Counselling in Guildford

Photo of Adrian Mark Stearman, Counsellor, BACP
Adrian Mark Stearman
Counsellor, BACP
2 Endorsed
I provide a safe and confidential place to support you on a one-to-one basis with issues including anxiety, addiction, depression and relationship problems. I am based in Guildford and Godalming, Surrey and offer evening and daytime appointments. Perhaps there is a pattern or behaviour in your life that keeps repeating itself despite your best efforts to feel or behave differently each time. Our histories, cultural and family backgrounds effect how we show up in the here and now of today. Counselling can help to shift our experience of life and the people, places and things that constantly trip us up.
I provide a safe and confidential place to support you on a one-to-one basis with issues including anxiety, addiction, depression and relationship problems. I am based in Guildford and Godalming, Surrey and offer evening and daytime appointments. Perhaps there is a pattern or behaviour in your life that keeps repeating itself despite your best efforts to feel or behave differently each time. Our histories, cultural and family backgrounds effect how we show up in the here and now of today. Counselling can help to shift our experience of life and the people, places and things that constantly trip us up.
01797 331994 View 01797 331994
Photo of Nathalie Skelton, Counsellor, MBACP Accred
Nathalie Skelton
Counsellor, MBACP Accred
1 Endorsed
Hello, I'm a Accredited Psychotherapist and Counsellor working with a broad range of issues including anxiety and depression, and have a special interest in working with people experiencing major life changes, diagnosed or suspected autism or ADHD, parenting/fertility issues, menopause, or illness such as cancer. I also help clients who are searching for a sense of purpose or meaning in life or have lost their sense of identity, Every client is different and I tailor my approach accordingly, integrating different therapeutic methodology and experience. There is light at the end of every tunnel. Let's get you there!
Hello, I'm a Accredited Psychotherapist and Counsellor working with a broad range of issues including anxiety and depression, and have a special interest in working with people experiencing major life changes, diagnosed or suspected autism or ADHD, parenting/fertility issues, menopause, or illness such as cancer. I also help clients who are searching for a sense of purpose or meaning in life or have lost their sense of identity, Every client is different and I tailor my approach accordingly, integrating different therapeutic methodology and experience. There is light at the end of every tunnel. Let's get you there!
01483 694987 View 01483 694987
Photo of Lise Baker, Psychotherapist, MBACP
Lise Baker
Psychotherapist, MBACP
I am an Integrative Counsellor and Psychotherapist practising in Guildford, Haslemere, Putney, West London and Private Practice. I offer short or long term therapy and work with adults and the elderly on a one-to-one basis. I provide a safe, confidential, and non-judgemental space, in professional settings and calm surroundings, where you can find solace and privacy. I hold up-to-date Enhanced Disclosure (DBS) for working with the very vulnerable and continue to develop my skills while I undertake a further MSc in Neuroscience.
I am an Integrative Counsellor and Psychotherapist practising in Guildford, Haslemere, Putney, West London and Private Practice. I offer short or long term therapy and work with adults and the elderly on a one-to-one basis. I provide a safe, confidential, and non-judgemental space, in professional settings and calm surroundings, where you can find solace and privacy. I hold up-to-date Enhanced Disclosure (DBS) for working with the very vulnerable and continue to develop my skills while I undertake a further MSc in Neuroscience.
01276 748034 View 01276 748034
Photo of Dilek Bozan, Psychotherapist, MBACP
Dilek Bozan
Psychotherapist, MBACP
Online Only
Welcome to my profile! Whether you’re feeling anxious or carrying things you’d like to work through, reaching out for support is always a step worth taking. So often, we convince ourselves we’re okay despite a major life change, a loss, or the pressures of a demanding lifestyle. We keep pushing forward until the cracks begin to show — sleepless nights, constant stress, strained relationships, or a noticeable dip in mood. If you’re ready for things to be different, I’ll guide you in transforming stuckness into momentum, self-doubt into self-trust, and anxiety into calm, helping you thrive with renewed confidence and purpose.
Welcome to my profile! Whether you’re feeling anxious or carrying things you’d like to work through, reaching out for support is always a step worth taking. So often, we convince ourselves we’re okay despite a major life change, a loss, or the pressures of a demanding lifestyle. We keep pushing forward until the cracks begin to show — sleepless nights, constant stress, strained relationships, or a noticeable dip in mood. If you’re ready for things to be different, I’ll guide you in transforming stuckness into momentum, self-doubt into self-trust, and anxiety into calm, helping you thrive with renewed confidence and purpose.
