Counselling in Mackworth

Photo of Sandra Hussey - Ash-Tree Counselling Service, Psychotherapist, MBACP
Ash-Tree Counselling Service
Psychotherapist, MBACP
Verified Verified
Serves Area
I am a BACP registered counsellor. I am committed to providing a safe, confidential and non-judgmental space for clients to help explore issues that are troubling them. My experience includes working as a therapist for the NHS both in general mental health and counselling patients with chronic health issues. I also have specialised experience of working with depression, PTSD, couples counselling, family issues, bereavement, anxiety and suicidal clients. I have experience of delivering employee counselling for insurance companies. If change is what you desire then please get in touch.
I am a BACP registered counsellor. I am committed to providing a safe, confidential and non-judgmental space for clients to help explore issues that are troubling them. My experience includes working as a therapist for the NHS both in general mental health and counselling patients with chronic health issues. I also have specialised experience of working with depression, PTSD, couples counselling, family issues, bereavement, anxiety and suicidal clients. I have experience of delivering employee counselling for insurance companies. If change is what you desire then please get in touch.
0115 697 5863 View 0115 697 5863
Photo of Miricia Van Rensburg - Friar Gate Counselling & Psychotherapy, Psychotherapist, MSc, MBACP
Friar Gate Counselling & Psychotherapy
Psychotherapist, MSc, MBACP
Verified Verified
Serves Area
I am Miricia, an experienced, fully qualified BACP registered counsellor and psychotherapist. I have many years' experience in the mental health field along with formal training that provides me with a solid foundation to practice as an integrative counsellor. I have worked in private practise, businesses, charities, schools and have also featured on BBC Radio Two. In addition to my private practice I have experience in various mental health settings, having worked in the mental health field for the NHS in London, and as a counsellor for various employee assistance programmes and voluntary community counselling services.
I am Miricia, an experienced, fully qualified BACP registered counsellor and psychotherapist. I have many years' experience in the mental health field along with formal training that provides me with a solid foundation to practice as an integrative counsellor. I have worked in private practise, businesses, charities, schools and have also featured on BBC Radio Two. In addition to my private practice I have experience in various mental health settings, having worked in the mental health field for the NHS in London, and as a counsellor for various employee assistance programmes and voluntary community counselling services.
01332 985704 View 01332 985704
Photo of Michelle Dawn Ede - Michelle Ede Therapy
Michelle Ede Therapy
Verified Verified
Serves Area
Have you ever experienced trauma that has left you feeling overwhelmed, suicidal, or resorting to self-harm? Do you struggle with feelings of confusion, shame, fear, anxiety, or depression, finding it difficult to make decisions? Are your relationships suffering as a result? Do you long to move forward with your life and leave the past behind? I specialise in using EMDR to help individuals address a wide range of issues, including PTSD, CPTSD, narcissistic abuse, depression, stress, anxiety, sexual and domestic abuse, rape, social anxiety, phobias, bereavement, trauma, personality disorders, relationship breakdowns, and more.
Have you ever experienced trauma that has left you feeling overwhelmed, suicidal, or resorting to self-harm? Do you struggle with feelings of confusion, shame, fear, anxiety, or depression, finding it difficult to make decisions? Are your relationships suffering as a result? Do you long to move forward with your life and leave the past behind? I specialise in using EMDR to help individuals address a wide range of issues, including PTSD, CPTSD, narcissistic abuse, depression, stress, anxiety, sexual and domestic abuse, rape, social anxiety, phobias, bereavement, trauma, personality disorders, relationship breakdowns, and more.
01952 984225 View 01952 984225
Photo of Josie Nicholson, Psychotherapist, MBACP Accred
Josie Nicholson
Psychotherapist, MBACP Accred
Verified Verified
Serves Area
Currently 18 Years in Practice. Being human is mostly hard and life can be cruel. We see it time and time again. Bad things happen to good people, and we suffer. Each and every one of us at some point in our lives, finds ourselves lost and stuck. We can get depressed, anxious, angry, defensive and frightened. We can often avoid the things that bring us pain and as time goes on that list gets longer and longer and our life can feel smaller and smaller. Reaching out for help can be the hardest first step, but it's also the bravest and will prove to be one of the best decisions you will make for yourself.
Currently 18 Years in Practice. Being human is mostly hard and life can be cruel. We see it time and time again. Bad things happen to good people, and we suffer. Each and every one of us at some point in our lives, finds ourselves lost and stuck. We can get depressed, anxious, angry, defensive and frightened. We can often avoid the things that bring us pain and as time goes on that list gets longer and longer and our life can feel smaller and smaller. Reaching out for help can be the hardest first step, but it's also the bravest and will prove to be one of the best decisions you will make for yourself.
07971 958298 View 07971 958298
Photo of Dawn White - Dawn White - Relationship Living, Counsellor, MBACP
Dawn White - Relationship Living
Counsellor, MBACP
Verified Verified
Serves Area
As a sex and relationship therapist I aim to provide an open space where people can discuss, and explore their intimate concerns and experiences in a non judgemental way. I work with both couples, individuals and multiple partnered people, whilst honouring all sexual orientations and practices. People that are experiencing sexual, emotional or deeper relationship issues, such as high conflict or are separated contact me to explore and understand what they can change and control, and also what patterns are repeating in their relationships. I am a sex positive therapist and have over 20 years extensive experience as a therapist.
As a sex and relationship therapist I aim to provide an open space where people can discuss, and explore their intimate concerns and experiences in a non judgemental way. I work with both couples, individuals and multiple partnered people, whilst honouring all sexual orientations and practices. People that are experiencing sexual, emotional or deeper relationship issues, such as high conflict or are separated contact me to explore and understand what they can change and control, and also what patterns are repeating in their relationships. I am a sex positive therapist and have over 20 years extensive experience as a therapist.
0114 697 2894 View 0114 697 2894

