Counselling in Pimlico, London

Photo of Dylan Lopich, Psychologist, MA, HCPC - Clin. Psych.
Dylan Lopich
Psychologist, MA, HCPC - Clin. Psych.
Pimlico, London SW1W
You might be struggling with anxiety, depression, relationship difficulties, or a general sense of being stuck or disconnected. Perhaps you've tried therapy before and found something missing - it helped to a point, but didn't quite get at what keeps you struggling. You might recognise you keep encountering the same difficulties in different relationships or situations. Or you understand intellectually why you feel or do certain things, yet find it difficult to change. You're looking for more than symptom management - you want to understand the patterns underneath your struggles and find a way forward that feels genuinely different.
You might be struggling with anxiety, depression, relationship difficulties, or a general sense of being stuck or disconnected. Perhaps you've tried therapy before and found something missing - it helped to a point, but didn't quite get at what keeps you struggling. You might recognise you keep encountering the same difficulties in different relationships or situations. Or you understand intellectually why you feel or do certain things, yet find it difficult to change. You're looking for more than symptom management - you want to understand the patterns underneath your struggles and find a way forward that feels genuinely different.
020 3962 0865 View 020 3962 0865
Photo of Astrid Montuire, Counsellor, MSc, BACP
Astrid Montuire
Counsellor, MSc, BACP
1 Endorsed
Pimlico, London SW1V
Are you struggling emotionally in your day-to-day life? Are you in a period where you need to find a sense of well-being, meaning in your life? Are you feeling low? anxious? isolated? and you would like to understand more yourself and/ or explore what is affecting you. There are many different moments and reasons in life which require to take some time and reflect in order to feel better.
Are you struggling emotionally in your day-to-day life? Are you in a period where you need to find a sense of well-being, meaning in your life? Are you feeling low? anxious? isolated? and you would like to understand more yourself and/ or explore what is affecting you. There are many different moments and reasons in life which require to take some time and reflect in order to feel better.
020 3917 4063 View 020 3917 4063
Photo of Francesca Lucas, Counsellor, MSc, MBACP Accred
Francesca Lucas
Counsellor, MSc, MBACP Accred
Pimlico, London SW1V
Hello, I’m Francesca Lucas, a BACP-accredited child and adolescent counsellor with over 3,000 clinical hours. I provide a safe, confidential, and creative space just for your child, helping them feel lighter, and better able to manage school, friendships, and life. I work closely with families and schools to nurture self-understanding and emotional wellbeing, helping young people feel understood, empowered, and able to navigate challenges with greater ease.
Hello, I’m Francesca Lucas, a BACP-accredited child and adolescent counsellor with over 3,000 clinical hours. I provide a safe, confidential, and creative space just for your child, helping them feel lighter, and better able to manage school, friendships, and life. I work closely with families and schools to nurture self-understanding and emotional wellbeing, helping young people feel understood, empowered, and able to navigate challenges with greater ease.
020 4572 9585 View 020 4572 9585
Photo of Silvia Checa Casals, Counsellor, DCounsPsych, MBACP Accred
Silvia Checa Casals
Counsellor, DCounsPsych, MBACP Accred
Pimlico, London SW1V
Have you been feeling lost? Perhaps you are feeling low, or edgy, finding it difficult to make connections, to find some meaning? Perhaps you have tried therapy in the past and it just felt too clinical for you. You may have lost someone or something and it is difficult to keep going. Are you questioning who you are? your gender, your sexuality, your relationship? . Whatever it is that you may be feeling or thinking, I can support you in making sense of your experiences.
Have you been feeling lost? Perhaps you are feeling low, or edgy, finding it difficult to make connections, to find some meaning? Perhaps you have tried therapy in the past and it just felt too clinical for you. You may have lost someone or something and it is difficult to keep going. Are you questioning who you are? your gender, your sexuality, your relationship? . Whatever it is that you may be feeling or thinking, I can support you in making sense of your experiences.
020 3917 4181 View 020 3917 4181
Photo of Peter Ryan, Psychotherapist, MBACP
Peter Ryan
Psychotherapist, MBACP
1 Endorsed
Pimlico, London SW1V
