Counselling in Chalfont Saint Peter

Photo of Rayna Shock, MA, MUKCP, Psychotherapist
Rayna Shock
Psychotherapist, MA, MUKCP
Verified Verified
Chalfont Saint Peter SL9
Hello. I'm Rayna and I am a highly experienced UKCP registered child and adult psychotherapist and supervisor, with extensive experience in schools and in private practice.. I see children, adolescents and adults both face to face and online. In these uncertain times of coronavirus, you or someone in your family may be experiencing a multitude of emotions and challenges. Some of the most common issues at the moment are bereavement, anxiety, depression, isolation, loneliness, school, financial fears as well as a general uncertainty about the future, I can help with all these issues and more. I look forward to hearing from you soon.
Hello. I'm Rayna and I am a highly experienced UKCP registered child and adult psychotherapist and supervisor, with extensive experience in schools and in private practice.. I see children, adolescents and adults both face to face and online. In these uncertain times of coronavirus, you or someone in your family may be experiencing a multitude of emotions and challenges. Some of the most common issues at the moment are bereavement, anxiety, depression, isolation, loneliness, school, financial fears as well as a general uncertainty about the future, I can help with all these issues and more. I look forward to hearing from you soon.
01895 547514 View 01895 547514
Photo of Mike Adams, MBACP Accred, Counsellor
Mike Adams
Counsellor, MBACP Accred
Verified Verified
Chalfont Saint Peter SL9
I am a Person-Centred therapist with twenty-seven years of experience dealing with a wide range of life problems. I see individuals and couples. What I offer is for you to explore with me, in a friendly and non-judgemental environment, anything causing difficulty or distress in your life. As we work together to achieve your goals, the focus is always on what you feel, what you think, and what you decide.
I am a Person-Centred therapist with twenty-seven years of experience dealing with a wide range of life problems. I see individuals and couples. What I offer is for you to explore with me, in a friendly and non-judgemental environment, anything causing difficulty or distress in your life. As we work together to achieve your goals, the focus is always on what you feel, what you think, and what you decide.
07445 261967 View 07445 261967
Photo of Helen Newman, MBACP Accred, Counsellor
Helen Newman
Counsellor, MBACP Accred
Verified Verified
Chalfont Saint Peter SL9
AXA reg. I am a BACP Accredited Counsellor and Family/Systemic Practitioner. (Qual 2000). I offer a talking therapy and/or creative therapy to children, adults and young people. I also work with couples and families. My approach to counselling is ‘Client-Centred’ having been trained in a number of modalities; Psychodynamic, Person-Centred, Existential, CBT and as a Family Systemic Practitioner. I believe it is firstly the relationship between counsellor and client(s) which provides the foundation to explore, understand, challenge and change patterns of behaviour which are causing relationship difficulties and personal distress.
AXA reg. I am a BACP Accredited Counsellor and Family/Systemic Practitioner. (Qual 2000). I offer a talking therapy and/or creative therapy to children, adults and young people. I also work with couples and families. My approach to counselling is ‘Client-Centred’ having been trained in a number of modalities; Psychodynamic, Person-Centred, Existential, CBT and as a Family Systemic Practitioner. I believe it is firstly the relationship between counsellor and client(s) which provides the foundation to explore, understand, challenge and change patterns of behaviour which are causing relationship difficulties and personal distress.
01753 390542 View 01753 390542
Photo of Dr Nicola Connolly, PsychD, HCPC - Clin. Psych., Psychologist
Dr Nicola Connolly
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Chalfont Saint Peter SL9
Hello and a warm welcome! I am a Consultant Clinical Psychologist with over 25 years experience working both in the NHS and in private practice. I have worked with both adolescents who struggle to talk, to adults with a wide range of mental health problems, and couples with relationship difficulties. I am trained in several therapies that I will tailor to your unique needs. It can feel very daunting trying to find the right therapist for your needs and I therefore offer you a free 30 minute Zoom meeting or phonecall to meet with me to put you at ease and to see if I am the right person who can help.
Hello and a warm welcome! I am a Consultant Clinical Psychologist with over 25 years experience working both in the NHS and in private practice. I have worked with both adolescents who struggle to talk, to adults with a wide range of mental health problems, and couples with relationship difficulties. I am trained in several therapies that I will tailor to your unique needs. It can feel very daunting trying to find the right therapist for your needs and I therefore offer you a free 30 minute Zoom meeting or phonecall to meet with me to put you at ease and to see if I am the right person who can help.
01494 509324 View 01494 509324
Photo of Lee Martin, MA, MBACP Snr. Accred, Psychotherapist
Lee Martin
Psychotherapist, MA, MBACP Snr. Accred
Verified Verified
Online Only
