Counselling in Hackney, London

Photo of Alvaro Cea, Psychologist in Hackney, London, England
Alvaro Cea
Psychologist, MBBS, GMBPsS
Verified Verified
Hackney, London E8
A therapeutic space can give us the understanding and confidence we need to make positive changes in our life. Expressing unspoken thoughts and silenced feelings is an opportunity to heal, walk light and recover a feeling of direction. It gives us perspective and open our minds to explore healthier ways of relating to ourselves. I´ve got more than 10 years of experience working with clients as a Psychologist. My approach is holistic and integrative and I have a University Master degree in Coaching and Systemic Psychology.
A therapeutic space can give us the understanding and confidence we need to make positive changes in our life. Expressing unspoken thoughts and silenced feelings is an opportunity to heal, walk light and recover a feeling of direction. It gives us perspective and open our minds to explore healthier ways of relating to ourselves. I´ve got more than 10 years of experience working with clients as a Psychologist. My approach is holistic and integrative and I have a University Master degree in Coaching and Systemic Psychology.
020 3962 1834 View 020 3962 1834
Photo of Jo Allen, Psychologist in Hackney, London, England
Jo Allen
Psychologist, MSc, HCPC - Clin. Psych.
Verified Verified
Hackney, London EC2A  (Online Only)
Hello, are you struggling with relationships, wanting to explore the dynamics in your family or how you have managed a difficult life transition or change in your life? I would hope to support you to explore these changes and how you have coped and support you to implement changes to support new understandings and improve your wellbeing. I am collaborative in my approach and balance supportive therapeutic conversations with suggestions for action depending on the clients needs.
Hello, are you struggling with relationships, wanting to explore the dynamics in your family or how you have managed a difficult life transition or change in your life? I would hope to support you to explore these changes and how you have coped and support you to implement changes to support new understandings and improve your wellbeing. I am collaborative in my approach and balance supportive therapeutic conversations with suggestions for action depending on the clients needs.
020 4524 5560 View 020 4524 5560
Photo of Lowina Simms @ Simms Psychological Services , Psychologist in Hackney, London, England
Lowina Simms @ Simms Psychological Services
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Hackney, London E5
Individual therapy offers a private safe space in which to explore difficult issues with a trained professional. It’s an opportunity to take a closer look any underlying issues and a space to work out ways to manage difficult feelings. I work with individuals who experience difficulties with their emotions, thinking style and or behaviour. I also work with people who have difficulties related to stress, anxiety, depression or other mental health issues including, obsessive compulsive disorder (OCD), Bi-polar disorder, Post traumatic stress disorder and personality issues.
Individual therapy offers a private safe space in which to explore difficult issues with a trained professional. It’s an opportunity to take a closer look any underlying issues and a space to work out ways to manage difficult feelings. I work with individuals who experience difficulties with their emotions, thinking style and or behaviour. I also work with people who have difficulties related to stress, anxiety, depression or other mental health issues including, obsessive compulsive disorder (OCD), Bi-polar disorder, Post traumatic stress disorder and personality issues.
01748 900775 View 01748 900775
Photo of John Goddard, Psychotherapist in Hackney, London, England
John Goddard
Psychotherapist, MSc, MBACP
Verified Verified
Hackney, London E8
I am a Transactional Analysis Psychotherapist. I focus on the relational issues in your life. Why are your relationships not working? Why do you feel isolated and misunderstood? Would you like to understand yourself better?
I am a Transactional Analysis Psychotherapist. I focus on the relational issues in your life. Why are your relationships not working? Why do you feel isolated and misunderstood? Would you like to understand yourself better?
020 8138 8427 View 020 8138 8427
Photo of Dr. Tanya Koh @ 1 Flow Clinical Psychology Center, Psychotherapist in Hackney, London, England
Dr. Tanya Koh @ 1 Flow Clinical Psychology Center
Psychotherapist, MBACP Accred
Verified Verified
Hackney, London EC1V
I am a trained and licensed professional with 12 years of experience working with people experiencing challenges with depression, stress, burnout, trauma or a family situation, the death of a loved one, the loss of a job, social anxiety, or fears. I work with a team of psychologists, testing specialists and a psychiatrist who treat children and adults with issues ranging from anxiety to dealing with changes in life. Our Clinic has provided affordable therapy and psychoanalysis for over 9 years.
