Counselling in Derby
Chris Allwright
Counsellor, MBACP
Verified Verified
Derby DE22
Are you struggling to cope with stress, anxiety or the effects of traumatic events in your life? Are you stuck with difficult feelings and/or circumstances and need help to find a way through them? Or are you looking for answers to “where do I go from here?” Please contact me for a free consultation, I’m always committed to finding ways to help. With over 30 years’ experience in mental health and wellbeing I have worked with all ages, from secondary school through to end-of-life care and have worked with people in many different challenging, traumatic and complex circumstances. I am confident to deal with any issue.
Are you struggling to cope with stress, anxiety or the effects of traumatic events in your life? Are you stuck with difficult feelings and/or circumstances and need help to find a way through them? Or are you looking for answers to “where do I go from here?” Please contact me for a free consultation, I’m always committed to finding ways to help. With over 30 years’ experience in mental health and wellbeing I have worked with all ages, from secondary school through to end-of-life care and have worked with people in many different challenging, traumatic and complex circumstances. I am confident to deal with any issue.
Mel Paulson
Counsellor, MBACP
Verified Verified
Derby DE22
I understand that life can be difficult and there may be times when you could benefit from talking to an approachable counsellor. Collaboratively we can explore challenges or issues that you are facing and work towards empowerment for change. I specialise in neurodiversity (ASD/ADHD) and offer a therapeutic space for children, young people and adults to develop self-awareness and coping strategies. I am a qualified integrative counsellor who is committed to offering you a safe, non-judgmental and confidential space to allow you to explore your thoughts and feelings.
I understand that life can be difficult and there may be times when you could benefit from talking to an approachable counsellor. Collaboratively we can explore challenges or issues that you are facing and work towards empowerment for change. I specialise in neurodiversity (ASD/ADHD) and offer a therapeutic space for children, young people and adults to develop self-awareness and coping strategies. I am a qualified integrative counsellor who is committed to offering you a safe, non-judgmental and confidential space to allow you to explore your thoughts and feelings.
lunar Mind Ltd
Counsellor, MA
Verified Verified
Derby DE1
Our aim is to support at the earliest opportunity with prevention and early intervention programmes. Lunar Mind offers a unique service; which focuses on family intervention surrounding trauma and attachment. The aim is to ensure that young people and families are not being missed and specialist parenting approaches can be used to support the whole family. The main values in which Lunar Mind work towards are: Empathy; Compassion; Trust; Integrity and Honesty.
Our aim is to support at the earliest opportunity with prevention and early intervention programmes. Lunar Mind offers a unique service; which focuses on family intervention surrounding trauma and attachment. The aim is to ensure that young people and families are not being missed and specialist parenting approaches can be used to support the whole family. The main values in which Lunar Mind work towards are: Empathy; Compassion; Trust; Integrity and Honesty.
Lucy Millar
Psychotherapist, MSc, MBACP
Verified Verified
Derby DE22
It is amazing how much being listened to helps. Sometimes it is enough to merely let go of the words that have built up inside you over the years. We are all built differently, and a significant amount of my clients have been a little daunted by the thought of talking about themselves for this long, at least at the beginning. I have a patient and relaxed style that my clients tell me help them take things at their own pace. I know that the only ‘right’ way of ‘doing therapy’ is the way that makes you feel safe. No two of my clients are the same therefore I have adopted a style that provides bespoke sessions to each individual.
It is amazing how much being listened to helps. Sometimes it is enough to merely let go of the words that have built up inside you over the years. We are all built differently, and a significant amount of my clients have been a little daunted by the thought of talking about themselves for this long, at least at the beginning. I have a patient and relaxed style that my clients tell me help them take things at their own pace. I know that the only ‘right’ way of ‘doing therapy’ is the way that makes you feel safe. No two of my clients are the same therefore I have adopted a style that provides bespoke sessions to each individual.
