Counselling in Chester

Photo of Amanda Wiles, Counsellor, MBACP
Amanda Wiles
Counsellor, MBACP
Chester CH1
Anxieties, pressures and unwanted memories, whatever is on your mind we can work on your wellbeing together, in a non-judgmental, non-directive way. I believe in a holistic approach to mental health, addressing both the mind and body. As a Person-Centred therapist, I work with many of life's challenges and the core of my practice is the therapeutic relationship.
Anxieties, pressures and unwanted memories, whatever is on your mind we can work on your wellbeing together, in a non-judgmental, non-directive way. I believe in a holistic approach to mental health, addressing both the mind and body. As a Person-Centred therapist, I work with many of life's challenges and the core of my practice is the therapeutic relationship.
0151 453 4235 View 0151 453 4235
Photo of Matthew Adam, Psychotherapist, MSc, MUKCP
Matthew Adam
Psychotherapist, MSc, MUKCP
Chester CH4
Hi, I'm Matthew and I am an Individual, Family & Couples Psychotherapist, specialising in anxiety management, low mood and neurodiversity. I have worked with individuals, couples and families for over 25 years, helping them manage their emotional health and wellbeing. I have helped children, young people and their parents and couples work through a range of difficulties including anxiety, low mood/depression, managing challenging behaviour, Autism, anger management, frequent family clashes, the effects of couple tension, bereavement, and conflict in relationships.
Hi, I'm Matthew and I am an Individual, Family & Couples Psychotherapist, specialising in anxiety management, low mood and neurodiversity. I have worked with individuals, couples and families for over 25 years, helping them manage their emotional health and wellbeing. I have helped children, young people and their parents and couples work through a range of difficulties including anxiety, low mood/depression, managing challenging behaviour, Autism, anger management, frequent family clashes, the effects of couple tension, bereavement, and conflict in relationships.
01829 708157 View 01829 708157
Photo of India Price, Counsellor, MBACP
India Price
Counsellor, MBACP
1 Endorsed
Chester CH1
Hi, I’m India. As a qualified integrative therapist and member of the BACP, I aim to create a warm, empathic atmosphere where my clients feel heard and held.
Hi, I’m India. As a qualified integrative therapist and member of the BACP, I aim to create a warm, empathic atmosphere where my clients feel heard and held.
01244 727103 View 01244 727103
Photo of Dr Nadia Balmain, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Nadia Balmain
Psychologist, PsychD, HCPC - Clin. Psych.
Chester CH2
Hi, I’m Dr Nadia Balmain. Thank you for taking the time to look at my profile. I am a Chartered Clinical Psychologist and an accredited EMDR Practitioner. I have provided psychotherapy for over ten years both in the NHS and in private practice. I offer therapy for many different problems, but I have a special interest in providing therapy for PTSD, complex Trauma, Anxiety and Depression. EMDR (Eye Movement Desensitisation and Reprocessing) is the gold standard treatment for PTSD and is recommended by NICE guidelines. EMDR helps clients to process traumatic and distressing experiences which are causing the present-day symptoms.
Hi, I’m Dr Nadia Balmain. Thank you for taking the time to look at my profile. I am a Chartered Clinical Psychologist and an accredited EMDR Practitioner. I have provided psychotherapy for over ten years both in the NHS and in private practice. I offer therapy for many different problems, but I have a special interest in providing therapy for PTSD, complex Trauma, Anxiety and Depression. EMDR (Eye Movement Desensitisation and Reprocessing) is the gold standard treatment for PTSD and is recommended by NICE guidelines. EMDR helps clients to process traumatic and distressing experiences which are causing the present-day symptoms.
01244 735026 View 01244 735026
Photo of Dr Marilena Hadjittofi - The Chester Psychology Clinic, Psychologist, PsychD, HCPC - Clin. Psych.
The Chester Psychology Clinic
Psychologist, PsychD, HCPC - Clin. Psych.
Chester CH3
I offer evidence-based psychological therapy to children, young people and families that experience a range of mental health and emotional difficulties. My focus is to collaborate with individuals and communities, tailoring psychological therapies to meet the needs of the families I serve. My mission is to empower children, young people, and families to not only overcome challenges but to thrive and achieve their fullest potential.
I offer evidence-based psychological therapy to children, young people and families that experience a range of mental health and emotional difficulties. My focus is to collaborate with individuals and communities, tailoring psychological therapies to meet the needs of the families I serve. My mission is to empower children, young people, and families to not only overcome challenges but to thrive and achieve their fullest potential.
