Counselling in Great Malvern

Photo of Sue Akehurst, Counsellor in Great Malvern, England
Sue Akehurst
Counsellor, MA, MBACP Snr. Accred
Verified Verified
Great Malvern WR14  (Online Only)
You might be struggling to make sense of your feelings, wondering how you can possibly get unstuck and fearful of addressing some past issues. I aim to offer a safe therapeutic relationship and can offer specific ways of working with what needs attention.
You might be struggling to make sense of your feelings, wondering how you can possibly get unstuck and fearful of addressing some past issues. I aim to offer a safe therapeutic relationship and can offer specific ways of working with what needs attention.
07480 486112 View 07480 486112
Photo of Donita Rodrigues, Psychologist in Great Malvern, England
Donita Rodrigues
Psychologist, MA, HCPC - Clin. Psych.
Verified Verified
Great Malvern WR14  (Online Only)
I am Clinical Psychologist offering short and long term online psychotherapy to young adults, adults and families dealing with psychological distress or clinical conditions. I have a special interest in mood disorders, anxiety, trauma, and bereavement. Furthermore, I offer psychotherapy during life transitions and to facilitate personal growth.
I am Clinical Psychologist offering short and long term online psychotherapy to young adults, adults and families dealing with psychological distress or clinical conditions. I have a special interest in mood disorders, anxiety, trauma, and bereavement. Furthermore, I offer psychotherapy during life transitions and to facilitate personal growth.
020 3535 6686 View 020 3535 6686
Photo of alp counselling (Alison Pritchard), Counsellor in Great Malvern, England
alp counselling (Alison Pritchard)
Counsellor, MBACP
Verified Verified
Great Malvern WR14
Deciding to come for counselling can be a big step; it may be something you've been wondering about for some time. Life throws up many situations unexpectedly and we can end up somewhere we never imagined being, unsure what to do next or lacking confidence in ourselves. We may feel our relationships are not working the way we had hoped. Counselling can help with specific issues or with a general sense of having lost yourself through life; not being sure of what you want or struggling with what has happened. The most important factor for successful counselling is finding a counsellor who you feel able to talk to.
Deciding to come for counselling can be a big step; it may be something you've been wondering about for some time. Life throws up many situations unexpectedly and we can end up somewhere we never imagined being, unsure what to do next or lacking confidence in ourselves. We may feel our relationships are not working the way we had hoped. Counselling can help with specific issues or with a general sense of having lost yourself through life; not being sure of what you want or struggling with what has happened. The most important factor for successful counselling is finding a counsellor who you feel able to talk to.
01432 805328 View 01432 805328
Photo of Kate at Byways Counselling, Counsellor in Great Malvern, England
Kate at Byways Counselling
Counsellor, MBACP
Verified Verified
Great Malvern WR14
Are you feeling a little lost? Is there something niggling at you, troubling you, upsetting you, that you feel you need to explore? Together, we can look at any problems, feelings and worries you may have, in a safe and confidential space.
Are you feeling a little lost? Is there something niggling at you, troubling you, upsetting you, that you feel you need to explore? Together, we can look at any problems, feelings and worries you may have, in a safe and confidential space.
01684 211343 View 01684 211343