Are you feeling anxious, overwhelmed, unsure of who you are or what you want from life? Maybe you have lost touch with yourself and feel stuck and are searching for a place where you can talk things through and begin to make sense of it all. I offer a warm, non-judgemental space where you can slow down, reflect, and start to understand your thoughts and emotions. Together, we can explore what’s going on for you, help you gain clarity, and begin to move forward in a way that feels authentic and right for you. I’m committed to listening to your story and working collaboratively with you to find a way forward that truly fits.
Are you feeling anxious, overwhelmed, unsure of who you are or what you want from life? Maybe you have lost touch with yourself and feel stuck and are searching for a place where you can talk things through and begin to make sense of it all. I offer a warm, non-judgemental space where you can slow down, reflect, and start to understand your thoughts and emotions. Together, we can explore what’s going on for you, help you gain clarity, and begin to move forward in a way that feels authentic and right for you. I’m committed to listening to your story and working collaboratively with you to find a way forward that truly fits.
020 3962 2184 View 020 3962 2184
Ian Richardson
Psychotherapist, MUKCP
Pimlico, London SW1E
I am a clinically trainied Attachment based Psychoanalyst . I am also a trained Integrative Counsellor. My clinical focus is expansive and generic. Focusing on issues related to attachment/relational disruptions, trauma and loss.Understanding these issues is an important part of what Psychotherapy can offer. Working collaboratively with clients, I explore a wide range of emotional and relational problems.Some of these problems include depression, domestic violence, anger, anxiety, obsession and compulsion, addiction including narcotics, sex, food, gambling and alcohol.
I am a clinically trainied Attachment based Psychoanalyst . I am also a trained Integrative Counsellor. My clinical focus is expansive and generic. Focusing on issues related to attachment/relational disruptions, trauma and loss.Understanding these issues is an important part of what Psychotherapy can offer. Working collaboratively with clients, I explore a wide range of emotional and relational problems.Some of these problems include depression, domestic violence, anger, anxiety, obsession and compulsion, addiction including narcotics, sex, food, gambling and alcohol.
020 3893 2804 View 020 3893 2804
Photo of Anna Lewandowska-Bernat, Psychotherapist, MSc, MBACP
Anna Lewandowska-Bernat
Psychotherapist, MSc, MBACP
Pimlico, London SW1V
You might look like you’re doing fine — you keep things together, show up for others, and push through. But inside, something feels off. Maybe you feel stuck, restless, or disconnected from yourself, unsure what’s next or why you can’t quite feel at ease. Therapy with me is a space to slow down and reconnect with what’s really going on beneath the surface. We’ll explore your thoughts, emotions, and the way your body holds tension and patterns from the past — not to stay there, but to help you release what no longer serves you and create space for something new.
You might look like you’re doing fine — you keep things together, show up for others, and push through. But inside, something feels off. Maybe you feel stuck, restless, or disconnected from yourself, unsure what’s next or why you can’t quite feel at ease. Therapy with me is a space to slow down and reconnect with what’s really going on beneath the surface. We’ll explore your thoughts, emotions, and the way your body holds tension and patterns from the past — not to stay there, but to help you release what no longer serves you and create space for something new.
020 4538 9768 View 020 4538 9768
Photo of Ron Bushyager, Psychotherapist, MSc, BPC
Ron Bushyager
Psychotherapist, MSc, BPC
Pimlico, London SW1E
I see a diversity of people facing into a variety of problems and struggles. This includes work related stress, relationship difficulties, mental health challenges, and the need to make sense of troubling or confusing past experiences. Anxiety, depression, understanding oneself in relation to ADHD or other aspects of neurodiversity, and facing into loss, are all areas addressed in therapy. I mostly work in person, but online and telephone sessions are also possible. Through my psychoanalytic psychotherapy training, I am able to provide more intensive and longer-term therapy. Once weekly therapy is the minimum I can offer.
I see a diversity of people facing into a variety of problems and struggles. This includes work related stress, relationship difficulties, mental health challenges, and the need to make sense of troubling or confusing past experiences. Anxiety, depression, understanding oneself in relation to ADHD or other aspects of neurodiversity, and facing into loss, are all areas addressed in therapy. I mostly work in person, but online and telephone sessions are also possible. Through my psychoanalytic psychotherapy training, I am able to provide more intensive and longer-term therapy. Once weekly therapy is the minimum I can offer.
