Counselling in Mackworth

Photo of Michelle Dawn Ede - Michelle Ede
Michelle Ede
Verified Verified
Serves Area
Are you struggling with trauma, PTSD, or past and present experiences that feel overwhelming or hard to move on from? You may feel stuck in patterns, anxious, or not quite yourself. I specialise in EMDR and work in a trauma-informed way to help you gently process distressing experiences, reduce anxiety, and regain a sense of control and calm. With nearly 20 years’ experience in mental health, I offer a safe, supportive space where you can begin to make sense of what you’ve been through, rebuild resilience, and move forward at your own pace.
Are you struggling with trauma, PTSD, or past and present experiences that feel overwhelming or hard to move on from? You may feel stuck in patterns, anxious, or not quite yourself. I specialise in EMDR and work in a trauma-informed way to help you gently process distressing experiences, reduce anxiety, and regain a sense of control and calm. With nearly 20 years’ experience in mental health, I offer a safe, supportive space where you can begin to make sense of what you’ve been through, rebuild resilience, and move forward at your own pace.
01952 984225 View 01952 984225
Photo of Sandra Hussey - Ash-Tree Counselling Service, Psychotherapist, MBACP
Ash-Tree Counselling Service
Psychotherapist, MBACP
Serves Area
I'm a BACP-registered counsellor offering a safe, supportive and non-judgmental space where you can talk openly and feel heard. My background includes working in the NHS and with employee assistance programmes. Over the years, I’ve gained particular expertise in helping individuals and couples supporting people through depression, anxiety, PTSD, bereavement, relationship and family issues, chronic health conditions and times of deep struggle. I believe therapy is a space for growth, healing and change. If you’re ready to take that first step, I’d be glad to walk alongside you.
I'm a BACP-registered counsellor offering a safe, supportive and non-judgmental space where you can talk openly and feel heard. My background includes working in the NHS and with employee assistance programmes. Over the years, I’ve gained particular expertise in helping individuals and couples supporting people through depression, anxiety, PTSD, bereavement, relationship and family issues, chronic health conditions and times of deep struggle. I believe therapy is a space for growth, healing and change. If you’re ready to take that first step, I’d be glad to walk alongside you.
0115 697 5863 View 0115 697 5863
Photo of Josie Nicholson, Psychotherapist, MBACP Accred
Josie Nicholson
Psychotherapist, MBACP Accred
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
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
Photo of Miricia Van Rensburg - Friar Gate Counselling & Psychotherapy, Psychotherapist, MSc, MBACP
Friar Gate Counselling & Psychotherapy
Psychotherapist, MSc, MBACP
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

