Counselling in London

View neighbourhoods and districts in London
Photo of Monica Susanne Mason, Psychotherapist in London, England
Monica Susanne Mason
Psychotherapist, MA, MBACP Accred
Verified Verified
London SW7
Modern life in a big city like London can be exciting but also unsettling at times. It is easy to sometimes feel overwhelmed, anxious, depressed, alone and at loss of where to start. Therapy can help in times of uncertainty. By exploring your thoughts and feelings from both past and present, links can be made to increase your understanding and thereby helping you moving forward. Increased self knowledge and insight can be crucial in forming close and authentic relationships with others, often bringing higher self esteem as a result. Therapy can be a good support and give you hope when you are going through a difficult time.
Modern life in a big city like London can be exciting but also unsettling at times. It is easy to sometimes feel overwhelmed, anxious, depressed, alone and at loss of where to start. Therapy can help in times of uncertainty. By exploring your thoughts and feelings from both past and present, links can be made to increase your understanding and thereby helping you moving forward. Increased self knowledge and insight can be crucial in forming close and authentic relationships with others, often bringing higher self esteem as a result. Therapy can be a good support and give you hope when you are going through a difficult time.
023 8214 6815 View 023 8214 6815
Photo of Marty Wightman, Psychologist in London, England
Marty Wightman
Psychologist, MSc, GMBPsS
Verified Verified
London SE1  (Online Only)
My journey in the field of Coaching Psychology has equipped me with a nuanced understanding of the corporate landscape through my 20 year career in Marketing and running teams of up to 160 people. Recognising that enhanced performance transcends task completion, I've fostered a psychological approach that hones in on the holistic development of individuals. Through empathetic listening and insightful questioning, I help my clients find the underlying aspirations and limiting beliefs faced by clients, enabling me to tailor coaching interventions that resonate deeply.
My journey in the field of Coaching Psychology has equipped me with a nuanced understanding of the corporate landscape through my 20 year career in Marketing and running teams of up to 160 people. Recognising that enhanced performance transcends task completion, I've fostered a psychological approach that hones in on the holistic development of individuals. Through empathetic listening and insightful questioning, I help my clients find the underlying aspirations and limiting beliefs faced by clients, enabling me to tailor coaching interventions that resonate deeply.
020 7123 9475 View 020 7123 9475
Photo of Diane Griffiths, Counsellor in London, England
Diane Griffiths
Counsellor, MA, MBACP
Verified Verified
London EC4Y
You might be experiencing difficulty in relationships in general or in one relationship in particular, or finding work a challenge, or maybe you are unhappy about the quality or direction of your life. Perhaps you are feeling flat or low, stressed or anxious, or even quite desperate. Exploring and expressing your thoughts and feelings with a professional can help make sense of these difficult experiences, and allow space for solutions and opportunities to arise. I aim to offer you the best support I can for this process, with a respectful, sensitive, honest and empathic approach.
You might be experiencing difficulty in relationships in general or in one relationship in particular, or finding work a challenge, or maybe you are unhappy about the quality or direction of your life. Perhaps you are feeling flat or low, stressed or anxious, or even quite desperate. Exploring and expressing your thoughts and feelings with a professional can help make sense of these difficult experiences, and allow space for solutions and opportunities to arise. I aim to offer you the best support I can for this process, with a respectful, sensitive, honest and empathic approach.
020 3667 0982 View 020 3667 0982
Photo of Dr Madeleine Mason Roantree, Psychologist in London, England
Dr Madeleine Mason Roantree
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
1 Endorsed
London E2  (Online Only)
Something's not right and you want answers, a strategy; to heal, to overcome, process or grow. Maybe it feels embarrassing and you don’t want to make a big deal out of it, or you feel stuck and unsure of what to do. It's ok. You have come to the right place. I'm a psychologist, in a part-time NHS complex mental health service. I'm also a dating and relationship specialist helping people work through all aspects of romance and intimacy, including friendships and family dynamics. Relationship, dating, psychosexual issues, life crisis, depression, anxiety, panic, stress, overwhelm, trauma, OCD, PTSD, low self esteem, not sure? It's ok.
