Counselling in Carshalton

Photo of Kerrie Marie Penfold Wall, Counsellor, MBACP
Kerrie Marie Penfold Wall
Counsellor, MBACP
Are you faced with difficulties, feeling angry, sad or anxious? I understand the reason you are seeking counselling may not be in relation to any specific issue. For example, you may want a safe and confidential space to explore your feelings or seek to grow as a person. It is my wish that our sessions together can help you to understand yourself better and provide greater insight and awareness of your presenting issues or life experience. My integrative training allows me to be flexible and adaptable with my approach, as I feel that therapy is not a one size fits all endeavour.
Are you faced with difficulties, feeling angry, sad or anxious? I understand the reason you are seeking counselling may not be in relation to any specific issue. For example, you may want a safe and confidential space to explore your feelings or seek to grow as a person. It is my wish that our sessions together can help you to understand yourself better and provide greater insight and awareness of your presenting issues or life experience. My integrative training allows me to be flexible and adaptable with my approach, as I feel that therapy is not a one size fits all endeavour.
01798 306657 View 01798 306657
Photo of Karen Weston, Psychotherapist, MSc, MBACP
Karen Weston
Psychotherapist, MSc, MBACP
1 Endorsed
My practice is dedicated to providing a safe and supportive environment where individuals can explore their thoughts, emotions, and experiences. Establishing a strong therapeutic relationship built on trust, empathy, and non-judgment, I provide a safe and confidential space where clients can freely express themselves, fostering a sense of comfort. The exploration of past experiences, especially in childhood, uncovers patterns, unresolved conflicts, and underlying emotional struggles. I encourage self-reflection and the development of insight into one's inner world.
My practice is dedicated to providing a safe and supportive environment where individuals can explore their thoughts, emotions, and experiences. Establishing a strong therapeutic relationship built on trust, empathy, and non-judgment, I provide a safe and confidential space where clients can freely express themselves, fostering a sense of comfort. The exploration of past experiences, especially in childhood, uncovers patterns, unresolved conflicts, and underlying emotional struggles. I encourage self-reflection and the development of insight into one's inner world.
020 3835 4039 View 020 3835 4039
Photo of Marijke Roberts, Counsellor, MNCPS Acc.
Marijke Roberts
Counsellor, MNCPS Acc.
Online Only
Hello, I am Marijke. I have many years of experience in working with different people from all walks of life. First as a social worker, and in the past few years as a psychotherapeutic counsellor. I work with adults, young people and couples. I can help you work through any areas in your life where you feel “stuck” and where you experience problems, like anxiety and depression, addiction, phobias, Post Traumatic Stress, feelings of low self-worth and low self-esteem, or problems in your relationship.
Hello, I am Marijke. I have many years of experience in working with different people from all walks of life. First as a social worker, and in the past few years as a psychotherapeutic counsellor. I work with adults, young people and couples. I can help you work through any areas in your life where you feel “stuck” and where you experience problems, like anxiety and depression, addiction, phobias, Post Traumatic Stress, feelings of low self-worth and low self-esteem, or problems in your relationship.
01260 542116 View 01260 542116
Photo of Jo Pembroke, Counsellor, MA, BACP
Jo Pembroke
Counsellor, MA, BACP
I offer time and space for you, these times in life can be rare, to focus on yourself, talk and explore to feel your emotions, your self-care, and your wellbeing, the impact the past or the present situation is having on you. To help to heal wounds, learn to manage, and explore your emotions and behaviors. To learn to recognise how why and how you respond to situations and help in identifying ways to empower you and be more in control by understanding yourself more with kindness and empathy. It may involve a loss of relationship. hurt. abuse, changes, anxiety depression, low self-esteem, and family issues. a time to heal.
I offer time and space for you, these times in life can be rare, to focus on yourself, talk and explore to feel your emotions, your self-care, and your wellbeing, the impact the past or the present situation is having on you. To help to heal wounds, learn to manage, and explore your emotions and behaviors. To learn to recognise how why and how you respond to situations and help in identifying ways to empower you and be more in control by understanding yourself more with kindness and empathy. It may involve a loss of relationship. hurt. abuse, changes, anxiety depression, low self-esteem, and family issues. a time to heal.
01798 300466 View 01798 300466
Photo of Sam Archer, Psychotherapist, MBACP
Sam Archer
