Counselling in Gainsborough

Photo of Sarah Toft - Dr Sarah Toft Flourish Psychological Services Ltd, PsychD, HCPC - Clin. Psych., Psychologist
Dr Sarah Toft Flourish Psychological Services Ltd
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Gainsborough DN21
Having worked for 20 years in the NHS and in recent years within my private practice, I have a wealth of experience working with adults to improve their Psychological well-being, addressing a range of areas, including; anxiety, insomnia, panic, depression, self esteem, relationship concerns, post traumatic stress disorder (PTSD), etc. If you wish to make changes in your life, to feel calmer, more confident and less down, then therapy could help you with this.
Having worked for 20 years in the NHS and in recent years within my private practice, I have a wealth of experience working with adults to improve their Psychological well-being, addressing a range of areas, including; anxiety, insomnia, panic, depression, self esteem, relationship concerns, post traumatic stress disorder (PTSD), etc. If you wish to make changes in your life, to feel calmer, more confident and less down, then therapy could help you with this.
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Photo of Sarah-Louise Howarth - Sarah-Louise Psychotherapy , MBABCP, Psychotherapist
Sarah-Louise Psychotherapy
Psychotherapist, MBABCP
Verified Verified
Gainsborough DN21
I am dedicated to supporting my clients and giving you the tools you need in life. I work with the whole person, our minds are just as important as our bodies and we need to work on emotional and mental resilience to allow us to bounce back when life happens. Now you are ready to make changes, I am here to support you along that journey, giving you a toolkit that you will be able to use throughout life. I work in an empathic and sensitive manner, helping to support with problems that you may never have felt able to talk out loud about before.
I am dedicated to supporting my clients and giving you the tools you need in life. I work with the whole person, our minds are just as important as our bodies and we need to work on emotional and mental resilience to allow us to bounce back when life happens. Now you are ready to make changes, I am here to support you along that journey, giving you a toolkit that you will be able to use throughout life. I work in an empathic and sensitive manner, helping to support with problems that you may never have felt able to talk out loud about before.
01427 800750 View 01427 800750
Photo of Gail Hyman, MBACP, Counsellor
Gail Hyman
Counsellor, MBACP
Verified Verified
Gainsborough DN21
I offer therapeutic counselling to children, young people and adults. I have worked with children and young people within education for just over 20 years. I also educated myself further in Forest School and taught outdoors. Throughout this time is where I learned a great deal about the benefits of nature and the natural effects it has on health and well-being. I trained as a person centred therapist because I am passionate about empowering people to learn more about themselves and strive for positive change. I also experienced my own difficulties and trauma during childhood
I offer therapeutic counselling to children, young people and adults. I have worked with children and young people within education for just over 20 years. I also educated myself further in Forest School and taught outdoors. Throughout this time is where I learned a great deal about the benefits of nature and the natural effects it has on health and well-being. I trained as a person centred therapist because I am passionate about empowering people to learn more about themselves and strive for positive change. I also experienced my own difficulties and trauma during childhood
01673 263924 View 01673 263924
Photo of Miranda Currie, MBABCP, Psychotherapist
Miranda Currie
Psychotherapist, MBABCP
Verified Verified
Gainsborough DN21
I am a Cognitive Behavioural Psychotherapist accredited through the BABCP. I am also an EMDR Therapist and Interpersonal Psychotherapist, working within mental health and corporate wellbeing services. I recognize the growing need for the effective delivery of evidence-based therapies. I offer client-centered therapy to help you to find the best way forward. This is done by offering a collaborative relationship, which will help you make the changes you want, to gain more understanding which can lead to healthier well-being.