I am a trained and licensed professional with 12 years of experience working with people experiencing challenges with depression, stress, burnout, trauma or a family situation, the death of a loved one, the loss of a job, social anxiety, or fears. I work with a team of psychologists, testing specialists and a psychiatrist who treat children and adults with issues ranging from anxiety to dealing with changes in life. Our Clinic has provided affordable therapy and psychoanalysis for over 9 years.
020 3947 6006 View 020 3947 6006
Photo of Stephen Brown, Psychotherapist in Hackney, London, England
Stephen Brown
Psychotherapist, MSc, MBACP
Verified Verified
Hackney, London N16
I work with adults and am ready to explore and think about your most painful and traumatic experiences in the context of a trusting and safe therapeutic alliance. I want to know your needs and goals, and to work closely with you to achieve them. What do you want from therapy? What is it that is making you so depressed, angry, unhappy with your life and your relationships? I'll listen, and, by challenging and interpreting the troubling thoughts and experiences you bring, help you identify and work through them to an improving life, where the possibility of inner growth is linked to a sense of accomplishment in your daily existence.
I work with adults and am ready to explore and think about your most painful and traumatic experiences in the context of a trusting and safe therapeutic alliance. I want to know your needs and goals, and to work closely with you to achieve them. What do you want from therapy? What is it that is making you so depressed, angry, unhappy with your life and your relationships? I'll listen, and, by challenging and interpreting the troubling thoughts and experiences you bring, help you identify and work through them to an improving life, where the possibility of inner growth is linked to a sense of accomplishment in your daily existence.
020 3826 8589 View 020 3826 8589
Photo of Matthew Barnard, Counsellor in Hackney, London, England
Matthew Barnard
Counsellor, MA, MUKCP
Verified Verified
Hackney, London EC2A  (Online Only)
Hello. I passionately believe that to achieve a successful outcome in counselling, a safe and supportive therapeutic relationship is essential. My approach is collaborative and client-centred to work with you to achieve your therapeutic goals. I primarily use a psychodynamic therapy model in my work. This approach differs from other psychotherapies as it focuses on making sense of your current difficulty and the feelings, thoughts and associated memories that may have brought you to your current situation.
Hello. I passionately believe that to achieve a successful outcome in counselling, a safe and supportive therapeutic relationship is essential. My approach is collaborative and client-centred to work with you to achieve your therapeutic goals. I primarily use a psychodynamic therapy model in my work. This approach differs from other psychotherapies as it focuses on making sense of your current difficulty and the feelings, thoughts and associated memories that may have brought you to your current situation.
020 3667 1671 View 020 3667 1671
Photo of Dr Rachel Zara Master, Psychologist in Hackney, London, England
Dr Rachel Zara Master
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Hackney, London E5
I am an experienced Clinical Psychologist who is trained in a number of evidence based therapeutic approaches including EMDR and Compassion Focused Therapy. I'm passionate about working with individuals rather than diagnoses. I want to explore how you got to where you are now; why you are struggling and feeling stuck; and then together we can help pave the way forward towards a more fulfilling and purposeful life. I have particular expertise in working with attachment and developmental traumas; grief and perinatal mental health.
I am an experienced Clinical Psychologist who is trained in a number of evidence based therapeutic approaches including EMDR and Compassion Focused Therapy. I'm passionate about working with individuals rather than diagnoses. I want to explore how you got to where you are now; why you are struggling and feeling stuck; and then together we can help pave the way forward towards a more fulfilling and purposeful life. I have particular expertise in working with attachment and developmental traumas; grief and perinatal mental health.
020 3835 5787 View 020 3835 5787
Photo of Dr Elena Xenophontos, Psychologist in Hackney, London, England
Dr Elena Xenophontos
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Hackney, London E8
If you are here it is likely that you are looking for support. You probably feel stuck or even unsure of what you are experiencing and you are interested to learn more or explore the option of therapy. I will aim to support you to navigate the difficulties you are experiencing, to get a clearer understanding of what it is you are experiencing as well as help you to identify what you would like to change in your life and embark on new paths.
