Photo of Karl Ryan Woolley, MBABCP, Psychotherapist
Karl Ryan Woolley
Psychotherapist, MBABCP
Verified Verified
Crewe CW2
I am an accredited Cognitive Behavioural Therapist (CBT) with 20 years of experience of working within a range of psychological settings within both the NHS and private sector. Gathering from my experience, I can utilise various models of therapy such as CBT, EMDR and DBT. I have a particular interest in working with individuals who are struggling with PTSD, both single and complex presentations, using both CBT and EMDR approaches, which I have found to be effective methods. I am also keen to work with individuals who have long term physical health conditions and low self-esteem.
I am an accredited Cognitive Behavioural Therapist (CBT) with 20 years of experience of working within a range of psychological settings within both the NHS and private sector. Gathering from my experience, I can utilise various models of therapy such as CBT, EMDR and DBT. I have a particular interest in working with individuals who are struggling with PTSD, both single and complex presentations, using both CBT and EMDR approaches, which I have found to be effective methods. I am also keen to work with individuals who have long term physical health conditions and low self-esteem.
01270 447557 View 01270 447557
Photo of Steve Pointon, MBACP, Counsellor
Steve Pointon
Counsellor, MBACP
Verified Verified
1 Endorsed
Crewe CW2
Life sometimes throws up some unexpected hurdles. We can be knocked out of our stride when we least expect it. Have you received some bad news recently or are you struggling with your health or that of somebody close to you? Do you need to talk it through and explore how you are feeling? Are you having problems with your employer and or your work situation, which can be a real problem especially in these difficult times? Are you struggling with anxiety and struggling to function? Have you suffered the loss of a loved one and don't feel able to talk about this with other friends and family who are going through the same loss?
Life sometimes throws up some unexpected hurdles. We can be knocked out of our stride when we least expect it. Have you received some bad news recently or are you struggling with your health or that of somebody close to you? Do you need to talk it through and explore how you are feeling? Are you having problems with your employer and or your work situation, which can be a real problem especially in these difficult times? Are you struggling with anxiety and struggling to function? Have you suffered the loss of a loved one and don't feel able to talk about this with other friends and family who are going through the same loss?
01270 447580 View 01270 447580
Photo of Alicja Blada- Edgeley, MA, BACP, Counsellor
Alicja Blada- Edgeley
Counsellor, MA, BACP
Verified Verified
Crewe CW2
I work with depression, anxiety and with people who have experienced control, manipulation and abuse in their lives. Feeling low, stressed and anxious can impact hugely how we manage our day to day tasks. Often leads to isolation from friends and family, because we feel that people don't understand what we are going through. In fact, we often don't understand what we are feeling and why we feel so low or anxious. Being with someone controlling feels like 'walking on eggshells' -not knowing what to expect next. You doubt and question yourself in many ways.
I work with depression, anxiety and with people who have experienced control, manipulation and abuse in their lives. Feeling low, stressed and anxious can impact hugely how we manage our day to day tasks. Often leads to isolation from friends and family, because we feel that people don't understand what we are going through. In fact, we often don't understand what we are feeling and why we feel so low or anxious. Being with someone controlling feels like 'walking on eggshells' -not knowing what to expect next. You doubt and question yourself in many ways.
01270 260279 View 01270 260279
Photo of Helen Bradley - Counselling With Helen, MBACP, Counsellor
Counselling With Helen
Counsellor, MBACP
Verified Verified
Crewe CW2
Waitlist for new clients
Being a later in life diagnosed Autistic/combined ADHD counsellor, I feel I can offer genuine empathy & understanding if you're overwhelmed, feel isolated or struggling with life - I've been there. Are you feeling misunderstood? Lost or stuck? Like you don't fit in & nobody really "gets you"? In burnout? Wondering whether you may be Autistic/ADHD? Or support someone who is? Feeling overwhelmed with the thoughts of the diagnosis process, or recently diagnosed & left thinking "now what?" I've felt them all too. But change is absolutely possible; I have experience of Autism & ADHD from both sides of the fence; professional & personal.
Being a later in life diagnosed Autistic/combined ADHD counsellor, I feel I can offer genuine empathy & understanding if you're overwhelmed, feel isolated or struggling with life - I've been there. Are you feeling misunderstood? Lost or stuck? Like you don't fit in & nobody really "gets you"? In burnout? Wondering whether you may be Autistic/ADHD? Or support someone who is? Feeling overwhelmed with the thoughts of the diagnosis process, or recently diagnosed & left thinking "now what?" I've felt them all too. But change is absolutely possible; I have experience of Autism & ADHD from both sides of the fence; professional & personal.