More Therapists Nearby

Photo of Leanne Sumnall, Counsellor, DCounsPsych, BACP
Leanne Sumnall
Counsellor, DCounsPsych, BACP
Do you find yourself grappling with relationship issues or navigating the complexities of having a narcissistic parent? Are you struggling to set boundaries and seeking clarity in your life and relationships? Imagine taking control of your life, shedding the weight of guilt, and envisioning healthy, fulfilling relationships? Imagine taking control of your life, shedding the weight of guilt, and envisioning healthy, fulfilling relationships. This is where Leanne steps in.
Do you find yourself grappling with relationship issues or navigating the complexities of having a narcissistic parent? Are you struggling to set boundaries and seeking clarity in your life and relationships? Imagine taking control of your life, shedding the weight of guilt, and envisioning healthy, fulfilling relationships? Imagine taking control of your life, shedding the weight of guilt, and envisioning healthy, fulfilling relationships. This is where Leanne steps in.
01538 712574 View 01538 712574
Photo of Miranda Lo - Miranda Lo (MCouns) Counselling, CBT & Coaching, Psychotherapist, MBACP
Miranda Lo (MCouns) Counselling, CBT & Coaching
Psychotherapist, MBACP
Serves Area
You are just feeling fed up with self-doubt & rumination; and you are worrying about your continual procrastination & your escape from opportunities. You feel like you are finally ready to move forward. I understand what it feels like when encountering emotional issues and stress. I embarked on a journey of self-exploration, which has allowed me to find what I am passionate about. I work with an Integrative Therapeutic Approach to draw benefits from various modalities to suit You. I am dedicated in collaboratively assisting YOU in overcoming self doubts & unleashing YOUR potential FULLY, be it in your life, career and relationships.
You are just feeling fed up with self-doubt & rumination; and you are worrying about your continual procrastination & your escape from opportunities. You feel like you are finally ready to move forward. I understand what it feels like when encountering emotional issues and stress. I embarked on a journey of self-exploration, which has allowed me to find what I am passionate about. I work with an Integrative Therapeutic Approach to draw benefits from various modalities to suit You. I am dedicated in collaboratively assisting YOU in overcoming self doubts & unleashing YOUR potential FULLY, be it in your life, career and relationships.
01357 510614 View 01357 510614
Photo of Katrina Bayliss - Dr Katrina Bayliss Psychology , Psychologist, PsychD, HCPC - Clin. Psych.
Dr Katrina Bayliss Psychology
Psychologist, PsychD, HCPC - Clin. Psych.
Online Only
You deserve to live a fulfilling and meaningful life.....Do you agree with this statement? Sometimes life feels difficult and losing sight of what is meaningful can cause significant distress. Making time for yourself to understand your thoughts and feelings and establish what you truly value in life is so important.
You deserve to live a fulfilling and meaningful life.....Do you agree with this statement? Sometimes life feels difficult and losing sight of what is meaningful can cause significant distress. Making time for yourself to understand your thoughts and feelings and establish what you truly value in life is so important.
View
Photo of Roxanne Freeman - Roxanne. Psychotherapist, EMDR & Hypnotherapist, Psychotherapist, MA, MBACP
I am a fully qualified and experienced Psychotherapist, EMDR Therapist and Hypnotherapist and provide a friendly, warm, confidential, accepting environment to enable you to work through the things that may be troubling you. I offer bespoke service depending on your presenting issues, incorporating the different approaches to help heal and enabling you to start living a more fulfilling life. EMDR can be used effectively to treat trauma without having to relive the event. I completed my Hypnotherapy training with Paul McKenna, Hypnotherapy is effective in treating anxiety, panic attacks, phobia's, weight loss, quitting smoking.
I am a fully qualified and experienced Psychotherapist, EMDR Therapist and Hypnotherapist and provide a friendly, warm, confidential, accepting environment to enable you to work through the things that may be troubling you. I offer bespoke service depending on your presenting issues, incorporating the different approaches to help heal and enabling you to start living a more fulfilling life. EMDR can be used effectively to treat trauma without having to relive the event. I completed my Hypnotherapy training with Paul McKenna, Hypnotherapy is effective in treating anxiety, panic attacks, phobia's, weight loss, quitting smoking.
0115 824 5721 View 0115 824 5721
Photo of Sheereen Sidat, Psychotherapist, MBACP
Sheereen Sidat
Psychotherapist, MBACP
"Maybe the journey isn't so much about becoming anything. Maybe it's about unbecoming everything that isn't you, so you can be who you were meant to be in the first place."unknown. There are many different reasons to seek out counselling - whatever your reason, I aim to provide a safe, confidential space and time that is yours. A place for you to talk and be heard, to explore, to imagine, to feel and express without judgement. A place where you are not alone in your journey, but have someone alongside you to support you and honour your unique life experiences.
"Maybe the journey isn't so much about becoming anything. Maybe it's about unbecoming everything that isn't you, so you can be who you were meant to be in the first place."unknown. There are many different reasons to seek out counselling - whatever your reason, I aim to provide a safe, confidential space and time that is yours. A place for you to talk and be heard, to explore, to imagine, to feel and express without judgement. A place where you are not alone in your journey, but have someone alongside you to support you and honour your unique life experiences.
0116 464 9410 View 0116 464 9410
Photo of Kate Green, Counsellor, MSc, MBACP
Kate Green
Counsellor, MSc, MBACP
