Counselling in North West London, London

Photo of Alizen Wall, Counsellor in North West London, London, England
Alizen Wall
Counsellor, MBACP
Verified Verified
North West London, London NW6
I believe that the 3 most common reasons leading people to seek therapy are Anger, Sadness & Belief System. This belief system could be one you were taught by somebody else or one you have created that is not serving you, for example feeling that you are not enough or that you are unloveable. I offer safety and support with the unbearable. I provide guidance in your discovery and unpacking of baggage. I use creative methods: art, body work, play therapy and nature.
I believe that the 3 most common reasons leading people to seek therapy are Anger, Sadness & Belief System. This belief system could be one you were taught by somebody else or one you have created that is not serving you, for example feeling that you are not enough or that you are unloveable. I offer safety and support with the unbearable. I provide guidance in your discovery and unpacking of baggage. I use creative methods: art, body work, play therapy and nature.
020 8138 0517 View 020 8138 0517
Photo of Gina Latner, Psychotherapist in North West London, London, England
Gina Latner
Psychotherapist, BPC
Verified Verified
1 Endorsed
North West London, London NW11
I provide a discreet, safe, confidential and non-judgemental environment in which to explore the matters which are troubling you and to provide understanding and support in making sense of your experiences. My approach involves us working together to understand the relationship between your early experiences and current problems. I will endeavour to help you explore and gain a clearer understanding of yourself and your feelings, to facilitate growth, change and strength in your self-awareness and self-esteem, with the aim of bringing a sense of meaning and contentment in all areas of your life.
I provide a discreet, safe, confidential and non-judgemental environment in which to explore the matters which are troubling you and to provide understanding and support in making sense of your experiences. My approach involves us working together to understand the relationship between your early experiences and current problems. I will endeavour to help you explore and gain a clearer understanding of yourself and your feelings, to facilitate growth, change and strength in your self-awareness and self-esteem, with the aim of bringing a sense of meaning and contentment in all areas of your life.
01748 902067 View 01748 902067
Photo of Lauren Sayers, Psychotherapist in North West London, London, England
Lauren Sayers
Psychotherapist, MBACP
Verified Verified
1 Endorsed
North West London, London NW7
Waitlist for new clients
I've worked in NHS GP surgeries, charities and private counselling services for a number of years, supporting adults and young adults too. The type of concerns people come to me about relates to: body image and self-worth, sexual abuse and trauma, relationship difficulties, work related stress, loss and loneliness, low mood, anxiety and health related concerns. Whether you have a specific issue or a general sense that life is a struggle, therapy can help. Testimonials: "It's been positive to talk to Lauren who has allowed me to look at the way I think and help me change for the better", "I didn't feel judged, just very supported."
I've worked in NHS GP surgeries, charities and private counselling services for a number of years, supporting adults and young adults too. The type of concerns people come to me about relates to: body image and self-worth, sexual abuse and trauma, relationship difficulties, work related stress, loss and loneliness, low mood, anxiety and health related concerns. Whether you have a specific issue or a general sense that life is a struggle, therapy can help. Testimonials: "It's been positive to talk to Lauren who has allowed me to look at the way I think and help me change for the better", "I didn't feel judged, just very supported."
01727 222460 View 01727 222460
Photo of Marianna Kun, Psychotherapist in North West London, London, England
Marianna Kun
Psychotherapist, MA, MBACP
Verified Verified
1 Endorsed
North West London, London NW3
There are several reasons why people seek therapy. Every human story is unique and complex; every issue is worth listening to. Working with clients of diverse backgrounds, sharing their narratives and accompanying them in unravelling their stories has been a privilege for me as a counsellor. Trained as an Existential psychotherapist, I offer counselling to adults and adolescents. My approach is person centred with the intention of exploring and understanding each individual's unique personal experiences and needs. I believe that therapy can help us to achieve a greater understanding of ourselves and others and boost resilience.