01270 447746 View 01270 447746
Photo of Nicola Burgess, MBACP, Counsellor
Nicola Burgess
Counsellor, MBACP
Verified Verified
Crewe CW2
Hi, I'm Nicola, a qualified Person-Centred counsellor. Do you experience times when things just get too much and although you may have a good network of family, friends or colleagues you just need a safe space where you can go to talk, not be judged and know that whatever is spoken about is confidential. Whatever is troubling you may stem from your childhood, a relationship, a traumatic event or something else but whatever it is, this maybe preventing you from living your life to the full. The first step can be daunting, but together we can explore your thoughts, your feelings which will enable you to gain a greater self worth.
Hi, I'm Nicola, a qualified Person-Centred counsellor. Do you experience times when things just get too much and although you may have a good network of family, friends or colleagues you just need a safe space where you can go to talk, not be judged and know that whatever is spoken about is confidential. Whatever is troubling you may stem from your childhood, a relationship, a traumatic event or something else but whatever it is, this maybe preventing you from living your life to the full. The first step can be daunting, but together we can explore your thoughts, your feelings which will enable you to gain a greater self worth.
01270 906391 View 01270 906391
Photo of Zara Kyd, MBACP, Counsellor
Zara Kyd
Counsellor, MBACP
Verified Verified
2 Endorsed
Crewe CW1
If you are grappling with the challenges of life, perhaps feeling its too much to bear, or overwhelming, then maybe I can help by journeying along side you as you explore the hard times you are encountering. I aim to provide a professional, safe, confidential and non judgmental space in which you will be able to explore recent and long standing personal issues, to perhaps gain a greater understanding of your unhappiness and distress, helping you find a better way forwards.
If you are grappling with the challenges of life, perhaps feeling its too much to bear, or overwhelming, then maybe I can help by journeying along side you as you explore the hard times you are encountering. I aim to provide a professional, safe, confidential and non judgmental space in which you will be able to explore recent and long standing personal issues, to perhaps gain a greater understanding of your unhappiness and distress, helping you find a better way forwards.
01270 433352 View 01270 433352
Photo of Diane Earl, MBACP, Counsellor
Diane Earl
Counsellor, MBACP
Verified Verified
Crewe CW2
Waitlist for new clients
We all struggle to make sense of experiences at times, for example, when our life is in transition as we are leaving home or taking on new caring responsibilities. As a counsellor I can offer the opportunity to talk in confidence. I have worked in mental health for over 20 years and have trained as a social worker as well as a counsellor. Social networks and our sense of connection, can contribute to our emotional resilience and ability to face life's challenges. I can help you find a broader perspective and your own way forward.
We all struggle to make sense of experiences at times, for example, when our life is in transition as we are leaving home or taking on new caring responsibilities. As a counsellor I can offer the opportunity to talk in confidence. I have worked in mental health for over 20 years and have trained as a social worker as well as a counsellor. Social networks and our sense of connection, can contribute to our emotional resilience and ability to face life's challenges. I can help you find a broader perspective and your own way forward.
07480 540068 View 07480 540068
Photo of Paula Walker, MBACP, Counsellor
Paula Walker
Counsellor, MBACP
Verified Verified
Crewe CW1
Hello, I’m Paula, a qualified Person-Centred Counsellor. I have experience working with adults and young people. I can help with and have a particular focus on anxiety, depression, confidence and low self-worth.
Hello, I’m Paula, a qualified Person-Centred Counsellor. I have experience working with adults and young people. I can help with and have a particular focus on anxiety, depression, confidence and low self-worth.
01270 447780 View 01270 447780
Photo of Joanne Mary Trahair, DCounsPsych, MNCPS Acc., Counsellor
Joanne Mary Trahair
Counsellor, DCounsPsych, MNCPS Acc.
Verified Verified
Online Only
Helping clients with anxiety issues. Able to empathize with distress from cancer, grief and menopause symptoms. Maybe you just need to talk or would like coping tools, or to know, you are not alone. Its good to have goals and want to feel better about ourselves. Its also important to feel listened to and understood in a deeper way, to be heard. The recognition of being listened to can be an incredibly motivating force that can ignites us when we are together, it is meaningful and sustains us in our darkest moments.
