Counselling in Kirkham

Photo of Steve Gibbin - Equilibrium Cognitive Behavioural Therapy
I am a Registered Mental Health Nurse with 30 years experience and trained as a Cognitive Behavioural Psychotherapist, completing my Postgraduate Diploma in CBT at The University of Salford. I am particularly experienced and skilled in working with people suffering from anxiety, depression and trauma related problems. Additionally i have spcific experience of helping adults with ADHD who need help to manage symptoms such as problems with organisation, time management, organisation, planning and anger management.
I am a Registered Mental Health Nurse with 30 years experience and trained as a Cognitive Behavioural Psychotherapist, completing my Postgraduate Diploma in CBT at The University of Salford. I am particularly experienced and skilled in working with people suffering from anxiety, depression and trauma related problems. Additionally i have spcific experience of helping adults with ADHD who need help to manage symptoms such as problems with organisation, time management, organisation, planning and anger management.
0151 318 0852 View 0151 318 0852
Photo of Lesley-Anne Brocklehurst - L A Counselling Ltd, Counsellor, DCounsPsych, MBACP
L A Counselling Ltd
Counsellor, DCounsPsych, MBACP
Serves Area
You may wish to reflect on a significant experience in your life or seek to understand the origins of unwanted thoughts, feelings, and behavioural patterns. It’s common to feel burdened by life, experiencing sadness, anxiety, overwhelm, or a sense of being trapped by negative thoughts. During these challenging times, it can be difficult to see a way forward; this is where counselling can be beneficial. Together, we will explore these issues in a safe and supportive environment, allowing you to progress at your own pace. Our sessions are client-led, ensuring that you never feel rushed.
You may wish to reflect on a significant experience in your life or seek to understand the origins of unwanted thoughts, feelings, and behavioural patterns. It’s common to feel burdened by life, experiencing sadness, anxiety, overwhelm, or a sense of being trapped by negative thoughts. During these challenging times, it can be difficult to see a way forward; this is where counselling can be beneficial. Together, we will explore these issues in a safe and supportive environment, allowing you to progress at your own pace. Our sessions are client-led, ensuring that you never feel rushed.
01253 335613 View 01253 335613
Photo of Rebecca Louise Binns, Counsellor, MA, MBACP
Rebecca Louise Binns
Counsellor, MA, MBACP
Serves Area
I like to offer clients a space where they can work through their issues, exploring how past events may feed into the current situation, allow themselves to be challenged, whilst knowing they are safe and supported. Whilst it can be helpful to know what your end goal is, sometimes it can be as simple as to ‘not feel this way anymore.’
I like to offer clients a space where they can work through their issues, exploring how past events may feed into the current situation, allow themselves to be challenged, whilst knowing they are safe and supported. Whilst it can be helpful to know what your end goal is, sometimes it can be as simple as to ‘not feel this way anymore.’
01253 835149 View 01253 835149
Photo of Julie BradshawMBE, Psychotherapist, MBACP Accred
Julie BradshawMBE
Psychotherapist, MBACP Accred
Serves Area
Dr. Julie Bradshaw MBE: Qualified ONLINE & Face to Face Psychotherapist & Supervisor; working remotely & from a beautiful log cabin in Loughborough and Blackpool. Using various ways suited to the individual, I see people are not their behaviours and are doing the best that they can with what they have. Everyone has the resources within themselves to change and to achieve their maximum potential in life and to EXPAND upon it, RIGHT NOW. Central to my work is the quality of the relationship and rapport between client and therapist. I provide you that confidential, safe & trusting environment where you are free to explore deep issues.
Dr. Julie Bradshaw MBE: Qualified ONLINE & Face to Face Psychotherapist & Supervisor; working remotely & from a beautiful log cabin in Loughborough and Blackpool. Using various ways suited to the individual, I see people are not their behaviours and are doing the best that they can with what they have. Everyone has the resources within themselves to change and to achieve their maximum potential in life and to EXPAND upon it, RIGHT NOW. Central to my work is the quality of the relationship and rapport between client and therapist. I provide you that confidential, safe & trusting environment where you are free to explore deep issues.
01509 273776 View 01509 273776
Photo of Charlotte Van-Lint, Psychotherapist, MBACP
Charlotte Van-Lint
Psychotherapist, MBACP
Serves Area
As a dedicated Trauma Informed Psychotherapist , I am committed to providing a safe supportive environment for individuals seeking to understand and improve their mental health.  I work with a broad range of mental health needs and neurodivergence with a focus on empathy and compassion, I work collaboratively with my clients to navigate their challenges and achieve their personal goals. Services I offer include: - Integrative individual therapy -  EFT Couples therapy - Group therapy . I work with a broad range of presentations including anxiety, depression, ADHD, stress, divorce, loss ,relationship difficulties and family conflict.
As a dedicated Trauma Informed Psychotherapist , I am committed to providing a safe supportive environment for individuals seeking to understand and improve their mental health.  I work with a broad range of mental health needs and neurodivergence with a focus on empathy and compassion, I work collaboratively with my clients to navigate their challenges and achieve their personal goals. Services I offer include: - Integrative individual therapy -  EFT Couples therapy - Group therapy . I work with a broad range of presentations including anxiety, depression, ADHD, stress, divorce, loss ,relationship difficulties and family conflict.
01253 835178 View 01253 835178

