Counselling in East Finchley, London

Photo of Monica Videira, MBACP, Psychotherapist
Monica Videira
Psychotherapist, MBACP
Verified Verified
East Finchley, London N2
Waitlist for new clients
People seek therapy and counselling for all kinds of reasons: to solve problems, improve wellbeing, making sense of their past or build more meaningul futures. I've worked with people from many backgrounds and ages, all with varied life experiences, values, and goals. With years of experience in the NHS and private practice, I can help with Depression, Anxiety (including OCD and GAD) and psychosis. I have a special interest in complex emotional difficulties, personality disorder, identity, addiction and sexuality.
People seek therapy and counselling for all kinds of reasons: to solve problems, improve wellbeing, making sense of their past or build more meaningul futures. I've worked with people from many backgrounds and ages, all with varied life experiences, values, and goals. With years of experience in the NHS and private practice, I can help with Depression, Anxiety (including OCD and GAD) and psychosis. I have a special interest in complex emotional difficulties, personality disorder, identity, addiction and sexuality.
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Photo of Tim Williamson, MBACP, Counsellor
Tim Williamson
Counsellor, MBACP
Verified Verified
East Finchley, London N2
It was Mr Miyagi in the movie “The Karate Kid” who said, “You know, but you do not understand.” We are often aware of the feelings and thoughts we are having, the behaviours they are causing and the distress that can generate. We can even know the traumas that have happened that we can attribute them to. But we can’t understand or articulate them enough to change them and heal. Perhaps this is the way you feel? Maybe you have been struggling with anxiety, depression or both for some time and everyday life is more challenging than you want it to be? Maybe you’ve experienced a traumatic event that you can’t seem to get over?
It was Mr Miyagi in the movie “The Karate Kid” who said, “You know, but you do not understand.” We are often aware of the feelings and thoughts we are having, the behaviours they are causing and the distress that can generate. We can even know the traumas that have happened that we can attribute them to. But we can’t understand or articulate them enough to change them and heal. Perhaps this is the way you feel? Maybe you have been struggling with anxiety, depression or both for some time and everyday life is more challenging than you want it to be? Maybe you’ve experienced a traumatic event that you can’t seem to get over?
07480 488746 View 07480 488746
Photo of Dr Kaan Altan, PsychD, HCPC - Clin. Psych., Psychologist
Dr Kaan Altan
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
East Finchley, London N2
A very warm welcome! My name is Kaan and I am a Clinical Psychologist and accredited CBT therapist and EMDR therapist, specialising in working with adults with a range of mental health difficulties, from anxiety and low mood, stress and burnout, difficulties regulating and managing emotions to trauma related difficulties. With 15 years of experience in the mental health, I have had the privilege of working with clients dealing with a wide range of issues and I’m passionate about helping individuals navigate their challenges and find healing and growth in their lives.
A very warm welcome! My name is Kaan and I am a Clinical Psychologist and accredited CBT therapist and EMDR therapist, specialising in working with adults with a range of mental health difficulties, from anxiety and low mood, stress and burnout, difficulties regulating and managing emotions to trauma related difficulties. With 15 years of experience in the mental health, I have had the privilege of working with clients dealing with a wide range of issues and I’m passionate about helping individuals navigate their challenges and find healing and growth in their lives.
020 4538 0791 View 020 4538 0791
Photo of Gaynor Spry, DCounsPsych, MBACP Accred, Counsellor
Gaynor Spry
Counsellor, DCounsPsych, MBACP Accred
Verified Verified
East Finchley, London N2
​Life is full of challenges. At times we cope well, but at other times we need help, and talking to family members and friends can be difficult. At points like this, talking confidentially in a safe space to a professional counsellor can make a real difference. Through a warm and supportive relationship, we will explore any difficulties you are having in your life right now. We will also look back into your past, to try to understand patterns of behaviour that might not be quite so effective for you today. By exploring feelings and experiences and building self-awareness, we will work together to move towards a positive change.
​Life is full of challenges. At times we cope well, but at other times we need help, and talking to family members and friends can be difficult. At points like this, talking confidentially in a safe space to a professional counsellor can make a real difference. Through a warm and supportive relationship, we will explore any difficulties you are having in your life right now. We will also look back into your past, to try to understand patterns of behaviour that might not be quite so effective for you today. By exploring feelings and experiences and building self-awareness, we will work together to move towards a positive change.