There are several reasons why people seek therapy. Every human story is unique and complex; every issue is worth listening to. Working with clients of diverse backgrounds, sharing their narratives and accompanying them in unravelling their stories has been a privilege for me as a counsellor. Trained as an Existential psychotherapist, I offer counselling to adults and adolescents. My approach is person centred with the intention of exploring and understanding each individual's unique personal experiences and needs. I believe that therapy can help us to achieve a greater understanding of ourselves and others and boost resilience.
020 4538 4725 View 020 4538 4725
Photo of Mustafa Omer, Psychotherapist in North West London, London, England
Mustafa Omer
Psychotherapist, MSc, MBACP
Verified Verified
North West London, London NW10  (Online Only)
Waitlist for new clients
As a highly skilled and specialist Psychotherapist, I have a deep passion for helping individuals overcome the challenges they face and achieve their personal goals. With years of experience in the field, I possess a wealth of experience and expertise in various therapeutic approaches, which I use to develop tailored treatment plans that address the unique needs of each client.
As a highly skilled and specialist Psychotherapist, I have a deep passion for helping individuals overcome the challenges they face and achieve their personal goals. With years of experience in the field, I possess a wealth of experience and expertise in various therapeutic approaches, which I use to develop tailored treatment plans that address the unique needs of each client.
020 3535 6996 View 020 3535 6996
Photo of Alan Reich, Counsellor in North West London, London, England
Alan Reich
Counsellor, MBACP
Verified Verified
North West London, London NW11
I work with both individuals, couples and families, specialising in helping those with relationship difficulties, low-self esteem, anxiety and depression. Relationships are the most exciting and fulfilling aspect in our lives, but they can also be difficult and challenging. Most relationships go through a difficult patch at some time. Through counselling, you can learn how to stop fights from escalating, identify and change the underlying patterns that cause them and reconnect to the bond that you share with each other.
I work with both individuals, couples and families, specialising in helping those with relationship difficulties, low-self esteem, anxiety and depression. Relationships are the most exciting and fulfilling aspect in our lives, but they can also be difficult and challenging. Most relationships go through a difficult patch at some time. Through counselling, you can learn how to stop fights from escalating, identify and change the underlying patterns that cause them and reconnect to the bond that you share with each other.
07528 260482 View 07528 260482
Photo of Harriet Wills, Psychotherapist in North West London, London, England
Harriet Wills
Psychotherapist, MA, MBACP
Verified Verified
North West London, London NW1
Taking the first step by asking for help is a significant and courageous moment. I am an experienced qualified psychotherapist, for almost a decade I have conducted psychotherapy groups and offered psychodynamic therapy to individuals within the NHS. I am a registered BACP psychotherapist, a group work practitioner and an Associate Member of the Institute of Group Analysis.
Taking the first step by asking for help is a significant and courageous moment. I am an experienced qualified psychotherapist, for almost a decade I have conducted psychotherapy groups and offered psychodynamic therapy to individuals within the NHS. I am a registered BACP psychotherapist, a group work practitioner and an Associate Member of the Institute of Group Analysis.
020 8154 5649 View 020 8154 5649
Photo of Daniel Glass, Psychotherapist in North West London, London, England
Daniel Glass
Psychotherapist, MA, MBACP Accred
Verified Verified
North West London, London NW4
How do I work? I provide an open, non-judgemental space for you, either as an individual or as a couple, to explore and make sense of your issues, to help you move forward in life to the place you want to be. There are roughly three stages: Stage 1: Explore the problem in an empathetic, non-judgemental environment. Stage 2: Clarify the key patterns and themes and make sense of some of the contradictions; put it all into context and gain insight into yourself and your life, and how and why the same problems keep coming up. Stage 3: Use this insight to start moving towards a richer, more pleasurable life.
How do I work? I provide an open, non-judgemental space for you, either as an individual or as a couple, to explore and make sense of your issues, to help you move forward in life to the place you want to be. There are roughly three stages: Stage 1: Explore the problem in an empathetic, non-judgemental environment. Stage 2: Clarify the key patterns and themes and make sense of some of the contradictions; put it all into context and gain insight into yourself and your life, and how and why the same problems keep coming up. Stage 3: Use this insight to start moving towards a richer, more pleasurable life.
020 3917 4374 View 020 3917 4374
Photo of Miranda Pleasence, Psychotherapist in North West London, London, England
