Counselling in Cheltenham

Photo of Octavia Green - Octavia Green Psychotherapy , Counsellor, DCounsPsych, MBACP
Octavia Green Psychotherapy
Counsellor, DCounsPsych, MBACP
2 Endorsed
Hello, I am a psychodynamic counsellor and Psychotherapist (MBACP). My training was accredited by the British Psychoanalytic Council. I work with adults, either long or short term. I have practice rooms in Cheltenham and also work via online or telephone. I aim to help clients work through past traumas and to free individuals from long held anxieties so they can maintain better relationships and live a happier life. My sessions provide a safe, non-judgemental, welcoming space.
Hello, I am a psychodynamic counsellor and Psychotherapist (MBACP). My training was accredited by the British Psychoanalytic Council. I work with adults, either long or short term. I have practice rooms in Cheltenham and also work via online or telephone. I aim to help clients work through past traumas and to free individuals from long held anxieties so they can maintain better relationships and live a happier life. My sessions provide a safe, non-judgemental, welcoming space.
01242 503602 View 01242 503602
Photo of Martyn Pars, Counsellor, MBACP
Martyn Pars
Counsellor, MBACP
Waitlist for new clients
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 registrant counsellor psychotherapist (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. I am a BUPA and Harley Street Online registered therapist and I have a particular interest in those with later in life ADHD diagnosis or suspect they might be
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 registrant counsellor psychotherapist (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. I am a BUPA and Harley Street Online registered therapist and I have a particular interest in those with later in life ADHD diagnosis or suspect they might be
01242 507893 View 01242 507893
Photo of Kathleen Lowe, Psychologist, MSc, HCPC - Couns. Psych.
Kathleen Lowe
Psychologist, MSc, HCPC - Couns. Psych.
Are you experiencing difficulties such as stress, anxiety, PTSD, OCD or low mood & depression? This may be holding you back from achieving your potential or enjoying your life and relationships. I offer expert Cognitive Behavioural Therapy which aims to enable clients to recover and move forward in life. Having worked in the NHS all my life I have lived experience of the pressures involved in caring for others, as well as empathy with current pressures. I am keen to offer good value high quality therapy to all clients. I enjoy working with clients at all stages of life>
Are you experiencing difficulties such as stress, anxiety, PTSD, OCD or low mood & depression? This may be holding you back from achieving your potential or enjoying your life and relationships. I offer expert Cognitive Behavioural Therapy which aims to enable clients to recover and move forward in life. Having worked in the NHS all my life I have lived experience of the pressures involved in caring for others, as well as empathy with current pressures. I am keen to offer good value high quality therapy to all clients. I enjoy working with clients at all stages of life>
01242 502776 View 01242 502776
Photo of Ben Morley, Counsellor, MBACP
Ben Morley
Counsellor, MBACP
4 Endorsed
You may appear capable and in control on the outside, yet internally feel anxious, uncertain, or disconnected from your own voice. Many of the people I work with overthink interactions, struggle with boundaries, or find themselves repeating painful relational patterns without fully understanding why. Rather than focusing only on symptom relief, we explore the deeper emotional and relational patterns that keep these difficulties in place. These patterns often developed as intelligent ways of adapting and belonging, even if they now feel limiting.
You may appear capable and in control on the outside, yet internally feel anxious, uncertain, or disconnected from your own voice. Many of the people I work with overthink interactions, struggle with boundaries, or find themselves repeating painful relational patterns without fully understanding why. Rather than focusing only on symptom relief, we explore the deeper emotional and relational patterns that keep these difficulties in place. These patterns often developed as intelligent ways of adapting and belonging, even if they now feel limiting.
01263 808961 View 01263 808961
Photo of Jinny Gupta, Psychotherapist, MUKCP
Jinny Gupta
Psychotherapist, MUKCP
You may not know exactly what's wrong, only that you've lost touch with who you are outside of what everyone needs from you. Maybe you've tried therapy before, done the reading, built a spiritual practice - and still, something hasn't landed. As a therapist of colour, I understand that your struggles don't exist in isolation. Family, culture and identity shape everything you carry. Whether you're navigating low mood, anxiety, relationship patterns, or a disconnection from your sense of purpose, this is a space where your whole experience is welcome, even the mask.
You may not know exactly what's wrong, only that you've lost touch with who you are outside of what everyone needs from you. Maybe you've tried therapy before, done the reading, built a spiritual practice - and still, something hasn't landed. As a therapist of colour, I understand that your struggles don't exist in isolation. Family, culture and identity shape everything you carry. Whether you're navigating low mood, anxiety, relationship patterns, or a disconnection from your sense of purpose, this is a space where your whole experience is welcome, even the mask.
