Counselling in Brondesbury, London

Photo of David Mayes, Counsellor in Brondesbury, London, England
David Mayes
Counsellor, MBACP
Verified
1 Endorsed
Brondesbury, London NW2
Hello there and welcome to my profile. Clients are always welcome to bring any issue to therapy, no matter how big or small they may feel it is and would like support with their issue. They have a desire for change. They've come to therapy because they would like to explore, understand themselves better, their issue and the emotions surrounding it. To process what is or has happened. To make a real lasting impact. I offer a competitive rate because I truly believe that therapy should be as accessible as possible.
Hello there and welcome to my profile. Clients are always welcome to bring any issue to therapy, no matter how big or small they may feel it is and would like support with their issue. They have a desire for change. They've come to therapy because they would like to explore, understand themselves better, their issue and the emotions surrounding it. To process what is or has happened. To make a real lasting impact. I offer a competitive rate because I truly believe that therapy should be as accessible as possible.
020 3757 5232 View 020 3757 5232
Photo of Christina Moutsou, Psychotherapist in Brondesbury, London, England
Christina Moutsou
Psychotherapist, PhD, MUKCP
Verified
1 Endorsed
Brondesbury, London NW6
Not accepting new clients
I am a psychoanalytic psychotherapist working in an eclectic and relational way. This means that I can help you identify repeated patterns which are in the way of living your life to the full and are often linked with unresolved issues from the past. I enter into a dialogue with my clients and I am an active part in the therapy relationship, while at the same time facilitating an open and non judgmental space for exploring the difficulties that have brought you to therapy. Research has shown that building a good therapy relationship is the key factor for positive therapy outcome. I work in an open ended way.
I am a psychoanalytic psychotherapist working in an eclectic and relational way. This means that I can help you identify repeated patterns which are in the way of living your life to the full and are often linked with unresolved issues from the past. I enter into a dialogue with my clients and I am an active part in the therapy relationship, while at the same time facilitating an open and non judgmental space for exploring the difficulties that have brought you to therapy. Research has shown that building a good therapy relationship is the key factor for positive therapy outcome. I work in an open ended way.
020 8059 9565 View 020 8059 9565
Photo of Bukola James, Counsellor in Brondesbury, London, England
Bukola James
Counsellor
Verified
Brondesbury, London NW6  (Online Only)
I am a qualified integratively trained Counsellor. I am experienced in dealing with adults, young people and teens on issues such as anxiety, depression, OCD, Self-harming, suicidal ideations, spirituality, family relationship difficulties, peer problems at school, Trauma related to sexual assaults/abuse, romantic relationship problems, self-esteem. I work in private practice with adults and teens. I have also worked successfully with teenagers and young people in a school setting on issues such as above and have helped them achieve desired outcomes as I have been able to successfully gain their trust.
I am a qualified integratively trained Counsellor. I am experienced in dealing with adults, young people and teens on issues such as anxiety, depression, OCD, Self-harming, suicidal ideations, spirituality, family relationship difficulties, peer problems at school, Trauma related to sexual assaults/abuse, romantic relationship problems, self-esteem. I work in private practice with adults and teens. I have also worked successfully with teenagers and young people in a school setting on issues such as above and have helped them achieve desired outcomes as I have been able to successfully gain their trust.
020 3319 1372 View 020 3319 1372
Photo of Dee Critoph, Psychotherapist in Brondesbury, London, England
Dee Critoph
Psychotherapist, BPC
Verified
3 Endorsed
Brondesbury, London NW6
Would you like a Safe Space to Speak Freely and Explore whatever is on 'Your Mind'? As an experienced and registered Psychotherapist and Certified ADHD Clinical Services Professional, I have worked with a diverse range of people struggling with a wide range of challenges. I would work to help you make sense of your feelings, moods, behaviour and motivations. Helping you understand and resolve your difficulties by increasing awareness of your inner world and its influence over your relationship with yourself and others.
