Counselling in Colne

Photo of Lynda Scott-Noble, Counsellor, MBACP Accred
Lynda Scott-Noble
Counsellor, MBACP Accred
Colne BB8
Life can be hard. We can feel anxious, depressed, confused or alone. We may struggle to find happiness in ourselves, and our relationships with others. We may be trying to come to terms with loss or abuse. There may be things from the past that still trouble us, and it might not be easy to discuss our problems with friends or family. It can be a relief to talk in confidence with someone who will truly listen and see things from our own point of view. Someone who can support us while we make sense of our feelings and work with us at our own pace towards finding our own solutions. This is what I will provide for you.
Life can be hard. We can feel anxious, depressed, confused or alone. We may struggle to find happiness in ourselves, and our relationships with others. We may be trying to come to terms with loss or abuse. There may be things from the past that still trouble us, and it might not be easy to discuss our problems with friends or family. It can be a relief to talk in confidence with someone who will truly listen and see things from our own point of view. Someone who can support us while we make sense of our feelings and work with us at our own pace towards finding our own solutions. This is what I will provide for you.
07743 643103 View 07743 643103
Photo of Darren Smith, Psychotherapist, MBABCP
Darren Smith
Psychotherapist, MBABCP
1 Endorsed
Online Only
I am an experienced and highly qualified Mental Health Nurse, Accredited Cognitive Behavioural Therapist (CBT), and practitioner in Eye Movement Desensitization and Reprocessing (EMDR) and Cognitive Processing Therapy (CPT). With over 15 years of experience in mental health, I have led Community Mental Health Teams and provided both in-person and telemedicine therapy, including services in remote international locations. Currently, I specialize in delivering remote therapy for members of the veterinary profession, military veterans, and emergency services personnel.
I am an experienced and highly qualified Mental Health Nurse, Accredited Cognitive Behavioural Therapist (CBT), and practitioner in Eye Movement Desensitization and Reprocessing (EMDR) and Cognitive Processing Therapy (CPT). With over 15 years of experience in mental health, I have led Community Mental Health Teams and provided both in-person and telemedicine therapy, including services in remote international locations. Currently, I specialize in delivering remote therapy for members of the veterinary profession, military veterans, and emergency services personnel.
01282 501969 View 01282 501969
Photo of Judith Marie Williams - Great Holme House Counselling Service, Counsellor, MNCPS Acc.
Great Holme House Counselling Service offers professional, and compassionate support for individuals facing life's challenges. As an experienced person centred therapist I aim to provide a safe and welcoming space to explore your thoughts and emotions. My practice office is a set aside work room within my home which is wheelchair accessible. We have ample roadside parking outside the property. It is cool in hot weather and has a cosy log burner to ensure that it is both warm and welcoming in the colder months. I am happy to offer telephone or online counselling sessions, or home visits should this prove appropriate.
Great Holme House Counselling Service offers professional, and compassionate support for individuals facing life's challenges. As an experienced person centred therapist I aim to provide a safe and welcoming space to explore your thoughts and emotions. My practice office is a set aside work room within my home which is wheelchair accessible. We have ample roadside parking outside the property. It is cool in hot weather and has a cosy log burner to ensure that it is both warm and welcoming in the colder months. I am happy to offer telephone or online counselling sessions, or home visits should this prove appropriate.
01282 953298 View 01282 953298
Photo of Julie Haworth, Psychotherapist, MA, MBACP
Julie Haworth
Psychotherapist, MA, MBACP
Colne BB8
If you experience an internal negative dialogue that causes you distress, you may feel it is impossible to get out of this cycle leading to exhaustion, confusion and a sense of feeling weighed down by your life. Feeling hopeless and stuck can create a longing to be understood. I have several years experience of working with domestic abuse; complex trauma, anxiety, depression and mood disorders. My approach is concerned with healing of mental, emotional, and physical health. I help people learn about and understand themselves at a deeper level leading to greater acceptance of themselves.
If you experience an internal negative dialogue that causes you distress, you may feel it is impossible to get out of this cycle leading to exhaustion, confusion and a sense of feeling weighed down by your life. Feeling hopeless and stuck can create a longing to be understood. I have several years experience of working with domestic abuse; complex trauma, anxiety, depression and mood disorders. My approach is concerned with healing of mental, emotional, and physical health. I help people learn about and understand themselves at a deeper level leading to greater acceptance of themselves.
01625 920689 View 01625 920689
Photo of Jade Smith, Counsellor, MA, MBACP
Jade Smith
Counsellor, MA, MBACP
Serves Area
It can be a daunting experience deciding to take the step into counselling, I aim to make the counselling space as comfortable as possible. As a therapist I provide a safe and confidential space where clients can open up and together we can explore the difficult feelings and emotions that may arise.  As an Integrative Psychotherapist I believe that not one type of therapy fits all, therefore bringing in techniques from different modalities of therapy, such as person-centred, CBT, Psychodynamic and Gestalt may provide clients with a greater therapeutic experience.