020 3861 4067 View 020 3861 4067
Photo of Louise Bryan, Counsellor, MBACP
Louise Bryan
Counsellor, MBACP
1 Endorsed
Hello and welcome. People come to counselling for many different reasons: They may feel stuck or uncomfortable in their skin, or perhaps they feel overwhelmed by feelings, relationships, events or other aspects of their lives. Whatever brings you, counselling can help you to make sense of, and manage, your thoughts and feelings. It increases our awareness of how we relate to others, it allows us to see how our past informs our present and we may discover what we want and need. It can give us the insight that allows us to make positive choices and changes in life.
Hello and welcome. People come to counselling for many different reasons: They may feel stuck or uncomfortable in their skin, or perhaps they feel overwhelmed by feelings, relationships, events or other aspects of their lives. Whatever brings you, counselling can help you to make sense of, and manage, your thoughts and feelings. It increases our awareness of how we relate to others, it allows us to see how our past informs our present and we may discover what we want and need. It can give us the insight that allows us to make positive choices and changes in life.
01242 903687 View 01242 903687
Photo of Charlotte Atkin, Psychologist, PhD, HCPC - Clin. Psych.
Charlotte Atkin
Psychologist, PhD, HCPC - Clin. Psych.
I specialise in working with people who have experienced complex trauma, including attachment/developmental and relational trauma. I can also help with a wide variety of mental health difficulties, such as: anxiety, depression, low self-esteem, problems relating to grief and loss, obsessive-compulsive disorder, anger problems, bipolar disorder and addictions. I also work with people who may have, or think they fit the criteria for, a diagnosis of personality disorder. I may be able to help with certain physical difficulties, such as medically-unexplained symptoms that may cause pain and/or discomfort.
I specialise in working with people who have experienced complex trauma, including attachment/developmental and relational trauma. I can also help with a wide variety of mental health difficulties, such as: anxiety, depression, low self-esteem, problems relating to grief and loss, obsessive-compulsive disorder, anger problems, bipolar disorder and addictions. I also work with people who may have, or think they fit the criteria for, a diagnosis of personality disorder. I may be able to help with certain physical difficulties, such as medically-unexplained symptoms that may cause pain and/or discomfort.
01242 339365 View 01242 339365
Photo of Gemma Slobom, Counsellor, MBACP
Gemma Slobom
Counsellor, MBACP
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. I'm also a qualified Emotional Freedom Technique (EFT) practitioner, and where appropriate, bring this into the work. EFT is also known as tapping and is highly useful in supporting people to calm and ground in their own bodies.
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. I'm also a qualified Emotional Freedom Technique (EFT) practitioner, and where appropriate, bring this into the work. EFT is also known as tapping and is highly useful in supporting people to calm and ground in their own bodies.
01242 501160 View 01242 501160
Photo of Jo Taylor, Counsellor, MBACP
Jo Taylor
Counsellor, MBACP
Life can be hard and there can be times when we struggle to cope. Whatever your reason for coming to counselling, whether you are looking for short-term support for specific difficulties or trying to make sense of long-term, ongoing thoughts, feelings or patterns impacting your life, I am here to help. I am an Integrative Counsellor, which means I can draw on different therapeutic approaches and theories in our work together, depending on your needs. These approaches are based in Person Centred and Psychodynamic Theory.
Life can be hard and there can be times when we struggle to cope. Whatever your reason for coming to counselling, whether you are looking for short-term support for specific difficulties or trying to make sense of long-term, ongoing thoughts, feelings or patterns impacting your life, I am here to help. I am an Integrative Counsellor, which means I can draw on different therapeutic approaches and theories in our work together, depending on your needs. These approaches are based in Person Centred and Psychodynamic Theory.
01242 503545 View 01242 503545
Photo of Andy Flack, Psychotherapist, MSc, MUKCP
Andy Flack
Psychotherapist, MSc, MUKCP
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 samantha cannings, Psychotherapist, MA, MBACP
samantha cannings
Psychotherapist, MA, MBACP
I'm a registered Psychotherapist based in Gloucestershire. I specialise in supporting adults and young people experiencing psychological and emotional challenges. In our sessions together, I offer a gentle, conversational space for you to explore your thoughts, feelings, hopes, and fears. Through sensitive questioning and warm curiosity, I aim to help you uncover some of the deeper, perhaps more hidden parts of yourself — supporting you to reconnect with who you are and how you’d like to move forward with your future.
