Counselling in Cheltenham

Photo of Harvey Lidstone-Lane, MBACP, Counsellor
Harvey Lidstone-Lane
Counsellor, MBACP
Verified Verified
Cheltenham GL50
Hello, my name is Harvey and I am a therapist working in Cheltenham, Gloucestershire and Birmingham. I currently work for Here for you Counselling, a private practice therapeutic service I founded. I have experience working with many different presenting issues, including; depression, anxiety, stress, relationship problems, bereavement, low self-esteem, PTSD, abuse and many more. I have worked with I wide range of clients, however I have particular experience working with young people, aged 18-35. I am able to work in a traditional face-to-face setting or remotely via Skype/Zoom. I offer both 25 minute or 50 minute sessions.
Hello, my name is Harvey and I am a therapist working in Cheltenham, Gloucestershire and Birmingham. I currently work for Here for you Counselling, a private practice therapeutic service I founded. I have experience working with many different presenting issues, including; depression, anxiety, stress, relationship problems, bereavement, low self-esteem, PTSD, abuse and many more. I have worked with I wide range of clients, however I have particular experience working with young people, aged 18-35. I am able to work in a traditional face-to-face setting or remotely via Skype/Zoom. I offer both 25 minute or 50 minute sessions.
020 3958 4304 View 020 3958 4304
Photo of Dawn Andrei, MBACP, Counsellor
Dawn Andrei
Counsellor, MBACP
Verified Verified
Cheltenham GL50
Are you struggling with your emotions, overwhelmed with anxiety, depression, grief, or relationship difficulties? Perhaps stuck in destructive habitual behavioural patterns, or addictive behaviours without understanding why? I offer a safe and empathetic environment to support your growth in developing self-awareness, through a range of therapeutic approaches, building a bespoke tool kit of coping techniques to support you work through your difficulties, develop emotional regulation and make the desired changes in your life.
Are you struggling with your emotions, overwhelmed with anxiety, depression, grief, or relationship difficulties? Perhaps stuck in destructive habitual behavioural patterns, or addictive behaviours without understanding why? I offer a safe and empathetic environment to support your growth in developing self-awareness, through a range of therapeutic approaches, building a bespoke tool kit of coping techniques to support you work through your difficulties, develop emotional regulation and make the desired changes in your life.
01452 941827 View 01452 941827
Photo of Sally Glover, MBACP, Counsellor
Sally Glover
Counsellor, MBACP
Verified Verified
Cheltenham GL50
As a counsellor working with Adults, Teenagers and Children, I offer a safe, confidential space where I listen without judgement. We will work together at your pace. I offer an opportunity to gain a deeper understanding of life's difficulties and the emotions that are being experienced. We will explore what is important to you, what you need to address and where you are needing help, understanding and support. Our work together moves towards making positive changes within yourself, your life and your relationships. ​
As a counsellor working with Adults, Teenagers and Children, I offer a safe, confidential space where I listen without judgement. We will work together at your pace. I offer an opportunity to gain a deeper understanding of life's difficulties and the emotions that are being experienced. We will explore what is important to you, what you need to address and where you are needing help, understanding and support. Our work together moves towards making positive changes within yourself, your life and your relationships. ​
01452 227043 View 01452 227043
Photo of undefined - Cotswold Hypnotherapy
Cotswold Hypnotherapy
Verified Verified
Cheltenham GL50
Clinical Hypnotherapist DHP, DSFH, AfSFH, NCH, SUP(Hyp) Watch my free consultation video series that explains exactly how hypnotherapy can help you, so you can decide if the therapy is right for you. Please visit my website for more info. Why cope when you can understand. The lesson they didn't teach you in school, how your brain works & how it naturally tries to protect you but in doing so can prove a hindrance rather than a help. I'm a experienced clinical hypnotherapist & registered supervisor. I specialise in helping people with anxiety, weight loss, depression & smoking cessation
Clinical Hypnotherapist DHP, DSFH, AfSFH, NCH, SUP(Hyp) Watch my free consultation video series that explains exactly how hypnotherapy can help you, so you can decide if the therapy is right for you. Please visit my website for more info. Why cope when you can understand. The lesson they didn't teach you in school, how your brain works & how it naturally tries to protect you but in doing so can prove a hindrance rather than a help. I'm a experienced clinical hypnotherapist & registered supervisor. I specialise in helping people with anxiety, weight loss, depression & smoking cessation