020 4538 3565 View 020 4538 3565
Photo of Sandra Harewood, Counsellor, MUKCP
Sandra Harewood
Counsellor, MUKCP
Pimlico, London SW1V
Feeling unhappy, disconnected, or unsure where your marriage is heading? Many midlife couples reach a point where communication breaks down, resentment builds, and the relationship starts to feel lonely. If you’re lying awake at 3:17 am thinking about your future, you don’t have to face this alone. Support can help you understand what’s happening between you and find a clearer way forward. Alongside couples work, I also support individuals with anxiety, stress, self-esteem and relationship-related concerns.
Feeling unhappy, disconnected, or unsure where your marriage is heading? Many midlife couples reach a point where communication breaks down, resentment builds, and the relationship starts to feel lonely. If you’re lying awake at 3:17 am thinking about your future, you don’t have to face this alone. Support can help you understand what’s happening between you and find a clearer way forward. Alongside couples work, I also support individuals with anxiety, stress, self-esteem and relationship-related concerns.
020 3962 1880 View 020 3962 1880
Photo of Paul McManus, Psychotherapist, DCounsPsych, MUKCP
Paul McManus
Psychotherapist, DCounsPsych, MUKCP
Pimlico, London SW1V
Most of us go to school and get taught how to read and write and add up. We may learn how to play a few sports, pass exams and either get a job or get into university. But no one teaches us how to be in relationship. We have to learn that ourselves, and we do it, as children, by watching our parents or TV shows. Very often, our parents aren't that good at it, and characters in TV shows are there to make an interesting story, not a successful relationship. Is it any wonder that when we do find ourselves in relationship (which in reality is the most complicated thing any of us will ever attempt), things get difficult?
Most of us go to school and get taught how to read and write and add up. We may learn how to play a few sports, pass exams and either get a job or get into university. But no one teaches us how to be in relationship. We have to learn that ourselves, and we do it, as children, by watching our parents or TV shows. Very often, our parents aren't that good at it, and characters in TV shows are there to make an interesting story, not a successful relationship. Is it any wonder that when we do find ourselves in relationship (which in reality is the most complicated thing any of us will ever attempt), things get difficult?
020 4538 3051 View 020 4538 3051
Photo of Alex Dixon, Psychotherapist, MSc, MUKCP
Alex Dixon
Psychotherapist, MSc, MUKCP
Pimlico, London SW1V
I work with people who are having difficulties in relationships with others, which result in them having difficulties within themselves. Struggles in relationships with others may lead to internal feelings of frustration, disappointment, and confusion, leading to feeling anxious, depressed and hopeless. They are looking for a way of changing their experience but, having tried all the ways they can think of, they are feeling defeated.
I work with people who are having difficulties in relationships with others, which result in them having difficulties within themselves. Struggles in relationships with others may lead to internal feelings of frustration, disappointment, and confusion, leading to feeling anxious, depressed and hopeless. They are looking for a way of changing their experience but, having tried all the ways they can think of, they are feeling defeated.
020 3917 4341 View 020 3917 4341
Photo of Jack Spence, Psychotherapist, MUKCP
Jack Spence
Psychotherapist, MUKCP
Pimlico, London SW1V
Feeling stuck or overwhelmed? Are you looking for change? I offer a safe and welcoming space at both my Victoria and Pimlico clinic, both a 2 minute walk from their corresponding stations. As a psychodynamic psychotherapist, we will uncover how past experiences and unconscious patterns may be influencing your present challenges. Together, we can work towards greater self-awareness, clarity, and meaningful change.
Feeling stuck or overwhelmed? Are you looking for change? I offer a safe and welcoming space at both my Victoria and Pimlico clinic, both a 2 minute walk from their corresponding stations. As a psychodynamic psychotherapist, we will uncover how past experiences and unconscious patterns may be influencing your present challenges. Together, we can work towards greater self-awareness, clarity, and meaningful change.
020 3910 2347 View 020 3910 2347
Photo of Emmanuel Stiels, Psychologist, MSc, HCPC - Clin. Psych.
Emmanuel Stiels
Psychologist, MSc, HCPC - Clin. Psych.
Pimlico, London SW1V
Making sense of how your difficulties came to be, we will develop the necessary strategies for you to move forward. The aim is for you to end therapy with the necessary knowledge and skills of how to live a more balanced and self-fulfilling life, which should last a lifetime.