Would you like a Safe Space to Speak Freely and Explore whatever is on 'Your Mind'? As an experienced and registered Psychotherapist and Certified ADHD Clinical Services Professional, I have worked with a diverse range of people struggling with a wide range of challenges. I would work to help you make sense of your feelings, moods, behaviour and motivations. Helping you understand and resolve your difficulties by increasing awareness of your inner world and its influence over your relationship with yourself and others.
020 4538 5494 View 020 4538 5494
Photo of Kasia Marzynska, Psychotherapist in Brondesbury, London, England
Kasia Marzynska
Psychotherapist, MSc, MUKCP
Verified
Brondesbury, London NW6
I'm a psychotherapist (MSc), Somatic trauma therapist and EMDR therapist working with depression, anxiety, loss, sexual identity, self-esteem & relationship difficulties, abuse, trauma, PTSD. Through therapy, I can help you restore your strength and build up your resilience so that you can face life’s challenges with greater ease. I’ll support you in learning how to make empowering choices, regain control over your feelings, actions and relationships, as well as finding resolution to painful past events so you can achieve positive changes in life.
I'm a psychotherapist (MSc), Somatic trauma therapist and EMDR therapist working with depression, anxiety, loss, sexual identity, self-esteem & relationship difficulties, abuse, trauma, PTSD. Through therapy, I can help you restore your strength and build up your resilience so that you can face life’s challenges with greater ease. I’ll support you in learning how to make empowering choices, regain control over your feelings, actions and relationships, as well as finding resolution to painful past events so you can achieve positive changes in life.
020 3835 5793 View 020 3835 5793
Photo of Chaya Khera, Counsellor in Brondesbury, London, England
Chaya Khera
Counsellor, MA, MBACP
Verified
Brondesbury, London NW6
Regardless of whether you are in a crisis or not, therapy is a carved out space solely for you. A space of exploration, reflection and full of potential for healing and change. The threshold of looking onto the darker, more despairing side of life is often terrifying and isolating and I am here to help you.
Regardless of whether you are in a crisis or not, therapy is a carved out space solely for you. A space of exploration, reflection and full of potential for healing and change. The threshold of looking onto the darker, more despairing side of life is often terrifying and isolating and I am here to help you.
020 3974 9860 View 020 3974 9860
Photo of Jonathan Feld, Counsellor in Brondesbury, London, England
Jonathan Feld
Counsellor, MSc, MBACP
Verified
Brondesbury, London NW2  (Online Only)
Overwhelmed with low mood, anxiety, trauma, or depression? Troubled by worries and intrusive thoughts impacting your personal and work life, or dealing with alcoholism and addiction? Are you struggling to cope, I'm here to help. My approach is evidence-based integrative therapy & psycho-education, rooted in diverse psychological theories and addiction psychology. We'll use cognitive behavioural, motivational, and person-centred therapies to guide you towards a more fulfilling life with your family, friends, & in your career. Begin your journey with a complimentary 20-minute online introductory session. Let's enhance your well-being.
Overwhelmed with low mood, anxiety, trauma, or depression? Troubled by worries and intrusive thoughts impacting your personal and work life, or dealing with alcoholism and addiction? Are you struggling to cope, I'm here to help. My approach is evidence-based integrative therapy & psycho-education, rooted in diverse psychological theories and addiction psychology. We'll use cognitive behavioural, motivational, and person-centred therapies to guide you towards a more fulfilling life with your family, friends, & in your career. Begin your journey with a complimentary 20-minute online introductory session. Let's enhance your well-being.
020 3856 4003 View 020 3856 4003
Photo of Dena Brown, Psychotherapist in Brondesbury, London, England
Dena Brown
Psychotherapist, MBACP
Verified
1 Endorsed
Brondesbury, London NW6
Choosing to embark on a therapeutic journey and searching for a therapist can feel daunting and overwhelming, yet at the same time it is incredibly brave of you, being here is the first step. Life is full of struggles, yet, how we manage those struggles can make all the difference to living a full-filling life. Therapy can be a healing process as well as a space to explore and understand yourself and your reactions to others. Exploring your past, your relationships and internal world will help deepen your self awareness and facilitate change.
Choosing to embark on a therapeutic journey and searching for a therapist can feel daunting and overwhelming, yet at the same time it is incredibly brave of you, being here is the first step. Life is full of struggles, yet, how we manage those struggles can make all the difference to living a full-filling life. Therapy can be a healing process as well as a space to explore and understand yourself and your reactions to others. Exploring your past, your relationships and internal world will help deepen your self awareness and facilitate change.