It can be a daunting experience deciding to take the step into counselling, I aim to make the counselling space as comfortable as possible. As a therapist I provide a safe and confidential space where clients can open up and together we can explore the difficult feelings and emotions that may arise.  As an Integrative Psychotherapist I believe that not one type of therapy fits all, therefore bringing in techniques from different modalities of therapy, such as person-centred, CBT, Psychodynamic and Gestalt may provide clients with a greater therapeutic experience.
07480 784007 View 07480 784007
Photo of Julie Ellison - Burnley Counselling Services, Psychotherapist
Burnley Counselling Services
Psychotherapist
Serves Area
There is so much focus these days on "What's wrong with you" using terms such as 'depression', 'anxiety', 'disorder', rather than talking about "What happened to you?" Your mental health is much more than just a label or a diagnosis and therapy offers so much more than just talking. It can give you new understanding, new insights, a different perspective, clarity about a problem and the way forward. It can teach you skills to live your life better, teach you more healthy coping strategies or simply give you the space and time for self reflection and a place to find peace of mind.
There is so much focus these days on "What's wrong with you" using terms such as 'depression', 'anxiety', 'disorder', rather than talking about "What happened to you?" Your mental health is much more than just a label or a diagnosis and therapy offers so much more than just talking. It can give you new understanding, new insights, a different perspective, clarity about a problem and the way forward. It can teach you skills to live your life better, teach you more healthy coping strategies or simply give you the space and time for self reflection and a place to find peace of mind.
01282 526845 View 01282 526845
Photo of Shelley French, Psychotherapist, MSc, MBABCP
Shelley French
Psychotherapist, MSc, MBABCP
Serves Area
My passion has always been to help people with empathy and without judgement. I have worked in mental health for 17 years, first as a mental health nurse in the NHS, and now as a Cognitive and Behavioural therapist. I find CBT fits with my practical nature, helping us to understand our thoughts, feelings and behaviours and how this impacts on our view of ourselves, and the world around us. The process of looking for a therapist can be a difficult, and it is often useful to have a quick chat to see how I can help. Please drop me a email and I will respond within 24 hours.
My passion has always been to help people with empathy and without judgement. I have worked in mental health for 17 years, first as a mental health nurse in the NHS, and now as a Cognitive and Behavioural therapist. I find CBT fits with my practical nature, helping us to understand our thoughts, feelings and behaviours and how this impacts on our view of ourselves, and the world around us. The process of looking for a therapist can be a difficult, and it is often useful to have a quick chat to see how I can help. Please drop me a email and I will respond within 24 hours.
01282 953363 View 01282 953363
Photo of Lisa Kavanagh, Psychotherapist, MBACP Accred
Lisa Kavanagh
Psychotherapist, MBACP Accred
Serves Area
I am an experienced accredited counsellor and psychotherapist, having worked for ten years in talking therapies. I offer both short and long-term therapy for clients from teens through to adults, either face to face, online or by telephone. I have worked in many different settings, including CRUSE (bereavement support), NHS (Extended Access & CAMHs), schools, colleges, charitable organisations and EAPs. For over five years I have worked therapeutically with victims of abuse, violence and other forms of serious crime. Supporting clients with issues including, self-esteem, low mood, anxiety, loss and relationships.
I am an experienced accredited counsellor and psychotherapist, having worked for ten years in talking therapies. I offer both short and long-term therapy for clients from teens through to adults, either face to face, online or by telephone. I have worked in many different settings, including CRUSE (bereavement support), NHS (Extended Access & CAMHs), schools, colleges, charitable organisations and EAPs. For over five years I have worked therapeutically with victims of abuse, violence and other forms of serious crime. Supporting clients with issues including, self-esteem, low mood, anxiety, loss and relationships.
01729 811303 View 01729 811303
Photo of Dr Kimberley Keegan, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Kimberley Keegan
Psychologist, PsychD, HCPC - Clin. Psych.
1 Endorsed
Serves Area
Life, and our lived experience of it, is complex. Often times we choose not to look into this complexity for fear of being overwhelmed by unwanted truths and emotions. This approach may work for some of us for a while, however for most - life will confront us with pain that is difficult to ignore. The avoidance of this pain or reality is what leads to mental health symptoms and prolonged distress. However, life does not need to be so difficult. If you would like to make sense of your life and unique lived experienced in order to lead a more fulfilled existence, please get in touch.
Life, and our lived experience of it, is complex. Often times we choose not to look into this complexity for fear of being overwhelmed by unwanted truths and emotions. This approach may work for some of us for a while, however for most - life will confront us with pain that is difficult to ignore. The avoidance of this pain or reality is what leads to mental health symptoms and prolonged distress. However, life does not need to be so difficult. If you would like to make sense of your life and unique lived experienced in order to lead a more fulfilled existence, please get in touch.
View
Photo of Rachael Louise Holden, Counsellor, MNCPS Acc.
Rachael Louise Holden
Counsellor, MNCPS Acc.
Serves Area
01282 967131 View 01282 967131