I'm a registered Psychotherapist based in Gloucestershire. I specialise in supporting adults and young people experiencing psychological and emotional challenges. In our sessions together, I offer a gentle, conversational space for you to explore your thoughts, feelings, hopes, and fears. Through sensitive questioning and warm curiosity, I aim to help you uncover some of the deeper, perhaps more hidden parts of yourself — supporting you to reconnect with who you are and how you’d like to move forward with your future.
01242 339242 View 01242 339242
Photo of Anna Bradshaw, Counsellor, MSc, MBACP
Anna Bradshaw
Counsellor, MSc, MBACP
Welcome, to me being understood and cared for are deeply important so, I listen attentively with acceptance and compassion. Perhaps you have noticed patterns in your life and you would like to understand yourself more? Talking things 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.
Welcome, to me being understood and cared for are deeply important so, I listen attentively with acceptance and compassion. Perhaps you have noticed patterns in your life and you would like to understand yourself more? Talking things 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
Photo of Amelia Baalack, Counsellor, MA, MBACP
Amelia Baalack
Counsellor, MA, MBACP
Hi and welcome to my page. You may be feeling a little or a lot over whelmed by life at the moment and that’s ok- I can help you think things through in a calm and logical way and we can think about why this may be. Get in touch and I will get back to you with when we can meet.
Hi and welcome to my page. You may be feeling a little or a lot over whelmed by life at the moment and that’s ok- I can help you think things through in a calm and logical way and we can think about why this may be. Get in touch and I will get back to you with when we can meet.
01242 503485 View 01242 503485
Photo of Lisa Wolf, Counsellor, MBACP
Lisa Wolf
Counsellor, MBACP
I am a registered member of the British Association of Counselling and Psychotherapy (BACP). I predominantly work using a person centred approach, providing a safe, non judgemental, confidential space where you can explore your thoughts and feelings at your own pace. I believe you are the expert on your own life and through our work together I aim to support you in gaining greater clarity, self understanding and confidence to move forward in ways that feel right for you. Based in Cheltenham, I offer counselling to individuals either face to face or online.
I am a registered member of the British Association of Counselling and Psychotherapy (BACP). I predominantly work using a person centred approach, providing a safe, non judgemental, confidential space where you can explore your thoughts and feelings at your own pace. I believe you are the expert on your own life and through our work together I aim to support you in gaining greater clarity, self understanding and confidence to move forward in ways that feel right for you. Based in Cheltenham, I offer counselling to individuals either face to face or online.
015242 35825 View 015242 35825
Photo of Cathy Cook - Cathy Cook - New Life Counselling , Psychotherapist, MBACP
All of us, at some point in our lives, are likely to feel overwhelmed by our feelings, thoughts, and/or circumstances. Anxiety, depression, neurodiversity, relationship breakdowns, single parenting, bereavement, loss, family issues etc. can leave us struggling to function as well as we would like. I am passionate about supporting all my clients through difficult situations and empowering them to reach their full potential. I can offer you a confidential, supportive, welcoming and non-judgemental space where we can look in detail at what is distressing you, and work together to find the best way forward.
All of us, at some point in our lives, are likely to feel overwhelmed by our feelings, thoughts, and/or circumstances. Anxiety, depression, neurodiversity, relationship breakdowns, single parenting, bereavement, loss, family issues etc. can leave us struggling to function as well as we would like. I am passionate about supporting all my clients through difficult situations and empowering them to reach their full potential. I can offer you a confidential, supportive, welcoming and non-judgemental space where we can look in detail at what is distressing you, and work together to find the best way forward.
01242 386010 View 01242 386010
Photo of Saskia Penrose-van Beers
Saskia Penrose-van Beers
Verified Verified
2 Endorsed
If you’re feeling overwhelmed, stuck, or unsure what’s next, you don’t have to figure it out alone. I’m an experienced CBT therapist working with adults and young people (11+), offering a calm, supportive space to help you move forward. I offer a unique blend of counselling and coaching—practical, engaging, never boring, and focused on real results. Together, we'll figure out how to change what matters most, from anxiety and low mood to ADHD, trauma, or life decisions. You’ll gain insight, tools, and confidence—at your pace, in a way that truly works for you.
If you’re feeling overwhelmed, stuck, or unsure what’s next, you don’t have to figure it out alone. I’m an experienced CBT therapist working with adults and young people (11+), offering a calm, supportive space to help you move forward. I offer a unique blend of counselling and coaching—practical, engaging, never boring, and focused on real results. Together, we'll figure out how to change what matters most, from anxiety and low mood to ADHD, trauma, or life decisions. You’ll gain insight, tools, and confidence—at your pace, in a way that truly works for you.