More Therapists Nearby

Photo of Sallie Scott, Counsellor, MA, MBACP Accred
Sallie Scott
Counsellor, MA, MBACP Accred
I am a BACP Accredited counsellor with extensive experience of working with adults, couples, young people and families. Everyone experiences trauma in life and at times it can feel like there is no light at the end of the tunnel. Past and present stresses such as bereavement, abuse, family breakdown, self harming and depression can feel overwhelming and effective counselling can help a person to regain control of his or her life. The relationship between the client and counsellor is paramount to effective therapy. I am qualified, experienced, confidential, good humoured and above all, enthusiastic and dedicated to counselling.
I am a BACP Accredited counsellor with extensive experience of working with adults, couples, young people and families. Everyone experiences trauma in life and at times it can feel like there is no light at the end of the tunnel. Past and present stresses such as bereavement, abuse, family breakdown, self harming and depression can feel overwhelming and effective counselling can help a person to regain control of his or her life. The relationship between the client and counsellor is paramount to effective therapy. I am qualified, experienced, confidential, good humoured and above all, enthusiastic and dedicated to counselling.
07411 249410 View 07411 249410
Photo of Rachel Woolerton, MSc
Rachel Woolerton
Verified Verified
Online Only
I qualified as a nurse in 1987 and spent many years working primarily as a practice nurse. This role gave me a unique insight into the challenges people face when expressing their sexual needs, both individually and within relationships. Over time, I observed that treatment for sexual difficulties was often over-medicalised and lacked sensitivity, failing to consider the whole person. In 2017, I began training in psychosexual therapy and have since had the privilege of working with the NHS and other specialist organisations, both face-to-face and online. Today, I practice independently as an online psychosexual therapist.
I qualified as a nurse in 1987 and spent many years working primarily as a practice nurse. This role gave me a unique insight into the challenges people face when expressing their sexual needs, both individually and within relationships. Over time, I observed that treatment for sexual difficulties was often over-medicalised and lacked sensitivity, failing to consider the whole person. In 2017, I began training in psychosexual therapy and have since had the privilege of working with the NHS and other specialist organisations, both face-to-face and online. Today, I practice independently as an online psychosexual therapist.
015242 35740 View 015242 35740
Photo of Rebecca Briggs - Minds at Peace Counselling , Counsellor, MNCPS Acc.
Minds at Peace Counselling
Counsellor, MNCPS Acc.
Runcorn WA7
My name is Rebecca and I am a qualified integrative counsellor. My focus is on the person(s) to assist, heal, energise, and help them recognise their inner qualities and strengths and acquire empowerment. We will accomplish this together, in a non-judgemental, safe environment, whilst developing a therapeutic relationship.
My name is Rebecca and I am a qualified integrative counsellor. My focus is on the person(s) to assist, heal, energise, and help them recognise their inner qualities and strengths and acquire empowerment. We will accomplish this together, in a non-judgemental, safe environment, whilst developing a therapeutic relationship.
01928 241364 View 01928 241364
Photo of Rachael Radford, Counsellor, MBACP
Rachael Radford
Counsellor, MBACP
3 Endorsed
Waitlist for new clients
Do you feel stuck or unable to move on from your past? Perhaps you notice patterns in your relationships or behaviour that feel impossible to change. Are you coping in ways that are no longer serving you? Painful experiences can often lead to us feeling lost and disconnected, which can impact on how we feel about ourselves, our relationships and the world around us. Shame or fear might be getting in the way of you asking for what you need, creating boundaries and telling people how you feel, which might lead to more stuckness. We all get stuck at times, that's very human! And we all need to feel seen, heard & understood.
Do you feel stuck or unable to move on from your past? Perhaps you notice patterns in your relationships or behaviour that feel impossible to change. Are you coping in ways that are no longer serving you? Painful experiences can often lead to us feeling lost and disconnected, which can impact on how we feel about ourselves, our relationships and the world around us. Shame or fear might be getting in the way of you asking for what you need, creating boundaries and telling people how you feel, which might lead to more stuckness. We all get stuck at times, that's very human! And we all need to feel seen, heard & understood.
