Counselling in Malvern

Photo of Grow Change Strive Thrive Ltd, Psychologist in Malvern, England
Grow Change Strive Thrive Ltd
Psychologist, HCPC - Couns. Psych.
Verified Verified
Malvern WR14
I found my way to being a Psychologist because I am deeply curious about people and what makes us ‘tick’ and I struggle to see suffering without doing something to help. For most of my week, I work for the NHS in the Complex Needs Service, with people who have experienced trauma and who have complex emotional needs. I am also a DBT Therapist in our NHS Trust’s small DBT Service. Whether you're looking for help with serious mental health difficulties or you're just feeling stuck and struggling with motivation, Psychological Therapy can help!
I found my way to being a Psychologist because I am deeply curious about people and what makes us ‘tick’ and I struggle to see suffering without doing something to help. For most of my week, I work for the NHS in the Complex Needs Service, with people who have experienced trauma and who have complex emotional needs. I am also a DBT Therapist in our NHS Trust’s small DBT Service. Whether you're looking for help with serious mental health difficulties or you're just feeling stuck and struggling with motivation, Psychological Therapy can help!
01684 211414 View 01684 211414
Photo of Robert David Williams, Counsellor in Malvern, England
Robert David Williams
Counsellor, MBACP Accred
Verified Verified
Malvern WR14
At some stage, you will probably experience feelings of stress, disappointment and grief. At these times, seeking assistance can help you deal with your feelings and emotions. Counselling can be a positive way of addressing any unresolved issues that you have. It can help you to understand your problems better, rather than ignoring them and hoping that they will go away, only for them to come back later. It can also give you a better understanding of other people's points of view.
At some stage, you will probably experience feelings of stress, disappointment and grief. At these times, seeking assistance can help you deal with your feelings and emotions. Counselling can be a positive way of addressing any unresolved issues that you have. It can help you to understand your problems better, rather than ignoring them and hoping that they will go away, only for them to come back later. It can also give you a better understanding of other people's points of view.
01684 211184 View 01684 211184
Photo of Kate at Byways Counselling, Counsellor in Malvern, England
Kate at Byways Counselling
Counsellor, MBACP
Verified Verified
Malvern WR13
Are you feeling a little lost? Is there something niggling at you, troubling you, upsetting you, that you feel you need to explore? Together, we can look at any problems, feelings and worries you may have, in a safe and confidential space.
Are you feeling a little lost? Is there something niggling at you, troubling you, upsetting you, that you feel you need to explore? Together, we can look at any problems, feelings and worries you may have, in a safe and confidential space.
01684 211343 View 01684 211343
Photo of Paul Tutton, Psychotherapist in Malvern, England
Paul Tutton
Psychotherapist, MUKCP
Verified Verified
Malvern WR14
Welcome. Everyone has times in life when their mental health is particularly challenging and they face emotional or psychological difficulties. If that describes you here and now, it can be helpful to seek support to become more aware of the impact of past life experiences, how those events still influence how you are in the world today and explore your thoughts and feelings around options for making changes in the future. Your issues, needs and goals could arise from your working life, personal life or a combination of both. You could be looking for more immediate help or seeking to better understand deeper, long-standing issues.
Welcome. Everyone has times in life when their mental health is particularly challenging and they face emotional or psychological difficulties. If that describes you here and now, it can be helpful to seek support to become more aware of the impact of past life experiences, how those events still influence how you are in the world today and explore your thoughts and feelings around options for making changes in the future. Your issues, needs and goals could arise from your working life, personal life or a combination of both. You could be looking for more immediate help or seeking to better understand deeper, long-standing issues.
01684 211366 View 01684 211366
Photo of Geraldine Tirifahy-McCabe, Counsellor in Malvern, England
Geraldine Tirifahy-McCabe
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Malvern WR14
Are you asking yourself these questions: Why am I tired? Am I depressed? What is going on? Why can’t I seem to find my own happiness? If so, I can offer a space to explore the answers behind those questions, with empathy, kindness and safety. If you feel judged, anxious, or stuck, then come and talk it through. Explore yourself, your desires, dreams, wants and emotions. Think about your relationships and where you are at.