I am a Cognitive Behavioural Psychotherapist accredited through the BABCP. I am also an EMDR Therapist and Interpersonal Psychotherapist, working within mental health and corporate wellbeing services. I recognize the growing need for the effective delivery of evidence-based therapies. I offer client-centered therapy to help you to find the best way forward. This is done by offering a collaborative relationship, which will help you make the changes you want, to gain more understanding which can lead to healthier well-being.
01302 490359 View 01302 490359
Photo of Joanne Brown, PNCPS Acc., Counsellor
Joanne Brown
Counsellor, PNCPS Acc.
Verified Verified
Gainsborough DN21
I am an empathic and caring Accredited Counsellor working in a holistic and individual way, with you as the client at the centre of our work. Are you suffering with anxiety and depression having relationship issues, problems at work, illness, loss or bereavement or coming terms with difficult current and past life events. Are you completely overwhelmed or struggling with feelings of failure, despair, hopelessness and low self esteem and just don't know who to turn to or maybe you have resorted to addictive or harmful behaviours to cope. Come with me on your therapy journey and let me help you find a better way of being.
I am an empathic and caring Accredited Counsellor working in a holistic and individual way, with you as the client at the centre of our work. Are you suffering with anxiety and depression having relationship issues, problems at work, illness, loss or bereavement or coming terms with difficult current and past life events. Are you completely overwhelmed or struggling with feelings of failure, despair, hopelessness and low self esteem and just don't know who to turn to or maybe you have resorted to addictive or harmful behaviours to cope. Come with me on your therapy journey and let me help you find a better way of being.
01777 809425 View 01777 809425
Photo of Jan Baker, MSc, MUKCP, Psychotherapist
Jan Baker
Psychotherapist, MSc, MUKCP
Verified Verified
Gainsborough DN21
This may be the first time you have decided to seek counselling or psychotherapy, or working with me, may be part of an ongoing personal journey to enhance your life further. Unresolved issues can confuse, distress and disrupt your life, often returning time and time again, causing you both emotional and sometimes even physical difficulties, that can not only affect you, but also might impact on your relationships, work and family life. Some examples of how these issues might manifest, could include you experiencing; depression, anxiety, stress, angry thoughts, addictions, suicidal thoughts, self-harm, eating disorders
This may be the first time you have decided to seek counselling or psychotherapy, or working with me, may be part of an ongoing personal journey to enhance your life further. Unresolved issues can confuse, distress and disrupt your life, often returning time and time again, causing you both emotional and sometimes even physical difficulties, that can not only affect you, but also might impact on your relationships, work and family life. Some examples of how these issues might manifest, could include you experiencing; depression, anxiety, stress, angry thoughts, addictions, suicidal thoughts, self-harm, eating disorders
01652 240648 View 01652 240648
Photo of Donna Broadhead, MBACP, Counsellor
Donna Broadhead
Counsellor, MBACP
Verified Verified
Gainsborough DN21
Life has many challenges which can feel overwhelming. Ordinary life events such as a break-up or extraordinary life events such as traumatic incidents can have a huge impact on how we see ourselves, others, and the world. You might feel like your thoughts are a tangled mess or that you're stuck in a spiral which is pointed in the wrong direction. Maybe believing that you don't have the power to take control of your own life has left you feeling hopeless. At times like this, we are our own worst critic and can be very hard on ourselves.