Psychotherapist, MBACP
1 Endorsed
Living life is not only about being able to absorb the ups and downs, it is also about growing from them too. Yet there may be times when we are unable to grow; unable to live in a way that allows us to feel at our best and get the most from each present moment. It is at these times that it may be useful to speak to a professional counsellor; someone who can know you differently to the way a friend or family member might and who can accept all of who you are safely, honestly and without judgement.
Living life is not only about being able to absorb the ups and downs, it is also about growing from them too. Yet there may be times when we are unable to grow; unable to live in a way that allows us to feel at our best and get the most from each present moment. It is at these times that it may be useful to speak to a professional counsellor; someone who can know you differently to the way a friend or family member might and who can accept all of who you are safely, honestly and without judgement.
01798 305031 View 01798 305031
Photo of Matthew Butler, MSc
Matthew Butler
Verified Verified
As a specialised mental health professional, I help clients overcome trauma, anxiety, ADHD, and stress-related challenges. If you're feeling stuck, struggling with focus issues, or seeking to enhance personal performance, my approach centres on facilitating self-discovery through evidence-based therapies. I provide a supportive environment where solutions emerge from within, delivered conveniently via secure online platforms including MS Teams, Zoom, and Google Meet.
As a specialised mental health professional, I help clients overcome trauma, anxiety, ADHD, and stress-related challenges. If you're feeling stuck, struggling with focus issues, or seeking to enhance personal performance, my approach centres on facilitating self-discovery through evidence-based therapies. I provide a supportive environment where solutions emerge from within, delivered conveniently via secure online platforms including MS Teams, Zoom, and Google Meet.
020 4538 7962 View 020 4538 7962
Photo of Flor Ferraco, Psychotherapist, MA, HCPC-Drama Therap.
Flor Ferraco
Psychotherapist, MA, HCPC-Drama Therap.
Is it difficult for yourself to connect to your emotions and feelings? Sometimes it is complicated to find a link to enable us express freely. Unintentionally, we can create a habit in which we suppress, run away, deny or manipulate our emotions. It is normal to try to push away feelings of discomfort like stress, fear or pain; but there are tools you can learn to help you cope with these emotions in a healthy way. Instead of denying, distracting yourself, manipulating or disconnecting, you can accept, observe, acknowledge and connect deeply with your feelings.
Is it difficult for yourself to connect to your emotions and feelings? Sometimes it is complicated to find a link to enable us express freely. Unintentionally, we can create a habit in which we suppress, run away, deny or manipulate our emotions. It is normal to try to push away feelings of discomfort like stress, fear or pain; but there are tools you can learn to help you cope with these emotions in a healthy way. Instead of denying, distracting yourself, manipulating or disconnecting, you can accept, observe, acknowledge and connect deeply with your feelings.
020 4538 5361 View 020 4538 5361
Photo of Nadira Chettiar, Counsellor, MBACP
Nadira Chettiar
Counsellor, MBACP
When our brains are working tirelessly to unscramble our complicated lives, it can feel overwhelming at times and in turn, affect our mental and physical health. The first step towards improving our wellbeing, is to recognise that we need support. I can offer that to you in a caring, safe, non-judgmental and empathic environment. Exploring your emotions and developing greater self-awareness, can help with making the changes you would like to achieve, in order to have more fulfilling connections and reach your full potential in other areas of your life.
When our brains are working tirelessly to unscramble our complicated lives, it can feel overwhelming at times and in turn, affect our mental and physical health. The first step towards improving our wellbeing, is to recognise that we need support. I can offer that to you in a caring, safe, non-judgmental and empathic environment. Exploring your emotions and developing greater self-awareness, can help with making the changes you would like to achieve, in order to have more fulfilling connections and reach your full potential in other areas of your life.
020 3728 8857 View 020 3728 8857
Photo of Therese Rush, Counsellor, MBACP
Therese Rush
Counsellor, MBACP
If you feel overwhelmed by what life is throwing at you - especially at the moment, and are finding it difficult to cope, perhaps your inner critic is giving you negative thoughts or the voice on your shoulder is telling you that you are not good enough it may help to talk to someone who is impartial and unbiased. I am here to listen and offer you a confidential, caring and empathic space to gain awareness of your issues.