Hello and Welcome, Life can indeed be difficult at times. Many are struggling with mental health in ways that are no longer manageable. Our past and present hurts, our unprocessed feelings can rise to the surface. We find ourselves thinking, feeling and acting in ways that do not reflect who we want to be. Some of us have Grief, Trauma or Addiction that we just can’t seem to work through. As a Senior Accredited Psychotherapist with a Master Degree and EMDR qualified, I've seen thousands come through my door, with various presenting issues and undergo genuine transformation, healing and leave with hope for the future.
Hello and Welcome, Life can indeed be difficult at times. Many are struggling with mental health in ways that are no longer manageable. Our past and present hurts, our unprocessed feelings can rise to the surface. We find ourselves thinking, feeling and acting in ways that do not reflect who we want to be. Some of us have Grief, Trauma or Addiction that we just can’t seem to work through. As a Senior Accredited Psychotherapist with a Master Degree and EMDR qualified, I've seen thousands come through my door, with various presenting issues and undergo genuine transformation, healing and leave with hope for the future.
01895 545169 View 01895 545169
Photo of Helen Susan Edwards, BACP, Counsellor
Helen Susan Edwards
Counsellor, BACP
Verified Verified
1 Endorsed
Serves Area
Is life not quite what you expected? Are you having difficulty with relationships, work or family troubles? From time to time we all run into obstacles or feel dissatisfied with life.
Is life not quite what you expected? Are you having difficulty with relationships, work or family troubles? From time to time we all run into obstacles or feel dissatisfied with life.
01895 590107 View 01895 590107
Photo of Helen Hadden, MA, BPC, Psychotherapist
Helen Hadden
Psychotherapist, MA, BPC
Verified Verified
Serves Area
Waitlist for new clients
I am a compassionate and experienced psychodynamic psychotherapist with a rich NHS and private practice background. I have a genuine passion for my work, and every client I encounter is a unique individual who I deeply care about. My approach includes psychodynamic psychotherapy and EMDR (Eye Movement Desensitisation and Reprocessing), a psychotherapy that helps you process and recover from past experiences that are affecting your mental health and wellbeing. EMDR is used to help with a range of mental health difficulties, including anxiety, depression, PTSD and relationship issues.
I am a compassionate and experienced psychodynamic psychotherapist with a rich NHS and private practice background. I have a genuine passion for my work, and every client I encounter is a unique individual who I deeply care about. My approach includes psychodynamic psychotherapy and EMDR (Eye Movement Desensitisation and Reprocessing), a psychotherapy that helps you process and recover from past experiences that are affecting your mental health and wellbeing. EMDR is used to help with a range of mental health difficulties, including anxiety, depression, PTSD and relationship issues.
020 3912 9710 View 020 3912 9710
Photo of Elizabeth Downing, MSc, PNCPS Acc., Psychotherapist
Elizabeth Downing
Psychotherapist, MSc, PNCPS Acc.
Verified Verified
Online Only
If people often tell you to "lighten up" or "stop being so sensitive", you might find that you're always thinking and feel things deeply. You just seem to care too much and often feel overwhelmed or hurt. You may be worried that you don't really fit in and you’re so busy trying to please other people that you've lost touch with who you are, or you may be clear about who you are but are too ashamed to show it, and that leaves you lonely inside and afraid of rejection. You may wish that you weren't so sensitive and feel that it holds you back, or perhaps you find that you take on more than you can manage and then you end up exhausted.
If people often tell you to "lighten up" or "stop being so sensitive", you might find that you're always thinking and feel things deeply. You just seem to care too much and often feel overwhelmed or hurt. You may be worried that you don't really fit in and you’re so busy trying to please other people that you've lost touch with who you are, or you may be clear about who you are but are too ashamed to show it, and that leaves you lonely inside and afraid of rejection. You may wish that you weren't so sensitive and feel that it holds you back, or perhaps you find that you take on more than you can manage and then you end up exhausted.
01491 523731 View 01491 523731
Photo of Sarah Keller, MSc, MBACP, Counsellor
Sarah Keller
Counsellor, MSc, MBACP
Verified Verified
Serves Area
Sometimes life is confusing, painful and problematic and we are troubled, distressed and not at peace with our lives or, ourselves. I fully believe that therapy is a setting in which we are able to speak freely and not feel judged; a place where we are met with empathy and understanding. I truly believe a setting such as this provides the basis from which healing can begin. It is absolutely my belief that the answers to our questions lie within us and we just need some assistance in navigating to those answers. Whatever it is you are seeking help with, I would love to work with you to find your answers, clarity and peace.