0151 675 0276 View 0151 675 0276
Photo of John Clare, Counsellor, MSc, MNCPS Acc.
John Clare
Counsellor, MSc, MNCPS Acc.
Life can feel overwhelming, leaving you exhausted by external pressures and disconnected from yourself. I offer a calm, consistent, and non-judgmental space to slow down and be heard. Whether you are navigating anxiety, trauma, grief, or a general sense of being lost, I provide a safe environment where you can explore whatever is most present for you. My approach is grounded in empathy and authenticity, respecting that you are the only person who truly knows what it is like to be you. Together, we can process hidden experiences and integrate past conflicts into a more whole sense of self.
Life can feel overwhelming, leaving you exhausted by external pressures and disconnected from yourself. I offer a calm, consistent, and non-judgmental space to slow down and be heard. Whether you are navigating anxiety, trauma, grief, or a general sense of being lost, I provide a safe environment where you can explore whatever is most present for you. My approach is grounded in empathy and authenticity, respecting that you are the only person who truly knows what it is like to be you. Together, we can process hidden experiences and integrate past conflicts into a more whole sense of self.
01704 660158 View 01704 660158
Photo of Anna Faff - Anna Faff, Autism ADHD & Trauma Specialist, Psychotherapist, MSc, GMBPsS
Anna Faff, Autism ADHD & Trauma Specialist
Psychotherapist, MSc, GMBPsS
Online Only
I am a psychotherapist on the spectrum with ADHD. I have been late diagnosed, so I can relate to NT and ND. I understand how life-changing it can be for anyone to be diagnosed with Autism. I am helping people who are experiencing detachment, unexplained pain, and lack of stability, along with high levels of emotional distress, mood difficulties, shame, guilt, difficulties with self-esteem, making sense out of a late diagnosis and difficulties in life in general. I offer a non-judgmental, welcoming space where you can find your own solutions and paths to growth and resilience.
I am a psychotherapist on the spectrum with ADHD. I have been late diagnosed, so I can relate to NT and ND. I understand how life-changing it can be for anyone to be diagnosed with Autism. I am helping people who are experiencing detachment, unexplained pain, and lack of stability, along with high levels of emotional distress, mood difficulties, shame, guilt, difficulties with self-esteem, making sense out of a late diagnosis and difficulties in life in general. I offer a non-judgmental, welcoming space where you can find your own solutions and paths to growth and resilience.
0161 524 0507 View 0161 524 0507
Photo of Karen Anne Jones - Clover Therapies, Counsellor, BACP
Clover Therapies
Counsellor, BACP
Wigan WN1
Hi, my name is Karen. I gained my qualification in counselling and psychotherapy many years ago in 1997. I was privileged to attend an accredited course at Salford college. I also acquired certificates in sociology, psychology, child psychology, criminology, and hypnotherapy. Alongside the hypnotherapy certificate, I completed workshops in dream therapy, sex therapy, and inner child work. Over the years I have specialised in inner child work, and have witnessed many positive outcomes from using this technique. Since qualifying, I have worked with a diverse range of issues, of which no problem is too big or too small.
Hi, my name is Karen. I gained my qualification in counselling and psychotherapy many years ago in 1997. I was privileged to attend an accredited course at Salford college. I also acquired certificates in sociology, psychology, child psychology, criminology, and hypnotherapy. Alongside the hypnotherapy certificate, I completed workshops in dream therapy, sex therapy, and inner child work. Over the years I have specialised in inner child work, and have witnessed many positive outcomes from using this technique. Since qualifying, I have worked with a diverse range of issues, of which no problem is too big or too small.
01695 660436 View 01695 660436
Photo of Chris Wilding
Chris Wilding
Verified Verified
Preston PR4
Unlock your potential with Stigma Coaching. I am a Mental Health Nurse registered with the Nursing and Midwifery Council, with 13 years experience working in mental health services within the NHS. I am also a qualified Autism Coach and Compassion Focused Therapist.