More Therapists Nearby

Photo of Aimée Thornton, Psychotherapist, MA, HCPC-Art Therap.
Aimée Thornton
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
1 Endorsed
Why art therapy? Art therapy is a mode of psychotherapy that uses creative techniques to help individuals express themselves through art, when they can no longer do so verbally. You are not expected to be an artist of have artistic ability, but have the willingness to play' and explore with art materials provided within a 'safe' space. An Art Therapist is not here to ‘teach’ you, but to support you in using art materials in your 'own' way. Art therapy can provide an opportunity for you to explore and overcome issues you may not be able to express verbally using a non-threatening creative process. I also offer clinical supervision.
Why art therapy? Art therapy is a mode of psychotherapy that uses creative techniques to help individuals express themselves through art, when they can no longer do so verbally. You are not expected to be an artist of have artistic ability, but have the willingness to play' and explore with art materials provided within a 'safe' space. An Art Therapist is not here to ‘teach’ you, but to support you in using art materials in your 'own' way. Art therapy can provide an opportunity for you to explore and overcome issues you may not be able to express verbally using a non-threatening creative process. I also offer clinical supervision.
01283 244031 View 01283 244031
Photo of Sam Keogh, Counsellor, MBACP
Sam Keogh
Counsellor, MBACP
Verified Verified
I am a Counsellor, Trauma Therapist, and Clinical Supervisor. I can work with a range of difficulties with all ages, and specialise in working with children and young people’s Trauma. I work together with you to build a strong relationship while we assess what you need, then tailor support to meet your specific requirements, regularly reviewing to ensure support is working well. I have worked and held Senior Therapist and Clinical Lead positions in a variety of environments including Social Care, Schools, Local Trauma and Mental Health Charities and most recently a National Therapeutic Provider.
I am a Counsellor, Trauma Therapist, and Clinical Supervisor. I can work with a range of difficulties with all ages, and specialise in working with children and young people’s Trauma. I work together with you to build a strong relationship while we assess what you need, then tailor support to meet your specific requirements, regularly reviewing to ensure support is working well. I have worked and held Senior Therapist and Clinical Lead positions in a variety of environments including Social Care, Schools, Local Trauma and Mental Health Charities and most recently a National Therapeutic Provider.
01455 241829 View 01455 241829
Photo of Melody Powell, Counsellor, PNCPS Acc.
Melody Powell
Counsellor, PNCPS Acc.
Verified Verified
Online Only
Personal therapy therapy can help you to: initiate change on YOUR terms → Find your voice again → Feel more confident → Gain self awareness → Regain back control. As your therapist, I will: → Remind you that you are not broken → Give you space to access your own wisdom → Recognize that you are the expert in your own life → Remember that only you know what is TRULY best for you → Help you deal with the difficult stuff.
Personal therapy therapy can help you to: initiate change on YOUR terms → Find your voice again → Feel more confident → Gain self awareness → Regain back control. As your therapist, I will: → Remind you that you are not broken → Give you space to access your own wisdom → Recognize that you are the expert in your own life → Remember that only you know what is TRULY best for you → Help you deal with the difficult stuff.
0121 661 3619 View 0121 661 3619
Photo of Mel Paulson, Counsellor, MBACP
Mel Paulson
Counsellor, MBACP
Verified Verified
Derby DE22
I understand that life can be difficult and there may be times when you could benefit from talking to an approachable counsellor. Collaboratively we can explore challenges or issues that you are facing and work towards empowerment for change. I am a qualified integrative counsellor who is committed to offering you a safe, non-judgmental and confidential space to allow you to explore your thoughts and feelings. I draw upon different approaches which will be personalised to suit you. As every client is unique my approach is based on your needs. I work from a comfortable room in a business centre that has plenty of free parking.