Life has many challenges which can feel overwhelming. Ordinary life events such as a break-up or extraordinary life events such as traumatic incidents can have a huge impact on how we see ourselves, others, and the world. You might feel like your thoughts are a tangled mess or that you're stuck in a spiral which is pointed in the wrong direction. Maybe believing that you don't have the power to take control of your own life has left you feeling hopeless. At times like this, we are our own worst critic and can be very hard on ourselves.
01777 807610 View 01777 807610
Photo of Linda Creamer - Amethyst Therapy, MBACP, Psychotherapist
Amethyst Therapy
Psychotherapist, MBACP
Verified Verified
Gainsborough DN21
Hi I’m Linda, I have been a therapist since 2004 and therefore have a vast amount of experience working with individuals and couples. I offer a variety of therapy approaches which I tailor make to clients specific needs. I work from my home in a quiet village location in Spalford with ample parking and privacy. I offer Counselling, Psychosexual therapy and Hypnotherapy. Please visit my reviews at ; www.amethysttherapyspalford.freeindex.co.uk
Hi I’m Linda, I have been a therapist since 2004 and therefore have a vast amount of experience working with individuals and couples. I offer a variety of therapy approaches which I tailor make to clients specific needs. I work from my home in a quiet village location in Spalford with ample parking and privacy. I offer Counselling, Psychosexual therapy and Hypnotherapy. Please visit my reviews at ; www.amethysttherapyspalford.freeindex.co.uk
01522 302737 View 01522 302737
Photo of Karen Hopper-Peart, MNCPS Acc., Counsellor
Karen Hopper-Peart
Counsellor, MNCPS Acc.
Verified Verified
Gainsborough DN21
“You do not need magic to transform your life. You carry the power you need inside yourself already.” My name is Karen. I am a wife, mother, and daughter. I have experienced the highs and lows of life; giving me a profound insight into how therapy can reinforce a positive mindset and change lives. I am deeply compassionate towards one’s experiences and provide a consensual understanding by placing the formation of a therapeutic relationship at the forefront of my counselling method. Through individuals being treated with respect, acceptance and understanding, an open and honest relationship can be built.
“You do not need magic to transform your life. You carry the power you need inside yourself already.” My name is Karen. I am a wife, mother, and daughter. I have experienced the highs and lows of life; giving me a profound insight into how therapy can reinforce a positive mindset and change lives. I am deeply compassionate towards one’s experiences and provide a consensual understanding by placing the formation of a therapeutic relationship at the forefront of my counselling method. Through individuals being treated with respect, acceptance and understanding, an open and honest relationship can be built.
01522 474080 View 01522 474080
Photo of Karen Burch - Accred Emdr Practitioner, MBACP Accred, Psychotherapist
Karen Burch - Accred Emdr Practitioner
Psychotherapist, MBACP Accred
Verified Verified
Gainsborough DN21  (Online Only)
Waitlist for new clients
Im an Accredited Psychotherapist specialising in trauma. I have experience privately, charity sector, and NHS. I work integratively, drawing on Somatic Psychodynamic Psychotherapy, EMDR, ACT, EFT, CBT, Humanistic approaches, helping individuals who have been exposed to traumatic events. I implement Mindfulness approaches. Offering highly effective treatments designed to ease distress, and implement lasting changes. Seeking support is a major life step. I commit to providing safe, professional treatment plans to sensitively support and empower you, deepen your self-understanding and create positive changes for a life you truly value
Im an Accredited Psychotherapist specialising in trauma. I have experience privately, charity sector, and NHS. I work integratively, drawing on Somatic Psychodynamic Psychotherapy, EMDR, ACT, EFT, CBT, Humanistic approaches, helping individuals who have been exposed to traumatic events. I implement Mindfulness approaches. Offering highly effective treatments designed to ease distress, and implement lasting changes. Seeking support is a major life step. I commit to providing safe, professional treatment plans to sensitively support and empower you, deepen your self-understanding and create positive changes for a life you truly value
0114 553 1202 View 0114 553 1202