020 3728 8328 View 020 3728 8328
Photo of Nicole Castellani, Psychotherapist in Brondesbury, London, England
Nicole Castellani
Psychotherapist, MUKCP
Verified
Brondesbury, London NW6
I am a counsellor and psychotherapist with over twenty years experience. I work integratively, which means I have the benefit of drawing on a range of tools according to the needs of my clients, including aspects from the psychodynamic, creative arts and transpersonal approaches. I work holistically, taking into account all the dimensions that makes us human. Stress and pain can cause us to shut down some of these parts, causing anxiety , depression and other symptoms. My work is about how we begin to understand and heal from this in order to reach our full potential.
I am a counsellor and psychotherapist with over twenty years experience. I work integratively, which means I have the benefit of drawing on a range of tools according to the needs of my clients, including aspects from the psychodynamic, creative arts and transpersonal approaches. I work holistically, taking into account all the dimensions that makes us human. Stress and pain can cause us to shut down some of these parts, causing anxiety , depression and other symptoms. My work is about how we begin to understand and heal from this in order to reach our full potential.
020 3917 4538 View 020 3917 4538
Photo of Dr Darragh James O'Shea, Psychologist in Brondesbury, London, England
Dr Darragh James O'Shea
Psychologist, HCPC - Health Psych.
Verified
Brondesbury, London W6
As a registered practitioner psychologist with over 10 Years of experience in the national health service (NHS), I'm passionate about helping individuals create positive change in their lives. My approach integrates cognitive behavioural therapy (CBT), acceptance and commitment therapy (ACT), and eye movement desensitisation therapy (EMDR) to provide you with the tools and support you need to achieve your goals. In addition to my work in the NHS as a principal psychologist and clinical supervisor, I hold a small private practice. The aim of which is to provide safe and effective therapy to those seeking support outside of the NHS.
As a registered practitioner psychologist with over 10 Years of experience in the national health service (NHS), I'm passionate about helping individuals create positive change in their lives. My approach integrates cognitive behavioural therapy (CBT), acceptance and commitment therapy (ACT), and eye movement desensitisation therapy (EMDR) to provide you with the tools and support you need to achieve your goals. In addition to my work in the NHS as a principal psychologist and clinical supervisor, I hold a small private practice. The aim of which is to provide safe and effective therapy to those seeking support outside of the NHS.
020 3701 7918 View 020 3701 7918
Photo of Dr Lea Beretti, Psychologist in Brondesbury, London, England
Dr Lea Beretti
Psychologist, HCPC - Clin. Psych.
Verified
Brondesbury, London NW6
Sometimes life can make you feel like you’re not yourself, but you’re not quite sure how to change. Whether you are feeling stressed, anxious, sad or dealing with relationship difficulties, I am here to help you identify the root causes of your issues and help you work on becoming the best version of yourself. My approach centres around the idea that our views of ourselves and the world around us are interconnected, and I use this knowledge to promote healing and growth.
Sometimes life can make you feel like you’re not yourself, but you’re not quite sure how to change. Whether you are feeling stressed, anxious, sad or dealing with relationship difficulties, I am here to help you identify the root causes of your issues and help you work on becoming the best version of yourself. My approach centres around the idea that our views of ourselves and the world around us are interconnected, and I use this knowledge to promote healing and growth.
020 3892 9557 View 020 3892 9557
Photo of Jacqueline Miller, Counsellor in Brondesbury, London, England
Jacqueline Miller
Counsellor, MBACP Accred
Verified
2 Endorsed
Brondesbury, London NW6
Life has a tendency to throw major challenges at us without warning. You may find yourself dealing with a specific life changing circumstance such as a new diagnosis, bereavement, traumatic experiences, relationship difficulties or redundancy to name a few. Sometimes being able to pin point feelings can be a little difficult. You may be experiencing feelings of being stuck and are anxious, depressed or just unsure of how you currently feel about your life or a certain situation.