Nick Campion
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
Derby DE1
Time to address something in your life? Perhaps you’ve been depressed or anxious, fearful, grieving or stuck. Maybe you’re struggling with relationships or something has happened in your life that you need to deal with and understand. Or it might be that you just have a nagging sense that something isn’t quite right and it’s finally time to work out who you are and what you want from life. I’ll listen to you carefully to understand why you’ve chosen to come to therapy and maybe even help clarify what it is that is troubling you. My aim will be to help you feel safe, valued, accepted and understood.
Time to address something in your life? Perhaps you’ve been depressed or anxious, fearful, grieving or stuck. Maybe you’re struggling with relationships or something has happened in your life that you need to deal with and understand. Or it might be that you just have a nagging sense that something isn’t quite right and it’s finally time to work out who you are and what you want from life. I’ll listen to you carefully to understand why you’ve chosen to come to therapy and maybe even help clarify what it is that is troubling you. My aim will be to help you feel safe, valued, accepted and understood.
The Calming Quarter
Psychotherapist, PsychD, MNCPS Acc.
Verified Verified
Derby DE1
Are you feeling overwhelmed, anxious, frustrated or sad? Nestled in the heart of the cathedral quarter Derby, you will find a spa for your mind. A place to quieten the mind, relax, unwind and be listened to. Somewhere that you can just be you, understand your thoughts and feelings and develop tools to enable you to deal with life’s challenges. The Calming Quarter offers psychotherapy, counselling and hypnotherapy and a place to listen to your needs without the endless noise of modern day life. Together we will help to achieve your goals. We offer help with anxiety, relationships issues, self esteem, depression, trauma, and grief.
Are you feeling overwhelmed, anxious, frustrated or sad? Nestled in the heart of the cathedral quarter Derby, you will find a spa for your mind. A place to quieten the mind, relax, unwind and be listened to. Somewhere that you can just be you, understand your thoughts and feelings and develop tools to enable you to deal with life’s challenges. The Calming Quarter offers psychotherapy, counselling and hypnotherapy and a place to listen to your needs without the endless noise of modern day life. Together we will help to achieve your goals. We offer help with anxiety, relationships issues, self esteem, depression, trauma, and grief.
Blossom Tree Therapy - Sarah Legg
Psychotherapist, PsychD, MNCPS Acc.
Verified Verified
1 Endorsed
Derby DE22
Welcome. You may be going through a difficult time and perhaps you feel that you are unable to resolve these issues alone. Counselling can give you the opportunity to make sense of these issues. I am a qualified Integrative Counsellor offering Individual Therapy sessions. I see people of all ages, either face to face or online., on a short-term basis or long term. I have my own private practice in Allestree, Derby.I work by concentrating on what is important to you and supporting you to gain a fresh perspective through reflecting on and understanding yourself and your present situation.
Welcome. You may be going through a difficult time and perhaps you feel that you are unable to resolve these issues alone. Counselling can give you the opportunity to make sense of these issues. I am a qualified Integrative Counsellor offering Individual Therapy sessions. I see people of all ages, either face to face or online., on a short-term basis or long term. I have my own private practice in Allestree, Derby.I work by concentrating on what is important to you and supporting you to gain a fresh perspective through reflecting on and understanding yourself and your present situation.
My Choice Psychotherapy & Counselling Practice
Counsellor, MBACP
Verified Verified
Derby DE3
My name is Kim Byng, I am a fully qualified counsellor working in Derby. I have a background in working with clients affected by domestic violence (male and female) and also with victims of crime. I work with adult clients around relationship and attachment issues, domestic abuse, sexual abuse, anxiety, depression, low self-esteem, low self-confidence, loss, trauma, self harm, identifying patterns of relating to others, new relationships and personal growth. I generally use Transactional Analysis when working with clients, this involves inviting the client to examine their own processes and ways of relating to others so they can make changes in their lives.
My name is Kim Byng, I am a fully qualified counsellor working in Derby. I have a background in working with clients affected by domestic violence (male and female) and also with victims of crime. I work with adult clients around relationship and attachment issues, domestic abuse, sexual abuse, anxiety, depression, low self-esteem, low self-confidence, loss, trauma, self harm, identifying patterns of relating to others, new relationships and personal growth. I generally use Transactional Analysis when working with clients, this involves inviting the client to examine their own processes and ways of relating to others so they can make changes in their lives.