01242 395231 View 01242 395231
Photo of Martyn Pars, MBACP, Counsellor
Martyn Pars
Counsellor, MBACP
Verified Verified
Cheltenham GL50
My Offer To You: Being heard, understood, believed in and supported. We all need this kind of support at some point in our lives. This is my offer to you. I am an accredited professional counsellor (PNCPS acc.) registered through the British Association of Counselling and Psychotherapy (MBACP reg) which means I am held on the Professional Standards Authority Accredited Register thus ensuring protection to the public and helping to ensure their health and wellbeing. I have a particular interest in those with later in life ADHD diagnosis or if you suspect you might be. I am also a professional executive coach.
My Offer To You: Being heard, understood, believed in and supported. We all need this kind of support at some point in our lives. This is my offer to you. I am an accredited professional counsellor (PNCPS acc.) registered through the British Association of Counselling and Psychotherapy (MBACP reg) which means I am held on the Professional Standards Authority Accredited Register thus ensuring protection to the public and helping to ensure their health and wellbeing. I have a particular interest in those with later in life ADHD diagnosis or if you suspect you might be. I am also a professional executive coach.
01242 507893 View 01242 507893
Photo of Susannah Newell, MSc, MUKCP, Psychotherapist
Susannah Newell
Psychotherapist, MSc, MUKCP
Verified Verified
Cheltenham GL53
Hello. As an experienced psychotherapist, I can help you manage current life challenges like sudden changes or losses; anxiety; relationship issues; bereavement; loneliness; parenthood; depression or past experiences intruding on your present. Sometimes clients come with a more general sense of unfulfilment or want to know themselves better. I offer a safe, non-judgmental space to share your load, rather than carrying it alone. Psychotherapy offers vital connection, support and opportunity to work things through with an empathic, trained professional totally unconnected to your life.
Hello. As an experienced psychotherapist, I can help you manage current life challenges like sudden changes or losses; anxiety; relationship issues; bereavement; loneliness; parenthood; depression or past experiences intruding on your present. Sometimes clients come with a more general sense of unfulfilment or want to know themselves better. I offer a safe, non-judgmental space to share your load, rather than carrying it alone. Psychotherapy offers vital connection, support and opportunity to work things through with an empathic, trained professional totally unconnected to your life.
01242 650306 View 01242 650306
Photo of Jen Edwards, MBACP, Counsellor
Jen Edwards
Counsellor, MBACP
Verified Verified
Cheltenham GL50
I recognise that life is a journey that can sometimes be a struggle. Life in this modern world is often chaotic, stressful and moves at such a fast pace, yet our reptilian brains are still designed to deal with cave man threats. This can lead to our bodies being flooded with fight, flight or freeze responses. In time these can build and lead to conditions such as anxiety, depression and low level trauma if not dealt with correctly. Having the support to help you through is not always easy to find.
I recognise that life is a journey that can sometimes be a struggle. Life in this modern world is often chaotic, stressful and moves at such a fast pace, yet our reptilian brains are still designed to deal with cave man threats. This can lead to our bodies being flooded with fight, flight or freeze responses. In time these can build and lead to conditions such as anxiety, depression and low level trauma if not dealt with correctly. Having the support to help you through is not always easy to find.
01242 903218 View 01242 903218
Photo of Dr Hayley MacGregor, HCPC - Clin. Psych., Psychologist
Dr Hayley MacGregor
Psychologist, HCPC - Clin. Psych.
Verified Verified
2 Endorsed
Cheltenham GL50
Starting therapy takes courage and it may feel daunting given that talking openly about your distress may evoke feelings of vulnerability. The therapeutic relationship is often the vehicle for positive change so finding the right ‘fit’ is important. Therefore, please contact me for a free telephone/video consultation to find out more. As a Clinical Psychologist my job is to listen with compassion to your life story and help you make sense of any troubles or trauma that you are facing within your life, whether that be in your present or reoccurring from your past.
Starting therapy takes courage and it may feel daunting given that talking openly about your distress may evoke feelings of vulnerability. The therapeutic relationship is often the vehicle for positive change so finding the right ‘fit’ is important. Therefore, please contact me for a free telephone/video consultation to find out more. As a Clinical Psychologist my job is to listen with compassion to your life story and help you make sense of any troubles or trauma that you are facing within your life, whether that be in your present or reoccurring from your past.
