Counselling in Kingsclere

Photo of Rachael Coward, Psychotherapist, MBACP
Rachael Coward
Psychotherapist, MBACP
I work with adults who often appear to be managing well on the outside, but internally feel stuck, anxious, or emotionally overwhelmed in ways that do not shift easily. Many people come to me when they notice long-standing patterns such as anxiety, overthinking, emotional disconnection, difficulties in relationships, or burnout despite functioning in daily life. Often there is a sense of understanding themselves intellectually but still not experiencing lasting emotional change. Together we work with these patterns as they emerge, helping to bring clarity and support deeper and more lasting change.
I work with adults who often appear to be managing well on the outside, but internally feel stuck, anxious, or emotionally overwhelmed in ways that do not shift easily. Many people come to me when they notice long-standing patterns such as anxiety, overthinking, emotional disconnection, difficulties in relationships, or burnout despite functioning in daily life. Often there is a sense of understanding themselves intellectually but still not experiencing lasting emotional change. Together we work with these patterns as they emerge, helping to bring clarity and support deeper and more lasting change.
023 8001 2313 View 023 8001 2313
Photo of Dr Daniel Jolles, Counsellor, PhD, MBACP
Dr Daniel Jolles
Counsellor, PhD, MBACP
2 Endorsed
Serves Area
You're under pressure to 'hold it all together', but underneath there may be anxiety, low mood, or strain in your relationships. Caught between external achievements and what you're experiencing internally, things may look successful on paper, but inside there may be exhaustion, self-doubt, or a loss of meaning. Constant pressure, high standards, or a particular challenge at work or in your personal life may have become overwhelming. You might feel you should be coping better or managing this without help. What you're looking for is space to talk, understand what's happening, and find a more sustainable path forward.
You're under pressure to 'hold it all together', but underneath there may be anxiety, low mood, or strain in your relationships. Caught between external achievements and what you're experiencing internally, things may look successful on paper, but inside there may be exhaustion, self-doubt, or a loss of meaning. Constant pressure, high standards, or a particular challenge at work or in your personal life may have become overwhelming. You might feel you should be coping better or managing this without help. What you're looking for is space to talk, understand what's happening, and find a more sustainable path forward.
01635 017484 View 01635 017484