More Therapists Nearby

Photo of Dr Tammy Esrich, Psychologist in Great Malvern, England
Dr Tammy Esrich
Psychologist, HCPC - Clin. Psych.
Verified Verified
Malvern WR14
Hello, I'm Tammy. I'm a Chartered Clinical Psychologist and have worked in the NHS for over 25 years, in addition to working in private practice for 5 years. I use a wide range of evidence based talking therapies to help adults with a wide range of difficulties, enabling people to lead more fulfilling lives. Therapies used include Acceptance and Commitment Therapy (ACT), Compassion Focussed Therapy (CFT), Cognitive Behavioural Therapy (CBT), Eye Movement Desensitisation and Reprocessing (EMDR). Intervention is tailored to suit individual need based on unique circumstances, experiences and preferences.
Hello, I'm Tammy. I'm a Chartered Clinical Psychologist and have worked in the NHS for over 25 years, in addition to working in private practice for 5 years. I use a wide range of evidence based talking therapies to help adults with a wide range of difficulties, enabling people to lead more fulfilling lives. Therapies used include Acceptance and Commitment Therapy (ACT), Compassion Focussed Therapy (CFT), Cognitive Behavioural Therapy (CBT), Eye Movement Desensitisation and Reprocessing (EMDR). Intervention is tailored to suit individual need based on unique circumstances, experiences and preferences.
01684 210851 View 01684 210851
Photo of Helen Breakwell, Counsellor in Great Malvern, England
Helen Breakwell
Counsellor, MNCPS Acc.
Verified Verified
Malvern WR13
I will give you the space to talk and explore what you're experiencing in a confidential setting. And help you find healthy coping strategies to develop long term ways of looking after your mental health. Sessions are online (anywhere in UK) or outdoors in the Malvern Hills. Client's feedback - 'Helen made me feel comfortable and listened to.' 'Helen gave me the strategies and tools to help myself in between our sessions, whilst being an invaluable source of comfort and strength.' 'Helen is an incredibly warm and comforting therapist who knew how to hold space for my plethora of emotions.' 'She was lovely and a great counsellor.'
I will give you the space to talk and explore what you're experiencing in a confidential setting. And help you find healthy coping strategies to develop long term ways of looking after your mental health. Sessions are online (anywhere in UK) or outdoors in the Malvern Hills. Client's feedback - 'Helen made me feel comfortable and listened to.' 'Helen gave me the strategies and tools to help myself in between our sessions, whilst being an invaluable source of comfort and strength.' 'Helen is an incredibly warm and comforting therapist who knew how to hold space for my plethora of emotions.' 'She was lovely and a great counsellor.'
01684 211458 View 01684 211458
Photo of Dr John Kenneth Pates, Psychologist in Great Malvern, England
Dr John Kenneth Pates
Psychologist, PhD, CPsychol
Verified Verified
Malvern WR14
Do you find yourself underperforming in competitions, unable to control your emotions, and focusing on your fears? I can help you. My name is Dr John Pates. I am a Chartered, HCPC-registered Sports Psychologist, with 20 years of experience working with some of the top athletes in the world. I have coached 100s of athletes with astounding results. My resume includes 4 World champions, 5 Major winners, 30 tournament winners and the 2014 Ryder Cup team. I have also coached Olympic, Paralympic and Commonwealth champions and elite athletes from more than 15 different sports.
Do you find yourself underperforming in competitions, unable to control your emotions, and focusing on your fears? I can help you. My name is Dr John Pates. I am a Chartered, HCPC-registered Sports Psychologist, with 20 years of experience working with some of the top athletes in the world. I have coached 100s of athletes with astounding results. My resume includes 4 World champions, 5 Major winners, 30 tournament winners and the 2014 Ryder Cup team. I have also coached Olympic, Paralympic and Commonwealth champions and elite athletes from more than 15 different sports.
07943 810069 View 07943 810069
Photo of Sylvie Worster, Counsellor in Great Malvern, England
Sylvie Worster
Counsellor, MBACP
Verified Verified
Malvern WR14
I am a fully qualified Relate counsellor, experienced in working with couples and individuals who have relationship issues. I also work with people struggling with anxiety and depression, intimacy and sexual issues. I work in a systemic, psycho-dynamic way using a wide variety of techniques to suit each individual and specific situation. Are you experiencing relationship issues? Do you repeat the same patterns over and over again, often ending up in conflict? Do you find it difficult to express your emotions and feelings? Is attachment or trust an issue for you? Do you have issues around intimacy and sex?
I am a fully qualified Relate counsellor, experienced in working with couples and individuals who have relationship issues. I also work with people struggling with anxiety and depression, intimacy and sexual issues. I work in a systemic, psycho-dynamic way using a wide variety of techniques to suit each individual and specific situation. Are you experiencing relationship issues? Do you repeat the same patterns over and over again, often ending up in conflict? Do you find it difficult to express your emotions and feelings? Is attachment or trust an issue for you? Do you have issues around intimacy and sex?
