Counselling in Enfield

Photo of Jennifer E Pearson, Psychotherapist, MA, MBACP
Jennifer E Pearson
Psychotherapist, MA, MBACP
Verified Verified
Online Only
Most of us experience feelings of sadness, loss, frustration, anger and stress at some time in our lives. It can be extremely difficult to express, understand and resolve these feelings when we are emotionally distressed. It may also be difficult to share some issues with family and friends for fear of being judged or misunderstood. I am here to offer you an empathic and non-judgmental ear. I am a highly experienced psychotherapist, offering a safe, calm and supportive space for you to work through those experiences and feelings, which are preventing you from leading a happy and fulfilling life.
Most of us experience feelings of sadness, loss, frustration, anger and stress at some time in our lives. It can be extremely difficult to express, understand and resolve these feelings when we are emotionally distressed. It may also be difficult to share some issues with family and friends for fear of being judged or misunderstood. I am here to offer you an empathic and non-judgmental ear. I am a highly experienced psychotherapist, offering a safe, calm and supportive space for you to work through those experiences and feelings, which are preventing you from leading a happy and fulfilling life.
07481 341660 View 07481 341660
Photo of Shivon Genus, Counsellor, MBACP
Shivon Genus
Counsellor, MBACP
Verified Verified
Enfield EN1
Welcome to ReDiscover & Bloom Therapy where the focus is on you! Are you struggling right now and not knowing which way to turn? Reaching out and making changes to your life is not easy. I am passionate about helping people who are experiencing a wide range of difficulties and will support you on this journey by creating a safe, confidential and non-judgmental space for you to feel at ease to talk and feel heard. For some, life can feel like an emotional rollercoaster and as a consequence, you may be left feeling detached from your sense of self and experiencing triggers and want to understand why you feel this way.
Welcome to ReDiscover & Bloom Therapy where the focus is on you! Are you struggling right now and not knowing which way to turn? Reaching out and making changes to your life is not easy. I am passionate about helping people who are experiencing a wide range of difficulties and will support you on this journey by creating a safe, confidential and non-judgmental space for you to feel at ease to talk and feel heard. For some, life can feel like an emotional rollercoaster and as a consequence, you may be left feeling detached from your sense of self and experiencing triggers and want to understand why you feel this way.
01992 662570 View 01992 662570
Photo of Alexandra Michael, Psychotherapist, MBACP
Alexandra Michael
Psychotherapist, MBACP
Verified Verified
Enfield EN2
You may be considering therapy as a result of a very specific difficulty such a relationship issues, a bereavement or low self esteem, or you may be struggling to deal with the day to day difficulties that life brings. You may wish to work with a therapist for a short period of time or you might want to build a longer therapeutic relationship. This may be your first experience of therapy or you might be returning to therapy following previous experiences. Any of these scenarios are welcome.
You may be considering therapy as a result of a very specific difficulty such a relationship issues, a bereavement or low self esteem, or you may be struggling to deal with the day to day difficulties that life brings. You may wish to work with a therapist for a short period of time or you might want to build a longer therapeutic relationship. This may be your first experience of therapy or you might be returning to therapy following previous experiences. Any of these scenarios are welcome.
020 3319 6640 View 020 3319 6640
Photo of Claire Ghassemi, Psychotherapist, MA, MBACP
Claire Ghassemi
Psychotherapist, MA, MBACP
Verified Verified
Enfield EN1
Therapy is one of the most positive things we can do for ourselves. It may seem like something other people do. But life isn’t easy and when it feels particularly overwhelming, talking to someone who listens without judgement, can really help us to trust ourselves and find perspective, meaning and confidence to enable a way forward. Clients I work with often find themselves in challenging and sometimes distressing situations and need a safe and confidential space to explore - at their own pace - what is going on for them, to rebuild, find healthier ways of coping and to experience hope.
Therapy is one of the most positive things we can do for ourselves. It may seem like something other people do. But life isn’t easy and when it feels particularly overwhelming, talking to someone who listens without judgement, can really help us to trust ourselves and find perspective, meaning and confidence to enable a way forward. Clients I work with often find themselves in challenging and sometimes distressing situations and need a safe and confidential space to explore - at their own pace - what is going on for them, to rebuild, find healthier ways of coping and to experience hope.