015242 36646 View 015242 36646
Photo of Sally Glover, Counsellor, MBACP
Sally Glover
Counsellor, MBACP
As a counsellor working with Adults, Teenagers and Children, I offer a safe, confidential space where I listen and support 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, your struggles and where you are needing help 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 and support 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, your struggles and where you are needing help and support. Our work together moves towards making positive changes within yourself, your life and your relationships. ​
01452 227043 View 01452 227043
Photo of Rachel Power, Psychotherapist, MNCPS Acc.
Rachel Power
Psychotherapist, MNCPS Acc.
I am an experienced counsellor PROVIDING THERAPY IN THE OUTDOORS. Sometimes we want to talk but sitting in a counselling room might not feel like the right space for you. WALKING WHILST TALKING might just give you the space and freedom to begin to understand some uncomfortable feelings and past experiences in the safe hands of myself within nature. Being in nature will help you to learn how to resource yourself whilst processing the past giving you a clearer feel of the future. You may feel anxious or depressed, struggling with relationships. I work from Pittville Park, The Cotswolds and Crickley Hill. I also do home visits.
I am an experienced counsellor PROVIDING THERAPY IN THE OUTDOORS. Sometimes we want to talk but sitting in a counselling room might not feel like the right space for you. WALKING WHILST TALKING might just give you the space and freedom to begin to understand some uncomfortable feelings and past experiences in the safe hands of myself within nature. Being in nature will help you to learn how to resource yourself whilst processing the past giving you a clearer feel of the future. You may feel anxious or depressed, struggling with relationships. I work from Pittville Park, The Cotswolds and Crickley Hill. I also do home visits.
07961 627500 View 07961 627500
Photo of Jaimie Marc Cahlil - Jaimie Cahlil, Psychotherapist, PsychD, MUKCP
Jaimie Cahlil
Psychotherapist, PsychD, MUKCP
1 Endorsed
Here you are, searching for the right therapy and therapist...for you. Transpersonal (down-to-earth spiritual) psychotherapy receives you as you are, among us all, all of us held gently within the transformative context of oneness. Right now you may be struggling with uncomfortable or panicky feelings and thoughts, or a sense of disconnection and isolation. (Or not!) ...However, with your relationship with your self at core, you may also feel drawn to develop or deepen your sense of 'home' within your own being...in a warmingly empowering process (fine-tuned to you) of deeply calming relaxing self-awareness and spiritual awakening.
Here you are, searching for the right therapy and therapist...for you. Transpersonal (down-to-earth spiritual) psychotherapy receives you as you are, among us all, all of us held gently within the transformative context of oneness. Right now you may be struggling with uncomfortable or panicky feelings and thoughts, or a sense of disconnection and isolation. (Or not!) ...However, with your relationship with your self at core, you may also feel drawn to develop or deepen your sense of 'home' within your own being...in a warmingly empowering process (fine-tuned to you) of deeply calming relaxing self-awareness and spiritual awakening.
01242 903238 View 01242 903238
Photo of Sophie Page, Counsellor, MBACP Accred
Sophie Page
Counsellor, MBACP Accred
Hello, I'm Sophie and I am an experienced, accredited counsellor working with individuals aged 18 or over. I can help with anxiety, low self-esteem, depression, bereavement, relationship difficulties, trauma and more. I provide Face-to-Face counselling in a calm space in Central Cheltenham. or online counselling, to suit your needs. There are many reasons that someone might seek out counselling: Perhaps you are feeling stuck, wanting to make changes? Maybe you are feeling anxious, depressed or in a low mood that feels hard to shift? Perhaps there is something in your past which is having an impact on how you feel now in your life?
Hello, I'm Sophie and I am an experienced, accredited counsellor working with individuals aged 18 or over. I can help with anxiety, low self-esteem, depression, bereavement, relationship difficulties, trauma and more. I provide Face-to-Face counselling in a calm space in Central Cheltenham. or online counselling, to suit your needs. There are many reasons that someone might seek out counselling: Perhaps you are feeling stuck, wanting to make changes? Maybe you are feeling anxious, depressed or in a low mood that feels hard to shift? Perhaps there is something in your past which is having an impact on how you feel now in your life?
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See more therapy options for Cheltenham

How does your Counsellor compare?

Number of Counsellors in Cheltenham

200+

Average cost per session

£60

Counsellors in Cheltenham who prioritize treating:

91% Anxiety
87% Depression
87% Self Esteem
82% Relationship Issues
79% Stress
71% Trauma and PTSD
70% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

67% WPA
62% Aviva
50% Vitality

How Counsellors in Cheltenham see their clients

88% In Person and Online
12% Online Only

Gender breakdown

84% Female
16% 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.