01684 218594 View 01684 218594
Photo of Rhiannon Lewis, Counsellor in Great Malvern, England
Rhiannon Lewis
Counsellor, MA, MBACP
Verified Verified
Malvern WR14
I believe that everyone deserves to find peace and contentment in their life, and that gaining greater self-knowledge and understanding is an essential part of the process. I provide a safe and confidential space for you to explore your feelings, thoughts and beliefs at your own pace, in an atmosphere of warmth and compassion. I will hear you without judgement, and help you to make sense of what is troubling you so that you can come to terms with events and learn to value yourself more deeply.
I believe that everyone deserves to find peace and contentment in their life, and that gaining greater self-knowledge and understanding is an essential part of the process. I provide a safe and confidential space for you to explore your feelings, thoughts and beliefs at your own pace, in an atmosphere of warmth and compassion. I will hear you without judgement, and help you to make sense of what is troubling you so that you can come to terms with events and learn to value yourself more deeply.
01905 917312 View 01905 917312
Photo of Our Space Play & Family Therapies in Great Malvern, England
Our Space Play & Family Therapies
MSc
Verified Verified
1 Endorsed
Malvern WR13
I am passionate about working with young people and their families. I am an integrative play and EMDR therapist working with clients from 3 years of age and up. I am also qualified to deliver Child Parent Relationship Therapy and have completed training in Sand Tray as well as being an Autplay practitioner. I have lots of experience in working with children, young people and their families SEND and/or with additional needs. I have experience of working with complex trauma, attachment, bereavement and loss.
I am passionate about working with young people and their families. I am an integrative play and EMDR therapist working with clients from 3 years of age and up. I am also qualified to deliver Child Parent Relationship Therapy and have completed training in Sand Tray as well as being an Autplay practitioner. I have lots of experience in working with children, young people and their families SEND and/or with additional needs. I have experience of working with complex trauma, attachment, bereavement and loss.
01905 975361 View 01905 975361
Photo of Isabel dos Santos Counsellor MBACP (Accred), Counsellor in Great Malvern, England
Isabel dos Santos Counsellor MBACP (Accred)
Counsellor, MBACP
Verified Verified
Malvern WR13
Reasons for having Counselling: You might be struggling with your mood – stress, anxiety, fight and flight, overwhelmed. You tend to focus on others, and their needs, to the detriment of your own - in your relationships and career. It might feel like you’re in a vicious cycle. There is a way out. My approach: A solution-focused approach, embedded in well-established therapies – CBT, Psychodynamic therapy and EMDR. I encourage having clear goals and collaboration for better outcomes. I specialised in brief work, focusing on a particular issue.
Reasons for having Counselling: You might be struggling with your mood – stress, anxiety, fight and flight, overwhelmed. You tend to focus on others, and their needs, to the detriment of your own - in your relationships and career. It might feel like you’re in a vicious cycle. There is a way out. My approach: A solution-focused approach, embedded in well-established therapies – CBT, Psychodynamic therapy and EMDR. I encourage having clear goals and collaboration for better outcomes. I specialised in brief work, focusing on a particular issue.
01905 950167 View 01905 950167
Photo of Jan McWhir counselling, Counsellor in Great Malvern, England
Jan McWhir counselling
Counsellor
Verified Verified
Malvern WR14
I am a solution focused counsellor, my training derives from the understanding that when essential emotional needs are met, a human being will be emotionally and mentally healthy.. its when our emotional needs are not being met or are unintentionally misused that undesirable mental states such as: anxiety, anger, depression, addiction and psychosis develop., for instance, misuse of the imagination - to conjure up the worst possible or threatening scenarios-is a common feature of all these states. I aim to work through how you got to this point in your life, to help support you in finding new ways to move forward and embrace life.
I am a solution focused counsellor, my training derives from the understanding that when essential emotional needs are met, a human being will be emotionally and mentally healthy.. its when our emotional needs are not being met or are unintentionally misused that undesirable mental states such as: anxiety, anger, depression, addiction and psychosis develop., for instance, misuse of the imagination - to conjure up the worst possible or threatening scenarios-is a common feature of all these states. I aim to work through how you got to this point in your life, to help support you in finding new ways to move forward and embrace life.
01684 215917 View 01684 215917
Photo of Dr Natalie Knight, Psychologist in Great Malvern, England
Dr Natalie Knight
Psychologist, HCPC - Clin. Psych.
Verified Verified
Malvern WR13