Something's not right and you want answers, a strategy; to heal, to overcome, process or grow. Maybe it feels embarrassing and you don’t want to make a big deal out of it, or you feel stuck and unsure of what to do. It's ok. You have come to the right place. I'm a psychologist, in a part-time NHS complex mental health service. I'm also a dating and relationship specialist helping people work through all aspects of romance and intimacy, including friendships and family dynamics. Relationship, dating, psychosexual issues, life crisis, depression, anxiety, panic, stress, overwhelm, trauma, OCD, PTSD, low self esteem, not sure? It's ok.
020 4524 5472 View 020 4524 5472
Photo of Alexandra Reumert, Psychotherapist in London, England
Alexandra Reumert
Psychotherapist, MA, MBACP
Verified Verified
London SW1W
I am trained to work with adults of 18 and above. I am fully inclusive in my practice and welcome clients from all communities. I am a member of BACP, MBACP and adhere to their ethical code in my practice. Alongside my private practice, I work pro bono with a charity providing therapy for a self- selected fee. I provide a safe, compassionate, confidential, and non-judgemental space. I can help with single, specific problems or broader, more existential issues like depression. I will meet you with an open mind and, metaphorically speaking, 'hold you' as we work through your problems.
I am trained to work with adults of 18 and above. I am fully inclusive in my practice and welcome clients from all communities. I am a member of BACP, MBACP and adhere to their ethical code in my practice. Alongside my private practice, I work pro bono with a charity providing therapy for a self- selected fee. I provide a safe, compassionate, confidential, and non-judgemental space. I can help with single, specific problems or broader, more existential issues like depression. I will meet you with an open mind and, metaphorically speaking, 'hold you' as we work through your problems.
07821 357692 View 07821 357692
Photo of Georgina Georgiou, Counsellor in London, England
Georgina Georgiou
Counsellor, MBACP
Verified Verified
London WC1B
I provide personalised therapy for those who are seeking support for emotional or mental health issues, and those in search of personal growth. Offering clients a confidential, supportive and non-judgmental space to speak freely, be heard and explore possibilities.
I provide personalised therapy for those who are seeking support for emotional or mental health issues, and those in search of personal growth. Offering clients a confidential, supportive and non-judgmental space to speak freely, be heard and explore possibilities.
020 7870 7152 View 020 7870 7152
Photo of Tom Sobel Counselling, Psychotherapist in London, England
Tom Sobel Counselling
Psychotherapist, MA, MBACP
Verified Verified
London W1T
I an experienced counsellor, both online and face-to-face. Using an integrative approach to each session, I am able to provide a truly bespoke experience targeted to each person’s specific needs. I view myself as a guide on the journey with you, and I am there to help you put the pieces of the puzzle together. Being an American expat living in the UK, I am able to provide a unique multicultural perspective to British clients, while also offering targeted guidance to other American expats.
I an experienced counsellor, both online and face-to-face. Using an integrative approach to each session, I am able to provide a truly bespoke experience targeted to each person’s specific needs. I view myself as a guide on the journey with you, and I am there to help you put the pieces of the puzzle together. Being an American expat living in the UK, I am able to provide a unique multicultural perspective to British clients, while also offering targeted guidance to other American expats.
020 3974 1726 View 020 3974 1726
Photo of Yulia Herzog, Psychotherapist in London, England
Yulia Herzog
Psychotherapist, MSc, MBACP
Verified Verified
London E2  (Online Only)
I am a BACP registered psychodynamic psychotherapist with a passion for helping individuals navigate the complexities of their inner worlds. I have over 10 years of experience working with adults of all ages and with people of all sexual and gender identities. My theoretical background is in Psychodynamic Psychotherapy but I work intuitively with what the client brings into the session. I offer a transpersonal and humanistic perspective and an opportunity to reflect on both past and current experiences in a secure and stable environment.
I am a BACP registered psychodynamic psychotherapist with a passion for helping individuals navigate the complexities of their inner worlds. I have over 10 years of experience working with adults of all ages and with people of all sexual and gender identities. My theoretical background is in Psychodynamic Psychotherapy but I work intuitively with what the client brings into the session. I offer a transpersonal and humanistic perspective and an opportunity to reflect on both past and current experiences in a secure and stable environment.
View
Photo of Sammantha Knight, Psychotherapist in London, England
Sammantha Knight
Psychotherapist, MBACP
Verified Verified
1 Endorsed
London W1W