020 4572 5999 View 020 4572 5999
Photo of Ana Chacin, Psychologist, MSc, HCPC - Clin. Psych.
Ana Chacin
Psychologist, MSc, HCPC - Clin. Psych.
Online Only
I am a Clinical Psychologist with over 13 years of experience, including 8 years in the NHS, working with children, adolescents, adults, and families. I have particular expertise in autism, ADHD, anxiety and low mood, and take a neurodiversity-affirming, collaborative, and evidence-based approach. I offer therapy in English and Spanish.
I am a Clinical Psychologist with over 13 years of experience, including 8 years in the NHS, working with children, adolescents, adults, and families. I have particular expertise in autism, ADHD, anxiety and low mood, and take a neurodiversity-affirming, collaborative, and evidence-based approach. I offer therapy in English and Spanish.
01483 967340 View 01483 967340
Photo of Rebecca Hitch, Psychotherapist, MA, HCPC-Art Therap.
Rebecca Hitch
Psychotherapist, MA, HCPC-Art Therap.
1 Endorsed
Hello - are you are finding life tough? Maybe finding help is tough too? I'm glad you're here. I specialise in eating disorders; self harm; anxiety and neurodivergence (ADHD, autism etc), drawing on lived and professional experience. I work with children + adolescents who are struggling with their mental health; with parents who feel lost + overwhelmed; and with adults who are for the first time figuring out who they are. I love working creatively, to find an approach that works for you if words are difficult. I've worked in schools (private, mainstream & specialist) & the NHS for nearly two decades. Maybe I can help?
Hello - are you are finding life tough? Maybe finding help is tough too? I'm glad you're here. I specialise in eating disorders; self harm; anxiety and neurodivergence (ADHD, autism etc), drawing on lived and professional experience. I work with children + adolescents who are struggling with their mental health; with parents who feel lost + overwhelmed; and with adults who are for the first time figuring out who they are. I love working creatively, to find an approach that works for you if words are difficult. I've worked in schools (private, mainstream & specialist) & the NHS for nearly two decades. Maybe I can help?
01483 968083 View 01483 968083
Photo of Dr Siobhan Blackwell, Psychologist, PsychD, CPsychol
Dr Siobhan Blackwell
Psychologist, PsychD, CPsychol
Siobhan is an experienced chartered clinical psychologist with over 20 years of dedicated practice in the field of adult and older adolescent mental health. Known for her compassionate approach and evidence-based methods, Siobhan specialises in providing therapy to individuals navigating a wide range of psychological challenges including anxiety, depression, trauma, relationship issues, and personality disorders. Or maybe the challenge is vaguer, such as a recurring low mood or anxiety. Whatever your challenge is, Siobhan’s pledge is to help you understand yourself and get you to where you want to be.
Siobhan is an experienced chartered clinical psychologist with over 20 years of dedicated practice in the field of adult and older adolescent mental health. Known for her compassionate approach and evidence-based methods, Siobhan specialises in providing therapy to individuals navigating a wide range of psychological challenges including anxiety, depression, trauma, relationship issues, and personality disorders. Or maybe the challenge is vaguer, such as a recurring low mood or anxiety. Whatever your challenge is, Siobhan’s pledge is to help you understand yourself and get you to where you want to be.
01483 967629 View 01483 967629
Photo of Craig Coventry - Craig Coventry Counselling and Psychotherapy, Psychotherapist, MA, MBACP
I am a Counsellor, Psychotherapist, trauma therapist and EMDR practitioner. I am registered & accredited member of the BACP. My primary way of working aims to work with the individual as a whole, through helping the client understand their thought and emotional processes and reprocesses stuck traumas whilst working on creative better relationships with the parts of themselves. I work with several difficulties, however, I do specialise in trauma work. Being a trauma therapist, I do specialise in PTSD, CPTSD, BPD/EUPD and dissociative responses including DID.
I am a Counsellor, Psychotherapist, trauma therapist and EMDR practitioner. I am registered & accredited member of the BACP. My primary way of working aims to work with the individual as a whole, through helping the client understand their thought and emotional processes and reprocesses stuck traumas whilst working on creative better relationships with the parts of themselves. I work with several difficulties, however, I do specialise in trauma work. Being a trauma therapist, I do specialise in PTSD, CPTSD, BPD/EUPD and dissociative responses including DID.