Miranda Pleasence
Psychotherapist, MSc, MUKCP
Verified Verified
North West London, London NW10
We seek therapy for many reasons. I welcome anything you wish to bring from anxiety, to trauma, grief, ptsd, shame and life crisis or indeed the difficulties you may have faced within this last year and a half. I offer a safe space to explore your current life struggles. I will walk by your side as you uncover a greater sense of ease, self understanding and indeed joy. We will find the repeating limiting themes you encounter and work to understand them and reintegrate the parts that suffered and froze along the way. I endeavour to provide a secure base for you to experience.
We seek therapy for many reasons. I welcome anything you wish to bring from anxiety, to trauma, grief, ptsd, shame and life crisis or indeed the difficulties you may have faced within this last year and a half. I offer a safe space to explore your current life struggles. I will walk by your side as you uncover a greater sense of ease, self understanding and indeed joy. We will find the repeating limiting themes you encounter and work to understand them and reintegrate the parts that suffered and froze along the way. I endeavour to provide a secure base for you to experience.
020 4538 6245 View 020 4538 6245
Photo of Yasmin Gale, Psychotherapist in North West London, London, England
Yasmin Gale
Psychotherapist, MBACP
Verified Verified
North West London, London NW1
I am a counsellor and psychotherapist who works with adult couples and individuals of all ages and backgrounds. I create a safe, non-judgemental space to listen and help you explore issues with empathy and compassion. My clinical framework is psychodynamic, meaning that I help clients consider how past experiences may relate to their current feelings, behaviour patterns and relationships, with the aim of uncovering the root cause of the problem. Our sessions will enable us to look together at your situation, paving the way for you to think about how things might be different.
I am a counsellor and psychotherapist who works with adult couples and individuals of all ages and backgrounds. I create a safe, non-judgemental space to listen and help you explore issues with empathy and compassion. My clinical framework is psychodynamic, meaning that I help clients consider how past experiences may relate to their current feelings, behaviour patterns and relationships, with the aim of uncovering the root cause of the problem. Our sessions will enable us to look together at your situation, paving the way for you to think about how things might be different.
020 3871 3133 View 020 3871 3133
Photo of Leela Faezeh Emadi, Counsellor in North West London, London, England
Leela Faezeh Emadi
Counsellor, MBACP Accred
Verified Verified
North West London, London NW1  (Online Only)
In my counselling work, I aim to support you to make more conscious decisions and choices about your life and embody the unique being you are. I celebrate the differences and my life has been enriched by interacting with different cultures, religions, race, beliefs, age, gender and sexual orientation, etc.
In my counselling work, I aim to support you to make more conscious decisions and choices about your life and embody the unique being you are. I celebrate the differences and my life has been enriched by interacting with different cultures, religions, race, beliefs, age, gender and sexual orientation, etc.
020 3856 7746 View 020 3856 7746
Photo of Wendy O'Neill, Psychologist in North West London, London, England
Wendy O'Neill
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
North West London, London NW5
Not accepting new clients
Hello, I'm Wendy and I am a Clinical Psychologist with over 10 years experience working in the NHS and Charity sector. I currently work within a specialist services with individuals and families with emotional difficulties. When we first meet, we will think together about your experiences, why you have come to therapy now, and your hopes for change. I hope to offer you a warm, non-judgmental, and safe therapeutic safe to help explore current difficulties and to find ways to overcome the challenges that are having an impact on your life.
Hello, I'm Wendy and I am a Clinical Psychologist with over 10 years experience working in the NHS and Charity sector. I currently work within a specialist services with individuals and families with emotional difficulties. When we first meet, we will think together about your experiences, why you have come to therapy now, and your hopes for change. I hope to offer you a warm, non-judgmental, and safe therapeutic safe to help explore current difficulties and to find ways to overcome the challenges that are having an impact on your life.
020 3841 7311 View 020 3841 7311
Photo of Jason Oddi, Psychotherapist in North West London, London, England
Jason Oddi
Psychotherapist, DCounsPsych, COSRT General
Verified Verified
1 Endorsed
North West London, London NW1