020 8138 0872 View 020 8138 0872
Photo of Daria Modina, MUKCP, Psychotherapist
Daria Modina
Psychotherapist, MUKCP
Verified Verified
2 Endorsed
East Finchley, London N2
Are you having difficulty coping with life stressors at work and home? Have you noticed that small things started to bother you strongly and the overwhelm and anxiety are taking over your life? Or, perhaps, you experience trouble accepting the loss of someone or something and are not able to find the way out of this overwhelming pain. Sometimes life experiences and feelings can be very confusing and psychotherapy can help make sense of it, see ways out and feel better.
Are you having difficulty coping with life stressors at work and home? Have you noticed that small things started to bother you strongly and the overwhelm and anxiety are taking over your life? Or, perhaps, you experience trouble accepting the loss of someone or something and are not able to find the way out of this overwhelming pain. Sometimes life experiences and feelings can be very confusing and psychotherapy can help make sense of it, see ways out and feel better.
020 4538 6234 View 020 4538 6234
Photo of Ilan Ben-Zion - Little Bee Clinic, PsychD, HCPC - Clin. Psych., Psychologist
Little Bee Clinic
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
East Finchley, London N2
Offering a fresh approach to psychological therapy from the young and vibrant Little Bee Clinic. We are here to support children, young people and families. Who are you? We are are a group of colleagues who aim to offer a modern approach to psychological therapy. We have all been trained as Clinical Psychologists, which means we have lots of experience working with children, young people and families.
Offering a fresh approach to psychological therapy from the young and vibrant Little Bee Clinic. We are here to support children, young people and families. Who are you? We are are a group of colleagues who aim to offer a modern approach to psychological therapy. We have all been trained as Clinical Psychologists, which means we have lots of experience working with children, young people and families.
020 3974 1825 View 020 3974 1825
Photo of Judith Ellenbogen, MSc, MBACP Accred, Psychotherapist
Judith Ellenbogen
Psychotherapist, MSc, MBACP Accred
Verified Verified
East Finchley, London N2
I am a highly experienced psychotherapist accredited with the BACP and can offer help to people who are dealing with a wide range of issues, such as relationship difficulties, anxiety, depression and bereavement. In addition, I have specialist expertise in working with women during pregnancy and postnatally, including pregnancy loss. My other specialist areas include working psychotherapeutically with haematology patients (blood cancers), women with gynaecological and psychosexual issues, and university students. I aim to help people understand themselves better, deal with conflicts and move on in their lives.
I am a highly experienced psychotherapist accredited with the BACP and can offer help to people who are dealing with a wide range of issues, such as relationship difficulties, anxiety, depression and bereavement. In addition, I have specialist expertise in working with women during pregnancy and postnatally, including pregnancy loss. My other specialist areas include working psychotherapeutically with haematology patients (blood cancers), women with gynaecological and psychosexual issues, and university students. I aim to help people understand themselves better, deal with conflicts and move on in their lives.
020 3816 3567 View 020 3816 3567
Photo of Peter Finn, MUKCP, Psychotherapist
Peter Finn
Psychotherapist, MUKCP
Verified Verified
East Finchley, London N2
I am an experienced individual and group psychotherapist able to discuss a wide range of stresses and difficulties that might be preventing you enjoy life fully and flourish. I offer a safe and warm space in which people from a wide range of backgrounds can explore pressures that are weighing on daily life.
I am an experienced individual and group psychotherapist able to discuss a wide range of stresses and difficulties that might be preventing you enjoy life fully and flourish. I offer a safe and warm space in which people from a wide range of backgrounds can explore pressures that are weighing on daily life.
020 4538 2615 View 020 4538 2615
Photo of Jenny Lynn Simmonds - Jenny Simmonds Counselling, BACP, Counsellor
Jenny Simmonds Counselling
Counsellor, BACP
Verified Verified
East Finchley, London NW5  (Online Only)
Choosing the right Counsellor can be a challenge. As an integrative therapist, I combine Person-Centred and Psychodynamic approaches. Person-Centred therapy focuses on your feelings and experiences, creating a supportive space for self-exploration whilst the Psychodynamic approach explores past experiences and unconscious thoughts, aiming to bring awareness to patterns and conflicts for emotional insight. My role is to act as a mirror for you.