More Therapists Nearby

Photo of Dr Jonathan O'Keeffe, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Jonathan O'Keeffe
Psychologist, PsychD, HCPC - Clin. Psych.
1 Endorsed
Online Only
Hi! I'm Jonathan. Thank you for taking a look at my profile. I know that it's difficult to choose a psychologist, so here is a bit about me and if you'd like a chat before meeting, let me know! I recognise how important the therapeutic relationship is, so initial contact is about creating a safe space for us to work together. We will focus on your goals for therapy and develop a collaborative understanding of your story, and what may be contributing towards any difficulties. I am trained to work with a variety of difficulties from low mood, anxiety and adjustment to trauma, low esteem and family difficulties, amongst many others!
Hi! I'm Jonathan. Thank you for taking a look at my profile. I know that it's difficult to choose a psychologist, so here is a bit about me and if you'd like a chat before meeting, let me know! I recognise how important the therapeutic relationship is, so initial contact is about creating a safe space for us to work together. We will focus on your goals for therapy and develop a collaborative understanding of your story, and what may be contributing towards any difficulties. I am trained to work with a variety of difficulties from low mood, anxiety and adjustment to trauma, low esteem and family difficulties, amongst many others!
020 4538 2549 View 020 4538 2549
Photo of Carly Crawford, Psychotherapist, MSc, MUKCP
Carly Crawford
Psychotherapist, MSc, MUKCP
4 Endorsed
Do you feel anxious, depressed or burned out? Are events from your past affecting your present? Do you want more from your relationships or to understand your neurotype? I believe passionately that everyone can benefit from empathetic, professional support. I am a registered counsellor and psychotherapist and I have worked in the field of mental health and well-being for many years, in private practice, charitable counselling services and in statutory homeless, addiction and resettlement services. I take great joy from working with people from all backgrounds, getting to know their stories and their strengths.
Do you feel anxious, depressed or burned out? Are events from your past affecting your present? Do you want more from your relationships or to understand your neurotype? I believe passionately that everyone can benefit from empathetic, professional support. I am a registered counsellor and psychotherapist and I have worked in the field of mental health and well-being for many years, in private practice, charitable counselling services and in statutory homeless, addiction and resettlement services. I take great joy from working with people from all backgrounds, getting to know their stories and their strengths.
01962 671205 View 01962 671205
Photo of Julia Belton, Psychotherapist, MUKCP
Julia Belton
Psychotherapist, MUKCP
Oxford OX2
I am a UKCP registered Child and Adolescent Psychotherapist working in Oxford. I have over 20 years experience. I specialise in supporting young people, adults and parents. As a former teacher I have a unique insight into how schools can support young people and if necessary I can facilitate communication between schools and families. For many years I have supported parents who face challenging situations as well as adults seeking individual therapy. Please get in touch for an informal chat or have a look at my website: juliabeltonpsychotherapy.co.uk.
I am a UKCP registered Child and Adolescent Psychotherapist working in Oxford. I have over 20 years experience. I specialise in supporting young people, adults and parents. As a former teacher I have a unique insight into how schools can support young people and if necessary I can facilitate communication between schools and families. For many years I have supported parents who face challenging situations as well as adults seeking individual therapy. Please get in touch for an informal chat or have a look at my website: juliabeltonpsychotherapy.co.uk.
020 4538 2383 View 020 4538 2383
Photo of Sophie Jane Miller, Counsellor, MA, MBACP
Sophie Jane Miller
Counsellor, MA, MBACP
2 Endorsed
Oxford OX44
Are you stuck, finding life hard to manage or struggling with neurodiversity? Work with me to reconnect with your authentic self, the things that bring you joy and not get stuck on automatic pilot, playing parts that don't work any longer. You don't need to be unwell to benefit from psychosynthesis or mindfulness, although most people come to therapy when something gets stuck or unworkable in their lives. Whatever your reason to seek help, I believe in reconnecting you with what makes your heart sing.
Are you stuck, finding life hard to manage or struggling with neurodiversity? Work with me to reconnect with your authentic self, the things that bring you joy and not get stuck on automatic pilot, playing parts that don't work any longer. You don't need to be unwell to benefit from psychosynthesis or mindfulness, although most people come to therapy when something gets stuck or unworkable in their lives. Whatever your reason to seek help, I believe in reconnecting you with what makes your heart sing.
01865 900904 View 01865 900904
Photo of Csilla Varga, Counsellor, MA, MBACP
Csilla Varga
Counsellor, MA, MBACP
Serves Area
Hi, my name is Csilla, I am a qualified counsellor, I welcome you in a safe and confidential space to work with me either in person or online. Whatever is that you are going through, whether you are feeling anxious, depressed or if you are experiencing problems or difficulties either in your personal life or at work, we can explore these safely and confidentially. In therapy every feeling, thought or sensation you might feel is welcome.