More Therapists Nearby

Photo of Zoë Stephens, Counsellor, MBACP
Zoë Stephens
Counsellor, MBACP
Bolton BL1
If you're struggling with anxiety, depression, trauma, or relationship challenges, you’re not alone. Past experiences—especially those tied to attachment—can shape how we feel, think, and connect with others. You may be searching for ways to heal from trauma, manage symptoms of complex PTSD, or navigate the difficulties of personality or eating disorders. More than anything, you want to feel safe, understood, and empowered to build a more fulfilling life.
If you're struggling with anxiety, depression, trauma, or relationship challenges, you’re not alone. Past experiences—especially those tied to attachment—can shape how we feel, think, and connect with others. You may be searching for ways to heal from trauma, manage symptoms of complex PTSD, or navigate the difficulties of personality or eating disorders. More than anything, you want to feel safe, understood, and empowered to build a more fulfilling life.
01453 707137 View 01453 707137
Photo of Amanda Fryer - AIMS Counselling , Counsellor, MBACP
AIMS Counselling
Counsellor, MBACP
1 Endorsed
Serves Area
As an integrative counsellor, I tailor my techniques to suit each individual's needs and capabilities. My approach incorporates various therapeutic methods, including grief and bereavement art, behavioural, creative, CBT, and transactional analysis. My goal is to work with you to harness your abilities and strengths. You are probably thinking, 'How can I be helped?' Well, I support you to work through the situations with techniques to support you, guiding you to gain a solution. Specialities: inherited trauma, Relationship issues Anger, and emotional regulation. Any trauma can have a lasting impact on us later in our adult life.
As an integrative counsellor, I tailor my techniques to suit each individual's needs and capabilities. My approach incorporates various therapeutic methods, including grief and bereavement art, behavioural, creative, CBT, and transactional analysis. My goal is to work with you to harness your abilities and strengths. You are probably thinking, 'How can I be helped?' Well, I support you to work through the situations with techniques to support you, guiding you to gain a solution. Specialities: inherited trauma, Relationship issues Anger, and emotional regulation. Any trauma can have a lasting impact on us later in our adult life.
01253 835852 View 01253 835852
Abida Haroon
Counsellor, MBACP Accred
1 Endorsed
Online Only
Sometimes life can be tough and talking about the challenges and struggles we go through with our loved ones can be even more difficult and it can leave us feeling isolated and lonely. Asking for help is not easy and if you have not experienced counselling before you may find your self asking the question, do i need counselling? If you feel the need to gain insight and self awareness than counselling is a safe place for you to start your journey of self healing. We are living in the time of uncertainty and many of us are feeling stressed and anxious.It can be helpful to talk to a professional who can provide an outside perspective.
Sometimes life can be tough and talking about the challenges and struggles we go through with our loved ones can be even more difficult and it can leave us feeling isolated and lonely. Asking for help is not easy and if you have not experienced counselling before you may find your self asking the question, do i need counselling? If you feel the need to gain insight and self awareness than counselling is a safe place for you to start your journey of self healing. We are living in the time of uncertainty and many of us are feeling stressed and anxious.It can be helpful to talk to a professional who can provide an outside perspective.
01254 786538 View 01254 786538
Photo of Kate Michelle Farmer - Calming Minds Counselling, Counsellor, BACP
Calming Minds Counselling
Counsellor, BACP
Chorley PR7
Life can feel overwhelming at times, but you don’t have to face it alone. I offering a confidential, safe, supportive, compassionate and non-judgmental space where you can explore your thoughts & emotions. Whether you’re struggling with anxiety, depression, stress, low self-esteem or relationship challenges, I tailor my approach to your specific needs, helping you gain clarity and a sense of control. I offer both in-person and online sessions to fit your lifestyle - days or evenings. If you are ready to take the first step towards positive change, get in touch - I'd love to hear from you and support you on your journey.