Is your life constantly filled with worry, perhaps you're not even sure why? Do you have a fear of something that is getting in the way of you living your life? Does the thought of going out leave you feeling sick? Perhaps this happens with socialising, shopping, new people or perhaps even talking on the phone? Have you been told that you "won't get anything on the NHS"? Have you been on a waiting list for a really long time? Has all the 'self help' you've tried not been that helpful?
Is your life constantly filled with worry, perhaps you're not even sure why? Do you have a fear of something that is getting in the way of you living your life? Does the thought of going out leave you feeling sick? Perhaps this happens with socialising, shopping, new people or perhaps even talking on the phone? Have you been told that you "won't get anything on the NHS"? Have you been on a waiting list for a really long time? Has all the 'self help' you've tried not been that helpful?
01905 953506 View 01905 953506
Photo of Paul Tutton, Psychotherapist in Great Malvern, England
Paul Tutton
Psychotherapist, MUKCP
Verified Verified
Malvern WR14
Welcome. Everyone has times in life when their mental health is particularly challenging and they face emotional or psychological difficulties. If that describes you here and now, it can be helpful to seek support to become more aware of the impact of past life experiences, how those events still influence how you are in the world today and explore your thoughts and feelings around options for making changes in the future. Your issues, needs and goals could arise from your working life, personal life or a combination of both. You could be looking for more immediate help or seeking to better understand deeper, long-standing issues.
Welcome. Everyone has times in life when their mental health is particularly challenging and they face emotional or psychological difficulties. If that describes you here and now, it can be helpful to seek support to become more aware of the impact of past life experiences, how those events still influence how you are in the world today and explore your thoughts and feelings around options for making changes in the future. Your issues, needs and goals could arise from your working life, personal life or a combination of both. You could be looking for more immediate help or seeking to better understand deeper, long-standing issues.
01684 211366 View 01684 211366
Photo of New Zen Mind, Counsellor in Great Malvern, England
New Zen Mind
Counsellor, UKCP Trainee
Verified Verified
Malvern WR13
Waitlist for new clients
You have a sense of yourself, but is there more to discover? Have you ever genuinely wondered who you truly are, and what experiences shaped the person you've become? Feeling lost and unsure of your true potential? You're not alone. Many of us crave a life filled with purpose and meaning. I'd love to connect with you and hear your story. Together, we can explore what truly matters and create a roadmap to your ideal life. Don't let stress, burnout, or past struggles hold you back. I believe everyone has the power to design a fulfilling future. Let's start that journey today!
You have a sense of yourself, but is there more to discover? Have you ever genuinely wondered who you truly are, and what experiences shaped the person you've become? Feeling lost and unsure of your true potential? You're not alone. Many of us crave a life filled with purpose and meaning. I'd love to connect with you and hear your story. Together, we can explore what truly matters and create a roadmap to your ideal life. Don't let stress, burnout, or past struggles hold you back. I believe everyone has the power to design a fulfilling future. Let's start that journey today!
01905 673189 View 01905 673189
Photo of Christalla Georgiou, Psychotherapist in Great Malvern, England
Christalla Georgiou
Psychotherapist, MA, MUKCP
Verified Verified
Malvern WR13
My approach in sessions is centred on you, focusing on the here and now, current situations and difficulties you are experiencing. How you are feeling and behaving at present is often linked to past experiences which remain unresolved and continue to impact on your health and well-being today. Our sessions are based on respect, compassion, empathy and honesty. I will support you in exploring your reasons for wanting therapy, within a non-judgmental environment. By creating a safe, open and genuine relationship with you, we can together find ways to deal with the difficulties you are experiencing. The age range I work with is 18+.
My approach in sessions is centred on you, focusing on the here and now, current situations and difficulties you are experiencing. How you are feeling and behaving at present is often linked to past experiences which remain unresolved and continue to impact on your health and well-being today. Our sessions are based on respect, compassion, empathy and honesty. I will support you in exploring your reasons for wanting therapy, within a non-judgmental environment. By creating a safe, open and genuine relationship with you, we can together find ways to deal with the difficulties you are experiencing. The age range I work with is 18+.
01905 969077 View 01905 969077
Photo of Tammy Heseltine, Counsellor in Great Malvern, England
Tammy Heseltine
Counsellor, BACP
Verified Verified
1 Endorsed
Malvern WR14