I understand that life can be difficult and there may be times when you could benefit from talking to an approachable counsellor. Collaboratively we can explore challenges or issues that you are facing and work towards empowerment for change. I am a qualified integrative counsellor who is committed to offering you a safe, non-judgmental and confidential space to allow you to explore your thoughts and feelings. I draw upon different approaches which will be personalised to suit you. As every client is unique my approach is based on your needs. I work from a comfortable room in a business centre that has plenty of free parking.
01332 215292 View 01332 215292
Photo of Helen Ridgway, Psychotherapist, MBACP
Helen Ridgway
Psychotherapist, MBACP
Verified Verified
2 Endorsed
Derby DE21
Waitlist for new clients
I know all too well (believe me!) that there’s often no ‘quick fix’ to some of life’s curveballs, but with patience and regular therapy sessions I can help you reach a place of emotional regulation, to learn about and meet your ‘wants and needs’ in order to feel a sense of meaningful connection both with yourself, and others.
I know all too well (believe me!) that there’s often no ‘quick fix’ to some of life’s curveballs, but with patience and regular therapy sessions I can help you reach a place of emotional regulation, to learn about and meet your ‘wants and needs’ in order to feel a sense of meaningful connection both with yourself, and others.
View
Photo of Kirsty Turner, Psychotherapist, MA, MUKCP
Kirsty Turner
Psychotherapist, MA, MUKCP
Verified Verified
Belper DE56
At times, we can feel overwhelmed by the events and demands facing us. Life can feel daunting, and we can lose trust in ourselves to find a way forward. We can neglect ourselves and ignore areas of our lives that are painful. We may notice beliefs and habits we are stuck with that are holding us back from living life fully. Psychotherapy can help unravel the patterns we are caught in. Learning to pay attention to ourselves in a supportive space can help us to shift our perspective and find new directions. We can develop a compassionate relationship with ourselves that will help generate new energy to overcome our obstacles.
At times, we can feel overwhelmed by the events and demands facing us. Life can feel daunting, and we can lose trust in ourselves to find a way forward. We can neglect ourselves and ignore areas of our lives that are painful. We may notice beliefs and habits we are stuck with that are holding us back from living life fully. Psychotherapy can help unravel the patterns we are caught in. Learning to pay attention to ourselves in a supportive space can help us to shift our perspective and find new directions. We can develop a compassionate relationship with ourselves that will help generate new energy to overcome our obstacles.
View
Photo of Gemma Thorley, Psychotherapist, MA, MBABCP
Gemma Thorley
Psychotherapist, MA, MBABCP
Verified Verified
With 1 in 4 people experiencing mental health difficulties such as depression and anxiety there is more and more need for people to find support and help when they need it. I believe that therapy is journey that we will travel together, working as a team to overcome your difficulties.
With 1 in 4 people experiencing mental health difficulties such as depression and anxiety there is more and more need for people to find support and help when they need it. I believe that therapy is journey that we will travel together, working as a team to overcome your difficulties.
01623 392895 View 01623 392895
Photo of Dr Adam Hill, Psychologist, HCPC - Clin. Psych.
Dr Adam Hill
Psychologist, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Online Only
Do you find that despite your very best efforts to cope with difficult thoughts and feelings such as anxiety, depression and/or anger, your difficulties are still holding you back? Do you find that your ways of coping can make things worse in the long-term? You may be finding that your relationships with others are suffering as a result, and you might be finding it difficult to talk to friends and family about your difficulties. Are you struggling to find a way to move forward? Do you feel like you’ve lost touch with what’s important to you, and lost your sense of direction in life?
Do you find that despite your very best efforts to cope with difficult thoughts and feelings such as anxiety, depression and/or anger, your difficulties are still holding you back? Do you find that your ways of coping can make things worse in the long-term? You may be finding that your relationships with others are suffering as a result, and you might be finding it difficult to talk to friends and family about your difficulties. Are you struggling to find a way to move forward? Do you feel like you’ve lost touch with what’s important to you, and lost your sense of direction in life?