07480 488503 View 07480 488503
Photo of Amy Rebecca Hewitt - From Bud 2 Bloom Play Therapy, MA
Hello, my name is Amy I am a registered play therapist. My warm, kind and playful personality enables me to connect with children easily. I have worked with children experiencing various emotional challenges such as trauma, abuse, domestic violence, parental separation, bereavement, autism, global learning and anxiety. I have a special interest in childhood trauma, Looked After Children and strengthening family relationships through creativity, curiosity and play.
Hello, my name is Amy I am a registered play therapist. My warm, kind and playful personality enables me to connect with children easily. I have worked with children experiencing various emotional challenges such as trauma, abuse, domestic violence, parental separation, bereavement, autism, global learning and anxiety. I have a special interest in childhood trauma, Looked After Children and strengthening family relationships through creativity, curiosity and play.
01483 694419 View 01483 694419
Photo of Francesca E Medhurst, Psychotherapist, MSc, MBACP
Francesca E Medhurst
Psychotherapist, MSc, MBACP
1 Endorsed
Hello and welcome to my page. Firstly, seeking help is not easy but you've already made steps towards improving the very reasons that brought you here in the first place. If you are feeling as though something is getting in the way of your happiness, success and fulfilment we can speak about how we might work together towards a solution to these struggles.. Sometimes we experience extreme pressures, stresses, traumas that are set upon us and we can feel that we are unable to find a way out on our own. If you are feeling overwhelmed and you are ready to make changes that will bring you peace, then you are in the right place.
Hello and welcome to my page. Firstly, seeking help is not easy but you've already made steps towards improving the very reasons that brought you here in the first place. If you are feeling as though something is getting in the way of your happiness, success and fulfilment we can speak about how we might work together towards a solution to these struggles.. Sometimes we experience extreme pressures, stresses, traumas that are set upon us and we can feel that we are unable to find a way out on our own. If you are feeling overwhelmed and you are ready to make changes that will bring you peace, then you are in the right place.
01483 968847 View 01483 968847
Photo of Dr Jo Gee, Psychotherapist, PhD, MUKCP
Dr Jo Gee
Psychotherapist, PhD, MUKCP
I am a Senior Accredited BACP and UKCP Accredited clinical psychotherapist offering psychotherapy and DBT to men, women and adolescents. My specialist areas include emotional dysregulation, OCD and personality disorders online and in Surrey and London. I have completed a PhD and MSc at the University of Roehampton, alongside British Isles DBT Intensive Training and MBCT Training. I have a wealth of experience in NHS, forensic and private settings, including the Priory Group, and work alongside psychiatrists and mental health teams in Surrey and London.
I am a Senior Accredited BACP and UKCP Accredited clinical psychotherapist offering psychotherapy and DBT to men, women and adolescents. My specialist areas include emotional dysregulation, OCD and personality disorders online and in Surrey and London. I have completed a PhD and MSc at the University of Roehampton, alongside British Isles DBT Intensive Training and MBCT Training. I have a wealth of experience in NHS, forensic and private settings, including the Priory Group, and work alongside psychiatrists and mental health teams in Surrey and London.
07400 297958 View 07400 297958
Photo of Maddy Coates, Counsellor, MSc, MBACP
Maddy Coates
Counsellor, MSc, MBACP
I help people relate, establish healthy relationships and to be heard. As a systemic, psychodynamic and Relate trained relationship counsellor, I help people with issues individually or as a couple. Life phases throw up issues around marriage, parenting, empty nesting, retirement , separation and the way we relate to others. I work through these and consider underlying issues, patterns of conflict, communication challenges, parental differences, feelings about roles and responsibilities, beliefs from childhood or difficult life obstacles.
I help people relate, establish healthy relationships and to be heard. As a systemic, psychodynamic and Relate trained relationship counsellor, I help people with issues individually or as a couple. Life phases throw up issues around marriage, parenting, empty nesting, retirement , separation and the way we relate to others. I work through these and consider underlying issues, patterns of conflict, communication challenges, parental differences, feelings about roles and responsibilities, beliefs from childhood or difficult life obstacles.
07401 271240 View 07401 271240
Photo of Marzena Steels, Counsellor, MA, MBACP
Marzena Steels
Counsellor, MA, MBACP