More Therapists Nearby

Photo of Elizabeth Hicks - Elizabeth Hicks Therapy, MBACP Accred, Counsellor
Elizabeth Hicks Therapy
Counsellor, MBACP Accred
Verified Verified
Lincoln LN1  (Online Only)
Navigating around life, work, family, relationships, sex and intimacy, most of us at some point will find ourselves in a situation where we might benefit from some extra support. I work with individuals, couples and families with both a relational and individual focus. I am qualified Psychosexual & Relationship therapist. Alongside my Private Practice, I have previously worked with Relate, the NHS, Hospices and a Sexual Assault Support Centre. I also work with sex addiction (including support for partners and families). I have an approachable, warm & empathic approach and clients feed back that they find this incredibly helpful.
Navigating around life, work, family, relationships, sex and intimacy, most of us at some point will find ourselves in a situation where we might benefit from some extra support. I work with individuals, couples and families with both a relational and individual focus. I am qualified Psychosexual & Relationship therapist. Alongside my Private Practice, I have previously worked with Relate, the NHS, Hospices and a Sexual Assault Support Centre. I also work with sex addiction (including support for partners and families). I have an approachable, warm & empathic approach and clients feed back that they find this incredibly helpful.
01522 440418 View 01522 440418
Photo of Jamie Lee, MBABCP, Psychotherapist
Jamie Lee
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Bawtry DN10
I am an experienced, BABCP accredited CBT and EMDR Psychotherapist based in Doncaster. I work with a range of mental health presentations and complexities and I am very passionate about supporting individuals to understand and reduce the emotional distress that they experience whilst increasing their sense of well-being. All assessment and treatment offered at Psychotherapy Doncaster is supported by NICE guidance.
I am an experienced, BABCP accredited CBT and EMDR Psychotherapist based in Doncaster. I work with a range of mental health presentations and complexities and I am very passionate about supporting individuals to understand and reduce the emotional distress that they experience whilst increasing their sense of well-being. All assessment and treatment offered at Psychotherapy Doncaster is supported by NICE guidance.
01302 430950 View 01302 430950
Photo of Beth Jackson, DCounsPsych, MBACP, Counsellor
Beth Jackson
Counsellor, DCounsPsych, MBACP
Verified Verified
Lincoln LN1
All of us, at times, find ourselves in a place of challenge, pain or trauma, or perhaps simply wanting to see a way forward and change the situation we’re in. Looking for a counsellor takes courage and is hugely positive too because it shows you’re ready for the changes you want to see happen in your life. I am a person-centred psychotherapist ready to support you in that change, and happy to work with you face to face or online, and at whatever pace works best for you.
All of us, at times, find ourselves in a place of challenge, pain or trauma, or perhaps simply wanting to see a way forward and change the situation we’re in. Looking for a counsellor takes courage and is hugely positive too because it shows you’re ready for the changes you want to see happen in your life. I am a person-centred psychotherapist ready to support you in that change, and happy to work with you face to face or online, and at whatever pace works best for you.
07398 535522 View 07398 535522
Photo of Matthew James Watson, MBACP, Counsellor
Matthew James Watson
Counsellor, MBACP
Verified Verified
Bawtry DN10
I provide individual, couples and young persons therapy. Do you need some space and time to collect your thoughts, find some perspective? Are you wrestling with something which seems difficult to understand and accept? Do you need someone to hear and understand you? Someone to help you to make sense of things and give you the confidence to move through it and beyond?
I provide individual, couples and young persons therapy. Do you need some space and time to collect your thoughts, find some perspective? Are you wrestling with something which seems difficult to understand and accept? Do you need someone to hear and understand you? Someone to help you to make sense of things and give you the confidence to move through it and beyond?
01302 490934 View 01302 490934
Photo of Nicki Miller, MBACP Accred, Counsellor
Nicki Miller
Counsellor, MBACP Accred
Verified Verified
Bawtry DN10
As a humanistic-integrative counsellor, I take the view that there is no single approach that can treat every client, in all situations. I therefore offer an approach to counselling that combines different elements of several specific therapies so as to enable me to provide the appropriate interventions for each individual. I believe each person is an 'unique whole' and counselling techniques are best tailored to fit the unique individuals needs and personal circumstances. It is of primary importance to me that I offer you highly confidential service based on you as an individual in your distinctive circumstances.
As a humanistic-integrative counsellor, I take the view that there is no single approach that can treat every client, in all situations. I therefore offer an approach to counselling that combines different elements of several specific therapies so as to enable me to provide the appropriate interventions for each individual. I believe each person is an 'unique whole' and counselling techniques are best tailored to fit the unique individuals needs and personal circumstances. It is of primary importance to me that I offer you highly confidential service based on you as an individual in your distinctive circumstances.
01302 972719 View 01302 972719
Photo of Sarah Reeve, MBACP, Counsellor
Sarah Reeve
Counsellor, MBACP
Verified Verified
1 Endorsed
Bawtry DN10