If you feel overwhelmed by what life is throwing at you - especially at the moment, and are finding it difficult to cope, perhaps your inner critic is giving you negative thoughts or the voice on your shoulder is telling you that you are not good enough it may help to talk to someone who is impartial and unbiased. I am here to listen and offer you a confidential, caring and empathic space to gain awareness of your issues.
01798 307076 View 01798 307076
Photo of Derek Flint, Counsellor, MNCPS Acc.
Derek Flint
Counsellor, MNCPS Acc.
2 Endorsed
I’m an integrative therapist and I tailor how I work to suit you and your individual experiences, difficulties and challenges. I help you to understand what is happening and find ways forward that will provide you more satisfaction and happiness. I help find solutions to, and provide relief from negative feelings, life difficulties and problems. Counselling can help by identifying and changing ways of thinking and patterns of behaviour providing new options in how you live. It can give you the opportunity to off load concerns and experience relief from worry and difficulties. I treat everything spoken about as confidential.
I’m an integrative therapist and I tailor how I work to suit you and your individual experiences, difficulties and challenges. I help you to understand what is happening and find ways forward that will provide you more satisfaction and happiness. I help find solutions to, and provide relief from negative feelings, life difficulties and problems. Counselling can help by identifying and changing ways of thinking and patterns of behaviour providing new options in how you live. It can give you the opportunity to off load concerns and experience relief from worry and difficulties. I treat everything spoken about as confidential.
01732 443425 View 01732 443425
Photo of Idyli Kamaterou - Therapy For Me - Idyli Kamaterou - CBT therapist, Psychotherapist, MSc, MBABCP
Therapy For Me - Idyli Kamaterou - CBT therapist
Psychotherapist, MSc, MBABCP
1 Endorsed
Do you…feel preoccupied by worries & unwanted thoughts? ...find decision-making hard? ...feel alone with difficult feelings? ...engage in checking or asking for reassurance to manage anxiety? ...find pregnancy (or parenthood) a demanding period in your life? ...worry about physical sensations in your body? These are some of the areas I discuss daily in my clinic. People I work with are looking for a therapist who is going to listen to them & understand their experience. Someone who is going to take their distress seriously, remember their story once discussed in a session and teach them strategies to manage difficult emotions.
Do you…feel preoccupied by worries & unwanted thoughts? ...find decision-making hard? ...feel alone with difficult feelings? ...engage in checking or asking for reassurance to manage anxiety? ...find pregnancy (or parenthood) a demanding period in your life? ...worry about physical sensations in your body? These are some of the areas I discuss daily in my clinic. People I work with are looking for a therapist who is going to listen to them & understand their experience. Someone who is going to take their distress seriously, remember their story once discussed in a session and teach them strategies to manage difficult emotions.
01929 500565 View 01929 500565
Photo of Felicity Graham, Counsellor, MBACP
Felicity Graham
Counsellor, MBACP
2 Endorsed
I can offer a friendly, compassionate, and non-judgmental space to help you work through difficult issues and emotions. I will actively listen to your experiences and explore alongside you how these have shaped your present life while bringing awareness to behaviours and thoughts which may be problematic, offering new opportunities for positive change. I can support with: Anxiety, overthinkning, relationship & communication issues, navigating conflict or disconnection, stress and burnout, life transitions, feeling "stuck" or uncertain, low mood, emotional overwhelm, self-esteem and deeper self understanding.
I can offer a friendly, compassionate, and non-judgmental space to help you work through difficult issues and emotions. I will actively listen to your experiences and explore alongside you how these have shaped your present life while bringing awareness to behaviours and thoughts which may be problematic, offering new opportunities for positive change. I can support with: Anxiety, overthinkning, relationship & communication issues, navigating conflict or disconnection, stress and burnout, life transitions, feeling "stuck" or uncertain, low mood, emotional overwhelm, self-esteem and deeper self understanding.
020 3667 9941 View 020 3667 9941
Photo of Chisom Deborah, Counsellor, MBACP
Chisom Deborah
Counsellor, MBACP
1 Endorsed
Serves Area
Are you a parent who is worried about their teenager? Are you struggling to communicate with one another whilst finding it hard to understand each other? Does your young person suffer with anxiety or persistent low moods? Maybe they are struggling academically and/or refusing to go to school? Or maybe you are a professional looking for someone to work with a young person in your care? Maybe they are struggling to form relationships or adjust to change. Young people deserve to be heard and listened to, and I hope to provide a space in which they can have exactly that.