Choosing the right Counsellor can be a challenge. As an integrative therapist, I combine Person-Centred and Psychodynamic approaches. Person-Centred therapy focuses on your feelings and experiences, creating a supportive space for self-exploration whilst the Psychodynamic approach explores past experiences and unconscious thoughts, aiming to bring awareness to patterns and conflicts for emotional insight. My role is to act as a mirror for you.
020 8059 4012 View 020 8059 4012
Photo of Gabriela Mendelsohn, MA
Gabriela Mendelsohn
MA
Verified Verified
East Finchley, London NW11  (Online Only)
We live in a fast paced, high stress generation. Self- care ranks low on our list until it becomes a necessity. my therapy sessions offer a safe, warm and caring space that not only encourages self- care and works through the various emotional and psychological struggles that many face today but it also encourages creativity, thinking out the box and being self- expressive. Something all adults have innately but don’t always tap into. Tapping into this latent side of ourselves already engages so much joy and healing. One doesn’t need prior art experience to come to art therapy.
We live in a fast paced, high stress generation. Self- care ranks low on our list until it becomes a necessity. my therapy sessions offer a safe, warm and caring space that not only encourages self- care and works through the various emotional and psychological struggles that many face today but it also encourages creativity, thinking out the box and being self- expressive. Something all adults have innately but don’t always tap into. Tapping into this latent side of ourselves already engages so much joy and healing. One doesn’t need prior art experience to come to art therapy.
020 3835 3199 x44 View 020 3835 3199 x44
Photo of Fran Mullins, MBACP Accred, Counsellor
Fran Mullins
Counsellor, MBACP Accred
Verified Verified
East Finchley, London N2
I am an integrative therapist and supervisor who works with adults in East Finchley in North London and online. The kind of issues that I help clients with include; anxiety, panic attacks, low mood, depression, relationship problems, jealousy, stress, repeated unwanted patterns of behaviour, work problems, grief and loss, low self esteem, self-harming or suicidal thoughts, addictions, anger, and body image or eating issues.
I am an integrative therapist and supervisor who works with adults in East Finchley in North London and online. The kind of issues that I help clients with include; anxiety, panic attacks, low mood, depression, relationship problems, jealousy, stress, repeated unwanted patterns of behaviour, work problems, grief and loss, low self esteem, self-harming or suicidal thoughts, addictions, anger, and body image or eating issues.
020 3987 4651 View 020 3987 4651
Photo of Judi Bauernfreund, MA, MUKCP, Psychotherapist
Judi Bauernfreund
Psychotherapist, MA, MUKCP
Verified Verified
East Finchley, London N2
It takes courage to seek support, therefore I offer a confidential space where you can safely explore the particular situation you find yourself in. This may mean you come with a specific problem, anxiety, crisis or perhaps a vaguer sense that something doesn't feel quite right for you. Everyday life does not always leave room for reflection or questioning, therefore carving out a regular space to wonder, alongside another person about yourself, can be a powerful way to uncover how past experiences and relationships may have impacted the way things are now, whilst identifying how you would like things to be in the future.
It takes courage to seek support, therefore I offer a confidential space where you can safely explore the particular situation you find yourself in. This may mean you come with a specific problem, anxiety, crisis or perhaps a vaguer sense that something doesn't feel quite right for you. Everyday life does not always leave room for reflection or questioning, therefore carving out a regular space to wonder, alongside another person about yourself, can be a powerful way to uncover how past experiences and relationships may have impacted the way things are now, whilst identifying how you would like things to be in the future.
07449 765037 View 07449 765037
Photo of Sara Wolfin, MBACP, Counsellor
Sara Wolfin
Counsellor, MBACP
Verified Verified
East Finchley, London N2
I am a qualified BACP registered counsellor and clinical supervisor. My work focusses on enabling people to find more confidence , joy and clarity and to help them create the life they want to live - whatever that looks like for them. We lived in a highly stressful times and it can be very easy to become anxious and depressed which without help can lead to feelings of helplessness and despair. Therapy offers a safe space to explore those difficult feelings, and often bringing those dark thoughts into the light can bring some relief.