Hi, my name is Csilla, I am a qualified counsellor, I welcome you in a safe and confidential space to work with me either in person or online. Whatever is that you are going through, whether you are feeling anxious, depressed or if you are experiencing problems or difficulties either in your personal life or at work, we can explore these safely and confidentially. In therapy every feeling, thought or sensation you might feel is welcome.
01529 404569 View 01529 404569
Photo of Max Thomas Day West, Counsellor, MSc, MBACP
Max Thomas Day West
Counsellor, MSc, MBACP
Online Only
You might be here because something feels heavy or unsettled, even if you’re not quite sure why. I offer a calm, collaborative space to slow things down and make sense of what you’re carrying. Many people I work with are thoughtful and capable, yet struggling internally with anxiety, self-criticism, shame, or feeling stuck. I work relationally and at your pace, drawing on person-centred and CBT-informed approaches where helpful. I offer online sessions and a brief initial consultation. “Therapy is not about fixing people, but about helping them live better lives.” — Mick Cooper.
You might be here because something feels heavy or unsettled, even if you’re not quite sure why. I offer a calm, collaborative space to slow things down and make sense of what you’re carrying. Many people I work with are thoughtful and capable, yet struggling internally with anxiety, self-criticism, shame, or feeling stuck. I work relationally and at your pace, drawing on person-centred and CBT-informed approaches where helpful. I offer online sessions and a brief initial consultation. “Therapy is not about fixing people, but about helping them live better lives.” — Mick Cooper.
020 4572 3582 View 020 4572 3582
Photo of Penelope Toff, MBBS
Penelope Toff
Verified Verified
Oxford OX1
I am a Hypnotherapist and Rapid Transformational Therapist (RTT), trained by Marisa Peer, as well as an experienced medical doctor and life and careers coach. I have worked in the NHS and private sector for many years. I would be delighted to help you overcome whatever is causing you pain and holding you back from being your being your best self. I offer RTT alone, or in combination with coaching for further great results, putting your new understanding from RTT into practice in your relationships, work and home life.
I am a Hypnotherapist and Rapid Transformational Therapist (RTT), trained by Marisa Peer, as well as an experienced medical doctor and life and careers coach. I have worked in the NHS and private sector for many years. I would be delighted to help you overcome whatever is causing you pain and holding you back from being your being your best self. I offer RTT alone, or in combination with coaching for further great results, putting your new understanding from RTT into practice in your relationships, work and home life.
01865 951416 View 01865 951416
Photo of Chris Faulkner, Counsellor, MBACP Accred
Chris Faulkner
Counsellor, MBACP Accred
Online Only
I am a qualified Counsellor and Psychotherapist with extensive experience with a wide range of client issues including bereavement, self-esteem, shame, guilt and relationship issues to name but a few. I believe passionately that every person is unique and individual. Life can at times be difficult and confusing; a single major event or a number of events can affect our internal equilibrium and affect quality of life. I offer a warm, empathic, safe and non-judgemental space for you to explore your feelings and issues. As a native speaker of Spanish I offer Spanish speaking therapy for the Hispanic community.
I am a qualified Counsellor and Psychotherapist with extensive experience with a wide range of client issues including bereavement, self-esteem, shame, guilt and relationship issues to name but a few. I believe passionately that every person is unique and individual. Life can at times be difficult and confusing; a single major event or a number of events can affect our internal equilibrium and affect quality of life. I offer a warm, empathic, safe and non-judgemental space for you to explore your feelings and issues. As a native speaker of Spanish I offer Spanish speaking therapy for the Hispanic community.
07799 697952 View 07799 697952
Photo of Johanne Wyld, Psychotherapist, MUKCP
Johanne Wyld
Psychotherapist, MUKCP
Making the decision to enter into psychotherapy can be an important step and my aim is to offer a confidential space to discuss your concerns. Psychotherapy can be an opportunity to talk through what feels difficult or problematic in life. Sometimes people have an idea about the nature of their difficulties, others are less sure. Talking with a therapist can help you to discover and make sense of what is leaving you feeling either stuck, lost, anxious, unhappy or overwhelmed.
Making the decision to enter into psychotherapy can be an important step and my aim is to offer a confidential space to discuss your concerns. Psychotherapy can be an opportunity to talk through what feels difficult or problematic in life. Sometimes people have an idea about the nature of their difficulties, others are less sure. Talking with a therapist can help you to discover and make sense of what is leaving you feeling either stuck, lost, anxious, unhappy or overwhelmed.
01962 673482 View 01962 673482
Photo of Marco Moretto, Psychologist, HCPC - Couns. Psych.
Marco Moretto
Psychologist, HCPC - Couns. Psych.
Oxford OX4