As an Integrative Counsellor, Psychosexual & Relationship/Marriage therapist, I weave different therapies to support clients in their uniqueness to manage and heal from struggles that affect their emotional, and mental health & happiness. Ruptures in one's mental wellness can lead to stress, depression, anxiety, addiction, and sexual functioning/ identity concerns that hinder emotional self-esteem and ongoing happiness within and in our relationship with ourselves and others.
As an Integrative Counsellor, Psychosexual & Relationship/Marriage therapist, I weave different therapies to support clients in their uniqueness to manage and heal from struggles that affect their emotional, and mental health & happiness. Ruptures in one's mental wellness can lead to stress, depression, anxiety, addiction, and sexual functioning/ identity concerns that hinder emotional self-esteem and ongoing happiness within and in our relationship with ourselves and others.
020 8103 3827 View 020 8103 3827
Photo of Murielle Jean-Baptiste, Counsellor in North West London, London, England
Murielle Jean-Baptiste
Counsellor, MBACP
Verified Verified
North West London, London NW10
Welcome... there are many reasons to choose counselling; From a variety of difficulties such as anxiety, depression, bereavement, sexuality, challenging relationships and many more. Or maybe self-development goals, removing the barriers that hold you back from self-actualisation and reaching your fullest expression of yourself. Whatever your reasons for reaching out I would hold a safe and gentle space for you be deeply heard. Here you can truly be yourself without judgement, to explore or process difficult feelings, view different perspectives or options and help facilitate the changes you want to see.
Welcome... there are many reasons to choose counselling; From a variety of difficulties such as anxiety, depression, bereavement, sexuality, challenging relationships and many more. Or maybe self-development goals, removing the barriers that hold you back from self-actualisation and reaching your fullest expression of yourself. Whatever your reasons for reaching out I would hold a safe and gentle space for you be deeply heard. Here you can truly be yourself without judgement, to explore or process difficult feelings, view different perspectives or options and help facilitate the changes you want to see.
View
Photo of Luisa Boada Bayona, Psychologist in North West London, London, England
Luisa Boada Bayona
Psychologist, MSc, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
North West London, London NW5  (Online Only)
Hello, I'm Luisa (she/they), a clinical psychologist with significant experience and expertise in integrating psychodynamic, trauma-informed, LGBTQIA+, and feminist approaches in my practice. Over the past decade, I have worked with individuals of all ages, backgrounds, and conditions in Bogota, New York, and London, gaining valuable insights from diverse settings including psychiatric hospitals, after-school programmes, psychosocial trauma, gender-based violence, immigration-related emotional reactions, and more.
Hello, I'm Luisa (she/they), a clinical psychologist with significant experience and expertise in integrating psychodynamic, trauma-informed, LGBTQIA+, and feminist approaches in my practice. Over the past decade, I have worked with individuals of all ages, backgrounds, and conditions in Bogota, New York, and London, gaining valuable insights from diverse settings including psychiatric hospitals, after-school programmes, psychosocial trauma, gender-based violence, immigration-related emotional reactions, and more.
020 4538 9792 View 020 4538 9792
Photo of Jacqueline Miller, Counsellor in North West London, London, England
Jacqueline Miller
Counsellor, MBACP Accred
Verified Verified
2 Endorsed
North West London, London NW2
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 Majella Greene in North West London, London, England
Majella Greene
MSc
Verified Verified
North West London, London NW2
You've found yourself in a place in your relationships/work/family life that you weren't expecting. Feeling stuck, maybe sad, depressed or just not sure which direction to move in? Past traumatic experiences are showing up for you, you don't know who to turn to or how to deal with the past in this moment. Change is imminent, you can either go with what you are being pushed to do by others or take time out to connect with you, what's the right thing for you in your life? Maybe you are an entreprenuer, a start up or work as a therapist, you're on the cusp of success or have arrived at where you wanted to be and lack future direction.
You've found yourself in a place in your relationships/work/family life that you weren't expecting. Feeling stuck, maybe sad, depressed or just not sure which direction to move in? Past traumatic experiences are showing up for you, you don't know who to turn to or how to deal with the past in this moment. Change is imminent, you can either go with what you are being pushed to do by others or take time out to connect with you, what's the right thing for you in your life? Maybe you are an entreprenuer, a start up or work as a therapist, you're on the cusp of success or have arrived at where you wanted to be and lack future direction.