People seek therapy for different reasons, life issues, trauma due to mental or physical events, loss of a loved one, or a breakdown of a relationship. Choosing therapy can be a route to discover better ways of managing moments of anxiety or depression. As well as working with individuals, I am experienced at working with couples who are struggling to stay together or trying to part amicably. I also work with couples and individuals who experience issues on becoming parents (fertility/adoption) or with those who find it difficult to make the decision to parent because of their own past experiences.
People seek therapy for different reasons, life issues, trauma due to mental or physical events, loss of a loved one, or a breakdown of a relationship. Choosing therapy can be a route to discover better ways of managing moments of anxiety or depression. As well as working with individuals, I am experienced at working with couples who are struggling to stay together or trying to part amicably. I also work with couples and individuals who experience issues on becoming parents (fertility/adoption) or with those who find it difficult to make the decision to parent because of their own past experiences.
020 3984 9215 View 020 3984 9215
Photo of Valerie Manners, Counsellor in London, England
Valerie Manners
Counsellor, MBACP
Verified Verified
London W1G
On-line CBT Counselling Specialist, Therapeutic Coach and Face to Face Practitioner - MBACP. For 15 years I have been in private practice in Harley Street, London, Marlow in Bucks and Hove in Sussex. I have been offering video consultations via Zoom, WhatsApp and other platforms for many years. This has the advantage of being conducted at your convenience from your own front room. You can choose the platform that you are most familiar with e.g. Zoom, Facetime, WhatsApp or Skype. Cognitive behavioural therapy is proven to make a big difference to anxiety and depression and it is also approved by the NHS.
On-line CBT Counselling Specialist, Therapeutic Coach and Face to Face Practitioner - MBACP. For 15 years I have been in private practice in Harley Street, London, Marlow in Bucks and Hove in Sussex. I have been offering video consultations via Zoom, WhatsApp and other platforms for many years. This has the advantage of being conducted at your convenience from your own front room. You can choose the platform that you are most familiar with e.g. Zoom, Facetime, WhatsApp or Skype. Cognitive behavioural therapy is proven to make a big difference to anxiety and depression and it is also approved by the NHS.
01494 360824 View 01494 360824
Photo of Sophia Alexander, Psychotherapist in London, England
Sophia Alexander
Psychotherapist, MA, MBACP
Verified Verified
2 Endorsed
London SW11
It can be exhausting to navigate life’s challenges, particularly within this current climate of uncertainty. You may be impacted by particular concerns, such as current or past trauma, bereavement/loss, struggles within your relationships, anxiety or depression. Or you may desire to increase your own self-awareness. I strive to be alongside you in whatever you may be feeling, providing a genuine, empathetic, non-judgemental, safe space where you can explore your feelings and beliefs, how your present and past experiences may be impacting upon you, and developing the personal resilience, resources and growth that you may be seeking.
It can be exhausting to navigate life’s challenges, particularly within this current climate of uncertainty. You may be impacted by particular concerns, such as current or past trauma, bereavement/loss, struggles within your relationships, anxiety or depression. Or you may desire to increase your own self-awareness. I strive to be alongside you in whatever you may be feeling, providing a genuine, empathetic, non-judgemental, safe space where you can explore your feelings and beliefs, how your present and past experiences may be impacting upon you, and developing the personal resilience, resources and growth that you may be seeking.
020 4529 2611 View 020 4529 2611
Photo of Davina Naik, Counsellor in London, England
Davina Naik
Counsellor, MBACP
Verified Verified
London SE24
I am a qualified TA (Transactional Analysis) psychotherapeutic counsellor. I offer therapy to individuals, couples and groups. I work with clients from different ethnic and cultural backgrounds, of different genders and ages. I offer a safe, non-judgemental and confidential space for us to work together, to help you find a way forward; exploring your current concerns in a way that feels comfortable for you. We go at your pace.
I am a qualified TA (Transactional Analysis) psychotherapeutic counsellor. I offer therapy to individuals, couples and groups. I work with clients from different ethnic and cultural backgrounds, of different genders and ages. I offer a safe, non-judgemental and confidential space for us to work together, to help you find a way forward; exploring your current concerns in a way that feels comfortable for you. We go at your pace.
020 4538 8795 View 020 4538 8795
Photo of Sarah-Jane Rawlings, Counsellor in London, England
Sarah-Jane Rawlings
Counsellor, MBACP
Verified Verified
London N10