Helping clients with anxiety issues. Able to empathize with distress from cancer, grief and menopause symptoms. Maybe you just need to talk or would like coping tools, or to know, you are not alone. Its good to have goals and want to feel better about ourselves. Its also important to feel listened to and understood in a deeper way, to be heard. The recognition of being listened to can be an incredibly motivating force that can ignites us when we are together, it is meaningful and sustains us in our darkest moments.
01270 433227 View 01270 433227
Photo of Nicola Segrott, MSc, MBACP Accred, Counsellor
Nicola Segrott
Counsellor, MSc, MBACP Accred
Verified Verified
Crewe CW2
I’m Nicola, I work with individuals and couples trying to make sense of change in their lives. Change may be a natural part of human life, but it can be difficult to figure out what happens next when suddenly something new occurs. The emotional effects of life events can knock you off balance influencing the way you think and feel about yourself now and in the future. I hope to help people make sense of the emotional impact of life changes and how they influence day to day emotions. One-to-one therapy gives you the time and place to process the difficult events in your life.
I’m Nicola, I work with individuals and couples trying to make sense of change in their lives. Change may be a natural part of human life, but it can be difficult to figure out what happens next when suddenly something new occurs. The emotional effects of life events can knock you off balance influencing the way you think and feel about yourself now and in the future. I hope to help people make sense of the emotional impact of life changes and how they influence day to day emotions. One-to-one therapy gives you the time and place to process the difficult events in your life.
01270 439922 View 01270 439922
Photo of Emma Stafford, MSc, MBACP, Counsellor
Emma Stafford
Counsellor, MSc, MBACP
Verified Verified
Crewe CW2
Not accepting new clients
Hi, my name is Emma and I am a qualified Person-centred counsellor (MBACP). Being Person-centred means that the sessions I offer are client-led, valuing the unique experience of each individual. We can all face times in our lives where we feel like we need extra support or just a listening ear. I believe that, as a counsellor, I can provide both of these things as well as a safe, confidential and non-judgemental space to explore and make sense of your thoughts and feelings. My aim is that during our sessions together my clients will feel empowered and valued and eventually able to find their own solutions.
Hi, my name is Emma and I am a qualified Person-centred counsellor (MBACP). Being Person-centred means that the sessions I offer are client-led, valuing the unique experience of each individual. We can all face times in our lives where we feel like we need extra support or just a listening ear. I believe that, as a counsellor, I can provide both of these things as well as a safe, confidential and non-judgemental space to explore and make sense of your thoughts and feelings. My aim is that during our sessions together my clients will feel empowered and valued and eventually able to find their own solutions.
01270 906624 View 01270 906624
Photo of Pauline Hulse - Pauline Hulse counselling , MBACP, Counsellor
Pauline Hulse counselling
Counsellor, MBACP
Verified Verified
Crewe CW2
I am a qualifed childrens and young people's counsellor. I practice integrative counselling meaning I can tailor sessions to the clients needs by using different modals of counselling. I work in a Sen school as well as private practice, so i have experience of working with children and young peopIe with additional needs. All different age ranges of children from 7 to 20 years of young people, I offer a warm and welcoming space for a child or young person to work in. I realise how difficult it must be for a child and young person to enter into counselling but with my experience in this area I hope I would soon put them at ease.
I am a qualifed childrens and young people's counsellor. I practice integrative counselling meaning I can tailor sessions to the clients needs by using different modals of counselling. I work in a Sen school as well as private practice, so i have experience of working with children and young peopIe with additional needs. All different age ranges of children from 7 to 20 years of young people, I offer a warm and welcoming space for a child or young person to work in. I realise how difficult it must be for a child and young person to enter into counselling but with my experience in this area I hope I would soon put them at ease.
01270 916980 View 01270 916980
Photo of Caz (Carole) Davies, BACP, Counsellor
Caz (Carole) Davies
Counsellor, BACP
Verified Verified
Online Only