Are you asking yourself these questions: Why am I tired? Am I depressed? What is going on? Why can’t I seem to find my own happiness? If so, I can offer a space to explore the answers behind those questions, with empathy, kindness and safety. If you feel judged, anxious, or stuck, then come and talk it through. Explore yourself, your desires, dreams, wants and emotions. Think about your relationships and where you are at.
01386 571336 View 01386 571336
Photo of Jan McWhir counselling, Counsellor in Malvern, England
Jan McWhir counselling
Counsellor
Verified Verified
Malvern WR14
I am a solution focused counsellor, my training derives from the understanding that when essential emotional needs are met, a human being will be emotionally and mentally healthy.. its when our emotional needs are not being met or are unintentionally misused that undesirable mental states such as: anxiety, anger, depression, addiction and psychosis develop., for instance, misuse of the imagination - to conjure up the worst possible or threatening scenarios-is a common feature of all these states. I aim to work through how you got to this point in your life, to help support you in finding new ways to move forward and embrace life.
I am a solution focused counsellor, my training derives from the understanding that when essential emotional needs are met, a human being will be emotionally and mentally healthy.. its when our emotional needs are not being met or are unintentionally misused that undesirable mental states such as: anxiety, anger, depression, addiction and psychosis develop., for instance, misuse of the imagination - to conjure up the worst possible or threatening scenarios-is a common feature of all these states. I aim to work through how you got to this point in your life, to help support you in finding new ways to move forward and embrace life.
01684 215917 View 01684 215917
Photo of Helen Breakwell, Counsellor in Malvern, England
Helen Breakwell
Counsellor, MNCPS Acc.
Verified Verified
Malvern WR14
I will give you the space to talk and explore what you're experiencing in a confidential setting. And help you find healthy coping strategies to develop long term ways of looking after your mental health. Sessions are online (anywhere in UK) or outdoors in the Malvern Hills. Client's feedback - 'Helen made me feel comfortable and listened to.' 'Helen gave me the strategies and tools to help myself in between our sessions, whilst being an invaluable source of comfort and strength.' 'Helen is an incredibly warm and comforting therapist who knew how to hold space for my plethora of emotions.' 'She was lovely and a great counsellor.'
I will give you the space to talk and explore what you're experiencing in a confidential setting. And help you find healthy coping strategies to develop long term ways of looking after your mental health. Sessions are online (anywhere in UK) or outdoors in the Malvern Hills. Client's feedback - 'Helen made me feel comfortable and listened to.' 'Helen gave me the strategies and tools to help myself in between our sessions, whilst being an invaluable source of comfort and strength.' 'Helen is an incredibly warm and comforting therapist who knew how to hold space for my plethora of emotions.' 'She was lovely and a great counsellor.'
01684 211458 View 01684 211458
Photo of Christalla Georgiou, Psychotherapist in Malvern, England
Christalla Georgiou
Psychotherapist, MA, MUKCP
Verified Verified
Malvern WR14
My approach in sessions is centred on you, focusing on the here and now, current situations and difficulties you are experiencing. How you are feeling and behaving at present is often linked to past experiences which remain unresolved and continue to impact on your health and well-being today. Our sessions are based on respect, compassion, empathy and honesty. I will support you in exploring your reasons for wanting therapy, within a non-judgmental environment. By creating a safe, open and genuine relationship with you, we can together find ways to deal with the difficulties you are experiencing. The age range I work with is 18+.
My approach in sessions is centred on you, focusing on the here and now, current situations and difficulties you are experiencing. How you are feeling and behaving at present is often linked to past experiences which remain unresolved and continue to impact on your health and well-being today. Our sessions are based on respect, compassion, empathy and honesty. I will support you in exploring your reasons for wanting therapy, within a non-judgmental environment. By creating a safe, open and genuine relationship with you, we can together find ways to deal with the difficulties you are experiencing. The age range I work with is 18+.
01905 969077 View 01905 969077
Photo of Munise Sabri, Psychotherapist in Malvern, England
Munise Sabri
Psychotherapist, MA, MBACP
Verified Verified
Malvern WR13
“The wound is the place where the Light enters you.” — Rumi Therapy is a tool to resolve the challenges in your life, to help you feel more confident and more in control, providing insight and showing you a path through the experiences that are part of being human. Life can put you in a lonely place, maybe too hard to cope with, complicated,challenging or confusing. I offer you the space for your story to be told, heard and understood in a confidential, non-judgmental safe space. There is nothing that cannot be "worked with and worked through".