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Photo of undefined - Gloucestershire Counselling, MBACP, Counsellor
Gloucestershire Counselling
Counsellor, MBACP
Verified Verified
Cheltenham GL53
Hello, I'm Gemma. I run a Private Practice in central Cheltenham, offering counselling to individuals. I support people with a wide range of issues, including anxiety and depression, relationship issues, and emotional issues. I work from an Intergrative perspective, which encompasses Psychodynamic theory, Person Centred Theory, Gestalt Theory and Transactional Analysis.
Hello, I'm Gemma. I run a Private Practice in central Cheltenham, offering counselling to individuals. I support people with a wide range of issues, including anxiety and depression, relationship issues, and emotional issues. I work from an Intergrative perspective, which encompasses Psychodynamic theory, Person Centred Theory, Gestalt Theory and Transactional Analysis.
01242 501160 View 01242 501160
Photo of Debbie Barron, MBACP, Counsellor
Debbie Barron
Counsellor, MBACP
Verified Verified
Cheltenham GL52
We all need help as it can be hard when you are struggling with issues in life and with stressful situations. You might be feeling anxious, stuck or even overwhelmed and unable to tackle life's challenges on your own. I'm a qualified, BACP registered and experienced Humanistic counsellor practising in Cheltenham and West London. I offer non-judgemental, supportive and understanding counselling, provided in a safe space, where you can explore and express what is troubling you. I am committed to helping my clients make sense of and work through their difficulties to make changes that are important to them.
We all need help as it can be hard when you are struggling with issues in life and with stressful situations. You might be feeling anxious, stuck or even overwhelmed and unable to tackle life's challenges on your own. I'm a qualified, BACP registered and experienced Humanistic counsellor practising in Cheltenham and West London. I offer non-judgemental, supportive and understanding counselling, provided in a safe space, where you can explore and express what is troubling you. I am committed to helping my clients make sense of and work through their difficulties to make changes that are important to them.
01748 902228 View 01748 902228
Photo of Natasha Dancy, MBACP Accred, Counsellor
Natasha Dancy
Counsellor, MBACP Accred
Verified Verified
1 Endorsed
Cheltenham GL51
Hi! My name is Natasha and I'm a qualified integrative counsellor since 2017 providing short and long term therapy to adults and young people (thirteen and older). Often, we're able to manage life and what comes our way. However, at times situations can feel overwhelming and impossible to face on your own. Maybe you're unable to share with friends and family what's burdening you for fear they won't understand or judge you. Or you're worried about your child and don't know how else to help them. I'm here to offer you phased support you or your child need with the goal to help you grow into a free and hopeful life ahead.
Hi! My name is Natasha and I'm a qualified integrative counsellor since 2017 providing short and long term therapy to adults and young people (thirteen and older). Often, we're able to manage life and what comes our way. However, at times situations can feel overwhelming and impossible to face on your own. Maybe you're unable to share with friends and family what's burdening you for fear they won't understand or judge you. Or you're worried about your child and don't know how else to help them. I'm here to offer you phased support you or your child need with the goal to help you grow into a free and hopeful life ahead.
01242 503544 View 01242 503544
Photo of Dr Janette Rankine, DCounsPsych, CPsychol, Psychologist
Dr Janette Rankine
Psychologist, DCounsPsych, CPsychol
Verified Verified
Cheltenham GL50
Hi, Are you are looking for someone who will really listen to you without judgement? I am a fully qualified HCPC registered Counselling Psychologist. I provide a safe space to be heard, in a peacfeul haven in central Cheltenham. I offer Intergrative Counselling and Psychological Therapy for all kinds of distress, conflict or confusion. We all go through tough times when we need someone to tell our story to. Oftentimes, just sharing it, without fear of consequencies is all that is required to start a healing journey.
Hi, Are you are looking for someone who will really listen to you without judgement? I am a fully qualified HCPC registered Counselling Psychologist. I provide a safe space to be heard, in a peacfeul haven in central Cheltenham. I offer Intergrative Counselling and Psychological Therapy for all kinds of distress, conflict or confusion. We all go through tough times when we need someone to tell our story to. Oftentimes, just sharing it, without fear of consequencies is all that is required to start a healing journey.