Sometimes life is confusing, painful and problematic and we are troubled, distressed and not at peace with our lives or, ourselves. I fully believe that therapy is a setting in which we are able to speak freely and not feel judged; a place where we are met with empathy and understanding. I truly believe a setting such as this provides the basis from which healing can begin. It is absolutely my belief that the answers to our questions lie within us and we just need some assistance in navigating to those answers. Whatever it is you are seeking help with, I would love to work with you to find your answers, clarity and peace.
01895 545631 View 01895 545631
Photo of Kim Jane Dudko, MBACP, Counsellor
Kim Jane Dudko
Counsellor, MBACP
Verified Verified
Serves Area
I have worked with clients suffering in many different areas, anxiety, depression, burn-out, anger, grief, loss, trauma, stress, relationship troubles, drug abuse and more. I also have a great understanding of workplace stress and career issues. ​ My aim is to work with you in a sensitive, non-judgemental and respectful way, supporting you in your time of trouble, so that you can move into a greater sense of well-being.
I have worked with clients suffering in many different areas, anxiety, depression, burn-out, anger, grief, loss, trauma, stress, relationship troubles, drug abuse and more. I also have a great understanding of workplace stress and career issues. ​ My aim is to work with you in a sensitive, non-judgemental and respectful way, supporting you in your time of trouble, so that you can move into a greater sense of well-being.
07723 442789 View 07723 442789
Photo of Clare Louine Blunt, DCounsPsych, MBACP Accred, Psychotherapist
Clare Louine Blunt
Psychotherapist, DCounsPsych, MBACP Accred
Verified Verified
Serves Area
I understand that beginning therapy might seem a little daunting and offer a free initial 20 minute session so we can begin to get to know each other. You may be struggling with daily life and concerns about the pandemic and your future. These challenges can be affecting you in unsettling, conflicting and confusing ways and may be increasing ongoing anxiety and uncertainty. Therapy can provide a private space for you to focus on what is happening for you right now. I offer you my warmth, empathy and compassion, without judgment, and work collaboratively with you to navigate through even the most difficult times in your life.
I understand that beginning therapy might seem a little daunting and offer a free initial 20 minute session so we can begin to get to know each other. You may be struggling with daily life and concerns about the pandemic and your future. These challenges can be affecting you in unsettling, conflicting and confusing ways and may be increasing ongoing anxiety and uncertainty. Therapy can provide a private space for you to focus on what is happening for you right now. I offer you my warmth, empathy and compassion, without judgment, and work collaboratively with you to navigate through even the most difficult times in your life.
01753 981257 View 01753 981257
Photo of Emily Scholl, MBACP, Counsellor
Emily Scholl
Counsellor, MBACP
Verified Verified
Serves Area
I am an Integrative therapist and work with adults who feel they have experienced a loss. This loss may have negatively affected your ability to manage your life and impacted on other relationships. You may feel lonely, powerless, or trapped. You may not know what you want but feel that you have reached a crossroads in your life, unsure of the way forward. You may feel that life events have spiralled out of control leaving you feeling overwhelmed. I work in a way which is tailored to your individual needs so it is always you who is at the centre of our work together.
I am an Integrative therapist and work with adults who feel they have experienced a loss. This loss may have negatively affected your ability to manage your life and impacted on other relationships. You may feel lonely, powerless, or trapped. You may not know what you want but feel that you have reached a crossroads in your life, unsure of the way forward. You may feel that life events have spiralled out of control leaving you feeling overwhelmed. I work in a way which is tailored to your individual needs so it is always you who is at the centre of our work together.
01923 961154 View 01923 961154
Photo of Stephen Elting, MNCPS Acc., Psychotherapist
Stephen Elting
Psychotherapist, MNCPS Acc.
Verified Verified
Serves Area
We all have troubling problems at times, be they emotional, personal or work-related. Sometimes these problems can feel overwhelming and we become stressed, anxious and unhappy. This can affect our confidence handling relationships, making decisions and generally, our ability to just cope with the pressures that each day brings. Reaching out to an experienced therapist will enable you to talk openly about your concerns and be listened to without being judged. For many people, this is a profound way of bringing about positive and lasting change.
We all have troubling problems at times, be they emotional, personal or work-related. Sometimes these problems can feel overwhelming and we become stressed, anxious and unhappy. This can affect our confidence handling relationships, making decisions and generally, our ability to just cope with the pressures that each day brings. Reaching out to an experienced therapist will enable you to talk openly about your concerns and be listened to without being judged. For many people, this is a profound way of bringing about positive and lasting change.
01491 526778 View 01491 526778