Whatever you are feeling now, there is a light at the end of the tunnel. Life can be tricky sometimes and you may think that people can't understand you because of what you are going through. Sometimes you need someone to listen to you, to help you to understand what is actually happening. I can help you to walk through this journey, to find a way to a safe place which respects your values and beliefs. You can talk about any issues that bother you and explore your emotions without judgment. I have 19 years of training and experience in a broad range of topics in psychotherapy counselling and educational therapy.
Whatever you are feeling now, there is a light at the end of the tunnel. Life can be tricky sometimes and you may think that people can't understand you because of what you are going through. Sometimes you need someone to listen to you, to help you to understand what is actually happening. I can help you to walk through this journey, to find a way to a safe place which respects your values and beliefs. You can talk about any issues that bother you and explore your emotions without judgment. I have 19 years of training and experience in a broad range of topics in psychotherapy counselling and educational therapy.
01252 986481 View 01252 986481
Photo of Lee Roberts, Psychologist, MSc, GMBPsS
Lee Roberts
Psychologist, MSc, GMBPsS
I coach adults who outwardly appear to be functioning well day-to-day but, internally, feel weighed down, stuck or blocked by unhelpful thoughts, feelings or behaviours. Maybe you're dealing with a life transition, you're procrastinating, or your rumination is getting you down. The critical point is that you're not looking for a traditional 'medical' solution. You're not 'ill', you know that if you worked through some areas, you could perform better, reach your potential or just feel more content, resilient, or happy.
I coach adults who outwardly appear to be functioning well day-to-day but, internally, feel weighed down, stuck or blocked by unhelpful thoughts, feelings or behaviours. Maybe you're dealing with a life transition, you're procrastinating, or your rumination is getting you down. The critical point is that you're not looking for a traditional 'medical' solution. You're not 'ill', you know that if you worked through some areas, you could perform better, reach your potential or just feel more content, resilient, or happy.
01797 330711 View 01797 330711
Photo of Andy Edwin Spencer, Counsellor, MNCPS Acc.
Andy Edwin Spencer
Counsellor, MNCPS Acc.
Life will always present us with challenges and difficult situations. Sometimes these challenges can get on top of us and we stop living and enjoying our lives as fully as we would like. This is where counselling can be of help. Counselling is about offering a supportive relationship in a safe and confidential environment to talk through whatever is concerning them. Counselling is not about giving advice and counsellors can never be experts in other people’s lives. Counselling is about helping people find their unique strengths to work through a particular issue in the best way for them so that they can live a happy life.
Life will always present us with challenges and difficult situations. Sometimes these challenges can get on top of us and we stop living and enjoying our lives as fully as we would like. This is where counselling can be of help. Counselling is about offering a supportive relationship in a safe and confidential environment to talk through whatever is concerning them. Counselling is not about giving advice and counsellors can never be experts in other people’s lives. Counselling is about helping people find their unique strengths to work through a particular issue in the best way for them so that they can live a happy life.
01483 930178 View 01483 930178
Photo of Dr Suzanna Jane Richardson - Dr Suzanna Kent, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Suzanna Kent
Psychologist, PsychD, HCPC - Clin. Psych.
Waitlist for new clients
I am an experienced Clinical Psychologist offering professional therapeutic support to adults and young people aged 16 and above. I can offer time-limited interventions or longer-term therapy for anybody who: has experienced trauma; is living with anxiety or depression; is navigating grief or loss; is adjusting to significant life changes.
I am an experienced Clinical Psychologist offering professional therapeutic support to adults and young people aged 16 and above. I can offer time-limited interventions or longer-term therapy for anybody who: has experienced trauma; is living with anxiety or depression; is navigating grief or loss; is adjusting to significant life changes.
01483 694769 View 01483 694769
Photo of Helen Broadley, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Helen Broadley
Psychologist, DCounsPsych, HCPC - Couns. Psych.
17 Endorsed
