressed, anxious or depressed? I can help. We all have our "stuff" - pressure of work, relationship difficulties, painful memories or trauma, feelings of worthlessness, difficulty sleeping, phobias: modern life can feel overwhelming. Just like our physical health, everyone has times when their mental wellbeing is not at its best.
01223 981326 View 01223 981326
Photo of Asteryth Sloane, Psychotherapist, MBACP
Asteryth Sloane
Psychotherapist, MBACP
Online Only
I specialise in supporting people who have experienced abuse and complex trauma, those who are marginalised and silenced, and those impacted by the ecological and political crises of our world. These experiences can be hard to make sense of alone, and therapy can offer a space to explore and hold them. My work as a therapist is always evolving from the wounds and fractured places in my own experiences of living in a brutal, unjust world. The spaces I hold are anti-oppressive, neuro-affirming, and LGBTQ+-welcoming.
I specialise in supporting people who have experienced abuse and complex trauma, those who are marginalised and silenced, and those impacted by the ecological and political crises of our world. These experiences can be hard to make sense of alone, and therapy can offer a space to explore and hold them. My work as a therapist is always evolving from the wounds and fractured places in my own experiences of living in a brutal, unjust world. The spaces I hold are anti-oppressive, neuro-affirming, and LGBTQ+-welcoming.
01223 912279 View 01223 912279
Photo of Karen Johnston - Karen Johnston Counselling, Counsellor, MBACP
Karen Johnston Counselling
Counsellor, MBACP
Everyone comes to counselling with different ideas about what they want to achieve. It may be you are looking for help with a specific problem or perhaps simply want to talk to someone. I offer counselling for a wide range of problems which we can explore together in a safe and confidential space. I am currently offering in-person sessions in central Cambridge and on-line sessions.
Everyone comes to counselling with different ideas about what they want to achieve. It may be you are looking for help with a specific problem or perhaps simply want to talk to someone. I offer counselling for a wide range of problems which we can explore together in a safe and confidential space. I am currently offering in-person sessions in central Cambridge and on-line sessions.
01223 857117 View 01223 857117
Photo of Elaine Barry, Counsellor, MA, BACP
Elaine Barry
Counsellor, MA, BACP
I offer support to people facing a wide range of emotional and personal difficulties - including anxiety, depression, trauma, loss, and relationship or work-related stress - in a safe, confidential, and non-judgmental space where you can talk openly and begin to make sense of your thoughts and feelings. Whatever brings you to counselling, together we can explore what’s happening for you at your own pace and look at the changes you may want to make to help you feel more in control or move towards acceptance and self-compassion.
I offer support to people facing a wide range of emotional and personal difficulties - including anxiety, depression, trauma, loss, and relationship or work-related stress - in a safe, confidential, and non-judgmental space where you can talk openly and begin to make sense of your thoughts and feelings. Whatever brings you to counselling, together we can explore what’s happening for you at your own pace and look at the changes you may want to make to help you feel more in control or move towards acceptance and self-compassion.
01954 771001 View 01954 771001
Photo of Faye McDonell, Psychotherapist, MA
Faye McDonell
Psychotherapist, MA
1 Endorsed
Cambridge CB23
I am an experienced therapist and have worked in the NHS for 10 years, initially qualifying as an Occupational Therapist and more recently as a family and systemic psychotherapy enabling me to offer a broader psychotherapeutic service to individuals, couples or families who might be seeking a safe space to explore particular themes or dilemmas they are facing. I have experience working across the life span and have specialised in working with children and families over the past 5 years. Prior to this I worked with adults with complex trauma. I offer an inclusive space which is sensitive to your needs.
I am an experienced therapist and have worked in the NHS for 10 years, initially qualifying as an Occupational Therapist and more recently as a family and systemic psychotherapy enabling me to offer a broader psychotherapeutic service to individuals, couples or families who might be seeking a safe space to explore particular themes or dilemmas they are facing. I have experience working across the life span and have specialised in working with children and families over the past 5 years. Prior to this I worked with adults with complex trauma. I offer an inclusive space which is sensitive to your needs.
01954 774604 View 01954 774604
Photo of Lucy Fuller, Psychotherapist, MA, MUKCP
Lucy Fuller
Psychotherapist, MA, MUKCP
I am an integrative psychotherapist with 17 years’ experience working with individuals, couples, families, and young people. My approach tailors therapeutic methods to each client’s unique story. I believe therapy offers a space to explore your sense of self and relationships, giving clarity and new perspective. Together, we’ll build a safe and supportive relationship to explore the experiences shaping your way of being and uncover what’s needed to feel self-reliant and initiate meaningful change.
I am an integrative psychotherapist with 17 years’ experience working with individuals, couples, families, and young people. My approach tailors therapeutic methods to each client’s unique story. I believe therapy offers a space to explore your sense of self and relationships, giving clarity and new perspective. Together, we’ll build a safe and supportive relationship to explore the experiences shaping your way of being and uncover what’s needed to feel self-reliant and initiate meaningful change.
01223 912423 View 01223 912423
Photo of Jo Fenton, Psychotherapist, MBACP Accred
Jo Fenton
Psychotherapist, MBACP Accred