01242 384074 View 01242 384074
Photo of undefined - Come Alongside, MBACP Accred, Psychotherapist
Come Alongside
Psychotherapist, MBACP Accred
Verified Verified
Cheltenham GL53
My aim is to help you understand why you suffer from symptoms such as anxiety, depression, anger and low self-worth; why you might find situations difficult to navigate; why you might find life simply overwhelming and how all these factors affect your attitudes, self-beliefs, behaviour and relationships. I am committed to coming alongside every client; respecting each individual, their experiences and choices. I seek to help clients better understand themselves and find the rest, freedom and opportunities that arise out of this understanding.
My aim is to help you understand why you suffer from symptoms such as anxiety, depression, anger and low self-worth; why you might find situations difficult to navigate; why you might find life simply overwhelming and how all these factors affect your attitudes, self-beliefs, behaviour and relationships. I am committed to coming alongside every client; respecting each individual, their experiences and choices. I seek to help clients better understand themselves and find the rest, freedom and opportunities that arise out of this understanding.
01242 903233 View 01242 903233
Photo of Emma johnsey, MBACP Accred, Counsellor
Emma johnsey
Counsellor, MBACP Accred
Verified Verified
Cheltenham GL51
Hello, my name is Emma and I have over ten years experience as a counsellor. Contact me if you are looking for a safe person with whom you can explore matters that are important to you, this may include relationships, emotions, thoughts that concern you, or blocks you feel. The focus of our work would be you and your life. You may have goals you wish to achieve or feel hopeless and stuck. Whatever your concerns our work may entail looking at the past or take a solution focused approach.
Hello, my name is Emma and I have over ten years experience as a counsellor. Contact me if you are looking for a safe person with whom you can explore matters that are important to you, this may include relationships, emotions, thoughts that concern you, or blocks you feel. The focus of our work would be you and your life. You may have goals you wish to achieve or feel hopeless and stuck. Whatever your concerns our work may entail looking at the past or take a solution focused approach.
01452 227966 View 01452 227966
Photo of Richard lewis, MA, MUKCP, Psychotherapist
Richard lewis
Psychotherapist, MA, MUKCP
Verified Verified
Cheltenham GL50
I work with clients who are stuck and really want change in their lives, learning how to deal with unmanageable, unaccepted, or buried feelings. I take a creative approach to therapy both with talking and non-verbal communications, exploring what is said, what is not being said, as well as feelings and sensations in the body. I have extensive experience of creative work, and specialise in working with clients who express themselves ( or want to) through performance, music or any of the arts.
I work with clients who are stuck and really want change in their lives, learning how to deal with unmanageable, unaccepted, or buried feelings. I take a creative approach to therapy both with talking and non-verbal communications, exploring what is said, what is not being said, as well as feelings and sensations in the body. I have extensive experience of creative work, and specialise in working with clients who express themselves ( or want to) through performance, music or any of the arts.
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Photo of Elizabeth Floyer, GMBPsS, Psychologist
Elizabeth Floyer
Psychologist, GMBPsS
Verified Verified
Cheltenham GL50
I am a Psychologist and Cognitive Behavioural Hypnotherapist working with adults and children in Cheltenham and online. Do you sometimes feel as if you are living under a cloud? As if the light has gone from your life? Day to day life can do this to us. It is full of challenges and unexpected events. Sometimes we take these in our stride but at other times they overwhelm us and threaten our wellbeing. At those times we need help. I will work with you to identify your goals, address your needs and create a more positive future.
I am a Psychologist and Cognitive Behavioural Hypnotherapist working with adults and children in Cheltenham and online. Do you sometimes feel as if you are living under a cloud? As if the light has gone from your life? Day to day life can do this to us. It is full of challenges and unexpected events. Sometimes we take these in our stride but at other times they overwhelm us and threaten our wellbeing. At those times we need help. I will work with you to identify your goals, address your needs and create a more positive future.
01452 941682 View 01452 941682
Photo of undefined - Thrive:Counselling. Julie Allan, MBACP, Counsellor
Thrive:Counselling. Julie Allan
Counsellor, MBACP
Verified Verified