Life has a tendency to throw major challenges at us without warning. You may find yourself dealing with a specific life changing circumstance such as a new diagnosis, bereavement, traumatic experiences, relationship difficulties or redundancy to name a few. Sometimes being able to pin point feelings can be a little difficult. You may be experiencing feelings of being stuck and are anxious, depressed or just unsure of how you currently feel about your life or a certain situation.
07403 937436 View 07403 937436
Photo of Andrew Sutton, Psychotherapist in Brondesbury, London, England
Andrew Sutton
Psychotherapist, MA, MUKCP
Verified
Brondesbury, London NW6
Most of us experience emotional difficulties at some point in our lives. We may turn to friends and family for help and support, but sometimes this is not possible, or not enough. At this point, therapy can help. A supportive relationship, with a therapist you can trust not to judge or criticise you, can give you the safety and space to share your feelings and to think about what is troubling you. This can lead to greater understanding and the possibility of lasting change and growth. From my practice in Finchley Road, I offer a private and confidential space to help you to explore and come to terms what is on your mind.
Most of us experience emotional difficulties at some point in our lives. We may turn to friends and family for help and support, but sometimes this is not possible, or not enough. At this point, therapy can help. A supportive relationship, with a therapist you can trust not to judge or criticise you, can give you the safety and space to share your feelings and to think about what is troubling you. This can lead to greater understanding and the possibility of lasting change and growth. From my practice in Finchley Road, I offer a private and confidential space to help you to explore and come to terms what is on your mind.
020 3994 2305 View 020 3994 2305
Photo of Juan Michael Gonzalez, Psychotherapist in Brondesbury, London, England
Juan Michael Gonzalez
Psychotherapist, MUKCP
Verified
Brondesbury, London NW6
Hello, I am Juan. I offer therapy sessions online (via zoom) or in-person (London, NW2). Therapy is a confidential space where you can begin to share about what brings you. You might have a specific issue you want to focus on, or you might have a mixture of thoughts and feelings that need attended to. People come to sessions for a variety of reasons. Whether it's feeling stuck, lost or lonely, whether you feel sad, anxious or depressed - whatever is going on for you; you are welcome to reach out and come along. With me, you can expect to be welcomed by a careful and sensitive listener.
Hello, I am Juan. I offer therapy sessions online (via zoom) or in-person (London, NW2). Therapy is a confidential space where you can begin to share about what brings you. You might have a specific issue you want to focus on, or you might have a mixture of thoughts and feelings that need attended to. People come to sessions for a variety of reasons. Whether it's feeling stuck, lost or lonely, whether you feel sad, anxious or depressed - whatever is going on for you; you are welcome to reach out and come along. With me, you can expect to be welcomed by a careful and sensitive listener.
020 3974 2414 View 020 3974 2414
Photo of Michelle Campbell, Counsellor in Brondesbury, London, England
Michelle Campbell
Counsellor, DCounsPsych, MBACP
Verified
Brondesbury, London NW6
Sometimes, life in general can seem overwhelming, and there is a need to have a space that is non-judgemental, empathic and holding; to express fears, anxities, concerns and problems. I offer to you, a listening ear, a warm and welcoming presence that will promote an environment which makes you feel comfortable to talk.
Sometimes, life in general can seem overwhelming, and there is a need to have a space that is non-judgemental, empathic and holding; to express fears, anxities, concerns and problems. I offer to you, a listening ear, a warm and welcoming presence that will promote an environment which makes you feel comfortable to talk.
07449 647133 View 07449 647133
Photo of Anna Gray, Counsellor in Brondesbury, London, England
Anna Gray
Counsellor, MA, MBACP
Verified
1 Endorsed
Brondesbury, London NW6
Not accepting new clients
Hello. Do you need some support right now? You may be dealing with feeling lost or overwhelmed, new changes, or perhaps old feelings that have reopened. I offer a calm and accepting presence, and I believe in the value of reconnecting to yourself and someone else: having the time and someone supportive to talk things through with could help you reduce overwhelm, find perspective, and develop your self-acceptance and confidence.
Hello. Do you need some support right now? You may be dealing with feeling lost or overwhelmed, new changes, or perhaps old feelings that have reopened. I offer a calm and accepting presence, and I believe in the value of reconnecting to yourself and someone else: having the time and someone supportive to talk things through with could help you reduce overwhelm, find perspective, and develop your self-acceptance and confidence.