020 4572 2085 View 020 4572 2085
Photo of Patrick Francis Donnelly, Psychotherapist, DCounsPsych, MBACP
Patrick Francis Donnelly
Psychotherapist, DCounsPsych, MBACP
Verified Verified
1 Endorsed
Enfield EN2
In the world we live in life presents us with many difficulties in our everyday functioning. Our personal life, our working environment, difficult experiences from our past , the relationship we have or had with significant others and so on. Being a therapist i am here to assist you with any of the above and much more. Everyone is unique in thier own way and my therapeutic interaction would be tailored to your needs.
In the world we live in life presents us with many difficulties in our everyday functioning. Our personal life, our working environment, difficult experiences from our past , the relationship we have or had with significant others and so on. Being a therapist i am here to assist you with any of the above and much more. Everyone is unique in thier own way and my therapeutic interaction would be tailored to your needs.
07447 961714 View 07447 961714
Photo of Karen Linnane, Psychotherapist, MBABCP
Karen Linnane
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Enfield EN1
Waitlist for new clients
Do you feel you are simply functioning rather than truly living? Are you weighed down by difficult past experiences or trauma? Are they defining how you view yourself and the choices you make? Living every day with lower self confidence and self doubt can stop you enjoying what you have in your life now or taking a chance to try something new. It can feel daunting to face this distress, however equally challenging to continue carrying it with you. You may well feel exhausted trying to hold it all together or as though you are missing out on what life could be like.
Do you feel you are simply functioning rather than truly living? Are you weighed down by difficult past experiences or trauma? Are they defining how you view yourself and the choices you make? Living every day with lower self confidence and self doubt can stop you enjoying what you have in your life now or taking a chance to try something new. It can feel daunting to face this distress, however equally challenging to continue carrying it with you. You may well feel exhausted trying to hold it all together or as though you are missing out on what life could be like.
01992 660934 View 01992 660934
Photo of Kelly Rahaman, Counsellor, MBACP
Kelly Rahaman
Counsellor, MBACP
Verified Verified
Enfield EN2
There may be a host of reasons why you are considering counselling at the moment. Perhaps you are feeling anxious, depressed or having difficulty processing past experiences? Maybe you have realised that you keep repeating the same self-defeating patterns and getting the same negative outcomes? Or perhaps you want to build your self-confidence and find the power to change and be the person you want to be...? Life can can feel overwhelming and challenging but you have the ability to make profound and lasting changes, and I would love to help you.
There may be a host of reasons why you are considering counselling at the moment. Perhaps you are feeling anxious, depressed or having difficulty processing past experiences? Maybe you have realised that you keep repeating the same self-defeating patterns and getting the same negative outcomes? Or perhaps you want to build your self-confidence and find the power to change and be the person you want to be...? Life can can feel overwhelming and challenging but you have the ability to make profound and lasting changes, and I would love to help you.
020 3994 2902 View 020 3994 2902
Photo of Helen Louise Pitman, Psychotherapist, MA, MUKCP
Helen Louise Pitman
Psychotherapist, MA, MUKCP
Verified Verified
Enfield EN2
I am an Integrative Child and Adolescent Psychotherapist. I work both in private practice and I have experience of working as a school counsellor in both Primary and Secondary schools. I work with children, adolescents, parents, and adults. I hold a master degree in child and adolescent psychotherapy and I am accredited by the UK Council for Psychotherapy (UKCP). I hold a diploma in Eco-psychotherapy and also in Clinical supervision. I was formerly a teacher and have worked with Children and young people for nearly 30 years. I passionately believe in the potential of the therapeutic relationship to bring deep and lasting change.
I am an Integrative Child and Adolescent Psychotherapist. I work both in private practice and I have experience of working as a school counsellor in both Primary and Secondary schools. I work with children, adolescents, parents, and adults. I hold a master degree in child and adolescent psychotherapy and I am accredited by the UK Council for Psychotherapy (UKCP). I hold a diploma in Eco-psychotherapy and also in Clinical supervision. I was formerly a teacher and have worked with Children and young people for nearly 30 years. I passionately believe in the potential of the therapeutic relationship to bring deep and lasting change.