Cheltenham GL51
I seek to offer you a warm non judgemental, safe space to think and talk about anything which may feel confusing, uncomfortable, painful, traumatic or distressing . You do not necessarily need to be at crisis point to benefit from counselling, you may simply be feeling more anxious, tearful, stressed or angry and wondering how to get back to what feels more normal for you.
I seek to offer you a warm non judgemental, safe space to think and talk about anything which may feel confusing, uncomfortable, painful, traumatic or distressing . You do not necessarily need to be at crisis point to benefit from counselling, you may simply be feeling more anxious, tearful, stressed or angry and wondering how to get back to what feels more normal for you.
01242 903168 View 01242 903168
Photo of undefined - Linzi Worrall - Igloo Counselling, MNCPS Acc., Counsellor
Linzi Worrall - Igloo Counselling
Counsellor, MNCPS Acc.
Verified Verified
Cheltenham GL50
Hello, and welcome. I provide a safe, warm, non-judgemental space, where we can work together to explore, with gentle curiosity, what is going on for you, and how to find your own way forward. It is a space where you can be safe to bring yourself exactly as you are - to explore who you are and how you feel. I won't ask you to talk about anything you don't want to, or don't feel ready to. We will work at your pace, with whatever you choose to bring, to help you move towards a sense of understanding, healing and growth.
Hello, and welcome. I provide a safe, warm, non-judgemental space, where we can work together to explore, with gentle curiosity, what is going on for you, and how to find your own way forward. It is a space where you can be safe to bring yourself exactly as you are - to explore who you are and how you feel. I won't ask you to talk about anything you don't want to, or don't feel ready to. We will work at your pace, with whatever you choose to bring, to help you move towards a sense of understanding, healing and growth.
01452 923034 View 01452 923034
Photo of Andy Flack, MSc, MUKCP, Psychotherapist
Andy Flack
Psychotherapist, MSc, MUKCP
Verified Verified
Cheltenham GL51
If you are worrying more than usual, having nightmares or flashbacks to a traumatic event, suffering from disturbed sleep or are more feeling irritable and hyper-vigilant than usual, you may be suffering from a reaction to trauma. If this strikes a cord, visit the website for more information or get in touch by email or phone. I have spent the last twenty years helping clients resolve trauma and anxiety problems and intend to spend the next twenty doing the same. I may be able to help you in London, Cheltenham or worldwide online.
If you are worrying more than usual, having nightmares or flashbacks to a traumatic event, suffering from disturbed sleep or are more feeling irritable and hyper-vigilant than usual, you may be suffering from a reaction to trauma. If this strikes a cord, visit the website for more information or get in touch by email or phone. I have spent the last twenty years helping clients resolve trauma and anxiety problems and intend to spend the next twenty doing the same. I may be able to help you in London, Cheltenham or worldwide online.
020 3870 4638 View 020 3870 4638
Photo of Anna Bradshaw, MBACP, Counsellor
Anna Bradshaw
Counsellor, MBACP
Verified Verified
Cheltenham GL51
Hi I'm Anna, being understood and cared for are deeply important to me, I listen attentively with acceptance and compassion. Perhaps you have noticed patterns in your life and you would like to understand yourself more? Maybe you feel anxious about work or school, talking it through can help you make sense of things. Sometimes past experiences can cause distress, having a space to share with a counsellor can help you process your feelings. Working together, we can look at choices available to you, helping you find hope again.
Hi I'm Anna, being understood and cared for are deeply important to me, I listen attentively with acceptance and compassion. Perhaps you have noticed patterns in your life and you would like to understand yourself more? Maybe you feel anxious about work or school, talking it through can help you make sense of things. Sometimes past experiences can cause distress, having a space to share with a counsellor can help you process your feelings. Working together, we can look at choices available to you, helping you find hope again.
01242 903243 View 01242 903243

See more therapy options for Cheltenham

How does your Counsellor compare?

Number of Counsellors in Cheltenham

100+

Average cost per session

£60

Counsellors in Cheltenham who prioritize treating:

91% Anxiety
89% Depression
87% Self Esteem
81% Stress
79% Relationship Issues
69% Bereavement
63% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

57% Aviva
51% AXA PPP
49% WPA

How Counsellors in Cheltenham see their clients

86% In Person and Online
14% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Cheltenham?

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.