I am a BACP registered integrative therapist with experience of working with a range of issues including anxiety, intrusive thoughts, bereavement, boarding school survival, childhood trauma and difficulties in every-day relationships. Before becoming a therapist, I worked in the arts for 30 years, so I bring that experience too. Life can be really challenging. Whether in a time of personal crisis or simply wanting to understand yourself better, therapy provides the opportunity, in a confidential space, to talk through some of those challenges, to find a space for you and your feelings, to begin to live the life you want to live.
I am a BACP registered integrative therapist with experience of working with a range of issues including anxiety, intrusive thoughts, bereavement, boarding school survival, childhood trauma and difficulties in every-day relationships. Before becoming a therapist, I worked in the arts for 30 years, so I bring that experience too. Life can be really challenging. Whether in a time of personal crisis or simply wanting to understand yourself better, therapy provides the opportunity, in a confidential space, to talk through some of those challenges, to find a space for you and your feelings, to begin to live the life you want to live.
020 3973 9074 View 020 3973 9074
Photo of Jill Curzon, Counsellor in London, England
Jill Curzon
Counsellor, MBACP
Verified Verified
London W5
We all face many challenges in our lives and rather than struggle alone sometimes it can help to reach out to a safe and reliable person outside of our friends and family network to share our thoughts and feelings, talk through our difficulties and find new ways of coping and making some positive changes in our lives. I am an experienced, warm and non-judgemental counsellor who can offer to help. Whether you need just a few sessions to to focus on a specific problem or wish to explore some long-standing issues in more depth then we can do so over a longer period of time.
We all face many challenges in our lives and rather than struggle alone sometimes it can help to reach out to a safe and reliable person outside of our friends and family network to share our thoughts and feelings, talk through our difficulties and find new ways of coping and making some positive changes in our lives. I am an experienced, warm and non-judgemental counsellor who can offer to help. Whether you need just a few sessions to to focus on a specific problem or wish to explore some long-standing issues in more depth then we can do so over a longer period of time.
01748 902547 View 01748 902547
Photo of Jane Klauber, Psychotherapist in London, England
Jane Klauber
Psychotherapist, MSc, MBACP
Verified Verified
London SW4
My clients typically experience depression, anxiety and problems with relationships. Many of my clients have no previous experience of counselling, others have tried different interventions but have struggled to make changes to their lives. All my clients want to lead their best lives and are curious about the patterns of behaviour that seem to get in the way and the origins of those behaviours.
My clients typically experience depression, anxiety and problems with relationships. Many of my clients have no previous experience of counselling, others have tried different interventions but have struggled to make changes to their lives. All my clients want to lead their best lives and are curious about the patterns of behaviour that seem to get in the way and the origins of those behaviours.
020 3675 0531 View 020 3675 0531
Photo of Dr Sian Morris, Psychologist in London, England
Dr Sian Morris
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
London SW7
Fully accredited Counselling Psychologist and Psychotherapist offering individual therapy in South West London. I have extensive experience working with anxiety, depression, low self-esteem and relational concerns. My priority to is to build a containing and supportive therapeutic relationship which creates a space for honest discussion and exploration. Psychological difficulties take many forms and people often convey that something is 'not quite right.' These difficulties can take us by surprise and often emerge when 'everything should be okay.'
Fully accredited Counselling Psychologist and Psychotherapist offering individual therapy in South West London. I have extensive experience working with anxiety, depression, low self-esteem and relational concerns. My priority to is to build a containing and supportive therapeutic relationship which creates a space for honest discussion and exploration. Psychological difficulties take many forms and people often convey that something is 'not quite right.' These difficulties can take us by surprise and often emerge when 'everything should be okay.'
020 3962 1137 View 020 3962 1137
Photo of Michaele Nagac, Counsellor in London, England
Michaele Nagac
Counsellor, DCounsPsych, MBACP
Verified Verified
1 Endorsed
London SW2
Waitlist for new clients