Finding the right counsellor or therapist is often a difficult task. There are so many experienced professionals to choose from and each has their own specialities and individual style of working. I believe that a great place to start is by finding someone you can connect with and trust with your fears and worries; who can offer you the safe space you need to talk freely and be listened to with compassion, empathy and without judgment.
Finding the right counsellor or therapist is often a difficult task. There are so many experienced professionals to choose from and each has their own specialities and individual style of working. I believe that a great place to start is by finding someone you can connect with and trust with your fears and worries; who can offer you the safe space you need to talk freely and be listened to with compassion, empathy and without judgment.
01302 490987 View 01302 490987
Photo of Ian Saunders - Integrative Counselling, MNCPS Acc., Counsellor
Integrative Counselling
Counsellor, MNCPS Acc.
Verified Verified
Doncaster DN10  (Online Only)
Do you feel stuck or like you are not living up to your full potential? Are there areas of your life that are unresolved or seemingly out of your control? Have you developed addictive coping strategies to try and manage difficult thoughts, feelings and emotions? Are you in a place where you feel ready to access professional confidential support in a compassionate empathic and safe environment in order to free yourself and move forward to the next stage of your journey?
Do you feel stuck or like you are not living up to your full potential? Are there areas of your life that are unresolved or seemingly out of your control? Have you developed addictive coping strategies to try and manage difficult thoughts, feelings and emotions? Are you in a place where you feel ready to access professional confidential support in a compassionate empathic and safe environment in order to free yourself and move forward to the next stage of your journey?
01709 288050 View 01709 288050
Photo of Nicole Cutting, MBABCP, Psychotherapist
Nicole Cutting
Psychotherapist, MBABCP
Verified Verified
Doncaster DN10
Hi there! I'm Nicole, a Gen Z therapist passionate about supporting individuals through their journeys of healing and self-discovery. Specialising in trauma, anxiety, and low self-esteem, I create a safe and inclusive space where you can openly explore your feelings and experiences.
Hi there! I'm Nicole, a Gen Z therapist passionate about supporting individuals through their journeys of healing and self-discovery. Specialising in trauma, anxiety, and low self-esteem, I create a safe and inclusive space where you can openly explore your feelings and experiences.
01924 943991 View 01924 943991
Photo of Gwynneth Sylvia Cartwrightt - Talking with Gwynne, MSc, MBACP, Counsellor
Talking with Gwynne
Counsellor, MSc, MBACP
Verified Verified
Doncaster DN10
Are you puzzled why 'things' are not working out for you ? Do you feel 'stressed all the time ? Are you curious about why you are the person you are ? Why you live the life you do ? Is there a pattern you recognise about yourself, that you 'don't get' but seems unchangeable? Do you feel 'stuck' and unable to live the life you want? Does that desire to live the best life you can seem limited by illness or a potential or actual genetic blue print that isn't changeable ? If you have any of these thoughts or similar, then I can help you to find your answers. I have energy, experience, resources and commitment for this work with you.
Are you puzzled why 'things' are not working out for you ? Do you feel 'stressed all the time ? Are you curious about why you are the person you are ? Why you live the life you do ? Is there a pattern you recognise about yourself, that you 'don't get' but seems unchangeable? Do you feel 'stuck' and unable to live the life you want? Does that desire to live the best life you can seem limited by illness or a potential or actual genetic blue print that isn't changeable ? If you have any of these thoughts or similar, then I can help you to find your answers. I have energy, experience, resources and commitment for this work with you.
01405 808207 View 01405 808207
Photo of Elizabeth Rempel, MBABCP, Psychotherapist
Elizabeth Rempel
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Doncaster DN10  (Online Only)
Hi my name is Liz and I have been working as a Cognitive Behavioural Therapist for over 15 years. I am passionate about offering my knowledge and skills in CBT to allow people to reach their full potential. I work with people who may be struggling with stress, anxiety, low mood, low self esteem, OCD, PTSD, Health Anxiety, Social Anxiety or phobias. CBT is a practical talking therapy that teaches you coping skills for dealing with different problems. It focuses on how your thoughts, beliefs and attitudes affect your feelings and actions. If this sounds like something that would benefit you, I would love to hear from you.
Hi my name is Liz and I have been working as a Cognitive Behavioural Therapist for over 15 years. I am passionate about offering my knowledge and skills in CBT to allow people to reach their full potential. I work with people who may be struggling with stress, anxiety, low mood, low self esteem, OCD, PTSD, Health Anxiety, Social Anxiety or phobias. CBT is a practical talking therapy that teaches you coping skills for dealing with different problems. It focuses on how your thoughts, beliefs and attitudes affect your feelings and actions. If this sounds like something that would benefit you, I would love to hear from you.
01652 248444 View 01652 248444

See more therapy options for Gainsborough

How does your Counsellor compare?

Number of Counsellors in Gainsborough

10+

Average cost per session

£55

Counsellors in Gainsborough who prioritize treating:

100% Depression
100% Anxiety
100% Self Esteem
90% Bereavement
90% Trauma and PTSD
90% Stress
80% Domestic Abuse

Average years in practice

12 Years

Top 3 insurances accepted

80% Aviva
60% AXA PPP
60% Vitality

How Counsellors in Gainsborough see their clients

90% In Person and Online
10% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in Gainsborough?

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.