Making sense of how your difficulties came to be, we will develop the necessary strategies for you to move forward. The aim is for you to end therapy with the necessary knowledge and skills of how to live a more balanced and self-fulfilling life, which should last a lifetime.
020 3871 0577 View 020 3871 0577
Photo of Tiddy Redpath - Clarendon Psychotherapy and Counselling, Psychotherapist, MSc, MUKCP
Clarendon Psychotherapy and Counselling
Psychotherapist, MSc, MUKCP
Pimlico, London SW1V
As a relational humanistic psychotherapist trained to use EMDR to process trauma, I specialise in creating a warm and safe, non-judgmental and empathic space where clients are able to explore any difficult thoughts, feelings and behaviours that are getting in the way of healthy living, gaining insight into how to go forward. Oftentimes having suffered trauma such as a loss or bereavement, perhaps a divorce or other confusing relationship issues in the distant past, we become blocked, needing effective strategies and techniques to continue. I work both online on Zoom or face to face, in both short and long term settings.
As a relational humanistic psychotherapist trained to use EMDR to process trauma, I specialise in creating a warm and safe, non-judgmental and empathic space where clients are able to explore any difficult thoughts, feelings and behaviours that are getting in the way of healthy living, gaining insight into how to go forward. Oftentimes having suffered trauma such as a loss or bereavement, perhaps a divorce or other confusing relationship issues in the distant past, we become blocked, needing effective strategies and techniques to continue. I work both online on Zoom or face to face, in both short and long term settings.
020 4538 0602 View 020 4538 0602
Photo of David John Kenrick, Psychotherapist, MUKCP
David John Kenrick
Psychotherapist, MUKCP
Pimlico, London SW1E
I am a Psychoanalytic Psychotherapist who works in the London Victoria area. My training underlines my belief that sometimes our experiences can leave us feeling insecure or lacking in confidence, making it difficult to form or sustain healthy relationships or cope with everyday life. Talking this through with a psychotherapist can help you to understand and value yourself more. It is not the job of a psychotherapist to tell you what to do but to offer you different perspectives and a different experience of relating.
I am a Psychoanalytic Psychotherapist who works in the London Victoria area. My training underlines my belief that sometimes our experiences can leave us feeling insecure or lacking in confidence, making it difficult to form or sustain healthy relationships or cope with everyday life. Talking this through with a psychotherapist can help you to understand and value yourself more. It is not the job of a psychotherapist to tell you what to do but to offer you different perspectives and a different experience of relating.
020 3974 2839 View 020 3974 2839
Photo of Cherrelle Fergus, Counsellor, MBACP
Cherrelle Fergus
Counsellor, MBACP
Pimlico, London SW1W
Hello, I'm Cherrelle. As a qualified Integrative Counsellor, I offer personalised counselling for adults—whether individually, as a relationship, or in groups. Life can sometimes feel overwhelming, whether you’re navigating family dynamics, romantic relationships, career changes, or personal transitions. It’s normal to feel stuck, anxious, or down at times, but these feelings can also feel confusing and isolating. Counselling provides a safe, non-judgemental space where you can explore your experiences, thoughts and emotions with empathy and understanding.
Hello, I'm Cherrelle. As a qualified Integrative Counsellor, I offer personalised counselling for adults—whether individually, as a relationship, or in groups. Life can sometimes feel overwhelming, whether you’re navigating family dynamics, romantic relationships, career changes, or personal transitions. It’s normal to feel stuck, anxious, or down at times, but these feelings can also feel confusing and isolating. Counselling provides a safe, non-judgemental space where you can explore your experiences, thoughts and emotions with empathy and understanding.
020 4572 8287 View 020 4572 8287
Photo of Karmela Jones, Psychotherapist, MBACP
Karmela Jones
Psychotherapist, MBACP
Pimlico, London SW1V
Hi, I'm Karmela, a counsellor and psychotherapist working in N12 9EH, SW1V 3SG, and SW7 4TE and online. As a fully qualified and insured practitioner, I work with you collaboratively, as a team focused on you, where you are the expert on your life and I provide empathy, challenge, insight and practical strategies. The most important aspect of therapy is that we "click" and feel a connection that allows you to open up and feel safe and understood. Whether you're looking for more clarity in your life, support with life changes, relationships, managing anxiety or depression, or exploring your identity we can work through it together.