Change can sometimes be hard. Facing changes in our life can bring forth a bombardment of expected and unexpected emotion: anxiety and fear about what will happen next; sadness and anger about the circumstances of the change; guilt and shame about past events. It can feel like a whirlwind of thoughts going around inside your head. Opening the 'box' and letting those thoughts out in a safe, compassionate setting releases the overwhelm, helps you to see more clearly what is right for you and builds confidence in your inner wisdom.
Change can sometimes be hard. Facing changes in our life can bring forth a bombardment of expected and unexpected emotion: anxiety and fear about what will happen next; sadness and anger about the circumstances of the change; guilt and shame about past events. It can feel like a whirlwind of thoughts going around inside your head. Opening the 'box' and letting those thoughts out in a safe, compassionate setting releases the overwhelm, helps you to see more clearly what is right for you and builds confidence in your inner wisdom.
01270 449715 View 01270 449715
Photo of Rebecca Hobbis, MBACP, Counsellor
Rebecca Hobbis
Counsellor, MBACP
Verified Verified
Crewe CW2
Not accepting new clients
Hi I'm Rebecca, I work with many different clients from greif and bereavement, Relationship issues, Stress, Anxiety to overcoming Childhood Trauma and PTSD. Many suffering with feelings of being overwhelmed, anxious and perhpas a loss of direction in their life. Feelings of being alone, unsure how to process their feelings and emotions to be able to achieve their goals. If you are open to change and to heal then lets chat and see how I can help you, and working together to acheive what you want out of therapy.
Hi I'm Rebecca, I work with many different clients from greif and bereavement, Relationship issues, Stress, Anxiety to overcoming Childhood Trauma and PTSD. Many suffering with feelings of being overwhelmed, anxious and perhpas a loss of direction in their life. Feelings of being alone, unsure how to process their feelings and emotions to be able to achieve their goals. If you are open to change and to heal then lets chat and see how I can help you, and working together to acheive what you want out of therapy.
01270 906194 View 01270 906194
Photo of Katy Louise Yeates - Katy Louise Counselling, PNCPS Acc., Counsellor
Katy Louise Counselling
Counsellor, PNCPS Acc.
Verified Verified
Crewe CW2
I offer one to one counselling sessions face to face, on the internet or over the phone. I offer a safe place for you to talk, I will listen and remain non judgmental throughout your counselling journey. This allows you to learn about yourself & notice patterns in your behaviour. We are able to break the struggles & problems down, I will reflect things back to you and teach coping techniques to assist with the problems you are facing.
I offer one to one counselling sessions face to face, on the internet or over the phone. I offer a safe place for you to talk, I will listen and remain non judgmental throughout your counselling journey. This allows you to learn about yourself & notice patterns in your behaviour. We are able to break the struggles & problems down, I will reflect things back to you and teach coping techniques to assist with the problems you are facing.
01270 447654 View 01270 447654
Photo of Alison Lee Soulsby, MSc, MBACP, Counsellor
Alison Lee Soulsby
Counsellor, MSc, MBACP
Verified Verified
Crewe CW2
You may have many friends and relations, but find it difficult to talk to them about your most private worries or concerns. If you are looking for someone whose sole relationship with you is to discuss issues causing you stress, or anxiety, or depression then counselling may help. I am a person-centred counsellor, which means I place an emphasis on helping you to build your resilience and confidence when issues arise in your to day to day life. As a counsellor I do not judge your thoughts, feelings or actions, but rather help you to understand these for yourself.
You may have many friends and relations, but find it difficult to talk to them about your most private worries or concerns. If you are looking for someone whose sole relationship with you is to discuss issues causing you stress, or anxiety, or depression then counselling may help. I am a person-centred counsellor, which means I place an emphasis on helping you to build your resilience and confidence when issues arise in your to day to day life. As a counsellor I do not judge your thoughts, feelings or actions, but rather help you to understand these for yourself.
01270 446537 View 01270 446537
Photo of Andrew Frost, BACP, Counsellor
Andrew Frost
Counsellor, BACP
Verified Verified
Crewe CW2
As an Integrative Counsellor here in Sandbach and Crewe, Cheshire, I can help you explore areas you'd like to focus on in session. I can help in a more direct way to explore a solution-focused approach to help your situation. By using different therapy tools I can tailor individual sessions to suit your needs and goals. My areas of expertise include helping overcome past traumas, historical abuse, and anxiety. I have been in private practice since 2006 and have worked within the NHS Mental Health Services and The Priory Hospital - Altrincham, Cheshire.