Hi, I am Jo and welcome to my profile. I am a qualified and Accredited Counsellor and Psychotherapist with the BACP Integrative approach, believing 'one size does NOT fit all'. This approach gives me a variety of skills and ideas based on theory from different schools of thought, therefore allowing me to reach and help more people. I am also an experienced coach, particularly around relationships. Whilst there are definite differences between Counselling/Psychotherapy and Coaching, and there are professional ethics and boundaries I abide, I also believe that the two have similarities in enabling and empowering people to make change.
Hi, I am Jo and welcome to my profile. I am a qualified and Accredited Counsellor and Psychotherapist with the BACP Integrative approach, believing 'one size does NOT fit all'. This approach gives me a variety of skills and ideas based on theory from different schools of thought, therefore allowing me to reach and help more people. I am also an experienced coach, particularly around relationships. Whilst there are definite differences between Counselling/Psychotherapy and Coaching, and there are professional ethics and boundaries I abide, I also believe that the two have similarities in enabling and empowering people to make change.
020 8106 5721 View 020 8106 5721
Photo of Louise Wheeler, Psychotherapist, MNCPS Acc.
Louise Wheeler
Psychotherapist, MNCPS Acc.
Hello, my name is Louise offering tailored Therapy sessions to meet your needs, this includes discussing what you feel comfortable with, when you're ready. In session, we could work through repetitive thoughts or patterns, goal setting through strategies, or just talking about what's on your mind at the time. This may link to exploring past experiences or current situations happening with work, socially or family as an example. Each session can be tailored to meet your needs, whilst maintaining an ethical framework. After each session, I can set different strategies though there is no right or wrong, just what works for you.
Hello, my name is Louise offering tailored Therapy sessions to meet your needs, this includes discussing what you feel comfortable with, when you're ready. In session, we could work through repetitive thoughts or patterns, goal setting through strategies, or just talking about what's on your mind at the time. This may link to exploring past experiences or current situations happening with work, socially or family as an example. Each session can be tailored to meet your needs, whilst maintaining an ethical framework. After each session, I can set different strategies though there is no right or wrong, just what works for you.
01480 773565 View 01480 773565
Photo of Sandra Cass-Courtney, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Sandra Cass-Courtney
Psychologist, DCounsPsych, HCPC - Couns. Psych.
I am a Chartered Counselling Psychologist (British Psychological Society) and a Practitioner Psychologist (HCPC). My qualifications and experience enables me to offer effective outpatient, individualized, psychological care. I regard human suffering and relational struggles as inevitable parts of all our lives. In therapy we may deal directly with life’s crisis and difficulties around transitions such as death of a loved one, divorce, illness and career crossroads. I have a wide range of NHS and private sector experience and can competently treat a wide range of psychological issues and distress for individuals and couples.
I am a Chartered Counselling Psychologist (British Psychological Society) and a Practitioner Psychologist (HCPC). My qualifications and experience enables me to offer effective outpatient, individualized, psychological care. I regard human suffering and relational struggles as inevitable parts of all our lives. In therapy we may deal directly with life’s crisis and difficulties around transitions such as death of a loved one, divorce, illness and career crossroads. I have a wide range of NHS and private sector experience and can competently treat a wide range of psychological issues and distress for individuals and couples.
07723 448788 View 07723 448788
Photo of Kirstin Bicknell, Psychotherapist, MA, MUKCP
Kirstin Bicknell
Psychotherapist, MA, MUKCP
Cambridge CB23
Waitlist for new clients
I'm an integrative counsellor and psychotherapist offering therapy that's right for you. I provide a supportive, confidential service for individuals and couples to explore and work through issues you are facing. As an integrative counsellor and psychotherapist there are a number of elements that therapy may include. The ones we use will depend on what you want to work on and your preferences. This can involve exploring how you're feeling, why you're feeling that way and how you can manage challenging feelings or relationships or working with childhood trauma as well as specific strategies including EMDR for PTSD.
I'm an integrative counsellor and psychotherapist offering therapy that's right for you. I provide a supportive, confidential service for individuals and couples to explore and work through issues you are facing. As an integrative counsellor and psychotherapist there are a number of elements that therapy may include. The ones we use will depend on what you want to work on and your preferences. This can involve exploring how you're feeling, why you're feeling that way and how you can manage challenging feelings or relationships or working with childhood trauma as well as specific strategies including EMDR for PTSD.
01223 656854 View 01223 656854

See more therapy options for Cambridge

How does your Counsellor compare?

Number of Counsellors in Cambridge

400+

Average cost per session

£70

Counsellors in Cambridge who prioritize treating:

90% Anxiety
83% Depression
81% Self Esteem
76% Stress
74% Relationship Issues
69% Trauma and PTSD
56% Bereavement

Average years in practice

11 Years

Top 3 insurances accepted

71% Aviva
64% AXA PPP
53% Bupa

How Counsellors in Cambridge see their clients

72% In Person and Online
28% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Cambridge?

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.