I am a counsellor, psychotherapist and specialist in addictions and trauma of 38 years experience working within the public sector and now privately. I can assist with a broad-spectrum of issues. I provide one to one counselling, and couple therapy. I work with adults of all ages and from diverse ethnic and cultural backgrounds, sexual orientation, and physical and mental ability. It is my belief evidenced from my work with a great many unique and wonderful persons that all of us have the innate ability to heal ourselves. I see my role as merely an assistant in this self-healing process.
I am a counsellor, psychotherapist and specialist in addictions and trauma of 38 years experience working within the public sector and now privately. I can assist with a broad-spectrum of issues. I provide one to one counselling, and couple therapy. I work with adults of all ages and from diverse ethnic and cultural backgrounds, sexual orientation, and physical and mental ability. It is my belief evidenced from my work with a great many unique and wonderful persons that all of us have the innate ability to heal ourselves. I see my role as merely an assistant in this self-healing process.
0114 478 2604 View 0114 478 2604
Photo of Steven Benton, Psychotherapist, DCounsPsych, MBABCP
Steven Benton
Psychotherapist, DCounsPsych, MBABCP
Serves Area
Hello, if you are struggling with anxiety; OCD, GAD, Health, Phobias, Social, depression, trauma, or other difficulties then please get in touch. Take a look at my website and see in greater detail how I can help. If you do not see your private medical insurer provider listed let me know and I will do my best to secure their authorisation. I wish you well and I hope to hear from you soon. Drop me an email, or call for a free consultation.
Hello, if you are struggling with anxiety; OCD, GAD, Health, Phobias, Social, depression, trauma, or other difficulties then please get in touch. Take a look at my website and see in greater detail how I can help. If you do not see your private medical insurer provider listed let me know and I will do my best to secure their authorisation. I wish you well and I hope to hear from you soon. Drop me an email, or call for a free consultation.
01902 951781 View 01902 951781
Photo of Karen Wormald, Psychotherapist, MSc, MUKCP
Karen Wormald
Psychotherapist, MSc, MUKCP
People seek therapy for many different reasons and at different times in their lives. I am keen to discuss your individual needs with you. I invite you to explore with me in a compassionate, non-judgmental space, your current difficulties. I am experienced working with people attending counselling for many different reasons, with people of all ages, backgrounds, and a variety of faiths. I offer counselling to individuals and am open to exploring together your issues.
People seek therapy for many different reasons and at different times in their lives. I am keen to discuss your individual needs with you. I invite you to explore with me in a compassionate, non-judgmental space, your current difficulties. I am experienced working with people attending counselling for many different reasons, with people of all ages, backgrounds, and a variety of faiths. I offer counselling to individuals and am open to exploring together your issues.
01530 449519 View 01530 449519
Photo of Paramjit Sall, Counsellor, BACP
Paramjit Sall
Counsellor, BACP
Serves Area
I am a registered member of British Association of Counselling Practise (BACP) and comply with their practise Ethics and Standard. I am an Integrative counsellor with Humanistic approach using Person Centred, Solution Focused, Psychodynamic, Cognitive Behaviour and Systemic Family Therapy as my core models. Each individual I work with is unique and come with issues that get in the way of their life from time to time. I respect everyone is different and I work with clients according to their personality and presenting issues.•I know it can be really hard at times to reach out for help but please remember you are important.
I am a registered member of British Association of Counselling Practise (BACP) and comply with their practise Ethics and Standard. I am an Integrative counsellor with Humanistic approach using Person Centred, Solution Focused, Psychodynamic, Cognitive Behaviour and Systemic Family Therapy as my core models. Each individual I work with is unique and come with issues that get in the way of their life from time to time. I respect everyone is different and I work with clients according to their personality and presenting issues.•I know it can be really hard at times to reach out for help but please remember you are important.
024 7610 1157 View 024 7610 1157
Ravi Chauhan
Psychotherapist, MBACP
Hello, I’m Ravi, and thank you for visiting my page. I approach my work with a deeply personal perspective. Having experienced therapy myself, I understand what it feels like to be in the client’s chair—vulnerable, uncertain, anxious, and hopeful all at once. This experience has shaped my practice, allowing me to offer empathy, authenticity, a safe therapeutic space, and a sincere respect for each individual’s journey. Together, we’ll explore what has happened or is happening in your life, make sense of your thoughts and emotions, and work towards meaningful change that supports your mental and emotional well-being.
Hello, I’m Ravi, and thank you for visiting my page. I approach my work with a deeply personal perspective. Having experienced therapy myself, I understand what it feels like to be in the client’s chair—vulnerable, uncertain, anxious, and hopeful all at once. This experience has shaped my practice, allowing me to offer empathy, authenticity, a safe therapeutic space, and a sincere respect for each individual’s journey. Together, we’ll explore what has happened or is happening in your life, make sense of your thoughts and emotions, and work towards meaningful change that supports your mental and emotional well-being.
0116 464 9955 View 0116 464 9955
Photo of Vince Gazy, Counsellor, MBACP
Vince Gazy
Counsellor, MBACP
1 Endorsed
Online Only