I am registered with the HCPC and have obtained my Doctorate in Counselling Psychology at the University of Padua in Italy. I have experience working with individuals who have a variety of complex emotional needs, including those with diagnoses of complex trauma, PTSD, OCD, phobias, GAD, depression, and mental health issues related to neuro-developmental disorders (ASC & ADHD). Since 2010, I have worked in my career in a variety of contexts, and I still do. I approach treatment with an integrated, person-centered methodology. primarily utilizing third wave methodologies and trauma-focused concepts.
I am registered with the HCPC and have obtained my Doctorate in Counselling Psychology at the University of Padua in Italy. I have experience working with individuals who have a variety of complex emotional needs, including those with diagnoses of complex trauma, PTSD, OCD, phobias, GAD, depression, and mental health issues related to neuro-developmental disorders (ASC & ADHD). Since 2010, I have worked in my career in a variety of contexts, and I still do. I approach treatment with an integrated, person-centered methodology. primarily utilizing third wave methodologies and trauma-focused concepts.
01865 598615 View 01865 598615
Photo of Dr Molly Brimson, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Molly Brimson
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Serves Area
Waitlist for new clients
Perhaps you're feeling low or anxious - maybe you're struggling with decisions about the future of a relationship or feel stuck and unhappy with the life you are leading. Whatever your needs may be, I am here to offer support. I work with adults and young people from all works of life. My specialisms include anxiety and low self-esteem, trauma-related difficulties, depression and low mood, bereavement and loss, and relationship and attachment difficulties.
Perhaps you're feeling low or anxious - maybe you're struggling with decisions about the future of a relationship or feel stuck and unhappy with the life you are leading. Whatever your needs may be, I am here to offer support. I work with adults and young people from all works of life. My specialisms include anxiety and low self-esteem, trauma-related difficulties, depression and low mood, bereavement and loss, and relationship and attachment difficulties.
023 8144 0112 View 023 8144 0112
Photo of Susanne Rosset, Counsellor, MBACP Accred
Susanne Rosset
Counsellor, MBACP Accred
Fleet GU51
If you have arrived here, you’ve taken the first step to get yourself where you would like to be. I am a fully qualified accredited counsellor working with young people (aged 11 to 18) and adults. I am passionate about providing a safe and non-judgmental space where people, regardless of age, sex, gender or background, can feel seen, heard and understood. I offer a warm, empathic and confidential environment for face to face, phone and online appointments. In our sessions you will have the opportunity to reflect and process what is going on for you and how this is affecting you. Remember your experience will be unique to you.
If you have arrived here, you’ve taken the first step to get yourself where you would like to be. I am a fully qualified accredited counsellor working with young people (aged 11 to 18) and adults. I am passionate about providing a safe and non-judgmental space where people, regardless of age, sex, gender or background, can feel seen, heard and understood. I offer a warm, empathic and confidential environment for face to face, phone and online appointments. In our sessions you will have the opportunity to reflect and process what is going on for you and how this is affecting you. Remember your experience will be unique to you.
01689 664657 View 01689 664657
Photo of Isobel Hall, Psychotherapist, MNCPS Acc.
Isobel Hall
Psychotherapist, MNCPS Acc.
Wantage OX12
Hi, I’m Isobel - a warm, direct and down-to-earth therapist offering a space where you can feel truly heard. I work with both individuals and couples, supporting people through a wide range of challenges — including anxiety, low self-esteem, relationship difficulties, trauma, and self-defeating patterns. I'm also experienced working with neurodivergent clients, including those with ADHD, autism, or traits. Whether you’re exploring a recent diagnosis, struggling with masking, burnout, or executive functioning, therapy can help you make sense of your experience and develop more self-compassion and clarity.
Hi, I’m Isobel - a warm, direct and down-to-earth therapist offering a space where you can feel truly heard. I work with both individuals and couples, supporting people through a wide range of challenges — including anxiety, low self-esteem, relationship difficulties, trauma, and self-defeating patterns. I'm also experienced working with neurodivergent clients, including those with ADHD, autism, or traits. Whether you’re exploring a recent diagnosis, struggling with masking, burnout, or executive functioning, therapy can help you make sense of your experience and develop more self-compassion and clarity.
01235 639486 View 01235 639486
Photo of Gillian Clay, Counsellor, MBACP Accred
Gillian Clay
Counsellor, MBACP Accred
Serves Area
I consider myself to be a warm, caring and approachable person. I know that coming for counselling takes great courage and I will do my utmost to help you feel at ease. I trained in an integrative approach to counselling, this allows me to tailor therapy, to meet each individual client's needs. I believe that people are unique human beings, who have the potential to make the most of their lives. I have considerable experience of working with nervous illness including, anxiety, depression, OCD, diversity, age related issues and also a wide range of personal problems and relationship problems.