020 8103 5604 View 020 8103 5604
Photo of Ruthie Portnoy, Psychotherapist in North West London, London, England
Ruthie Portnoy
Psychotherapist, COSRT General
Verified Verified
North West London, London NW4  (Online Only)
I work with couples enabling and empowering them to experience renewed passion and connectivity. I also work with individuals using EFT empowering them to heal themselves. Couples may be searching for love and passion perhaps after empty nest, affairs emotional or physical. At the other end of the scale I help younger couples who are unsure whether to commit to a particular relationship and want guidance, and coaching. I offer tools and insights how to make marriage work better than the models they may have had. Age range of clients is from 18-80 to date.I am passionate about helping people live a rich and meaningful life.
I work with couples enabling and empowering them to experience renewed passion and connectivity. I also work with individuals using EFT empowering them to heal themselves. Couples may be searching for love and passion perhaps after empty nest, affairs emotional or physical. At the other end of the scale I help younger couples who are unsure whether to commit to a particular relationship and want guidance, and coaching. I offer tools and insights how to make marriage work better than the models they may have had. Age range of clients is from 18-80 to date.I am passionate about helping people live a rich and meaningful life.
0161 509 6460 View 0161 509 6460
Photo of Shokoufeh Basset, Psychotherapist in North West London, London, England
Shokoufeh Basset
Psychotherapist, MA, MBACP
Verified Verified
North West London, London NW3
As an experienced Clinical Psychotherapist, I provide counselling to adults and couples. I describe myself as an Integrative Clinical Psychotherapist; My experience and training have enabled me to develop expertise in various treatment models which enables me to draw on different approaches and techniques that suit the person you are and the issues that you are presented with. I am trained in Psychodynamic, Existential and Person-Centred therapies. My theoretical approach is predominantly informed by psychoanalytic/psychodynamic therapy, which explores how the unconscious mind influences thoughts and behaviours.
As an experienced Clinical Psychotherapist, I provide counselling to adults and couples. I describe myself as an Integrative Clinical Psychotherapist; My experience and training have enabled me to develop expertise in various treatment models which enables me to draw on different approaches and techniques that suit the person you are and the issues that you are presented with. I am trained in Psychodynamic, Existential and Person-Centred therapies. My theoretical approach is predominantly informed by psychoanalytic/psychodynamic therapy, which explores how the unconscious mind influences thoughts and behaviours.
020 7870 3160 View 020 7870 3160
Photo of Joy Behrmann, Counsellor in North West London, London, England
Joy Behrmann
Counsellor, MA, MBACP Accred
Verified Verified
North West London, London NW11
I see clients at all different stages of their relationships, from couples who have been dating for a few months to clients who have recently celebrated their silver wedding anniversary. Some clients come alone, to explore patterns in previous relationships which have created problems or to get over a recent break-up. A family may have experienced difficult events in the past which have not been openly discussed and are continuing to cause alienation. Whatever your issue, if there is a relational focus, I hope I can help you to achieve clarity and change.
I see clients at all different stages of their relationships, from couples who have been dating for a few months to clients who have recently celebrated their silver wedding anniversary. Some clients come alone, to explore patterns in previous relationships which have created problems or to get over a recent break-up. A family may have experienced difficult events in the past which have not been openly discussed and are continuing to cause alienation. Whatever your issue, if there is a relational focus, I hope I can help you to achieve clarity and change.
020 8138 8395 View 020 8138 8395

See more therapy options for North West London, London

How does your Counsellor compare?

Number of Counsellors in North West London, London

900+

Average cost per session

£80

Counsellors in North West London, London who prioritize treating:

91% Anxiety
87% Depression
85% Relationship Issues
85% Self Esteem
80% Stress
67% Trauma and PTSD
64% Bereavement

Average years in practice

11 Years

Top 3 insurances accepted

74% Aviva
62% AXA PPP
60% Vitality

How Counsellors in North West London, London see their clients

72% In Person and Online
28% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary

FAQs - About Therapy and Counselling

How can I find a therapist in North West London, 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.