0114 697 2920 View 0114 697 2920
Photo of Mick Dixon, Counsellor, DCounsPsych, BACP
Mick Dixon
Counsellor, DCounsPsych, BACP
Verified Verified
Hello, my name is Mick Dixon. I am a person-centred psychotherapist. I’m drawn to those concerns that we have regarding our meaning and purpose in the world that can touch us in unique and distinct ways: as melancholy, anxiety, loneliness, unnamed trauma, illness, inertia or as anger, self-criticism or feelings of powerlessness. I am also interested in the the correlation between the body and mental wellbeing and how our environments social, political, biological, physical, impact on us both bodily and psychologically.
Hello, my name is Mick Dixon. I am a person-centred psychotherapist. I’m drawn to those concerns that we have regarding our meaning and purpose in the world that can touch us in unique and distinct ways: as melancholy, anxiety, loneliness, unnamed trauma, illness, inertia or as anger, self-criticism or feelings of powerlessness. I am also interested in the the correlation between the body and mental wellbeing and how our environments social, political, biological, physical, impact on us both bodily and psychologically.
0114 697 6718 View 0114 697 6718
Photo of Catherine Kniveton, Psychotherapist, MA
Catherine Kniveton
Psychotherapist, MA
Verified Verified
Hello I’m Catherine, a highly experienced EMDR therapist , Psychotherapist & clinical supervisor. I provide a safe confidential space with compassionate & empathetic support: I am here to listen. I know it can be scary to reach out for support. Feel free to contact me regarding any questions about therapy, myself, your goals or concerns.I have specialisms in EMDR & Art Therapy to support & work extensively in trauma, shame & compassionate reframing. I own CK Therapy with a team of couples, DBT, Music, play & person centred therapists if you have any interests in these I can support you. Registered with HCPC.
Hello I’m Catherine, a highly experienced EMDR therapist , Psychotherapist & clinical supervisor. I provide a safe confidential space with compassionate & empathetic support: I am here to listen. I know it can be scary to reach out for support. Feel free to contact me regarding any questions about therapy, myself, your goals or concerns.I have specialisms in EMDR & Art Therapy to support & work extensively in trauma, shame & compassionate reframing. I own CK Therapy with a team of couples, DBT, Music, play & person centred therapists if you have any interests in these I can support you. Registered with HCPC.
07730 569162 View 07730 569162
Photo of Therese Dunne Mbacp (Accred), Counsellor, MSc
Therese Dunne Mbacp (Accred)
Counsellor, MSc
Verified Verified
Online Only
For some of us, it can take years to reach out for help and I understand that. When a client contacts me, I know its a big step. Regardless of your past, your family and your story, I believe that you have the ability to heal and thrive in your life. I am trained and experienced to sit with you to help you find YOUR answers. Together we go on a journey of discovery to see how you have got to where you are today but most importantly how you can find your power and strength to overcome your challenges. You deserve to be healthy, happy and at peace. You do not need to be in serious crisis to go for therapy.
For some of us, it can take years to reach out for help and I understand that. When a client contacts me, I know its a big step. Regardless of your past, your family and your story, I believe that you have the ability to heal and thrive in your life. I am trained and experienced to sit with you to help you find YOUR answers. Together we go on a journey of discovery to see how you have got to where you are today but most importantly how you can find your power and strength to overcome your challenges. You deserve to be healthy, happy and at peace. You do not need to be in serious crisis to go for therapy.
01244 470425 View 01244 470425
Photo of Dr Gill Walker, Psychologist, HCPC - Clin. Psych.
Dr Gill Walker
Psychologist, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Online Only
I help those who seek clarity about their situation, through discussion of the challenges. Viewing issues from multiple perspectives, including evidence based models helps you to get things more in perspective, more malleable, and more manageable. I see to your needs & provide resources as you transition, while we face issues together, & grow your capacity to journey beyond me. This may involve an exploration of the past, or practical focus on here & now strategies & approaches, which influence the map of your life journey you are carving.