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Photo of Leih Steggall - Us Psychotherapy, Counsellor, MBACP
Us Psychotherapy
Counsellor, MBACP
Chester CH2
Hello, I’m Leih. Are you feeling overwhelmed, anxious, or disconnected from those around you? Perhaps you're struggling with depression, navigating the complexities of midlife, or dealing with the painful experience of family estrangement. You don’t have to face these challenges alone—I’m here to help .As a trauma-informed psychotherapist and clinical hypnotherapist, I specialize in helping individuals like you who are seeking understanding, healing, and a path forward. My approach is warm and non-judgmental, creating a space where you can feel safe to explore your emotions and experiences at your own
Hello, I’m Leih. Are you feeling overwhelmed, anxious, or disconnected from those around you? Perhaps you're struggling with depression, navigating the complexities of midlife, or dealing with the painful experience of family estrangement. You don’t have to face these challenges alone—I’m here to help .As a trauma-informed psychotherapist and clinical hypnotherapist, I specialize in helping individuals like you who are seeking understanding, healing, and a path forward. My approach is warm and non-judgmental, creating a space where you can feel safe to explore your emotions and experiences at your own
01244 727036 View 01244 727036
Photo of Steve Newcombe, Counsellor, MBACP
Steve Newcombe
Counsellor, MBACP
Chester CH1
I am a warm, empathic counsellor working with the person-centred approach. I am registered with the BACP and primarily work with individuals. I have experience working with bereavement and loss, anxiety and low mood and trauma of all kinds, from childhood abuse to PTSD. I also have experience working with post addiction recovery.
I am a warm, empathic counsellor working with the person-centred approach. I am registered with the BACP and primarily work with individuals. I have experience working with bereavement and loss, anxiety and low mood and trauma of all kinds, from childhood abuse to PTSD. I also have experience working with post addiction recovery.
01244 735094 View 01244 735094
Photo of Andy Singleton, Psychotherapist, MBACP Accred
Andy Singleton
Psychotherapist, MBACP Accred
Chester CH1
Hi (and thanks for taking the time to view my profile and learn a little more about me).  My name is Andy, I am a psychotherapist specialising in EMDR. I am a BACP accredited practitioner with over 15 years experience working therapeutically with young people and adults. Prior to establishing Head Camp, I worked within the NHS (CAMHS), a well-established Chester based Psychology service, Children’s Services, and a highly subscribed school-based therapy service within North Wales.
Hi (and thanks for taking the time to view my profile and learn a little more about me).  My name is Andy, I am a psychotherapist specialising in EMDR. I am a BACP accredited practitioner with over 15 years experience working therapeutically with young people and adults. Prior to establishing Head Camp, I worked within the NHS (CAMHS), a well-established Chester based Psychology service, Children’s Services, and a highly subscribed school-based therapy service within North Wales.
0151 453 4047 View 0151 453 4047
Photo of David Oliver Harrison - Chester VR Therapies UK, Psychotherapist, AFBPSsS
Chester VR Therapies UK
Psychotherapist, AFBPSsS
Chester CH2
Hi, my name is David Harrison I have two science degrees my first one was in Chemistry and my second one in Homeopathic medicine graduated from the University of Central Lancashire in 2006, 18 years ago, after completing 600 hours of clinical practice at the UCLAN student clinic in Preston. I have now been trained in the new exciting development in psychotherapy called Virtual Reality Therapy. I am doing doctoral research in Virtual Reality at Bournemouth University so I am using the most up to date applications .This therapy has now been approved by the NHS and is now the preferred treatment for anxiety & depression.
Hi, my name is David Harrison I have two science degrees my first one was in Chemistry and my second one in Homeopathic medicine graduated from the University of Central Lancashire in 2006, 18 years ago, after completing 600 hours of clinical practice at the UCLAN student clinic in Preston. I have now been trained in the new exciting development in psychotherapy called Virtual Reality Therapy. I am doing doctoral research in Virtual Reality at Bournemouth University so I am using the most up to date applications .This therapy has now been approved by the NHS and is now the preferred treatment for anxiety & depression.
0116 502 3492 View 0116 502 3492