Sally Cooper
Psychotherapist, MA, MBACP
Verified Verified
Derby DE1
Hello and welcome. People access therapy for a variety of different reasons. You may have an area of your life that you are keen to explore, or perhaps you are less sure and that's ok too. Often the therapeutic relationship can offer new perspectives or awareness - perhaps new potentials or the rediscovery of something 'lost'. We are all unique I will work with you in a way that honours your experiences and respects you as an individual - supporting you to find your own direction and resources.
Hello and welcome. People access therapy for a variety of different reasons. You may have an area of your life that you are keen to explore, or perhaps you are less sure and that's ok too. Often the therapeutic relationship can offer new perspectives or awareness - perhaps new potentials or the rediscovery of something 'lost'. We are all unique I will work with you in a way that honours your experiences and respects you as an individual - supporting you to find your own direction and resources.
Rob Smith Psychotherapy
Psychotherapist, MSc, MBACP Accred
Verified Verified
Derby DE1 (Online Only)
Hello there. I am dedicated to providing a supportive and compassionate space to anyone experiencing difficulties in life. Whether you are struggling with something like anxiety, depression, stress, or generally feel that you need support in understanding how you feel, I am here to work with you. I have had the privilege of speaking with and supporting people, from all walks of life, over my many years doing this work and am a firm believer in the unique nature of all of us. As a result, I make it a priority to tailor our sessions to you and your goals specifically, to help you find some resolution to your struggles.
Hello there. I am dedicated to providing a supportive and compassionate space to anyone experiencing difficulties in life. Whether you are struggling with something like anxiety, depression, stress, or generally feel that you need support in understanding how you feel, I am here to work with you. I have had the privilege of speaking with and supporting people, from all walks of life, over my many years doing this work and am a firm believer in the unique nature of all of us. As a result, I make it a priority to tailor our sessions to you and your goals specifically, to help you find some resolution to your struggles.
Amy Scott | Counselling in Derby and Online
Counsellor, MBACP
Verified Verified
Derby DE1
Not accepting new clients
Are you feeling hopeless, low, anxious, lost or just not quite right? Struggling with imposter syndrome, overwhelmed or unfulfilled? I can offer you a calm, compassionate, non-judgemental space to explore whatever's on your mind or in your heart. I believe that you deserve an approach to therapy that's truly as unique as you are, so I never use 'a one size fits all' approach. Instead, I draw from a wide array of tools, approaches and theories - always working alongside you to find out what's best for you. Whether there's a certain event that's brought you to counselling, or things just don't feel 'quite right', counselling can help.
Are you feeling hopeless, low, anxious, lost or just not quite right? Struggling with imposter syndrome, overwhelmed or unfulfilled? I can offer you a calm, compassionate, non-judgemental space to explore whatever's on your mind or in your heart. I believe that you deserve an approach to therapy that's truly as unique as you are, so I never use 'a one size fits all' approach. Instead, I draw from a wide array of tools, approaches and theories - always working alongside you to find out what's best for you. Whether there's a certain event that's brought you to counselling, or things just don't feel 'quite right', counselling can help.
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Psychotherapist, MSc, MBACP
Verified Verified
1 Endorsed
Derby DE1 (Online Only)
Do you find yourself getting easily overwhelmed? Perhaps you are tired of having a busy brain that overthinks, overanalyses, and critiques everything you do. Possibly you’ve been told you’re too sensitive, over-emotional or too caring. Unforeseen change and uncertainty may make you anxious and after periods of socialising, you need alone time to recharge. This might mean you feel different, or boring, leading you to think negatively about yourself. Perhaps you outwardly appear very “together” or successful but hide-away the fact that life seems harder for you than it does for others, leaving you feeling like an imposter.
Do you find yourself getting easily overwhelmed? Perhaps you are tired of having a busy brain that overthinks, overanalyses, and critiques everything you do. Possibly you’ve been told you’re too sensitive, over-emotional or too caring. Unforeseen change and uncertainty may make you anxious and after periods of socialising, you need alone time to recharge. This might mean you feel different, or boring, leading you to think negatively about yourself. Perhaps you outwardly appear very “together” or successful but hide-away the fact that life seems harder for you than it does for others, leaving you feeling like an imposter.