020 4538 0903 View 020 4538 0903
Photo of Carima Nolten - Carima Nolten, Blue Butterfly Bamboo, Psychotherapist, MBACP Accred
Carima Nolten, Blue Butterfly Bamboo
Psychotherapist, MBACP Accred
Verified Verified
Enfield EN2
I am a trauma-informed, Neuro-affirming, Integrative psychotherapist with expertise in SEND and SEMH supporting children, young people and adults, both online and face-to-face . I offer a combination of Talking, Creative and Somatic therapies that are beneficial in working with trauma, stress management, anxiety and burnout. Life is full of opportunies and hurdles to overcome, and its vital that we all have a strong sense of self, to be able to draw from a toolkit of coping tools, in order to navigate life's challenges as best we can and reach our full potential- It's what we all deserve. Are you ready to take the first step...
I am a trauma-informed, Neuro-affirming, Integrative psychotherapist with expertise in SEND and SEMH supporting children, young people and adults, both online and face-to-face . I offer a combination of Talking, Creative and Somatic therapies that are beneficial in working with trauma, stress management, anxiety and burnout. Life is full of opportunies and hurdles to overcome, and its vital that we all have a strong sense of self, to be able to draw from a toolkit of coping tools, in order to navigate life's challenges as best we can and reach our full potential- It's what we all deserve. Are you ready to take the first step...
020 3835 2662 View 020 3835 2662
Photo of Michael Lovelace, Counsellor, MBACP
Michael Lovelace
Counsellor, MBACP
Verified Verified
Enfield EN1
I am Integrative counsellor with experience of multiple models of therapy. This means I am able to integrate an approach which is appropriate to working with you. The BACP ethical framework is embedded into my practice, as it guides the way I work. It is my nature to have a genuine interest in people and how they cope with difficult issues that life may throw at them. The core my work is to create a trusting relationship, where I will work with you to identify patterns of behaviour and explore challenges with an aim to develop self-awareness to create change.
I am Integrative counsellor with experience of multiple models of therapy. This means I am able to integrate an approach which is appropriate to working with you. The BACP ethical framework is embedded into my practice, as it guides the way I work. It is my nature to have a genuine interest in people and how they cope with difficult issues that life may throw at them. The core my work is to create a trusting relationship, where I will work with you to identify patterns of behaviour and explore challenges with an aim to develop self-awareness to create change.
01992 927842 View 01992 927842
Photo of Anne McPherson, Psychotherapist, MA, MUKCP
Anne McPherson
Psychotherapist, MA, MUKCP
Verified Verified
Enfield EN1
Thank you for visiting my profile. I have acquired extensive experience of working alongside adults, adolescents, couples and families. During times of challenge, it can impact us in a variety of ways. Family and Systemic Psychotherapy can be beneficial in creating and supporting an understanding of experiences and views to employ useful changes in relationships.
Thank you for visiting my profile. I have acquired extensive experience of working alongside adults, adolescents, couples and families. During times of challenge, it can impact us in a variety of ways. Family and Systemic Psychotherapy can be beneficial in creating and supporting an understanding of experiences and views to employ useful changes in relationships.
01707 247356 View 01707 247356
Photo of Isabelle Petronic, Psychotherapist, MSc, MBABCP
Isabelle Petronic
Psychotherapist, MSc, MBABCP
Verified Verified
Enfield EN1
Common difficulties I work with are depression and anxiety, low self-esteem and trauma. This means you might be struggling to manage stressors in your daily life, often feeling overwhelmed and that life is just too much to cope with. You might be struggling with socialising or managing day to day life tasks or finding it hard to move on from a difficult or traumatic experience, despite it being in the past. My aim as a therapist is to help you develop the skills and tools you need to manage life’s challenges again and to help you feel hopeful about the future.
Common difficulties I work with are depression and anxiety, low self-esteem and trauma. This means you might be struggling to manage stressors in your daily life, often feeling overwhelmed and that life is just too much to cope with. You might be struggling with socialising or managing day to day life tasks or finding it hard to move on from a difficult or traumatic experience, despite it being in the past. My aim as a therapist is to help you develop the skills and tools you need to manage life’s challenges again and to help you feel hopeful about the future.
01992 940646 View 01992 940646
Photo of Burcu Akar, Psychotherapist, MSc, MBACP
Burcu Akar
Psychotherapist, MSc, MBACP
Verified Verified
Enfield EN2