Photo of Helen Louise Jones - Helen Jones CBT and EMDR Therapy, Psychotherapist, MSc, MBABCP
Helen Jones CBT and EMDR Therapy
Psychotherapist, MSc, MBABCP
Online Only
Not accepting new clients
Hi, I’m Helen - a BABCP-accredited Cognitive Behavioural Therapist ('CBT') and Eye Movement Desensitisation Reprocessing ('EMDR') practitioner. I spent 15 years working within NHS mental health services. For the past 3 years, I have worked as a private practitioner. I hold a Postgraduate Diploma in CBT and an MSc in Applied Social Studies.
Hi, I’m Helen - a BABCP-accredited Cognitive Behavioural Therapist ('CBT') and Eye Movement Desensitisation Reprocessing ('EMDR') practitioner. I spent 15 years working within NHS mental health services. For the past 3 years, I have worked as a private practitioner. I hold a Postgraduate Diploma in CBT and an MSc in Applied Social Studies.
01244 563543 View 01244 563543
Photo of Therese Dunne Mbacp (Accred), Counsellor, MSc
Therese Dunne Mbacp (Accred)
Counsellor, MSc
Online Only
For some of us, it can take years to reach out for help and I understand that. When a client contacts me, I know its a big step. Regardless of your past, your family and your story, I believe that you have the ability to heal and thrive in your life. I am trained and experienced to sit with you to help you find YOUR answers. Together we go on a journey of discovery to see how you have got to where you are today but most importantly how you can find your power and strength to overcome your challenges. You deserve to be healthy, happy and at peace. You do not need to be in serious crisis to go for therapy.
For some of us, it can take years to reach out for help and I understand that. When a client contacts me, I know its a big step. Regardless of your past, your family and your story, I believe that you have the ability to heal and thrive in your life. I am trained and experienced to sit with you to help you find YOUR answers. Together we go on a journey of discovery to see how you have got to where you are today but most importantly how you can find your power and strength to overcome your challenges. You deserve to be healthy, happy and at peace. You do not need to be in serious crisis to go for therapy.
01244 470425 View 01244 470425
Photo of Richard Connolly, Counsellor, DCounsPsych, MBACP Accred
Richard Connolly
Counsellor, DCounsPsych, MBACP Accred
Chester CH2
In Life certainly in the present days. We are bombarded with directions and advice as to how we should live our lives and this can be very confusing. Issues that we all have instead of being opened up and discussed are simply painted over emotionally to fit in with the expectations of modern living. It can feel a very lonely isolated place for many individuals with no one that they can truly open up to with the pain they may be feeling inside. Previously I have worked in the Armed Forces and Law enforcement. I certainly feel I have experience in working in these arenas, and the difficulties and stresses they can cause an individual.
In Life certainly in the present days. We are bombarded with directions and advice as to how we should live our lives and this can be very confusing. Issues that we all have instead of being opened up and discussed are simply painted over emotionally to fit in with the expectations of modern living. It can feel a very lonely isolated place for many individuals with no one that they can truly open up to with the pain they may be feeling inside. Previously I have worked in the Armed Forces and Law enforcement. I certainly feel I have experience in working in these arenas, and the difficulties and stresses they can cause an individual.
01928 243223 View 01928 243223
Photo of Sally Addenbrook, Psychotherapist, UKCP Trainee
Sally Addenbrook
Psychotherapist, UKCP Trainee
Chester CH3
Do you feel like you're barely hanging in there, confused, overwhelmed or paralysed by fear; fear of moving forwards, fear of change, fear of someone else, fear of failure, fear of not being good enough, fear of not knowing who you really are? Are you looking for a therapist where you can be 100% yourself, where you don't have to pretend you feel OK or are getting better? Someone who will listen to you and you feel comfortable talking to? I don't have all the answers because I'm not you, but I'm with you on your journey. I'm a clinical hypnotherapist using psychotherapy to help you find the strength to make lasting changes
Do you feel like you're barely hanging in there, confused, overwhelmed or paralysed by fear; fear of moving forwards, fear of change, fear of someone else, fear of failure, fear of not being good enough, fear of not knowing who you really are? Are you looking for a therapist where you can be 100% yourself, where you don't have to pretend you feel OK or are getting better? Someone who will listen to you and you feel comfortable talking to? I don't have all the answers because I'm not you, but I'm with you on your journey. I'm a clinical hypnotherapist using psychotherapy to help you find the strength to make lasting changes