As an Integrative Counsellor here in Sandbach and Crewe, Cheshire, I can help you explore areas you'd like to focus on in session. I can help in a more direct way to explore a solution-focused approach to help your situation. By using different therapy tools I can tailor individual sessions to suit your needs and goals. My areas of expertise include helping overcome past traumas, historical abuse, and anxiety. I have been in private practice since 2006 and have worked within the NHS Mental Health Services and The Priory Hospital - Altrincham, Cheshire.
01270 447674 View 01270 447674
Photo of Steve John Barlow - Steve Barlow Counselling & Supervision Services, MBACP Accred, Counsellor
Steve Barlow Counselling & Supervision Services
Counsellor, MBACP Accred
Verified Verified
Online Only
I am a BACP accredited, fully insured counsellor, supervisor and support group facilitator with over 20 years experience of working with clients both in an organisational setting and in private practice. I currently have availability Monday to Friday and sessions are now available online via secure video platforms. I am well-versed in providing both long and short-term counselling arrangements, covering many issues from addiction, bereavement and abuse to anxiety to relationship concerns and sexuality and gender.
I am a BACP accredited, fully insured counsellor, supervisor and support group facilitator with over 20 years experience of working with clients both in an organisational setting and in private practice. I currently have availability Monday to Friday and sessions are now available online via secure video platforms. I am well-versed in providing both long and short-term counselling arrangements, covering many issues from addiction, bereavement and abuse to anxiety to relationship concerns and sexuality and gender.
01763 291259 View 01763 291259
Photo of Donna Maria Davenport, Counsellor
Donna Maria Davenport
Counsellor
Verified Verified
Serves Area
At DD Counselling, I offer a laid back approach which puts my clients immediately at ease. My clients are able to speak freely without any judgement, whilst feeling valued and respected at all times. I offer face to face and online appointments, ensuring that clients are able to communicate on every level throughout their session. I adapt my sessions which is catered around my clients needs. I will use a variety of Integrated Therapies, which enable clients to understand their thoughts and feelings. If you feel that this type of Counselling approach is for you, I would love to hear from you.
At DD Counselling, I offer a laid back approach which puts my clients immediately at ease. My clients are able to speak freely without any judgement, whilst feeling valued and respected at all times. I offer face to face and online appointments, ensuring that clients are able to communicate on every level throughout their session. I adapt my sessions which is catered around my clients needs. I will use a variety of Integrated Therapies, which enable clients to understand their thoughts and feelings. If you feel that this type of Counselling approach is for you, I would love to hear from you.
01270 441979 View 01270 441979
Photo of Christine (Chris) Jackson, MBACP Accred, Counsellor
Christine (Chris) Jackson
Counsellor, MBACP Accred
Verified Verified
Serves Area
I qualified as a Person-Centred Counsellor in 2013 and feel privileged to work with adults, couples and young people. I am also a qualified supervisor having the pleasure to supervise both trainee and qualified counsellors. I offer a safe, caring and respectful relationship in which you are offered the space to explore self in ways which feel comfortable for you. Counselling can help with a wide range of issues including relationships, work-related matters, loneliness, sexuality, spirituality, low self-esteem, depression, anxiety, abuse,trauma, illness, loss and bereavement.
I qualified as a Person-Centred Counsellor in 2013 and feel privileged to work with adults, couples and young people. I am also a qualified supervisor having the pleasure to supervise both trainee and qualified counsellors. I offer a safe, caring and respectful relationship in which you are offered the space to explore self in ways which feel comfortable for you. Counselling can help with a wide range of issues including relationships, work-related matters, loneliness, sexuality, spirituality, low self-esteem, depression, anxiety, abuse,trauma, illness, loss and bereavement.
01606 668847 View 01606 668847
1

See more therapy options for Crewe

How does your Counsellor compare?

Number of Counsellors in Crewe

30+

Average cost per session

£50

Counsellors in Crewe who prioritize treating:

95% Anxiety
86% Stress
84% Bereavement
84% Self Esteem
78% Depression
76% Trauma and PTSD
73% Relationship Issues

Average years in practice

10 Years

Top 3 insurances accepted

38% AXA PPP
38% Vitality
38% Nuffield Health

How Counsellors in Crewe see their clients

82% In Person and Online
18% Online Only

Gender breakdown

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

How can I find a therapist in Crewe?

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.