Life can feel overwhelming at times, but you don’t have to face it alone. I offering a confidential, safe, supportive, compassionate and non-judgmental space where you can explore your thoughts & emotions. Whether you’re struggling with anxiety, depression, stress, low self-esteem or relationship challenges, I tailor my approach to your specific needs, helping you gain clarity and a sense of control. I offer both in-person and online sessions to fit your lifestyle - days or evenings. If you are ready to take the first step towards positive change, get in touch - I'd love to hear from you and support you on your journey.
01257 446937 View 01257 446937
Photo of Diego Tinte, Psychotherapist, MBACP Accred
Diego Tinte
Psychotherapist, MBACP Accred
Serves Area
As a psychotherapist, I offer a safe and genuine space where you can gain a deeper understanding of yourself and reconnect with what truly matters to you. Together, we’ll work to unlock the potential that may feel buried beneath daily pressures, past experiences or others’ expectations. My aim is for each session to be a meaningful experience where, through an empathetic and open relationship, you feel supported in rediscovering your desires and moving forward with clarity and confidence.
As a psychotherapist, I offer a safe and genuine space where you can gain a deeper understanding of yourself and reconnect with what truly matters to you. Together, we’ll work to unlock the potential that may feel buried beneath daily pressures, past experiences or others’ expectations. My aim is for each session to be a meaningful experience where, through an empathetic and open relationship, you feel supported in rediscovering your desires and moving forward with clarity and confidence.
020 4538 1707 View 020 4538 1707
Photo of Jessica Sarant, MA
Jessica Sarant
Verified Verified
Online Only
As a dedicated couples therapist, I specialize in helping partners reconnect, communicate effectively, and rebuild trust using a blend of evidence-based approaches - primarily Gottman Method and Emotionally Focused Therapy. The Gottman Method brings a research-driven framework that helps couples manage conflict, deepen friendship, and create shared meaning. In tandem, Emotionally Focused Therapy focuses on the emotional bonds between partners, helping each person feel more secure, heard, and emotionally accessible to the other.
As a dedicated couples therapist, I specialize in helping partners reconnect, communicate effectively, and rebuild trust using a blend of evidence-based approaches - primarily Gottman Method and Emotionally Focused Therapy. The Gottman Method brings a research-driven framework that helps couples manage conflict, deepen friendship, and create shared meaning. In tandem, Emotionally Focused Therapy focuses on the emotional bonds between partners, helping each person feel more secure, heard, and emotionally accessible to the other.
01253 835348 View 01253 835348
Photo of Fatemeh Mokri, Counsellor, BACP
Fatemeh Mokri
Counsellor, BACP
Bolton BL6
If you are struggling with mental health issues I am here to help. At times, overwhelming situations in life can create an emotional fog, robbing us of our clear vision. It may be ongoing relational issues, low self-esteem, low mood, anxiety, a sudden event such as bereavement, a break-up, losing your job, or simply feeling unhappy without knowing why. Through my own experience of therapy, I have learned that unraveling one's problems through talking and reflecting really allows one to gain perspective and to grow.
If you are struggling with mental health issues I am here to help. At times, overwhelming situations in life can create an emotional fog, robbing us of our clear vision. It may be ongoing relational issues, low self-esteem, low mood, anxiety, a sudden event such as bereavement, a break-up, losing your job, or simply feeling unhappy without knowing why. Through my own experience of therapy, I have learned that unraveling one's problems through talking and reflecting really allows one to gain perspective and to grow.
01204 929679 View 01204 929679
Photo of Catherine Mary Ashbrook, Counsellor, MBACP
Catherine Mary Ashbrook
Counsellor, MBACP
Chorley PR7