More Therapists Nearby

Photo of Abi Perryman, DCounsPsych, MBACP, Counsellor
Abi Perryman
Counsellor, DCounsPsych, MBACP
Verified Verified
Milton Keynes MK3
Thank you for taking time to read about the services I offer in my practice. With my focus on both Individual and Couples Counselling (any relationship between 2 people that focuses on relational dynamics eg: marital, family dynamics) there are many areas I maybe able to help. If seeking personal counselling, you may be experiencing life events such as Bereavement and Loss, Cycles of addiction/abuse, Anger, Loss of identity. Couples Counselling can help if you are at an in-pass? Something you just can’t move past? Break down of trust? Or do you need to make an impossible compromise of a big life-changing decision?
Thank you for taking time to read about the services I offer in my practice. With my focus on both Individual and Couples Counselling (any relationship between 2 people that focuses on relational dynamics eg: marital, family dynamics) there are many areas I maybe able to help. If seeking personal counselling, you may be experiencing life events such as Bereavement and Loss, Cycles of addiction/abuse, Anger, Loss of identity. Couples Counselling can help if you are at an in-pass? Something you just can’t move past? Break down of trust? Or do you need to make an impossible compromise of a big life-changing decision?
01908 103139 View 01908 103139
Photo of Gina Bryant, MBACP, Counsellor
Gina Bryant
Counsellor, MBACP
Verified Verified
Berkhamsted HP4
Welcome. I provide talking therapy to help adults, teenagers and young people, age 11 +. Life can be challenging and I work with clients facing the demands of a range of issues including stress and anxiety, pressure of work and demands, mid-life crisis, bereavement, traumatic loss and change. Student life can be stressful and I am experienced in working with overwhelming emotions, relationships and the stress of exams and expectations, so that you can find strategies for a positive way forward.
Welcome. I provide talking therapy to help adults, teenagers and young people, age 11 +. Life can be challenging and I work with clients facing the demands of a range of issues including stress and anxiety, pressure of work and demands, mid-life crisis, bereavement, traumatic loss and change. Student life can be stressful and I am experienced in working with overwhelming emotions, relationships and the stress of exams and expectations, so that you can find strategies for a positive way forward.
07723 477390 View 07723 477390
Photo of Kelly Stallwood, DCounsPsych, MNCPS Acc., Psychotherapist
Kelly Stallwood
Psychotherapist, DCounsPsych, MNCPS Acc.
Verified Verified
1 Endorsed
Winslow MK18
I am a CPCAB qualified integrative counsellor and psychotherapist. I began my counselling training journey after working for the NHS, where I experienced first hand the challenges in relation to mental health awareness and support. I felt inspired to expand and deepen my knowledge about mental health and provide support to those who want to explore their difficulties and make a positive impact and change for themselves.
I am a CPCAB qualified integrative counsellor and psychotherapist. I began my counselling training journey after working for the NHS, where I experienced first hand the challenges in relation to mental health awareness and support. I felt inspired to expand and deepen my knowledge about mental health and provide support to those who want to explore their difficulties and make a positive impact and change for themselves.
01296 254443 View 01296 254443
Photo of Colin Winter, MBABCP, Psychotherapist
Colin Winter
Psychotherapist, MBABCP
Verified Verified
Online Only
Warmth, empathy, non-judgemental acceptance, scientific rigour and humour are at the heart of my approach to therapy. I follow core CBT traditions which put the client and therapist on an equal footing in a collaborative partnership, with the client as the authoritative expert in themselves. I aim to debunk and demystify, strip out jargon, and explain transparently how I work. CBT aims to give clients a therapeutic fishing rod, not just a fish, so that clients are helped to become CBT experts, their own therapists for the future. Therapy can be challenging, but more often it should be healing, uplifting, enriching and fun.