07479 270123 View 07479 270123
Photo of Adam Caradog Thomas, Psychotherapist in Brondesbury, London, England
Adam Caradog Thomas
Psychotherapist, MBACP
Verified
Brondesbury, London NW6
Quite simply, in therapy I aim to offer a calm and confidential space to gently explore any challenges you might currently be facing, or any difficult patterns that you might have noticed throughout your life. My training is in integrative counselling and psychotherapy which allows me to draw on a range of approaches and build a therapy best suited for you. The right counsellor or therapist for you will likely be the one you feel best able to build a relationship with, the one you feel most comfortable working with.
Quite simply, in therapy I aim to offer a calm and confidential space to gently explore any challenges you might currently be facing, or any difficult patterns that you might have noticed throughout your life. My training is in integrative counselling and psychotherapy which allows me to draw on a range of approaches and build a therapy best suited for you. The right counsellor or therapist for you will likely be the one you feel best able to build a relationship with, the one you feel most comfortable working with.
020 3958 4286 View 020 3958 4286
Photo of Karen Stallard, Psychotherapist in Brondesbury, London, England
Karen Stallard
Psychotherapist, MA, MUKCP
Verified
1 Endorsed
Brondesbury, London NW6
I am a friendly creative therapist who believes that human connection is vital for a sense of wellbeing and also for equipping people to make significant changes in their lives. I am trained to use the arts, this includes image making, clay, sand tray, puppets, music, drama, movement as well as working as a talking psychotherapist. My approach will depend on what is right for you. I am interested in the whole person and enjoy working with different spiritualities and am experienced in working with childhood trauma, sexuality and gender issues.
I am a friendly creative therapist who believes that human connection is vital for a sense of wellbeing and also for equipping people to make significant changes in their lives. I am trained to use the arts, this includes image making, clay, sand tray, puppets, music, drama, movement as well as working as a talking psychotherapist. My approach will depend on what is right for you. I am interested in the whole person and enjoy working with different spiritualities and am experienced in working with childhood trauma, sexuality and gender issues.
020 3984 8426 View 020 3984 8426
Photo of Tom Sobel Counselling, Psychotherapist in Brondesbury, London, England
Tom Sobel Counselling
Psychotherapist, MA, MBACP
Verified
Brondesbury, London NW6
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 Richard Thomas, Psychotherapist in Brondesbury, London, England
Richard Thomas
Psychotherapist, MSc, MBACP Accred
Verified
Brondesbury, London NW6
Your reasons for coming to therapy will be individual, and keeping that sense of individuality will be central to meeting your needs. You may have hopes of freeing yourself from anxiety, depression, phobias, panic, and a variety of addictions and/or you may wish to find greater fulfilment or meaning in your life. You may long to be less lonely. Historic, or more recent, issues of abuse-mental, physical or sexual-may be involved. A sense of inadequacy or of being fraudulent or inauthentic may figure. I am also a psychosexual and relationship therapist with all that implies.
Your reasons for coming to therapy will be individual, and keeping that sense of individuality will be central to meeting your needs. You may have hopes of freeing yourself from anxiety, depression, phobias, panic, and a variety of addictions and/or you may wish to find greater fulfilment or meaning in your life. You may long to be less lonely. Historic, or more recent, issues of abuse-mental, physical or sexual-may be involved. A sense of inadequacy or of being fraudulent or inauthentic may figure. I am also a psychosexual and relationship therapist with all that implies.
020 3856 4613 View 020 3856 4613

How does your Counsellor compare?

Number of Counsellors in Brondesbury, London

20+

Average cost per session

£80

Counsellors in Brondesbury, London who prioritize treating:

88% Relationship Issues
88% Depression
81% Anxiety
81% Stress
77% Self Esteem
65% Bereavement
65% Trauma and PTSD

Average years in practice

17 Years

Top 3 insurances accepted

73% Aviva
64% AXA PPP
64% Vitality

How Counsellors in Brondesbury, London see their clients

93% In Person and Online
7% Online Only

Gender breakdown

79% Female
21% Male

FAQs - About Therapy and Counselling

How can I find a therapist in Brondesbury, 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.