“The wound is the place where the Light enters you.” — Rumi Therapy is a tool to resolve the challenges in your life, to help you feel more confident and more in control, providing insight and showing you a path through the experiences that are part of being human. Life can put you in a lonely place, maybe too hard to cope with, complicated,challenging or confusing. I offer you the space for your story to be told, heard and understood in a confidential, non-judgmental safe space. There is nothing that cannot be "worked with and worked through".
020 8103 8596 View 020 8103 8596
Photo of Tina Weston, Psychotherapist in Malvern, England
Tina Weston
Psychotherapist, SNCPS Acc.
Verified Verified
Malvern WR13
If you don't feel you're in a good place yourself, you've come to the right place. Counselling is for all sorts of issues, from experiencing "uncomfortable thoughts" which are making it hard to function as well as you usually do, to severe and crippling symptoms. Remember, there's no reason to think you are "stuck" permanently how you are. My first session is free, so you can try it out for yourself with no risk or obligation. See my website: www.worcester-counsellor.co.uk for more.
If you don't feel you're in a good place yourself, you've come to the right place. Counselling is for all sorts of issues, from experiencing "uncomfortable thoughts" which are making it hard to function as well as you usually do, to severe and crippling symptoms. Remember, there's no reason to think you are "stuck" permanently how you are. My first session is free, so you can try it out for yourself with no risk or obligation. See my website: www.worcester-counsellor.co.uk for more.
01905 888388 View 01905 888388
Photo of Caroline Saez, Counsellor in Malvern, England
Caroline Saez
Counsellor, MBACP
Verified Verified
Malvern WR13
Selecting a counsellor can be a daunting task, at a time when you feel vulnerable. It is a courageous and empowering decision. Emotional struggle and difficulty with mental health can happen at any time and for many reasons. During these times you can feel lost, empty, lonely, or despairing. Whatever issues you are facing, I can offer you compassion. I aim to provide you with a safe, accepting space, where emotions can be openly spoken, supported, and valued. I believe that we all possess the understanding of what we need for personal fulfilment, however, at times can need support to move forward, I can offer you that support.
Selecting a counsellor can be a daunting task, at a time when you feel vulnerable. It is a courageous and empowering decision. Emotional struggle and difficulty with mental health can happen at any time and for many reasons. During these times you can feel lost, empty, lonely, or despairing. Whatever issues you are facing, I can offer you compassion. I aim to provide you with a safe, accepting space, where emotions can be openly spoken, supported, and valued. I believe that we all possess the understanding of what we need for personal fulfilment, however, at times can need support to move forward, I can offer you that support.
01432 808885 View 01432 808885
Photo of Tanya Ronder in Malvern, England
Tanya Ronder
Verified Verified
1 Endorsed
Malvern WR13
The way we are can madden us, our minds repeatedly returning to anxious, painful or critical thoughts. It can feel as though we are getting nowhere, or, more frustratingly, that we get in our own way, stumbling against familiar issues and destructive behaviours. We can appear to ourselves like outsiders, like there is nowhere that we belong and as if we are less than who we hoped we’d be. Issues emerge of perfectionism, anger, despair, lack of confidence – we understand that self-worth is important, but how do we attain it? Especially in a world which won’t validate us. Our attention may turn inwards, but it’s rarely kind.
The way we are can madden us, our minds repeatedly returning to anxious, painful or critical thoughts. It can feel as though we are getting nowhere, or, more frustratingly, that we get in our own way, stumbling against familiar issues and destructive behaviours. We can appear to ourselves like outsiders, like there is nowhere that we belong and as if we are less than who we hoped we’d be. Issues emerge of perfectionism, anger, despair, lack of confidence – we understand that self-worth is important, but how do we attain it? Especially in a world which won’t validate us. Our attention may turn inwards, but it’s rarely kind.
020 3917 1980 View 020 3917 1980
Photo of Compass Counselling & Psychotherapy, Counsellor in Malvern, England
Compass Counselling & Psychotherapy
Counsellor, MBACP
Verified Verified
Malvern WR13
Waitlist for new clients
Not being understood is one of the most painful feelings. Struggling to relate to others, or live in this complicated world is so difficult for so many of us. Making sense of ourselves and finding solutions to longstanding issues – from depression, anxiety, social phobias, low self-esteem, anger management, bereavement, life-stage issues, loss, marital difficulties, relationship struggles, self-harming and suicide and unresolved childhood development challenges? You need not struggle alone; we can explore and discover what choices you have to make changes to your life's personal challenges.