The Child Psychology Hub - Dr Ella Woods
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Derby DE22
Mental health assessment ¬¬ ADHD assessment ¬¬ Consultation ¬¬ Therapy waitlist currently closed ¬¬ private social work services. Are you worried about your child’s emotional wellbeing? Have they had some changes in their mood or behaviour that worries you? Or maybe stress and anxiety is getting in the way of them achieving their potential or enjoying their life? You might be doubting yourself as a parent or feel exhausted trying to find the right support. At The Child Psychology Hub we offer specialist clinical psychology assessment and therapy to children and their families. www.thechildpsychologyhub.co.uk
Mental health assessment ¬¬ ADHD assessment ¬¬ Consultation ¬¬ Therapy waitlist currently closed ¬¬ private social work services. Are you worried about your child’s emotional wellbeing? Have they had some changes in their mood or behaviour that worries you? Or maybe stress and anxiety is getting in the way of them achieving their potential or enjoying their life? You might be doubting yourself as a parent or feel exhausted trying to find the right support. At The Child Psychology Hub we offer specialist clinical psychology assessment and therapy to children and their families. www.thechildpsychologyhub.co.uk
Louise Bellamy
Psychotherapist, MSc, MBACP Accred
Verified Verified
Derby DE22
Waitlist for new clients
Hi, I'm Louise, I'm a BACP-Accredited Integrative Psychotherapist offering individual therapy sessions to adults on a short or long-term basis. I can work with you either in-person from my home in Allestree (Derby), online, or outdoors in a 'Walk and Talk' format. I have experience in working with individuals facing a wide range of problems, and particularly with those suffering from eating disorders, trauma, anxiety, and difficulties in relating to other people. In addition to working privately, I have 10 years' experience of working with First Steps Derbyshire, providing counselling to sufferers of a range of eating disorders.
Hi, I'm Louise, I'm a BACP-Accredited Integrative Psychotherapist offering individual therapy sessions to adults on a short or long-term basis. I can work with you either in-person from my home in Allestree (Derby), online, or outdoors in a 'Walk and Talk' format. I have experience in working with individuals facing a wide range of problems, and particularly with those suffering from eating disorders, trauma, anxiety, and difficulties in relating to other people. In addition to working privately, I have 10 years' experience of working with First Steps Derbyshire, providing counselling to sufferers of a range of eating disorders.
Jo Burch Counselling and Psychotherapy
Psychotherapist, MSc, MUKCP
Verified Verified
Derby DE22
Hello and welcome, I'm Jo. You may have come here because you're struggling to cope with life's challenges. Perhaps you're feeling overwhelmed, lost or alone and you're finding it hard to deal with the difficult feelings. Many situations can bring us to a point where everything feels too much - for example, emotional and/or physical ill health, work stress, relationship difficulties, break-ups, bereavement, trauma and unresolved childhood issues. I offer psychotherapy and Havening Techniques to help you to explore what you need to resolve your difficulties and gain balance in your life and in your relationships.
Hello and welcome, I'm Jo. You may have come here because you're struggling to cope with life's challenges. Perhaps you're feeling overwhelmed, lost or alone and you're finding it hard to deal with the difficult feelings. Many situations can bring us to a point where everything feels too much - for example, emotional and/or physical ill health, work stress, relationship difficulties, break-ups, bereavement, trauma and unresolved childhood issues. I offer psychotherapy and Havening Techniques to help you to explore what you need to resolve your difficulties and gain balance in your life and in your relationships.
Penny Sutton
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
Derby DE23
Life can be difficult and challenging, if you’re fed up of just getting by, if you feel that your mood is low yet again and you are struggling with anxiety or overwhelm then talking therapy may be for you. My aim is to help you reach your full potential, to feel fulfilled. Some people find that having a private confidential space just for them, with an expert, who is not family or friend gives them the space to process complicated feelings and thoughts. The benefits can be enormous in terms of a re-set for a healthier and happier life.