01244 727968 View 01244 727968
Photo of Yvette Sharpe - Eve Sharpe, Counsellor, PNCPS Acc.
Eve Sharpe
Counsellor, PNCPS Acc.
Online Only
Life’s challenges, whether chronic pain, anxiety, self-doubt, or feeling stuck, can feel overwhelming, but you don’t have to navigate them alone. As a certified Integrative Counsellor and Somatic-based Trauma-Informed Coach, I blend counselling, coaching, and body-based practices to create a deeply personalized approach. My belief? Healing happens in your own way, in your own time. I’ll hold a safe, supportive space where you can reconnect with yourself, regain confidence, and take empowered steps toward the life you deserve. You don’t have to do this alone, let’s take the next step together.
Life’s challenges, whether chronic pain, anxiety, self-doubt, or feeling stuck, can feel overwhelming, but you don’t have to navigate them alone. As a certified Integrative Counsellor and Somatic-based Trauma-Informed Coach, I blend counselling, coaching, and body-based practices to create a deeply personalized approach. My belief? Healing happens in your own way, in your own time. I’ll hold a safe, supportive space where you can reconnect with yourself, regain confidence, and take empowered steps toward the life you deserve. You don’t have to do this alone, let’s take the next step together.
01244 562121 View 01244 562121
Photo of Amanda Jane Kinsella - Dr Amanda Kinsella: MindfulPsychology, Psychologist, PsychD, HCPC - Couns. Psych.
Dr Amanda Kinsella: MindfulPsychology
Psychologist, PsychD, HCPC - Couns. Psych.
Chester CH1
Mindful Psychology LTD is an independent private psychology practice. Our services are directed by Dr Amanda Kinsella and her team of counselling and clinical (HCPC) registered psychologists. All our psychologists have undergone rigorous doctorate training and bring together a wealth of experience from years of service and expertise within the NHS and the private sector. Within our individual clinical therapies we offer support to individuals and couples who seek solutions to their psychological and emotional difficulties. We offer a range of evidence based therapies: Cognitive Behavioral Therapy. Relational psychotherapy.
Mindful Psychology LTD is an independent private psychology practice. Our services are directed by Dr Amanda Kinsella and her team of counselling and clinical (HCPC) registered psychologists. All our psychologists have undergone rigorous doctorate training and bring together a wealth of experience from years of service and expertise within the NHS and the private sector. Within our individual clinical therapies we offer support to individuals and couples who seek solutions to their psychological and emotional difficulties. We offer a range of evidence based therapies: Cognitive Behavioral Therapy. Relational psychotherapy.
01244 470634 View 01244 470634
Photo of Yvonne Dark - Driftwood Therapeutic Services, Counsellor, MA, MBACP
Driftwood Therapeutic Services
Counsellor, MA, MBACP
Chester CH1
We all know life can get tough at times and we can struggle to see our way through it. Sometimes it helps to talk those experiences or feelings through with someone who can really listen and brings no agenda with them. There are so many reasons to come to therapy difficult times in life, things feeling not quite right, anxiety or depression or things from our past effecting us in the here and now (attachment or trauma). Therapy is a safe, neutral place you can use to explore what is happening for you, and it can support you in deciding how you want to manage or address it and move forward.
We all know life can get tough at times and we can struggle to see our way through it. Sometimes it helps to talk those experiences or feelings through with someone who can really listen and brings no agenda with them. There are so many reasons to come to therapy difficult times in life, things feeling not quite right, anxiety or depression or things from our past effecting us in the here and now (attachment or trauma). Therapy is a safe, neutral place you can use to explore what is happening for you, and it can support you in deciding how you want to manage or address it and move forward.
01244 662734 View 01244 662734
Photo of Rachel Cooper, Psychotherapist, MA, HCPC-Art Therap.
Rachel Cooper
Psychotherapist, MA, HCPC-Art Therap.
Chester CH1
Do you feel stuck or lost for words to explain what has happened? Would you like to feel free from whatever seems to keep you stuck? I believe being creative connects us in a more powerful way than just using words. This is not about art, but creatively expressing our difficulties to bring freedom. As an art psychotherapist, we use creative ways to get to the root of a problem, allowing you to go at your own pace. us