If you are here it is likely that you are looking for support. You probably feel stuck or even unsure of what you are experiencing and you are interested to learn more or explore the option of therapy. I will aim to support you to navigate the difficulties you are experiencing, to get a clearer understanding of what it is you are experiencing as well as help you to identify what you would like to change in your life and embark on new paths.
020 3835 5930 View 020 3835 5930
Photo of Folashade Babalola Mbacp (Accred)., Counsellor in Hackney, London, England
Folashade Babalola Mbacp (Accred).
Counsellor, DCounsPsych, MBACP
Verified Verified
Hackney, London E9
My clients come to see me with a range of issues. Many are associated with relationship problems, some are struggling through divorce, anxiety, anger, rage, cultural issues, commitment issues and bullying at work. Some clients want to work on their self-esteem and confidence related issues. Some clients wish to work through childhood sexual abuse. While others wish to work through bereavement. Most clients have a planned outcome and that is to feel better at the end of their allocated sessions. I am a Person-Centered focused therapist. I am focused on listening to the needs of my clients and focusing on their thoughts and feelings.
My clients come to see me with a range of issues. Many are associated with relationship problems, some are struggling through divorce, anxiety, anger, rage, cultural issues, commitment issues and bullying at work. Some clients want to work on their self-esteem and confidence related issues. Some clients wish to work through childhood sexual abuse. While others wish to work through bereavement. Most clients have a planned outcome and that is to feel better at the end of their allocated sessions. I am a Person-Centered focused therapist. I am focused on listening to the needs of my clients and focusing on their thoughts and feelings.
01322 250134 View 01322 250134
Photo of Filiz Benli, Psychotherapist in Hackney, London, England
Filiz Benli
Psychotherapist, MBACP Accred
Verified Verified
Hackney, London E8
Life brings challenges to all of us from time to time and we might feel loss or overwhelmed by them. I offer a safe and confidential space to address and explore these issues. I am open to work with variety issues such as depression, anxiety, trauma, relationship issues, addiction, finding meaning in life, low self esteem. My aim is not advising you, but to help you to find your own path and to look at yourself and your own issues with more compassion and understanding.
Life brings challenges to all of us from time to time and we might feel loss or overwhelmed by them. I offer a safe and confidential space to address and explore these issues. I am open to work with variety issues such as depression, anxiety, trauma, relationship issues, addiction, finding meaning in life, low self esteem. My aim is not advising you, but to help you to find your own path and to look at yourself and your own issues with more compassion and understanding.
01992 929920 View 01992 929920
Photo of Rosemary Gomes, Psychologist in Hackney, London, England
Rosemary Gomes
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
Hackney, London N16
I am a compassionate and insightful mental health professional possessing a broad range of clinical experience with people with mental health conditions. I have gained this from over 10 years of working therapeutically. I am passionate about using evidence-based psychological techniques that are grounded in a tailored understanding of a person’s distress. I do this by constructing and continually refining a formulation to make sense of someone’s difficulties, drawing on both theoretical models and information that presents during therapy. I am proactive and enthusiastic about achieving successful therapy outcomes.
I am a compassionate and insightful mental health professional possessing a broad range of clinical experience with people with mental health conditions. I have gained this from over 10 years of working therapeutically. I am passionate about using evidence-based psychological techniques that are grounded in a tailored understanding of a person’s distress. I do this by constructing and continually refining a formulation to make sense of someone’s difficulties, drawing on both theoretical models and information that presents during therapy. I am proactive and enthusiastic about achieving successful therapy outcomes.
020 3962 1928 View 020 3962 1928
Photo of Natalis Counselling & Psychotherapy, Counsellor in Hackney, London, England
Natalis Counselling & Psychotherapy
Counsellor, MBACP
Verified Verified
1 Endorsed
Hackney, London E9
I am not what happened to me. I am what I choose to become. -Carl Gustav Jung- A warm welcome to you. My primary aim is to facilitate a safe and empathic space for my clients where the psychological pain can be explored and validated without the fear of judgement or rejection. I have been trained in all mainstream therapeutic modalities, so I aim to tailor my approach to the unique needs and goals of each client. Alongside my private practice located just a few minutes from Hackney Wick station , I work in NHS as IAPT counsellor where I design and deliver individually tailored treatments for a wide range of presenting problems.