Hi, I'm Karmela, a counsellor and psychotherapist working in N12 9EH, SW1V 3SG, and SW7 4TE and online. As a fully qualified and insured practitioner, I work with you collaboratively, as a team focused on you, where you are the expert on your life and I provide empathy, challenge, insight and practical strategies. The most important aspect of therapy is that we "click" and feel a connection that allows you to open up and feel safe and understood. Whether you're looking for more clarity in your life, support with life changes, relationships, managing anxiety or depression, or exploring your identity we can work through it together.
020 4538 5026 View 020 4538 5026
Photo of Dr Samantha Farag - Dr Samantha Farag Consultant Psychologist , Psychologist, HCPC - Couns. Psych.
Dr Samantha Farag Consultant Psychologist
Psychologist, HCPC - Couns. Psych.
Pimlico, London SW1V
I am a Consultant Chartered Counselling Psychologist with 17 years experience of psychological assessments and therapy for adults, couples, adolescents and children. My main therapeutic approaches are Cognitive Behavioural Therapy (CBT), Mindfulness therapies, Compassion Focused Therapy and Acceptance and Commitment Therapy (ACT). I am also trained in psychodynamic therapy. I adapt the therapy to the individual to meet their unique needs and goals. I have worked as a Clinical Team Lead in the NHS and worked for 12 years in a global leading Harley Street private practice.
I am a Consultant Chartered Counselling Psychologist with 17 years experience of psychological assessments and therapy for adults, couples, adolescents and children. My main therapeutic approaches are Cognitive Behavioural Therapy (CBT), Mindfulness therapies, Compassion Focused Therapy and Acceptance and Commitment Therapy (ACT). I am also trained in psychodynamic therapy. I adapt the therapy to the individual to meet their unique needs and goals. I have worked as a Clinical Team Lead in the NHS and worked for 12 years in a global leading Harley Street private practice.
020 4538 3251 View 020 4538 3251
Photo of George Cumming-Bruce, Psychotherapist, MSc, MUKCP
George Cumming-Bruce
Psychotherapist, MSc, MUKCP
Pimlico, London SW1V
Finding a therapist can be daunting, and I encourage you to have a look at my website to find out a little more about me and how I work.  I am an existential therapist working in London and online, and I aim to create an environment where you can explore your situation without judgement or comparison.
Finding a therapist can be daunting, and I encourage you to have a look at my website to find out a little more about me and how I work.  I am an existential therapist working in London and online, and I aim to create an environment where you can explore your situation without judgement or comparison.
020 3319 5165 View 020 3319 5165
Photo of Mark Ryan, Psychotherapist, MBACP
Mark Ryan
Psychotherapist, MBACP
Pimlico, London SW1V
Many of the couples and partners I work with feel like they’ve lost their way together. Arguments may repeat in familiar cycles, or silence has replaced communication. Some arrive in crisis — after betrayal or distance has grown — while others simply want to feel closer again but aren’t sure how. My clients often describe feeling unheard, unseen, or caught in patterns they can’t shift, no matter how hard they try. Beneath the surface conflict, there’s usually a longing to reconnect, to understand each other better, and to feel emotionally safe again. Some couples hope to rebuild and move forward together; others are unsure whether
Many of the couples and partners I work with feel like they’ve lost their way together. Arguments may repeat in familiar cycles, or silence has replaced communication. Some arrive in crisis — after betrayal or distance has grown — while others simply want to feel closer again but aren’t sure how. My clients often describe feeling unheard, unseen, or caught in patterns they can’t shift, no matter how hard they try. Beneath the surface conflict, there’s usually a longing to reconnect, to understand each other better, and to feel emotionally safe again. Some couples hope to rebuild and move forward together; others are unsure whether
020 4572 3665 View 020 4572 3665

How does your Counsellor compare?

Number of Counsellors in Pimlico, London

100+

Average cost per session

£80

Counsellors in Pimlico, London who prioritize treating:

93% Self Esteem
92% Anxiety
85% Relationship Issues
84% Depression
78% Stress
72% Trauma and PTSD
66% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

72% Aviva
72% AXA PPP
47% Bupa

How Counsellors in Pimlico, London see their clients

75% In Person and Online
25% Online Only

Gender breakdown

73% Female
27% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Pimlico, 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.