Unlock your potential with Stigma Coaching. I am a Mental Health Nurse registered with the Nursing and Midwifery Council, with 13 years experience working in mental health services within the NHS. I am also a qualified Autism Coach and Compassion Focused Therapist.
01524 967989 View 01524 967989
Photo of Trevor Taylor - TaylorMade Counselling, Counsellor, MBACP
TaylorMade Counselling
Counsellor, MBACP
Is Anxiety, Depression, or Low Self-Esteem Controlling Your Life? Do you feel like anxiety is taking over your every day? Is depression casting a shadow over your happiness? Are feelings of low self-esteem weighing you down? If you answered yes, you’re not alone—and you’ve come to the right place. Counselling can be an incredibly effective way to explore the situations in your life that have caused emotional discomfort or traumatic experiences. These unresolved issues can make everyday tasks feel overwhelming, and leave you struggling to find focus in your life. I have new availability so no waiting list at present
Is Anxiety, Depression, or Low Self-Esteem Controlling Your Life? Do you feel like anxiety is taking over your every day? Is depression casting a shadow over your happiness? Are feelings of low self-esteem weighing you down? If you answered yes, you’re not alone—and you’ve come to the right place. Counselling can be an incredibly effective way to explore the situations in your life that have caused emotional discomfort or traumatic experiences. These unresolved issues can make everyday tasks feel overwhelming, and leave you struggling to find focus in your life. I have new availability so no waiting list at present
0151 453 2904 View 0151 453 2904
Photo of Zoë Stephens, Psychotherapist, PNCPS Acc.
Zoë Stephens
Psychotherapist, PNCPS Acc.
Bolton BL1
If you're struggling with anxiety, depression, trauma, or relationship challenges, you’re not alone. Past experiences—especially those tied to attachment—can shape how we feel, think, and connect with others. You may be searching for ways to heal from trauma, manage symptoms of complex PTSD, or navigate the difficulties of personality or eating disorders. More than anything, you want to feel safe, understood, and empowered to build a more fulfilling life.
If you're struggling with anxiety, depression, trauma, or relationship challenges, you’re not alone. Past experiences—especially those tied to attachment—can shape how we feel, think, and connect with others. You may be searching for ways to heal from trauma, manage symptoms of complex PTSD, or navigate the difficulties of personality or eating disorders. More than anything, you want to feel safe, understood, and empowered to build a more fulfilling life.
01453 707137 View 01453 707137
Photo of Mark Owen, Counsellor, MA, MBACP
Mark Owen
Counsellor, MA, MBACP
My name is Mark Owen and I am a BACP and COSRT registered Counsellor with a degree in Marriage and Family therapy and a Postgraduate Diploma in Integrative Psychotherapy. Since 2012 I have worked in a wide variety of therapeutic settings both private care and within the NHS including, general mental health services, Eating Disorders Clinic, Bereavement Counselling and a Sexual Health Clinic. There are many models of therapy and everyone responds differently to the various methods. Using an Integrative Model of therapy, which means I use a range of different models, allows me to design a more tailor made plan for you.
My name is Mark Owen and I am a BACP and COSRT registered Counsellor with a degree in Marriage and Family therapy and a Postgraduate Diploma in Integrative Psychotherapy. Since 2012 I have worked in a wide variety of therapeutic settings both private care and within the NHS including, general mental health services, Eating Disorders Clinic, Bereavement Counselling and a Sexual Health Clinic. There are many models of therapy and everyone responds differently to the various methods. Using an Integrative Model of therapy, which means I use a range of different models, allows me to design a more tailor made plan for you.
0161 694 6567 View 0161 694 6567
Photo of Jacki Henderson, Counsellor, DCounsPsych, MBACP
Jacki Henderson
Counsellor, DCounsPsych, MBACP
1 Endorsed
Serves Area
As an experienced BACP registered counsellor and psychotherapist my practice offers a safe, supportive, non-judgemental space where you can explore any problems that are causing you anxiety or distress. The foundation of my therapeutic work is Person Centred and where appropriate I draw on other therapeutic techniques such as CBT, Solution Focused Therapy, Transactional Analysis and Mindfulness.