I help those who seek clarity about their situation, through discussion of the challenges. Viewing issues from multiple perspectives, including evidence based models helps you to get things more in perspective, more malleable, and more manageable. I see to your needs & provide resources as you transition, while we face issues together, & grow your capacity to journey beyond me. This may involve an exploration of the past, or practical focus on here & now strategies & approaches, which influence the map of your life journey you are carving.
01937 229483 View 01937 229483
Photo of Marie Brockley, Counsellor, MA, BACP
Marie Brockley
Counsellor, MA, BACP
Verified Verified
Leek ST13
How to explain what counselling is... If you're holding a cup of coffee and somebody accidentally bumps into you, you will most likely spill a drop or two, or depending on the bump impact a few spoonfuls or more. If there had been tea or something else in your cup, the result would be the same. Your emotions and feelings are like the coffee, because sometimes when life comes along and shakes you (which will happen to us all) whatever is inside your cup will spill out. Sometimes life can be easier until you get bumped.....but then you may need somebody to talk to, this is where counselling can help.
How to explain what counselling is... If you're holding a cup of coffee and somebody accidentally bumps into you, you will most likely spill a drop or two, or depending on the bump impact a few spoonfuls or more. If there had been tea or something else in your cup, the result would be the same. Your emotions and feelings are like the coffee, because sometimes when life comes along and shakes you (which will happen to us all) whatever is inside your cup will spill out. Sometimes life can be easier until you get bumped.....but then you may need somebody to talk to, this is where counselling can help.
01538 712372 View 01538 712372
Photo of David John Buckler - The Eden Practice, Counsellor, MNCPS Acc.
The Eden Practice
Counsellor, MNCPS Acc.
Verified Verified
2 Endorsed
Expressing your thoughts and feelings in confidence, and with someone who can ensure a caring and empathetic space is empowering.  Making changes is not easy, and that is precisely why I engage a very human approach to a number of models of talking therapies.
Expressing your thoughts and feelings in confidence, and with someone who can ensure a caring and empathetic space is empowering.  Making changes is not easy, and that is precisely why I engage a very human approach to a number of models of talking therapies.
07723 466082 View 07723 466082
Photo of Josez Pinder - Amitai Counselling, Counsellor, DCounsPsych, MBACP
Amitai Counselling
Counsellor, DCounsPsych, MBACP
Verified Verified
Amitai Counselling welcomes you 🦋. Here at Amitai Counselling we provide a unique and bespoke holistic counselling & psychotherapy service. We work to mould and tailor traditional therapeutic practices to meet your individual needs. Life is not made up of straight paths, easy roads and you may have arrived at an impasse or a cross road. You may be experiencing difficulties in regards to aspects of your life both personally & professionally. We are aware that the first step is often the hardest, Amitai is here to assist you on this your journey. You are the person at the centre of the work that we do.
Amitai Counselling welcomes you 🦋. Here at Amitai Counselling we provide a unique and bespoke holistic counselling & psychotherapy service. We work to mould and tailor traditional therapeutic practices to meet your individual needs. Life is not made up of straight paths, easy roads and you may have arrived at an impasse or a cross road. You may be experiencing difficulties in regards to aspects of your life both personally & professionally. We are aware that the first step is often the hardest, Amitai is here to assist you on this your journey. You are the person at the centre of the work that we do.
0116 326 2849 View 0116 326 2849

See more therapy options for Mackworth

How does your Counsellor compare?

Number of Counsellors in Mackworth

< 10

Counsellors in Mackworth who prioritize treating:

100% Relationship Issues
100% Domestic Abuse
100% Bereavement
100% Trauma and PTSD
100% Domestic Violence
100% Sexual Abuse
80% Depression

Average years in practice

19 Years

Gender breakdown

100% Female

How Counsellors in Mackworth see their clients

100% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in Mackworth?

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.