I consider myself to be a warm, caring and approachable person. I know that coming for counselling takes great courage and I will do my utmost to help you feel at ease. I trained in an integrative approach to counselling, this allows me to tailor therapy, to meet each individual client's needs. I believe that people are unique human beings, who have the potential to make the most of their lives. I have considerable experience of working with nervous illness including, anxiety, depression, OCD, diversity, age related issues and also a wide range of personal problems and relationship problems.
07480 788326 View 07480 788326
Photo of Chantal Francis - Chantal Francis Therapy, Psychotherapist, MBACP
Chantal Francis Therapy
Psychotherapist, MBACP
Online Only
Is 'Stress' Ruling Your Life? Perhaps this sounds familiar; You wake up in the morning feeling exhausted before you’ve even started the day. You no longer have energy or enthusiasm for much at all. You find yourself arguing more with loved ones. You move from anxiety to numbing out via endless scrolling, online shopping overworking, oversleeping, drinking or using food. You procrastinate ALOT. From work pressures to strained relationships, when unmanaged stress becomes chronic it impacts your quality of life and can lead to Burnout. This can make it hard to recognise what stress is telling you and ask for the support you need.
Is 'Stress' Ruling Your Life? Perhaps this sounds familiar; You wake up in the morning feeling exhausted before you’ve even started the day. You no longer have energy or enthusiasm for much at all. You find yourself arguing more with loved ones. You move from anxiety to numbing out via endless scrolling, online shopping overworking, oversleeping, drinking or using food. You procrastinate ALOT. From work pressures to strained relationships, when unmanaged stress becomes chronic it impacts your quality of life and can lead to Burnout. This can make it hard to recognise what stress is telling you and ask for the support you need.
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Photo of Christabel Whiting, Counsellor, MBACP
Christabel Whiting
Counsellor, MBACP
1 Endorsed
Witney OX29
Hello, I am an integrative therapeutic counsellor and I am genuine, friendly and experienced in improving mental well being. I offer warmth, support, and a confidential space without judgment to listen to whatever is troubling you, whether it’s from the past, present or future. Life can present us with many challenges, and sometimes we need extra support to find our way through. Counselling can be transformative, helping to resolve issues, improve relationships, and develop greater self-awareness, resilience, and confidence. I help you to explore your world and work through the emotions, difficulties, or changes you are facing.
Hello, I am an integrative therapeutic counsellor and I am genuine, friendly and experienced in improving mental well being. I offer warmth, support, and a confidential space without judgment to listen to whatever is troubling you, whether it’s from the past, present or future. Life can present us with many challenges, and sometimes we need extra support to find our way through. Counselling can be transformative, helping to resolve issues, improve relationships, and develop greater self-awareness, resilience, and confidence. I help you to explore your world and work through the emotions, difficulties, or changes you are facing.
01993 225839 View 01993 225839
Photo of Snjezana Snow Poljanec - The Harley Street Counselling Clinic, Counsellor, MBACP
Feeling low, sad, anxious, isolated...relationship not working well? I help people just like you. Couples and individuals. Come and talk to me.
Feeling low, sad, anxious, isolated...relationship not working well? I help people just like you. Couples and individuals. Come and talk to me.
07905 928308 View 07905 928308
Photo of Dr Melissa McCallum, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Melissa McCallum
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Swindon SN25
Hello, I’m Melissa. Many of the people I work with have experienced childhood trauma, sexual abuse or early experiences that have disrupted their lives. Even when these events happened years ago, their impact can still show up as difficulty focusing, difficulty forming and maintaining healthy relationships, an inability to feel settled or safe, low mood, difficulties trusting yourself or others. Therapy can be a space to gently explore these experiences and begin to feel more in control again. Together we can work on understanding how the past may be affecting the present, developing ways to move forward.
Hello, I’m Melissa. Many of the people I work with have experienced childhood trauma, sexual abuse or early experiences that have disrupted their lives. Even when these events happened years ago, their impact can still show up as difficulty focusing, difficulty forming and maintaining healthy relationships, an inability to feel settled or safe, low mood, difficulties trusting yourself or others. Therapy can be a space to gently explore these experiences and begin to feel more in control again. Together we can work on understanding how the past may be affecting the present, developing ways to move forward.
01793 569418 View 01793 569418

How does your Counsellor compare?

Number of Counsellors in Kingsclere

< 10

Counsellors in Kingsclere who prioritize treating:

100% Relationship Issues
100% Depression
100% Addiction
100% Anxiety
100% Trauma and PTSD
100% Divorce
100% Family Conflict

Gender breakdown

50% Female
50% Male

How Counsellors in Kingsclere see their clients

100% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in Kingsclere?

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.