As an experienced BACP registered counsellor and psychotherapist my practice offers a safe, supportive, non-judgemental space where you can explore any problems that are causing you anxiety or distress. The foundation of my therapeutic work is Person Centred and where appropriate I draw on other therapeutic techniques such as CBT, Solution Focused Therapy, Transactional Analysis and Mindfulness.
0161 524 2903 View 0161 524 2903
Photo of Beth Allen - New Dawn Counselling, Counsellor, MBACP Accred
New Dawn Counselling
Counsellor, MBACP Accred
Preston PR2
I offer both outdoor and online/phone counselling. As a practicing counsellor for 20 years, I have gained much experience working with clients facing a myriad of human challenges, these include: low self-esteem/confidence building, anxiety/ intrusive and catastrophic thinking, life limiting illnesses and the impact of this on patients or carers and complex bereavement. Over the years I have worked with each and every client differently, based on their unique story, therapy needs and goals. In your first session, we will explore your expectations, therapy needs and hopes of how you would like your life to be after our sessions.
I offer both outdoor and online/phone counselling. As a practicing counsellor for 20 years, I have gained much experience working with clients facing a myriad of human challenges, these include: low self-esteem/confidence building, anxiety/ intrusive and catastrophic thinking, life limiting illnesses and the impact of this on patients or carers and complex bereavement. Over the years I have worked with each and every client differently, based on their unique story, therapy needs and goals. In your first session, we will explore your expectations, therapy needs and hopes of how you would like your life to be after our sessions.
01722 445779 View 01722 445779
Photo of Temi Ajayi, Psychotherapist, MSc, MBABCP
Temi Ajayi
Psychotherapist, MSc, MBABCP
Hi, my name is Temi and I am a Cognitive Behavioural Therapist. Life can present us with challenges that sometimes feel overwhelming. If you're finding it difficult to navigate these challenges, I want you to know that you don't have to face them alone. I offer a safe, supportive, and confidential space where we can work together to help you regain a sense of control and well-being. I have experience in helping people with a range of difficulties, including: Trauma and PTSD, Low Self-Esteem, OCD, Depression, Perfectionism, Stress management, Panic, Health anxiety and Social anxiety.
Hi, my name is Temi and I am a Cognitive Behavioural Therapist. Life can present us with challenges that sometimes feel overwhelming. If you're finding it difficult to navigate these challenges, I want you to know that you don't have to face them alone. I offer a safe, supportive, and confidential space where we can work together to help you regain a sense of control and well-being. I have experience in helping people with a range of difficulties, including: Trauma and PTSD, Low Self-Esteem, OCD, Depression, Perfectionism, Stress management, Panic, Health anxiety and Social anxiety.
0161 524 2807 View 0161 524 2807
Photo of Beverley Chapman, Counsellor, MA
Beverley Chapman
Counsellor, MA
Preston PR4
A good healthy relationship can enrich our lives and and provide a deep sense of fulfilment, both emotionally and physically. When relationships are not working we often feel frustrated, and confused with measurable consequences on our lives and those around us.There are many reasons why relationships become difficult or unmanageable These may be because of poor communication, arguments that are repeated or never resolved, trust issues, an affair or life stage transitions such as having children, divorce, blended families, bereavement or retirement.
A good healthy relationship can enrich our lives and and provide a deep sense of fulfilment, both emotionally and physically. When relationships are not working we often feel frustrated, and confused with measurable consequences on our lives and those around us.There are many reasons why relationships become difficult or unmanageable These may be because of poor communication, arguments that are repeated or never resolved, trust issues, an affair or life stage transitions such as having children, divorce, blended families, bereavement or retirement.
01305 235629 View 01305 235629

How does your Counsellor compare?

Number of Counsellors in Kirkham

< 10

Counsellors in Kirkham who prioritize treating:

100% Depression
100% Anxiety
100% Self Esteem
100% Stress
80% Relationship Issues
80% Bereavement
80% Trauma and PTSD

Average years in practice

13 Years

Gender breakdown

80% Female
20% Male

How Counsellors in Kirkham see their clients

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

How can I find a therapist in Kirkham?

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.