Not being understood is one of the most painful feelings. Struggling to relate to others, or live in this complicated world is so difficult for so many of us. Making sense of ourselves and finding solutions to longstanding issues – from depression, anxiety, social phobias, low self-esteem, anger management, bereavement, life-stage issues, loss, marital difficulties, relationship struggles, self-harming and suicide and unresolved childhood development challenges? You need not struggle alone; we can explore and discover what choices you have to make changes to your life's personal challenges.
01905 676198 View 01905 676198
Photo of Isabel dos Santos Counsellor MBACP (Accred), Counsellor in Malvern, England
Isabel dos Santos Counsellor MBACP (Accred)
Counsellor, MBACP
Verified Verified
Malvern WR13
Reasons for having Counselling: You might be struggling with your mood – stress, anxiety, fight and flight, overwhelmed. You tend to focus on others, and their needs, to the detriment of your own - in your relationships and career. It might feel like you’re in a vicious cycle. There is a way out. My approach: A solution-focused approach, embedded in well-established therapies – CBT, Psychodynamic therapy and EMDR. I encourage having clear goals and collaboration for better outcomes. I specialised in brief work, focusing on a particular issue.
Reasons for having Counselling: You might be struggling with your mood – stress, anxiety, fight and flight, overwhelmed. You tend to focus on others, and their needs, to the detriment of your own - in your relationships and career. It might feel like you’re in a vicious cycle. There is a way out. My approach: A solution-focused approach, embedded in well-established therapies – CBT, Psychodynamic therapy and EMDR. I encourage having clear goals and collaboration for better outcomes. I specialised in brief work, focusing on a particular issue.
01905 950167 View 01905 950167
Photo of Lou Padian, Counsellor in Malvern, England
Lou Padian
Counsellor, MBACP
Verified Verified
Malvern WR13
Hello, my name is Lou and I am passionate about helping people find themselves again. If you are going through a difficult time, don't be alone, we can face whatever you are struggling with together. I listen with an empathic approach offering reflection and support when needed. I understand how challenging life can become and will support you in finding the power to achieve a more satisfying life. I believe everyone deserves to explore their feelings in a safe space feeling heard, understood and respected because I think each individual has their own answers. Enquiring about therapy is the first step to recovery.
Hello, my name is Lou and I am passionate about helping people find themselves again. If you are going through a difficult time, don't be alone, we can face whatever you are struggling with together. I listen with an empathic approach offering reflection and support when needed. I understand how challenging life can become and will support you in finding the power to achieve a more satisfying life. I believe everyone deserves to explore their feelings in a safe space feeling heard, understood and respected because I think each individual has their own answers. Enquiring about therapy is the first step to recovery.
01432 805395 View 01432 805395
Photo of Tracy Norman, Counsellor in Malvern, England
Tracy Norman
Counsellor, MBACP
Verified Verified
Malvern WR13
I work in private practice and in Secondary schools with many mental health issues such as anxiety, self-harm, low mood, gender dysphoria, self-esteem and confidence. In this difficult world, especially after lockdown, there are so many teenagers struggling emotionally and it is affecting confidence, friendships, family life and school. They want to understand how to understand and manage these emotions in order to be able to process them and move forward. I also work with SEND young people, struggling to understand themselves and why they may struggle emotionally.
I work in private practice and in Secondary schools with many mental health issues such as anxiety, self-harm, low mood, gender dysphoria, self-esteem and confidence. In this difficult world, especially after lockdown, there are so many teenagers struggling emotionally and it is affecting confidence, friendships, family life and school. They want to understand how to understand and manage these emotions in order to be able to process them and move forward. I also work with SEND young people, struggling to understand themselves and why they may struggle emotionally.
01275 402988 View 01275 402988
Photo of Pippa Haverly, Counsellor in Malvern, England
Pippa Haverly
Counsellor, MBACP
Verified Verified
1 Endorsed
Malvern WR13
Life can be really complex and often overwhelming, leaving us at times feeling isolated and alone, even when we are surrounded by people. As such there might be many different reasons why people come into counselling. Sometimes the issues we experience have clear causes and explanations and at other times it might feel less obvious and harder therefore to identify. What I would hope to offer you is a place that feels safe, supportive and confidential where you are able to explore whatever it is for you personally that you want to address without fear of judgement and criticism.