Life can be difficult and challenging, if you’re fed up of just getting by, if you feel that your mood is low yet again and you are struggling with anxiety or overwhelm then talking therapy may be for you. My aim is to help you reach your full potential, to feel fulfilled. Some people find that having a private confidential space just for them, with an expert, who is not family or friend gives them the space to process complicated feelings and thoughts. The benefits can be enormous in terms of a re-set for a healthier and happier life.
Alison Watson
Psychotherapist, MNCPS Acc.
Verified Verified
Derby DE72
Sometimes the daily stresses in life can build to to a point where it impacts on your daily life and you feel unable to cope anymore. This can affect your relationship with those closest to you, as well as your enjoyment in life generally. You may be feeling anxious about little things and/or feeling down (even thoughts of suicide or self-harm) and unable to get motivated. Maybe you have been dealing with difficult traumas from the past, affecting your self-confidence and belief in yourself. Perhaps you've been drinking more than usual, sleeping less, spending more and have realised you need support to make changes in your life.
Sometimes the daily stresses in life can build to to a point where it impacts on your daily life and you feel unable to cope anymore. This can affect your relationship with those closest to you, as well as your enjoyment in life generally. You may be feeling anxious about little things and/or feeling down (even thoughts of suicide or self-harm) and unable to get motivated. Maybe you have been dealing with difficult traumas from the past, affecting your self-confidence and belief in yourself. Perhaps you've been drinking more than usual, sleeping less, spending more and have realised you need support to make changes in your life.
Garden Shed Counselling
Counsellor, MBACP Accred
Verified Verified
Derby DE23
No matter what your age, we all need someone who will listen, but sometimes we need someone that not only listens, but can help us to explore and understand the difficulties we may find in our lives. 'Listening is often the only thing needed to help someone' unknown
No matter what your age, we all need someone who will listen, but sometimes we need someone that not only listens, but can help us to explore and understand the difficulties we may find in our lives. 'Listening is often the only thing needed to help someone' unknown
Clare Cranage
Counsellor, BACP
Verified Verified
Derby DE73
Hi, I'm Clare. If you've made it this far I'd imagine you're probably going through something emotional that's feels strong enough for you to reach out for help. I offer a counselling service for those 18 and above using an integrative approach. This means that I am trained in different approaches and theories that we can use in our sessions, a little bit like a tool box. Using these tools to understand you and where your problems may be coming from, we will work together for you to reach the goals that you set for yourself.
Hi, I'm Clare. If you've made it this far I'd imagine you're probably going through something emotional that's feels strong enough for you to reach out for help. I offer a counselling service for those 18 and above using an integrative approach. This means that I am trained in different approaches and theories that we can use in our sessions, a little bit like a tool box. Using these tools to understand you and where your problems may be coming from, we will work together for you to reach the goals that you set for yourself.
Marta Perestrello
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
1 Endorsed
Derby DE3
I am an experienced and highly qualified art psychotherapist. I offer in person and online psychotherapy, clinical supervision, parent and professional consultation. I work with young people and adults in person from Derby or online from where ever you live, work or travel to. Contact me to arrange a free Introductory Meeting to talk through your needs and agree on the best plan forward before committing to any work.
I am an experienced and highly qualified art psychotherapist. I offer in person and online psychotherapy, clinical supervision, parent and professional consultation. I work with young people and adults in person from Derby or online from where ever you live, work or travel to. Contact me to arrange a free Introductory Meeting to talk through your needs and agree on the best plan forward before committing to any work.
See more therapy options for Derby
How does your Counsellor compare?
Number of Counsellors in Derby
100+
Average cost per session
£55
Counsellors in Derby who prioritize treating:
89% | Anxiety |
88% | Depression |
83% | Self Esteem |
81% | Relationship Issues |
78% | Stress |
73% | Trauma and PTSD |
72% | Coping Skills |
Average years in practice
9 Years
Top 3 insurances accepted
69% | AXA PPP |
59% | Aviva |
56% | Bupa |
How Counsellors in Derby see their clients
79% | In Person and Online | |
21% | Online Only |
Gender breakdown
89% | Female | |
10% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in Derby?
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
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.
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.
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.