Hello, I’m Helen. I am a Chartered Psychologist and fully accredited Cognitive Behavioural Therapist. I have a lot of experience of working with people to overcome difficulties they may be encountering. We all experience times in our lives when things can feel too much, or we may become ‘stuck’. By talking together in therapy we can work to understand the problems you are facing, and develop skills to support you moving forward.
Hello, I’m Helen. I am a Chartered Psychologist and fully accredited Cognitive Behavioural Therapist. I have a lot of experience of working with people to overcome difficulties they may be encountering. We all experience times in our lives when things can feel too much, or we may become ‘stuck’. By talking together in therapy we can work to understand the problems you are facing, and develop skills to support you moving forward.
View
Photo of Tamara Bathgate, Counsellor, MA, MBACP
Tamara Bathgate
Counsellor, MA, MBACP
Taking the first step to finding the right support can be daunting. Whatever you're experiencing, be it anxiety, depression, relationship issues, bereavement, or simply feeling stuck, you don’t have to face life’s challenges alone. My approach is warm and non-judgemental, providing a safe space for you to explore your thoughts and feelings at your own pace. I practice therapeutic counselling, which focuses on how your past experiences might be influencing your current thoughts, feelings, and relationships.
Taking the first step to finding the right support can be daunting. Whatever you're experiencing, be it anxiety, depression, relationship issues, bereavement, or simply feeling stuck, you don’t have to face life’s challenges alone. My approach is warm and non-judgemental, providing a safe space for you to explore your thoughts and feelings at your own pace. I practice therapeutic counselling, which focuses on how your past experiences might be influencing your current thoughts, feelings, and relationships.
01483 967877 View 01483 967877
Photo of Kate Brady, Psychotherapist, MUKCP
Kate Brady
Psychotherapist, MUKCP
Online Only
Waitlist for new clients
I've over thirty years experience as a therapist and offer friendly, flexible online therapy centred around you as a unique individual. With a wide range of therapeutic tools, including EMDR and IFS as well as traditional 'talk therapy', we can explore the approach that will best suit you, helping you to meet life's challenges. This might involve healing and releasing difficulties from the past, letting go negative beliefs that hold you back or bringing understanding and compassion to all aspects of your personality so you can discover new inner resources.
I've over thirty years experience as a therapist and offer friendly, flexible online therapy centred around you as a unique individual. With a wide range of therapeutic tools, including EMDR and IFS as well as traditional 'talk therapy', we can explore the approach that will best suit you, helping you to meet life's challenges. This might involve healing and releasing difficulties from the past, letting go negative beliefs that hold you back or bringing understanding and compassion to all aspects of your personality so you can discover new inner resources.
01483 967209 View 01483 967209
Photo of Deborah Cockram, Counsellor, MBACP
Deborah Cockram
Counsellor, MBACP
Not accepting new clients
Hello, I'm Deborah. Sometimes, we realise we need some support to cope with how we feel, but we may think it is too small to mention, or that it would be too much to share. You might be working through relationship, work or family challenges? Perhaps, you are feeling low, but not quite sure why? Just having someone to listen and support you in a non-judgmental way can help with perspective and recognising patterns or coping mechanisms. I have much experience in helping clients with anxiety, depression, stress, loss, sexual abuse, traumatic events, relationship issues or family conflicts.
Hello, I'm Deborah. Sometimes, we realise we need some support to cope with how we feel, but we may think it is too small to mention, or that it would be too much to share. You might be working through relationship, work or family challenges? Perhaps, you are feeling low, but not quite sure why? Just having someone to listen and support you in a non-judgmental way can help with perspective and recognising patterns or coping mechanisms. I have much experience in helping clients with anxiety, depression, stress, loss, sexual abuse, traumatic events, relationship issues or family conflicts.
01793 540637 View 01793 540637

See more therapy options for Guildford

How does your Counsellor compare?

Number of Counsellors in Guildford

200+

Average cost per session

£70

Counsellors in Guildford who prioritize treating:

94% Anxiety
89% Depression
84% Self Esteem
82% Stress
77% Relationship Issues
68% Trauma and PTSD
66% Bereavement

Average years in practice

12 Years

Top 3 insurances accepted

73% Aviva
70% AXA PPP
63% Vitality

How Counsellors in Guildford see their clients

78% In Person and Online
22% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Guildford?

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.