I work with adults and Young People aged between 18 to 25. My counselling practice welcomes anyone. You don't need to have specific life experiences or fit any criteria - I will welcome you for who you are. Whilst there can be specific life events that bring someone to counselling (for example a bereavement or job loss) it is more often a combination of life events that prompts people to seek assistance. Every person’s journey is unique and so my aim is to co-create with you an accepting and supportive therapeutic relationship as a base from which we can explore those aspects of your life which are most meaningful to you
I work with adults and Young People aged between 18 to 25. My counselling practice welcomes anyone. You don't need to have specific life experiences or fit any criteria - I will welcome you for who you are. Whilst there can be specific life events that bring someone to counselling (for example a bereavement or job loss) it is more often a combination of life events that prompts people to seek assistance. Every person’s journey is unique and so my aim is to co-create with you an accepting and supportive therapeutic relationship as a base from which we can explore those aspects of your life which are most meaningful to you
01782 288919 View 01782 288919
Photo of Orla Turley - Orla Turley - Counselling and EMDR, Counsellor, MBACP Accred
Orla Turley - Counselling and EMDR
Counsellor, MBACP Accred
2 Endorsed
Online Only
Perhaps you are struggling with trauma, low self-esteem, or confidence, and find yourself constantly putting others first while your own needs go unmet. You may feel unheard, misunderstood, or stuck in patterns that leave you feeling exhausted or overwhelmed. If life feels harder than it should, and you’re wondering whether things could be different, therapy can offer a supportive space to begin making sense of what’s been holding you back. When self-esteem or confidence is impacted, it can show up as anxiety, stress, low mood, anger, panic attacks, or relationship difficulties. In therapy, we can gently explore these patterns.
Perhaps you are struggling with trauma, low self-esteem, or confidence, and find yourself constantly putting others first while your own needs go unmet. You may feel unheard, misunderstood, or stuck in patterns that leave you feeling exhausted or overwhelmed. If life feels harder than it should, and you’re wondering whether things could be different, therapy can offer a supportive space to begin making sense of what’s been holding you back. When self-esteem or confidence is impacted, it can show up as anxiety, stress, low mood, anger, panic attacks, or relationship difficulties. In therapy, we can gently explore these patterns.
01571 598047 View 01571 598047
Photo of Andrea Barratt, Counsellor, PNCPS Acc.
Andrea Barratt
Counsellor, PNCPS Acc.
Derby DE22
People seek counselling for aspects of life which are troubling them. It might be because of depression, anxiety, low mood, a lack of confidence or feeling overwhelmed. Perhaps you are wishing to recover from past traumas or you're feeling stuck. Seeking help is a positive and courageous step. Choosing a counsellor that you can trust and feel comfortable with is important. For this reason I offer a free, no obligation, 30 minute telephone consultation. My practice is based near the centre of Derby. I provide therapy for adults from 18 years upwards.
People seek counselling for aspects of life which are troubling them. It might be because of depression, anxiety, low mood, a lack of confidence or feeling overwhelmed. Perhaps you are wishing to recover from past traumas or you're feeling stuck. Seeking help is a positive and courageous step. Choosing a counsellor that you can trust and feel comfortable with is important. For this reason I offer a free, no obligation, 30 minute telephone consultation. My practice is based near the centre of Derby. I provide therapy for adults from 18 years upwards.
01332 982239 View 01332 982239
Photo of Tasha Davis - Karuna Psychotherapy and Wellbeing, Psychotherapist, MA, MBACP
Karuna Psychotherapy and Wellbeing
Psychotherapist, MA, MBACP
Our mission is to provide skilled, compassionate therapy for children, teens, adults, couples, and families. Through a range of therapeutic approaches and years of NHS clinical experience, we work collaboratively to uncover strengths, nurture resilience, and support healing at every stage of life.
Our mission is to provide skilled, compassionate therapy for children, teens, adults, couples, and families. Through a range of therapeutic approaches and years of NHS clinical experience, we work collaboratively to uncover strengths, nurture resilience, and support healing at every stage of life.
01629 704301 View 01629 704301
Photo of Maria Woodhead, Counsellor, MBACP Accred
Maria Woodhead
Counsellor, MBACP Accred
Stafford ST17
Not accepting new clients
I specialise in relationship issues and also offer counselling to help with trauma, anxiety, depression, stress, bereavement/loss and generally coping with whatever life throws at us. You may not even know why don't feel OK, whatever the issue might be let's have chat about it and see if we can work together to help you. I offer Counselling to couples and individuals aged 18 and over with sessions available on Mondays (evening) Tuesdays (day & evening) and Wednesdays (day).
I specialise in relationship issues and also offer counselling to help with trauma, anxiety, depression, stress, bereavement/loss and generally coping with whatever life throws at us. You may not even know why don't feel OK, whatever the issue might be let's have chat about it and see if we can work together to help you. I offer Counselling to couples and individuals aged 18 and over with sessions available on Mondays (evening) Tuesdays (day & evening) and Wednesdays (day).
07861 897367 View 07861 897367

How does your Counsellor compare?

Number of Counsellors in Mackworth

< 10

Counsellors in Mackworth who prioritize treating:

100% Domestic Abuse
100% Trauma and PTSD
80% Relationship Issues
80% Depression
80% Anxiety
80% Bereavement
80% Divorce

Average years in practice

20 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.