Hi, I’m Tammy. Therapist, storyteller, recovering perfectionist. There’s a lot to get your head around isn’t there? I remember scrolling through therapist’s profiles online, trying to find one that would jump out at me. It’s OK feeling you don’t know where to start. Looking for a therapist already shows that you’re choosing courage over comfort. Having a difficult time makes you human. I work in a collaborative, client-led way where I will be with you - face to face, online or over the phone - with your pain, awkwardness, discomfort and conflicts to help you to recognise your own personal understanding of yourself.
Hi, I’m Tammy. Therapist, storyteller, recovering perfectionist. There’s a lot to get your head around isn’t there? I remember scrolling through therapist’s profiles online, trying to find one that would jump out at me. It’s OK feeling you don’t know where to start. Looking for a therapist already shows that you’re choosing courage over comfort. Having a difficult time makes you human. I work in a collaborative, client-led way where I will be with you - face to face, online or over the phone - with your pain, awkwardness, discomfort and conflicts to help you to recognise your own personal understanding of yourself.
01684 211018 View 01684 211018
Photo of Robert David Williams, Counsellor in Great Malvern, England
Robert David Williams
Counsellor, MBACP Accred
Verified Verified
Malvern WR14
At some stage, you will probably experience feelings of stress, disappointment and grief. At these times, seeking assistance can help you deal with your feelings and emotions. Counselling can be a positive way of addressing any unresolved issues that you have. It can help you to understand your problems better, rather than ignoring them and hoping that they will go away, only for them to come back later. It can also give you a better understanding of other people's points of view.
At some stage, you will probably experience feelings of stress, disappointment and grief. At these times, seeking assistance can help you deal with your feelings and emotions. Counselling can be a positive way of addressing any unresolved issues that you have. It can help you to understand your problems better, rather than ignoring them and hoping that they will go away, only for them to come back later. It can also give you a better understanding of other people's points of view.
01684 211184 View 01684 211184
Photo of Felicity Tutton, Psychotherapist in Great Malvern, England
Felicity Tutton
Psychotherapist, MSc, MUKCP
Verified Verified
Malvern WR14
Welcome. I offer warm, relational support to adults, teenagers and couples bringing issues including: depression, anxiety, stress, low self-esteem and confidence, marital or family relationship difficulties, bereavement, spirituality and faith matters. I have special interest, training and experience in working with attachment issues trauma and abuse, including post traumatic stress disorder (PTSD), dissociation, personality adaptations, somatic and embodied processes. Early on, we will explore your hopes, fears and goals for therapy. I use a confidential, creatively equipped indoor room with access to private outdoor natural space
Welcome. I offer warm, relational support to adults, teenagers and couples bringing issues including: depression, anxiety, stress, low self-esteem and confidence, marital or family relationship difficulties, bereavement, spirituality and faith matters. I have special interest, training and experience in working with attachment issues trauma and abuse, including post traumatic stress disorder (PTSD), dissociation, personality adaptations, somatic and embodied processes. Early on, we will explore your hopes, fears and goals for therapy. I use a confidential, creatively equipped indoor room with access to private outdoor natural space
01684 215938 View 01684 215938
Photo of Jackie Turner, Counsellor in Great Malvern, England
Jackie Turner
Counsellor
Verified Verified
Malvern WR13
I’m an experienced counsellor working in a Person-Centred way, using Narrative Therapy alongside other creative ways of working. I have over 16 years experience of working with adults, children, young people and families. I have found that working with compassion and empathy, to support a deeper more embodied understanding of our responses to difficult situations is a powerful and healing way of working for many people and can lead to deep change. I believe that we all have potential for becoming unstuck and that there is always a possibility of listening to ourselves with greater compassion and self-acceptance.
I’m an experienced counsellor working in a Person-Centred way, using Narrative Therapy alongside other creative ways of working. I have over 16 years experience of working with adults, children, young people and families. I have found that working with compassion and empathy, to support a deeper more embodied understanding of our responses to difficult situations is a powerful and healing way of working for many people and can lead to deep change. I believe that we all have potential for becoming unstuck and that there is always a possibility of listening to ourselves with greater compassion and self-acceptance.
01905 967978 View 01905 967978

How does your Counsellor compare?

Number of Counsellors in Great Malvern

< 10

Counsellors in Great Malvern who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
75% Bereavement
75% Other
75% Emotional Disturbance
75% Family Conflict

Average years in practice

17 Years

Gender breakdown

100% Female

How Counsellors in Great Malvern see their clients

50% In Person and Online
50% Online Only

FAQs - About Therapy and Counselling

How can I find a therapist in Great Malvern?

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.