Life can be really complex and often overwhelming, leaving us at times feeling isolated and alone, even when we are surrounded by people. As such there might be many different reasons why people come into counselling. Sometimes the issues we experience have clear causes and explanations and at other times it might feel less obvious and harder therefore to identify. What I would hope to offer you is a place that feels safe, supportive and confidential where you are able to explore whatever it is for you personally that you want to address without fear of judgement and criticism.
01432 808278 View 01432 808278
Photo of Jackie Turner, Counsellor in Malvern, England
Jackie Turner
Counsellor
Verified Verified
Malvern WR13
I’m an experienced counsellor working in a Person-Centred way, using Narrative Therapy alongside other creative ways of working. I have over 16 years experience of working with adults, children, young people and families. I have found that working with compassion and empathy, to support a deeper more embodied understanding of our responses to difficult situations is a powerful and healing way of working for many people and can lead to deep change. I believe that we all have potential for becoming unstuck and that there is always a possibility of listening to ourselves with greater compassion and self-acceptance.
I’m an experienced counsellor working in a Person-Centred way, using Narrative Therapy alongside other creative ways of working. I have over 16 years experience of working with adults, children, young people and families. I have found that working with compassion and empathy, to support a deeper more embodied understanding of our responses to difficult situations is a powerful and healing way of working for many people and can lead to deep change. I believe that we all have potential for becoming unstuck and that there is always a possibility of listening to ourselves with greater compassion and self-acceptance.
01905 967978 View 01905 967978
Photo of Our Space Play & Family Therapies in Malvern, England
Our Space Play & Family Therapies
MSc
Verified Verified
1 Endorsed
Malvern WR13
I am passionate about working with young people and their families. I am an integrative play and EMDR therapist working with clients from 3 years of age and up. I am also qualified to deliver Child Parent Relationship Therapy and have completed training in Sand Tray as well as being an Autplay practitioner. I have lots of experience in working with children, young people and their families SEND and/or with additional needs. I have experience of working with complex trauma, attachment, bereavement and loss.
I am passionate about working with young people and their families. I am an integrative play and EMDR therapist working with clients from 3 years of age and up. I am also qualified to deliver Child Parent Relationship Therapy and have completed training in Sand Tray as well as being an Autplay practitioner. I have lots of experience in working with children, young people and their families SEND and/or with additional needs. I have experience of working with complex trauma, attachment, bereavement and loss.
01905 975361 View 01905 975361
Photo of Dr Natalie Knight, Psychologist in Malvern, England
Dr Natalie Knight
Psychologist, HCPC - Clin. Psych.
Verified Verified
Malvern WR13
Is your life constantly filled with worry, perhaps you're not even sure why? Do you have a fear of something that is getting in the way of you living your life? Does the thought of going out leave you feeling sick? Perhaps this happens with socialising, shopping, new people or perhaps even talking on the phone? Have you been told that you "won't get anything on the NHS"? Have you been on a waiting list for a really long time? Has all the 'self help' you've tried not been that helpful?
Is your life constantly filled with worry, perhaps you're not even sure why? Do you have a fear of something that is getting in the way of you living your life? Does the thought of going out leave you feeling sick? Perhaps this happens with socialising, shopping, new people or perhaps even talking on the phone? Have you been told that you "won't get anything on the NHS"? Have you been on a waiting list for a really long time? Has all the 'self help' you've tried not been that helpful?
01905 953506 View 01905 953506

See more therapy options for Malvern

How does your Counsellor compare?

Number of Counsellors in Malvern

30+

Average cost per session

£50

Counsellors in Malvern who prioritize treating:

91% Anxiety
83% Depression
83% Self Esteem
83% Stress
77% Relationship Issues
77% Bereavement
77% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

60% Bupa
40% Any/Out-of-network Insurance
40% Aviva

How Counsellors in Malvern see their clients

98% In Person and Online
2% Online Only

Gender breakdown

88% Female
12% Male

FAQs - About Therapy and Counselling

How can I find a therapist in Malvern?

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.