I am a qualified BACP registered counsellor and clinical supervisor. My work focusses on enabling people to find more confidence , joy and clarity and to help them create the life they want to live - whatever that looks like for them. We lived in a highly stressful times and it can be very easy to become anxious and depressed which without help can lead to feelings of helplessness and despair. Therapy offers a safe space to explore those difficult feelings, and often bringing those dark thoughts into the light can bring some relief.
07588 734724 View 07588 734724
Photo of Dr Laura Cole, PsychD, HCPC - Clin. Psych., Psychologist
Dr Laura Cole
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
East Finchley, London N2
Hi there, I'm Laura. I am a Clinical Psychologist registered with the Health and Care Professional Council (HCPC) with over fifteen years experience working in the NHS and charity sector. I currently work within two specialist services in London working with individuals experiencing emotional difficulties. Whatever your reasons for seeking therapy, I offer a safe and non-judgemental space, which is your time to explore some of the difficulties you have been facing and work together to find ways forward in your life.
Hi there, I'm Laura. I am a Clinical Psychologist registered with the Health and Care Professional Council (HCPC) with over fifteen years experience working in the NHS and charity sector. I currently work within two specialist services in London working with individuals experiencing emotional difficulties. Whatever your reasons for seeking therapy, I offer a safe and non-judgemental space, which is your time to explore some of the difficulties you have been facing and work together to find ways forward in your life.
020 4538 8328 View 020 4538 8328
Photo of Domenica Stilwell, DCounsPsych, MBACP Accred, Psychotherapist
Domenica Stilwell
Psychotherapist, DCounsPsych, MBACP Accred
Verified Verified
East Finchley, London N2  (Online Only)
We all encounter difficulties in life. It may be that you feel stuck and unable to move forward, to change things in your life and bring in more joy, peace and authenticity. I am here to help you with that. My approach to psychotherapy is relational and client focused. It provides a safe, confidential and non-judgmental space where we can think together about the difficulties in your life and what is causing them. Often, our past relationships and emotional development inform our present life to a much greater extent than we imagine. Together we can work towards creating a happier, more peaceful and more fulfilled life for you.
We all encounter difficulties in life. It may be that you feel stuck and unable to move forward, to change things in your life and bring in more joy, peace and authenticity. I am here to help you with that. My approach to psychotherapy is relational and client focused. It provides a safe, confidential and non-judgmental space where we can think together about the difficulties in your life and what is causing them. Often, our past relationships and emotional development inform our present life to a much greater extent than we imagine. Together we can work towards creating a happier, more peaceful and more fulfilled life for you.
01202 125640 View 01202 125640
Photo of Laura Hunter, DCounsPsych, MBACP Accred, Counsellor
Laura Hunter
Counsellor, DCounsPsych, MBACP Accred
Verified Verified
East Finchley, London N2
When life’s road feels bumpier and then bumpier again therapy can shine a light on the causes and the best way forward. I will provide a safe, warm confidential environment, where we will identify, explore and work through what’s troubling you. Through our relationship and by working together we will discover and develop new ways of approaching life that will serve you better-ways which are less compromised by the past.
When life’s road feels bumpier and then bumpier again therapy can shine a light on the causes and the best way forward. I will provide a safe, warm confidential environment, where we will identify, explore and work through what’s troubling you. Through our relationship and by working together we will discover and develop new ways of approaching life that will serve you better-ways which are less compromised by the past.
07586 776023 View 07586 776023
Photo of Amy Lyons, PsychD, HCPC - Clin. Psych., Psychologist
Amy Lyons
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
East Finchley, London N2
Hi! I’m Amy. I’m a Chartered Clinical Psychologist. I was very lucky to really enjoy going to university to study psychology. I quickly knew it was the area I wanted to work in and so began my journey in training to be one, completing masters and doctorate degrees along the way! I’ve worked with lots of different people, including children and young people, older adults and people with intellectual disabilities, neurodevelopmental and neurological conditions. I have also worked with include both child and adult eating disorders, OCD, psychosis, stroke rehabilitation and people who have offended who are staying in hospital.