Do you feel stuck or lost for words to explain what has happened? Would you like to feel free from whatever seems to keep you stuck? I believe being creative connects us in a more powerful way than just using words. This is not about art, but creatively expressing our difficulties to bring freedom. As an art psychotherapist, we use creative ways to get to the root of a problem, allowing you to go at your own pace. us
0151 453 0191 View 0151 453 0191
Photo of Angharad Rees, Counsellor, MSc, MNCPS Acc.
Angharad Rees
Counsellor, MSc, MNCPS Acc.
Chester CH2
I work with people navigating relationship difficulties, a loss of direction, grief, the impact of trauma and overwhelming emotions. I help clients identify ingrained patterns, to rebuild trust and safety in their bodies, and in their relationships with themselves, enabling them to feel more centred in this world. Together, we cultivate self-compassion and empower them toward a way of living that aligns with who they truly are. I will meet you with presence and empathy and encourage you to meet yourself with curiosity, rather than judgment. You make sense. You are not broken. Your system is wise, and it found ways to survive.
I work with people navigating relationship difficulties, a loss of direction, grief, the impact of trauma and overwhelming emotions. I help clients identify ingrained patterns, to rebuild trust and safety in their bodies, and in their relationships with themselves, enabling them to feel more centred in this world. Together, we cultivate self-compassion and empower them toward a way of living that aligns with who they truly are. I will meet you with presence and empathy and encourage you to meet yourself with curiosity, rather than judgment. You make sense. You are not broken. Your system is wise, and it found ways to survive.
01244 727771 View 01244 727771
Photo of Andrew Price, Counsellor, MBACP Accred
Andrew Price
Counsellor, MBACP Accred
Chester CH2
I am a qualified and experienced counsellor with over 10 years’ experience across private practise, the NHS and local and national charities. My experience informs me that understanding our past experiences affects the way we live and relate to others in the present. My therapy approach is trauma informed and integrates different therapeutic approaches which are applied flexibly to meet your individual needs. Alongside talking therapy I also offer EMDR therapy to help you process distressing past events.
I am a qualified and experienced counsellor with over 10 years’ experience across private practise, the NHS and local and national charities. My experience informs me that understanding our past experiences affects the way we live and relate to others in the present. My therapy approach is trauma informed and integrates different therapeutic approaches which are applied flexibly to meet your individual needs. Alongside talking therapy I also offer EMDR therapy to help you process distressing past events.
01928 243461 View 01928 243461
Photo of Cathy McAllister, Counsellor, MBACP
Cathy McAllister
Counsellor, MBACP
Online Only
As a fully qualified Integrative and Cognitive Behavioural Therapy (CBT) Counsellor, I work with different approaches which can help you through your journey. I work with clients with a variety of issues, including: anxiety, stress, depression, issues related to trauma, bullying, confidence/self-esteem. My commitment to you involves offering you an environment which is safe, warm, empathic, non-judgemental and confidential, in order to offer an opportunity to make sense of your past experiences, as well as current dilemmas; discovering how they affect your life today and exploring whether or not they relevant or not.
As a fully qualified Integrative and Cognitive Behavioural Therapy (CBT) Counsellor, I work with different approaches which can help you through your journey. I work with clients with a variety of issues, including: anxiety, stress, depression, issues related to trauma, bullying, confidence/self-esteem. My commitment to you involves offering you an environment which is safe, warm, empathic, non-judgemental and confidential, in order to offer an opportunity to make sense of your past experiences, as well as current dilemmas; discovering how they affect your life today and exploring whether or not they relevant or not.
01244 566314 View 01244 566314

How does your Counsellor compare?

Number of Counsellors in Chester

100+

Average cost per session

£55

Counsellors in Chester who prioritize treating:

93% Anxiety
85% Depression
83% Self Esteem
79% Stress
68% Relationship Issues
66% Trauma and PTSD
62% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

57% Aviva
57% Bupa
50% WPA

How Counsellors in Chester see their clients

72% In Person and Online
28% Online Only

Gender breakdown

77% Female
20% Male
3% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Chester?

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.