Among the fast paced rush of day to day life it isn't hard to get lost. With so many things to keep up with be it finances, work, our family, relationships and everything else you might find that you put yourself low on your list of priorities while you make time for everything else. Each and every single one of us carry the desire to be seen, heard and understood as we are. Yet being yourself is no easy thing when you are faced with the judgement of others. Your therapy is time for yourself, for your needs, your thoughts and your feelings. A space for you as you are without any judgement.
Among the fast paced rush of day to day life it isn't hard to get lost. With so many things to keep up with be it finances, work, our family, relationships and everything else you might find that you put yourself low on your list of priorities while you make time for everything else. Each and every single one of us carry the desire to be seen, heard and understood as we are. Yet being yourself is no easy thing when you are faced with the judgement of others. Your therapy is time for yourself, for your needs, your thoughts and your feelings. A space for you as you are without any judgement.
020 3870 3516 View 020 3870 3516
Photo of Dr Catherine Athanasiadou-Lewis, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Catherine Athanasiadou-Lewis
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
1 Endorsed
Online Only
I am a Counselling Psychologist in Clinical neuropsychology and a psychotherapist, with over 15 years of experience in the NHS and the private sector, helping individuals and couples navigate life's challenges. I hold academic positions at the University of Roehampton and Hertfordshire. My therapeutic work is grounded in empathy, active listening & evidence-based practices. I believe that each person’s journey is unique, and I am here to walk with you through moments of uncertainty, pain, stress or personal growth. When you come to me for therapy, you can expect a warm and safe space where you feel heard and understood.
I am a Counselling Psychologist in Clinical neuropsychology and a psychotherapist, with over 15 years of experience in the NHS and the private sector, helping individuals and couples navigate life's challenges. I hold academic positions at the University of Roehampton and Hertfordshire. My therapeutic work is grounded in empathy, active listening & evidence-based practices. I believe that each person’s journey is unique, and I am here to walk with you through moments of uncertainty, pain, stress or personal growth. When you come to me for therapy, you can expect a warm and safe space where you feel heard and understood.
View
Photo of Dr Kumar Birch, Psychologist, CPsychol
Dr Kumar Birch
Psychologist, CPsychol
Verified Verified
1 Endorsed
Enfield EN1
I am a Clinical Psychologist specialising in working with men and those struggling in their relationships with men. I provide a safe space where challenges can be voiced honestly and the strategies needed to manage them can be developed.
I am a Clinical Psychologist specialising in working with men and those struggling in their relationships with men. I provide a safe space where challenges can be voiced honestly and the strategies needed to manage them can be developed.
020 3322 1789 View 020 3322 1789
Photo of Elizabeth Elliot, Psychologist, HCPC - Couns. Psych.
Elizabeth Elliot
Psychologist, HCPC - Couns. Psych.
Verified Verified
Enfield EN2
You may be seeking psychotherapy for a number of reasons: for help with everyday relationships, struggles in everyday life or without a specific problem you can identify but want to increase your self-awareness to live Life more fully. I believe the challenges and stresses of life be they physical, emotional or mental can often provide an opportunity to really look at your life, explore what you want to be different as well as a chance to deepen your relationship to yourself and to others. Listening to your life story and creating a strong therapeutic alliance are important to me in the process of healing and gaining insight.
You may be seeking psychotherapy for a number of reasons: for help with everyday relationships, struggles in everyday life or without a specific problem you can identify but want to increase your self-awareness to live Life more fully. I believe the challenges and stresses of life be they physical, emotional or mental can often provide an opportunity to really look at your life, explore what you want to be different as well as a chance to deepen your relationship to yourself and to others. Listening to your life story and creating a strong therapeutic alliance are important to me in the process of healing and gaining insight.
020 3835 4410 View 020 3835 4410
Photo of Nicola Kempton, Counsellor, MBACP
Nicola Kempton
Counsellor, MBACP
Verified Verified
Enfield EN1
Hi, I'm Nicola, a qualified integrative counsellor. I work online, by phone, and face-to-face. I can offer a relaxed safe environment for you to share anything that may be troubling you and preventing you from moving forward in your life. Sometimes life can be really tough and it can be difficult to talk to people, even people that are the closest to you. Together we can explore anything that may be causing you to feel anxious or overwhelmed. In doing this we would aim to find a more manageable solution to what you are going through.