Life can feel too much when you are juggling lots of different roles and you may feel as if you are weighed down by everything that you are carrying. This might leave you feeling stressed, anxious or depressed. Putting the needs of others before yourself can be exhausting and a constant source of worry, negative thinking and conflicting emotions. Maybe you are finding it hard to gain a work life balance. Maybe this is causing relationship difficulties or affecting your ability to connect with others. Perhaps you keep telling yourself that you should be managing better but are finding it hard to cope and can't admit this to anyone.
Life can feel too much when you are juggling lots of different roles and you may feel as if you are weighed down by everything that you are carrying. This might leave you feeling stressed, anxious or depressed. Putting the needs of others before yourself can be exhausting and a constant source of worry, negative thinking and conflicting emotions. Maybe you are finding it hard to gain a work life balance. Maybe this is causing relationship difficulties or affecting your ability to connect with others. Perhaps you keep telling yourself that you should be managing better but are finding it hard to cope and can't admit this to anyone.
01722 442125 View 01722 442125
Photo of Umiar Hassan, Psychotherapist, MBACP
Umiar Hassan
Psychotherapist, MBACP
Online Only
You’re the one who keeps it together for everyone else—but inside, you’re anxious, overwhelmed, or just not feeling like yourself. You’ve been coping for a while, but now you’re ready for real change. Maybe you’re stuck in patterns that no longer serve you overthinking, people-pleasing, burnout, or low self-worth. Or you’re carrying past pain that still affects you today. You don’t want a quick fix. You want to understand what’s going on, feel more in control, and reconnect with who you really are. You’re ready to talk, even if it feels a bit scary. You want a space where you can be honest, feel heard, and start healing.
You’re the one who keeps it together for everyone else—but inside, you’re anxious, overwhelmed, or just not feeling like yourself. You’ve been coping for a while, but now you’re ready for real change. Maybe you’re stuck in patterns that no longer serve you overthinking, people-pleasing, burnout, or low self-worth. Or you’re carrying past pain that still affects you today. You don’t want a quick fix. You want to understand what’s going on, feel more in control, and reconnect with who you really are. You’re ready to talk, even if it feels a bit scary. You want a space where you can be honest, feel heard, and start healing.
020 4572 6589 View 020 4572 6589
Photo of Geoffrey Alan Lane - Healing in Unity, Psychotherapist, MA, MBACP
Healing in Unity
Psychotherapist, MA, MBACP
Serves Area
Hi, my name is Geoff Lane. Thank you for taking the first step and reaching out—it’s a courageous decision. There are many reasons you may be considering counselling. Perhaps you’re feeling overwhelmed or in crisis, unsure of where to turn. Or maybe you’re seeking change: to think or behave differently, to feel happier, to build your confidence, explore your choices, or work toward fulfilling your potential. Whatever your reasons, I want you to know that this is a safe space where you can talk about anything. My aim is to provide a non-judgmental, supportive environment where you feel truly heard and understood
Hi, my name is Geoff Lane. Thank you for taking the first step and reaching out—it’s a courageous decision. There are many reasons you may be considering counselling. Perhaps you’re feeling overwhelmed or in crisis, unsure of where to turn. Or maybe you’re seeking change: to think or behave differently, to feel happier, to build your confidence, explore your choices, or work toward fulfilling your potential. Whatever your reasons, I want you to know that this is a safe space where you can talk about anything. My aim is to provide a non-judgmental, supportive environment where you feel truly heard and understood
01253 835628 View 01253 835628

How does your Counsellor compare?

Number of Counsellors in Colne

10+

Average cost per session

£57

Counsellors in Colne who prioritize treating:

100% Depression
100% Anxiety
100% Self Esteem
90% Relationship Issues
80% Stress
70% Trauma and PTSD
70% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

50% Aviva
50% Bupa
25% Any/Out-of-network Insurance

How Counsellors in Colne see their clients

90% In Person and Online
10% Online Only

Gender breakdown

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

How can I find a therapist in Colne?

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.