Are you a parent who is worried about their teenager? Are you struggling to communicate with one another whilst finding it hard to understand each other? Does your young person suffer with anxiety or persistent low moods? Maybe they are struggling academically and/or refusing to go to school? Or maybe you are a professional looking for someone to work with a young person in your care? Maybe they are struggling to form relationships or adjust to change. Young people deserve to be heard and listened to, and I hope to provide a space in which they can have exactly that.
07492 882981 View 07492 882981
Photo of Amanda Strang, Psychotherapist, PsychD, BPC
Amanda Strang
Psychotherapist, PsychD, BPC
Serves Area
Everyone experiences difficult emotions at some points in life and we can feel unable to cope alone. The people who come to see me have experienced a range of issues. These include relationship difficulties in their personal and working lives , low self-esteem, difficulties communicating feelings, sexual abuse ,and issues relating to having been at boarding school. What ever it is that's troubling you: be it anxiety, depression, stress, loneliness or long-term emotional difficulties it takes courage to make the decision to seek a therapist.
Everyone experiences difficult emotions at some points in life and we can feel unable to cope alone. The people who come to see me have experienced a range of issues. These include relationship difficulties in their personal and working lives , low self-esteem, difficulties communicating feelings, sexual abuse ,and issues relating to having been at boarding school. What ever it is that's troubling you: be it anxiety, depression, stress, loneliness or long-term emotional difficulties it takes courage to make the decision to seek a therapist.
020 4538 7984 View 020 4538 7984
Photo of Debbie Allen, Counsellor, MBACP
Debbie Allen
Counsellor, MBACP
Serves Area
Face to face and online, I have helped many clients recover from anxiety disorders, depression and self-esteem issues. I have helped clients with abandonment and rejection fears work on relationship issues so that they are able to live in harmony with others. We will work together with your presenting issues and we will also journey into your past to see if we can get to the root of why you feel the way you do and together we will work through any triggers so that your life becomes more manageable. There is nothing more enlightening than self discovery and becoming a more confident version of yourself is extremely empowering.
Face to face and online, I have helped many clients recover from anxiety disorders, depression and self-esteem issues. I have helped clients with abandonment and rejection fears work on relationship issues so that they are able to live in harmony with others. We will work together with your presenting issues and we will also journey into your past to see if we can get to the root of why you feel the way you do and together we will work through any triggers so that your life becomes more manageable. There is nothing more enlightening than self discovery and becoming a more confident version of yourself is extremely empowering.
01798 305049 View 01798 305049
Photo of Baanu Baghbani-Irvine, Psychotherapist, MSc, BACP
Baanu Baghbani-Irvine
Psychotherapist, MSc, BACP
Serves Area
I am a qualified Psychotherapist with degrees in number of different therapeutic modalities and over 20 years experience in Family and Children Services and private practice. I use effective evidence-based techniques, practices and therapeutic skills to tailor-make my approach. I use active-directive psychotherapy that promotes change by helping clients to identify, confront, and change their self-defeating thoughts and beliefs. I have extensive experience working with attachment, Childhood trauma and family relationships and in the treatment of many mental and emotional disturbances.
I am a qualified Psychotherapist with degrees in number of different therapeutic modalities and over 20 years experience in Family and Children Services and private practice. I use effective evidence-based techniques, practices and therapeutic skills to tailor-make my approach. I use active-directive psychotherapy that promotes change by helping clients to identify, confront, and change their self-defeating thoughts and beliefs. I have extensive experience working with attachment, Childhood trauma and family relationships and in the treatment of many mental and emotional disturbances.
020 3856 4052 View 020 3856 4052
Photo of Danielle Simpson - Trust in you therapy, Psychotherapist, MBACP
Trust in you therapy
Psychotherapist, MBACP
Serves Area
I am a MBACP Registered member. I have experience working in establishments such as; MIND, Place2be and secondary school, working with vulnerable adults and children from diverse backgrounds. My experience includes supporting individuals with; - Trauma - ADHD & ASD - Grief & bereavement - Family & relationships - Anxiety & depression - Suicide & self harm - Current/historical abuse - Low self-esteem, identity issues, cultural problems, childhood trauma and more. I pride myself on the ability to work openly and non-judgementally cross-culturally & have been successful counselling children and adults with SEN.