I am not what happened to me. I am what I choose to become. -Carl Gustav Jung- A warm welcome to you. My primary aim is to facilitate a safe and empathic space for my clients where the psychological pain can be explored and validated without the fear of judgement or rejection. I have been trained in all mainstream therapeutic modalities, so I aim to tailor my approach to the unique needs and goals of each client. Alongside my private practice located just a few minutes from Hackney Wick station , I work in NHS as IAPT counsellor where I design and deliver individually tailored treatments for a wide range of presenting problems.
020 3835 2097 View 020 3835 2097
Photo of Denise James, Counsellor in Hackney, London, England
Denise James
Counsellor, DCounsPsych, MBACP Accred
Verified Verified
Hackney, London N4  (Online Only)
Waitlist for new clients
I am an accredited therapist with 38 years experience working with people struggling with all types of problem behaviours, traumas and challenging life events. Whatever the presenting problem, I am a therapist who is passionate about self-transformation and the living of the best life experience possible. The the type of therapy I provide helps clients to realise lasting-change. I offer 6 weeks or 12 weeks solution focused therapy. I also offer one-off 90-minutes solutions focused therapy sessions for people who has a particular issue that they would like to get to the bottom off & resolve. This cost £90. I offer some concessions.
I am an accredited therapist with 38 years experience working with people struggling with all types of problem behaviours, traumas and challenging life events. Whatever the presenting problem, I am a therapist who is passionate about self-transformation and the living of the best life experience possible. The the type of therapy I provide helps clients to realise lasting-change. I offer 6 weeks or 12 weeks solution focused therapy. I also offer one-off 90-minutes solutions focused therapy sessions for people who has a particular issue that they would like to get to the bottom off & resolve. This cost £90. I offer some concessions.
020 3917 4434 View 020 3917 4434
Photo of Vania Piludu, Psychologist in Hackney, London, England
Vania Piludu
Psychologist, HCPC - Clin. Psych.
Verified Verified
Hackney, London E8
My clinical experience began in 1997, and since then I have worked with adults, children and families in various settings including the Italian Mental Health and Social Systems, NHS and the private sector. I have worked with people with a broad range of emotional and psychological difficulties such as depression, anxiety, panic disorder, health problems, isolation, childhood abuse, trauma, loss and past and present relationship problems. I am able to offer both short and long-term counselling and psychotherapy, taking into account the nature of clients' concerns and needs. PLEASE CONTACT ME BY EMAIL AND LEAVE YOUR TELEPHONE NUMBER.
My clinical experience began in 1997, and since then I have worked with adults, children and families in various settings including the Italian Mental Health and Social Systems, NHS and the private sector. I have worked with people with a broad range of emotional and psychological difficulties such as depression, anxiety, panic disorder, health problems, isolation, childhood abuse, trauma, loss and past and present relationship problems. I am able to offer both short and long-term counselling and psychotherapy, taking into account the nature of clients' concerns and needs. PLEASE CONTACT ME BY EMAIL AND LEAVE YOUR TELEPHONE NUMBER.
020 4538 4511 View 020 4538 4511
Photo of Andrew Ballance, Counsellor in Hackney, London, England
Andrew Ballance
Counsellor, MBACP
Verified Verified
Hackney, London E8
I work with adults of all ages and young people mainly here in East London and also online. If you find yourself stuck, having a difficult time, or maybe unclear about who you are or what to do, I believe I can support you in taking the next steps forward.
I work with adults of all ages and young people mainly here in East London and also online. If you find yourself stuck, having a difficult time, or maybe unclear about who you are or what to do, I believe I can support you in taking the next steps forward.
020 8103 3974 View 020 8103 3974
Photo of Alessandra Palazzetti, Counsellor in Hackney, London, England
Alessandra Palazzetti
Counsellor, DCounsPsych, MBACP Accred
Verified Verified
Hackney, London E8
I believe that every individual has the capacity to live a nourishing life and deserves to feel fulfilled. However because of past or present experiences, as well as learnt behaviour, we can find ourselves stuck with unwanted feelings, desperately wishing that partners, parents, friends or situations were different. In these moments we can feel powerless and unable to speak our truth, so it is important to have an external guide, who can help us navigate through the storm and find our voice. I am committed to helping my clients reach a place of empowerment and well-being, by becoming the best versions of themselves that they can be.