Hi, I'm Nicola, a qualified integrative counsellor. I work online, by phone, and face-to-face. I can offer a relaxed safe environment for you to share anything that may be troubling you and preventing you from moving forward in your life. Sometimes life can be really tough and it can be difficult to talk to people, even people that are the closest to you. Together we can explore anything that may be causing you to feel anxious or overwhelmed. In doing this we would aim to find a more manageable solution to what you are going through.
01992 932261 View 01992 932261
Photo of Vicki McCarthy - Vicki McCarthy - Counselling & Psychotherapy , Counsellor, DCounsPsych, MBACP
Vicki McCarthy - Counselling & Psychotherapy
Counsellor, DCounsPsych, MBACP
Verified Verified
Enfield EN1
I practice counselling and psychotherapy in discreet and comfortable consulting rooms in Enfield, and also online. Whatever your struggle is, I can help to unravel difficult thoughts and feelings to promote change. My approach is non-judgemental, safe and confidential; a space to talk through what's on your mind and gain understanding and perspective. I will be sensitive to your needs and go at a pace that suits you. Together we can explore how your past may have shaped the present and perhaps led to unhelpful overthinking, low mood, anxiety or depression. It may be that you have suffered a bereavement and are finding it very diffic
I practice counselling and psychotherapy in discreet and comfortable consulting rooms in Enfield, and also online. Whatever your struggle is, I can help to unravel difficult thoughts and feelings to promote change. My approach is non-judgemental, safe and confidential; a space to talk through what's on your mind and gain understanding and perspective. I will be sensitive to your needs and go at a pace that suits you. Together we can explore how your past may have shaped the present and perhaps led to unhelpful overthinking, low mood, anxiety or depression. It may be that you have suffered a bereavement and are finding it very diffic
07810 817829 View 07810 817829
Photo of Maria Aristidou, Counsellor, MBACP
Maria Aristidou
Counsellor, MBACP
Verified Verified
1 Endorsed
Enfield EN1
I provide counselling and psychotherapy sessions for adults in North London, covering Enfield, Barnet and Southgate. I mainly work in person and online. I work with individuals who have been affected by current or early life traumas such as the loss of a loved one, sexual abuse, physical abuse and emotional neglect. I also work with parents and couples impacted by trauma, who struggle in their relationships with their children and one another. Therapy plays a crucial part in supporting you to understand how 'your' trauma has impacted your psychological well-being as well as helping you to significantly cope better in your life.
I provide counselling and psychotherapy sessions for adults in North London, covering Enfield, Barnet and Southgate. I mainly work in person and online. I work with individuals who have been affected by current or early life traumas such as the loss of a loved one, sexual abuse, physical abuse and emotional neglect. I also work with parents and couples impacted by trauma, who struggle in their relationships with their children and one another. Therapy plays a crucial part in supporting you to understand how 'your' trauma has impacted your psychological well-being as well as helping you to significantly cope better in your life.
020 3912 8207 View 020 3912 8207
Photo of Kate Hicks - Kate Hicks Counselling , Counsellor, MBACP Accred
Kate Hicks Counselling
Counsellor, MBACP Accred
Verified Verified
Enfield EN2
I am a BACP accredited counsellor & supervisor, working with individuals and with couples. with extensive experience (over 17 years) offering talking therapy on a short term or open ended basis to suit your individual needs and to support your emotional well being. I have a private practice based in Enfield (EN2) and I also work online.
I am a BACP accredited counsellor & supervisor, working with individuals and with couples. with extensive experience (over 17 years) offering talking therapy on a short term or open ended basis to suit your individual needs and to support your emotional well being. I have a private practice based in Enfield (EN2) and I also work online.
01992 932407 View 01992 932407
1

See more therapy options for Enfield

How does your Counsellor compare?

Number of Counsellors in Enfield

100+

Average cost per session

£65

Counsellors in Enfield who prioritize treating:

92% Anxiety
90% Depression
87% Self Esteem
84% Stress
75% Relationship Issues
65% Trauma and PTSD
64% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

71% AXA PPP
67% Vitality
62% Aviva

How Counsellors in Enfield see their clients

86% In Person and Online
14% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Enfield?

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.