How are you at the moment? Is everything becoming too much ? Do you struggle with everyday life and having difficulty in making sense of what is going on? Stress, anxiety, feeling low, depression, experiencing relationship issues, work burnout or going through life transitions including health concerns can be overwhelming. Through exploring your life challenges together in counselling you can learn a meaningful and different perspective and develop self-awareness. This will enable you to empower yourself and make personal and positive changes in your life.
How are you at the moment? Is everything becoming too much ? Do you struggle with everyday life and having difficulty in making sense of what is going on? Stress, anxiety, feeling low, depression, experiencing relationship issues, work burnout or going through life transitions including health concerns can be overwhelming. Through exploring your life challenges together in counselling you can learn a meaningful and different perspective and develop self-awareness. This will enable you to empower yourself and make personal and positive changes in your life.
020 4538 0463 View 020 4538 0463
Photo of Angela Felecity Bryant, Counsellor in London, England
Angela Felecity Bryant
Counsellor, MBACP
Verified Verified
1 Endorsed
London W13
Welcome to my profile. You have made the courageous decision taking the first steps towards positive change and healing old wounds by reaching out for support. Many people come to counselling for different reasons, you are not alone. Counselling gives you a safe confidential space ,where you can explore thoughts and feelings, gaining awareness on unhelpful behaviour and perspectives by exploring healthier ways of coping and helps you make positive changes and move forward in life.
Welcome to my profile. You have made the courageous decision taking the first steps towards positive change and healing old wounds by reaching out for support. Many people come to counselling for different reasons, you are not alone. Counselling gives you a safe confidential space ,where you can explore thoughts and feelings, gaining awareness on unhelpful behaviour and perspectives by exploring healthier ways of coping and helps you make positive changes and move forward in life.
01748 901506 View 01748 901506
Photo of Sinead Marie Parker, Psychotherapist in London, England
Sinead Marie Parker
Psychotherapist, MA, HCPC-Drama Therap.
Verified Verified
London WC1E
Hello! I am a warm, friendly and compassionate Creative and Embodied Psychotherapist offering a confidential, non judgemental, and collaborative therapy space. I embrace what makes you unique, prioritising safety and trust from the get go, so you can embark on a therapeutic journey of exploration, healing and change. Creative and Embodied Psychotherapy is a holistic and trauma informed approach to wellbeing, that works with the body and the mind to help you gain deeper insight and awareness into your inner world and experiences, whilst helping you connect with your strengths, resources and ability to heal.
Hello! I am a warm, friendly and compassionate Creative and Embodied Psychotherapist offering a confidential, non judgemental, and collaborative therapy space. I embrace what makes you unique, prioritising safety and trust from the get go, so you can embark on a therapeutic journey of exploration, healing and change. Creative and Embodied Psychotherapy is a holistic and trauma informed approach to wellbeing, that works with the body and the mind to help you gain deeper insight and awareness into your inner world and experiences, whilst helping you connect with your strengths, resources and ability to heal.
020 3818 1061 View 020 3818 1061
Photo of Dimitri Raftopoulos, Psychotherapist in London, England
Dimitri Raftopoulos
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
London W1W
Over the last 14 years I have helped many people achieve a sense of well being, integration and wholeness in their personal & professional life. I can help you achieve the same. Life does not need to be a struggle. The process begins with you taking that scary first step to have an initial session or even just to call me to have a chat. In this first session or chat you can experience me and how I work and if we are a good fit, we can take it from there. I look forward to talking to you.
Over the last 14 years I have helped many people achieve a sense of well being, integration and wholeness in their personal & professional life. I can help you achieve the same. Life does not need to be a struggle. The process begins with you taking that scary first step to have an initial session or even just to call me to have a chat. In this first session or chat you can experience me and how I work and if we are a good fit, we can take it from there. I look forward to talking to you.
020 3879 4670 View 020 3879 4670

See more therapy options for London

How does your Counsellor compare?

Number of Counsellors in London

3,000+

Average cost per session

£75

Counsellors in London who prioritize treating:

91% Anxiety
86% Depression
84% Self Esteem
81% Relationship Issues
79% Stress
66% Trauma and PTSD
63% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

71% Aviva
65% AXA PPP
58% Vitality

How Counsellors in London see their clients

74% In Person and Online
26% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in London?

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.