I believe that every individual has the capacity to live a nourishing life and deserves to feel fulfilled. However because of past or present experiences, as well as learnt behaviour, we can find ourselves stuck with unwanted feelings, desperately wishing that partners, parents, friends or situations were different. In these moments we can feel powerless and unable to speak our truth, so it is important to have an external guide, who can help us navigate through the storm and find our voice. I am committed to helping my clients reach a place of empowerment and well-being, by becoming the best versions of themselves that they can be.
020 3893 2464 View 020 3893 2464
Photo of Nawal Mohamud, Counsellor in Hackney, London, England
Nawal Mohamud
Counsellor, PsychD, MBACP
Verified Verified
Hackney, London EC1V  (Online Only)
Are you constantly striving to meet others' expectations, at the expense of your own well-being? Hello, I am Nawal and I work with individuals who find themselves caught in the whirlwind of perfectionism, societal expectations, and the relentless pursuit of an elusive balance. If you're yearning to gain understanding, redefine success on your terms and feel more in control, you've come to the right place.
Are you constantly striving to meet others' expectations, at the expense of your own well-being? Hello, I am Nawal and I work with individuals who find themselves caught in the whirlwind of perfectionism, societal expectations, and the relentless pursuit of an elusive balance. If you're yearning to gain understanding, redefine success on your terms and feel more in control, you've come to the right place.
020 3817 6873 View 020 3817 6873
Photo of Georgia Powell, Counsellor in Hackney, London, England
Georgia Powell
Counsellor, MBACP
Verified Verified
Hackney, London E2  (Online Only)
Waitlist for new clients
I work as an adolescent and adult Counsellor based in East London. As well as my own private practice, I work in schools, universities and in the domestic abuse sector with victim-survivors of domestic abuse. I am a fully registered BACP member and integrate a variety of different therapeutic modalities, including person-centred and humanistic therapy, body therapy, art/play therapy, mindfulness and cognitive behavioural therapy (CBT) to meet each person’s specific needs.
I work as an adolescent and adult Counsellor based in East London. As well as my own private practice, I work in schools, universities and in the domestic abuse sector with victim-survivors of domestic abuse. I am a fully registered BACP member and integrate a variety of different therapeutic modalities, including person-centred and humanistic therapy, body therapy, art/play therapy, mindfulness and cognitive behavioural therapy (CBT) to meet each person’s specific needs.
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Photo of Dr Eirini Melegkovits, Psychologist in Hackney, London, England
Dr Eirini Melegkovits
Psychologist, HCPC - Clin. Psych.
Verified Verified
Hackney, London E8
I view therapy as a journey of healing, growth and discovery. Alongside my private practice, I work as a Clinical Psychologist and researcher in the NHS and academia, where I study the influence of trauma in childhood on adult mental health. I have training in different therapy models, and offer integrative therapy to adults, adolescents and children/parents of younger children. I am influenced by psychodynamic models of thinking, but also draw from systemic family therapy and CBT (in particular “third wave”, which connects how we think to how we feel and our relationship to our inner experiences).
I view therapy as a journey of healing, growth and discovery. Alongside my private practice, I work as a Clinical Psychologist and researcher in the NHS and academia, where I study the influence of trauma in childhood on adult mental health. I have training in different therapy models, and offer integrative therapy to adults, adolescents and children/parents of younger children. I am influenced by psychodynamic models of thinking, but also draw from systemic family therapy and CBT (in particular “third wave”, which connects how we think to how we feel and our relationship to our inner experiences).
020 3667 9567 View 020 3667 9567

See more therapy options for Hackney, London

How does your Counsellor compare?

Number of Counsellors in Hackney, London

400+

Average cost per session

£75

Counsellors in Hackney, London who prioritize treating:

93% Anxiety
90% Depression
87% Self Esteem
85% Relationship Issues
81% Stress
69% Trauma and PTSD
67% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

74% Aviva
66% AXA PPP
53% Vitality

How Counsellors in Hackney, London see their clients

76% In Person and Online
24% Online Only

Gender breakdown

71% Female
28% Male
1% Non-Binary

FAQs - About Therapy and Counselling

How can I find a therapist in Hackney, 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.