Warmth, empathy, non-judgemental acceptance, scientific rigour and humour are at the heart of my approach to therapy. I follow core CBT traditions which put the client and therapist on an equal footing in a collaborative partnership, with the client as the authoritative expert in themselves. I aim to debunk and demystify, strip out jargon, and explain transparently how I work. CBT aims to give clients a therapeutic fishing rod, not just a fish, so that clients are helped to become CBT experts, their own therapists for the future. Therapy can be challenging, but more often it should be healing, uplifting, enriching and fun.
01442 506778 View 01442 506778
Photo of Mirriam Ekei Buo, MA, MBACP, Psychotherapist
Mirriam Ekei Buo
Psychotherapist, MA, MBACP
Verified Verified
Online Only
Hi, I’m Mirriam, an Integrative Relational Psychotherapist currently seeing clients online. Contact me via email or leave a voicemail to begin the work of exploring ways of authentically being in the world.
Hi, I’m Mirriam, an Integrative Relational Psychotherapist currently seeing clients online. Contact me via email or leave a voicemail to begin the work of exploring ways of authentically being in the world.
020 3667 9553 View 020 3667 9553
Photo of Gemma Louise Tunnell - Buckinghamshire Therapy, MBABCP, Psychotherapist
Buckinghamshire Therapy
Psychotherapist, MBABCP
Verified Verified
High Wycombe HP15
Mental health and well being is important to us all. We can all feel stuck in a unhelpful cycle and adapt to our lives accommodating this. Deciding to make the first contact into therapy can feel conflicting, the first step is the most difficult. My goal is to help you explore how your journey has led you to where you are now, to think about therapeutic ways forward and be a support and guide in finding ways to assist you towards your goal. Each session is tailored to your individual need and is designed to be supportive and collaborative.
Mental health and well being is important to us all. We can all feel stuck in a unhelpful cycle and adapt to our lives accommodating this. Deciding to make the first contact into therapy can feel conflicting, the first step is the most difficult. My goal is to help you explore how your journey has led you to where you are now, to think about therapeutic ways forward and be a support and guide in finding ways to assist you towards your goal. Each session is tailored to your individual need and is designed to be supportive and collaborative.
01628 965966 View 01628 965966
Photo of Ella Tressler, COSRT Reg., Psychotherapist
Ella Tressler
Psychotherapist, COSRT Reg.
Verified Verified
Serves Area
Intimacy, sexuality, and relationships can sometimes feel overwhelming, and it’s not uncommon to face challenges in these deeply personal areas of life. As a Psychosexual and Relationship Therapist, I offer a safe, non-judgmental space where you can explore these issues at your own pace. Whether you’re navigating difficulties with communication, intimacy, desire, or life transitions, therapy can provide the tools to help rebuild confidence and strengthen connection.
Intimacy, sexuality, and relationships can sometimes feel overwhelming, and it’s not uncommon to face challenges in these deeply personal areas of life. As a Psychosexual and Relationship Therapist, I offer a safe, non-judgmental space where you can explore these issues at your own pace. Whether you’re navigating difficulties with communication, intimacy, desire, or life transitions, therapy can provide the tools to help rebuild confidence and strengthen connection.
01865 537718 View 01865 537718

See more therapy options for Chalfont Saint Peter

How does your Counsellor compare?

Number of Counsellors in Chalfont Saint Peter

10+

Average cost per session

£70

Counsellors in Chalfont Saint Peter who prioritize treating:

92% Depression
92% Anxiety
85% Relationship Issues
85% Bereavement
85% Stress
77% Self Esteem
69% Obsessive-Compulsive (OCD)

Average years in practice

17 Years

Top 3 insurances accepted

50% Aviva
50% AXA PPP
50% Bupa

How Counsellors in Chalfont Saint Peter see their clients

85% In Person and Online
15% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Chalfont Saint Peter?

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.