Hi! I’m Amy. I’m a Chartered Clinical Psychologist. I was very lucky to really enjoy going to university to study psychology. I quickly knew it was the area I wanted to work in and so began my journey in training to be one, completing masters and doctorate degrees along the way! I’ve worked with lots of different people, including children and young people, older adults and people with intellectual disabilities, neurodevelopmental and neurological conditions. I have also worked with include both child and adult eating disorders, OCD, psychosis, stroke rehabilitation and people who have offended who are staying in hospital.
020 3870 2957 View 020 3870 2957
Photo of Nike Siffre, DCounsPsych, MBACP, Counsellor
Nike Siffre
Counsellor, DCounsPsych, MBACP
Verified Verified
East Finchley, London N2
Therapy is a space for you: to feel understood and listened to. Perhaps for the first time. And it is through this fundamental encounter that you can feel more able and alive. Our work together can support you in making a change, reflecting on painful experience, bearing a loss, finding a purpose. It can support you in these - and more - through creating new awareness, making helpful connections and finding a way forward. Therapy provides a way for you to understand, confront, resolve, heal and grow. I provide a safe, welcoming space for you to explore whatever it is that you need and want. In confidence and without judgement.
Therapy is a space for you: to feel understood and listened to. Perhaps for the first time. And it is through this fundamental encounter that you can feel more able and alive. Our work together can support you in making a change, reflecting on painful experience, bearing a loss, finding a purpose. It can support you in these - and more - through creating new awareness, making helpful connections and finding a way forward. Therapy provides a way for you to understand, confront, resolve, heal and grow. I provide a safe, welcoming space for you to explore whatever it is that you need and want. In confidence and without judgement.
020 4538 4241 View 020 4538 4241
Photo of Dr Bina Sharma, PsychD, HCPC - Clin. Psych., Psychologist
Dr Bina Sharma
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
East Finchley, London N2
I have worked in mental health for over ten years with adults across the lifespan, children and families who have experienced a range of difficulties, in both community and inpatient settings. I completed my doctorate in clinical psychology at the University of Hertfordshire and currently work in a specialist NHS service for people with learning disabilities. I also have a special interest in working with people with psychosis and unusual experiences and much of my pre-training experience was in this area.
I have worked in mental health for over ten years with adults across the lifespan, children and families who have experienced a range of difficulties, in both community and inpatient settings. I completed my doctorate in clinical psychology at the University of Hertfordshire and currently work in a specialist NHS service for people with learning disabilities. I also have a special interest in working with people with psychosis and unusual experiences and much of my pre-training experience was in this area.
07481 363216 View 07481 363216
Photo of Yigal Israel, MUKCP, Psychotherapist
Yigal Israel
Psychotherapist, MUKCP
Verified Verified
East Finchley, London N2
Body Psychotherapy is a holistic form of psychotherapy which naturally incorporates the body within the psychotherapeutic process. Our life experiences are experienced in the mind, and also felt, sensed and held in our bodies. As in other forms of psychotherapy, we work together to understand and therapeutically work through the issues you face. Together, we explore your skills and talents that you can utilise and explore the ability and capacity to heal, develop self-awareness and open the way for new modes of being. The support, growth and transformation occur through the quality of the relationship we form together.
Body Psychotherapy is a holistic form of psychotherapy which naturally incorporates the body within the psychotherapeutic process. Our life experiences are experienced in the mind, and also felt, sensed and held in our bodies. As in other forms of psychotherapy, we work together to understand and therapeutically work through the issues you face. Together, we explore your skills and talents that you can utilise and explore the ability and capacity to heal, develop self-awareness and open the way for new modes of being. The support, growth and transformation occur through the quality of the relationship we form together.
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How does your Counsellor compare?

Number of Counsellors in East Finchley, London

80+

Average cost per session

£80

Counsellors in East Finchley, London who prioritize treating:

94% Anxiety
90% Depression
89% Self Esteem
88% Stress
86% Relationship Issues
68% Family Conflict
66% Bereavement

Average years in practice

11 Years

Top 3 insurances accepted

78% Aviva
72% Vitality
64% AXA PPP

How Counsellors in East Finchley, London see their clients

88% In Person and Online
12% Online Only

Gender breakdown

76% Female
24% Male
FAQs - About Therapy and Counselling

How can I find a therapist in East Finchley, 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.