I am a MBACP Registered member. I have experience working in establishments such as; MIND, Place2be and secondary school, working with vulnerable adults and children from diverse backgrounds. My experience includes supporting individuals with; - Trauma - ADHD & ASD - Grief & bereavement - Family & relationships - Anxiety & depression - Suicide & self harm - Current/historical abuse - Low self-esteem, identity issues, cultural problems, childhood trauma and more. I pride myself on the ability to work openly and non-judgementally cross-culturally & have been successful counselling children and adults with SEN.
01798 303559 View 01798 303559
Photo of Jean Barbara MacGillivray, Counsellor, DCounsPsych, MBACP
Jean Barbara MacGillivray
Counsellor, DCounsPsych, MBACP
Serves Area
I have worked within an NHS practice and a secondary school for a number of years. This means that my clients have been adults, teenagers and children of different ages, backgrounds, and faiths. As an integrative counsellor I offer short-term and long-term counselling. I support the restoring of positive mental health by using a range of traditional models and creative techniques tailored specifically to each individual client's need. Because I appreciate how daunting it can be meeting a stranger, I offer an initial session at £35, so that my client and I can meet and experience a positive start to therapy. Further sessions are £55
I have worked within an NHS practice and a secondary school for a number of years. This means that my clients have been adults, teenagers and children of different ages, backgrounds, and faiths. As an integrative counsellor I offer short-term and long-term counselling. I support the restoring of positive mental health by using a range of traditional models and creative techniques tailored specifically to each individual client's need. Because I appreciate how daunting it can be meeting a stranger, I offer an initial session at £35, so that my client and I can meet and experience a positive start to therapy. Further sessions are £55
01260 542112 View 01260 542112
Photo of Ana Vidal, Psychotherapist, MSc, MBACP Accred
Ana Vidal
Psychotherapist, MSc, MBACP Accred
1 Endorsed
Serves Area
Do you feel overwhelmed or anxious? Are you an adoptee/adopter?  Perhaps you are struggling with low self esteem? Do you feel stuck in patterns of behaviour as if nothing was ever going to change? Do you struggle with narcissistic relationships and experiences? Perhaps you feel depressed and is hard to cope with certain feelings. Does it feel that family problems and work are overwhelmingly hard to handle? Do you fear humiliation and or social situations? Are you living with a visual impairment and or chronic illness? Do you feel burdened by the past and unable to move on? This is when a therapist like me can help.
Do you feel overwhelmed or anxious? Are you an adoptee/adopter?  Perhaps you are struggling with low self esteem? Do you feel stuck in patterns of behaviour as if nothing was ever going to change? Do you struggle with narcissistic relationships and experiences? Perhaps you feel depressed and is hard to cope with certain feelings. Does it feel that family problems and work are overwhelmingly hard to handle? Do you fear humiliation and or social situations? Are you living with a visual impairment and or chronic illness? Do you feel burdened by the past and unable to move on? This is when a therapist like me can help.
020 3962 1519 View 020 3962 1519
Photo of Kinga Zajaczkowska, Psychotherapist, MA, BPC
Kinga Zajaczkowska
Psychotherapist, MA, BPC
Serves Area
Many people experience emotional difficulties at some point in their life. Sometimes we feel we are ‘not right' and we don’t know why. Unresolved issues past or present can create stress, anxiety, depression and may impact your everyday life. If you feel overwhelmed, unhappy or alone perhaps talking with a professional can help.
Many people experience emotional difficulties at some point in their life. Sometimes we feel we are ‘not right' and we don’t know why. Unresolved issues past or present can create stress, anxiety, depression and may impact your everyday life. If you feel overwhelmed, unhappy or alone perhaps talking with a professional can help.
01929 507004 View 01929 507004

See more therapy options for Carshalton

How does your Counsellor compare?

Number of Counsellors in Carshalton

20+

Average cost per session

£65

Counsellors in Carshalton who prioritize treating:

100% Anxiety
100% Self Esteem
97% Depression
93% Stress
90% Relationship Issues
76% Bereavement
66% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

43% Aviva
43% WPA
29% Other

How Counsellors in Carshalton see their clients

97% In Person and Online
3% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Carshalton?

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.