Counselling in Manchester

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Photo of Barbara H Lyons - Shadowplay Counselling & Training, Psychotherapist, MA, MBACP
Shadowplay Counselling & Training
Psychotherapist, MA, MBACP
Are things that have happened in your life preventing you living as you deserve to? Are you struggling with feelings of anxiety, depression, or feeling numb and disconnected from others? Do you find you're reaching for alcohol, drugs, food, damaging relationships to try to feel better? Or did you grow up with a parent struggling in this way? You don't need to have suffered an obvious trauma or adversity to be be feeling fearful, despairing or battling with a low sense of self worth. Modern life is hard and the pressures sometimes difficult to navigate.
Are things that have happened in your life preventing you living as you deserve to? Are you struggling with feelings of anxiety, depression, or feeling numb and disconnected from others? Do you find you're reaching for alcohol, drugs, food, damaging relationships to try to feel better? Or did you grow up with a parent struggling in this way? You don't need to have suffered an obvious trauma or adversity to be be feeling fearful, despairing or battling with a low sense of self worth. Modern life is hard and the pressures sometimes difficult to navigate.
0161 696 3014 View 0161 696 3014
Photo of Tandrima Mazumdar, Psychotherapist, MSc, MBACP
Tandrima Mazumdar
Psychotherapist, MSc, MBACP
1 Endorsed
Online Only
Are you tired of feeling demotivated and frustrated? Is it difficult to focus on tasks or make decisions? Have you been feeling low and moody? Have you experienced abuse that has left you questioning your self worth? Having a safe space to share your thoughts with a compassionate and empathic therapist who respects your experience providing you the right environment will help you to overcome your difficulties. With the right approach and required sessions, you start noticing positive changes in yourself. As you understand your trauma, learn techniques to manage your mood to regain self worth and function as yourself again.
Are you tired of feeling demotivated and frustrated? Is it difficult to focus on tasks or make decisions? Have you been feeling low and moody? Have you experienced abuse that has left you questioning your self worth? Having a safe space to share your thoughts with a compassionate and empathic therapist who respects your experience providing you the right environment will help you to overcome your difficulties. With the right approach and required sessions, you start noticing positive changes in yourself. As you understand your trauma, learn techniques to manage your mood to regain self worth and function as yourself again.
01204 961481 View 01204 961481
Photo of Dale Robert Sheridan, Counsellor, BACP
Dale Robert Sheridan
Counsellor, BACP
1 Endorsed
Who am I? I am the same as you, someone who has sought answers at a time when I've felt lost or alone, in these times I have often felt like I was incapable of seeing light at the end of the tunnel. I am no different than you. Although now, I am able to use my experiences, and knowledge of counselling to apply theory and strategies to understand and guide.  I am offering you a safe, confidential space with zero judgement and an authentic approach where you can seek the answers to those difficult questions and explore those intrusive thoughts.
Who am I? I am the same as you, someone who has sought answers at a time when I've felt lost or alone, in these times I have often felt like I was incapable of seeing light at the end of the tunnel. I am no different than you. Although now, I am able to use my experiences, and knowledge of counselling to apply theory and strategies to understand and guide.  I am offering you a safe, confidential space with zero judgement and an authentic approach where you can seek the answers to those difficult questions and explore those intrusive thoughts.
0161 870 5823 View 0161 870 5823
Photo of Yvonne Elizabeth Meidlinger, Psychotherapist, MBACP
Yvonne Elizabeth Meidlinger
Psychotherapist, MBACP
1 Endorsed
I believe that the therapist and client come together as a team to work through issues that may stand in the way of you reaching your potential. Through my training, I have mainly used Transactional Analysis, but also have some experience working in a solution-focussed way and like to work integratively as each person is an individual who may like to work in a different way. I work with people on a range of issues, but find that I work with people with anxiety or depression most commonly, and pride myself on working hard to make people feel at ease.
I believe that the therapist and client come together as a team to work through issues that may stand in the way of you reaching your potential. Through my training, I have mainly used Transactional Analysis, but also have some experience working in a solution-focussed way and like to work integratively as each person is an individual who may like to work in a different way. I work with people on a range of issues, but find that I work with people with anxiety or depression most commonly, and pride myself on working hard to make people feel at ease.
0161 850 7103 View 0161 850 7103
Photo of Adrian Carrier, Counsellor, BACP
Adrian Carrier
Counsellor, BACP
I provide a supportive environment in which we can explore together the difficulties that you're experiencing. I feel that holding warm, and understanding space in which you can grow is paramount and wholeheartedly respect that you are the expert of your own unique way of thinking, feeling, and experiencing. As such, I will trust, encourage, and support you to guide us on our journey together.
I provide a supportive environment in which we can explore together the difficulties that you're experiencing. I feel that holding warm, and understanding space in which you can grow is paramount and wholeheartedly respect that you are the expert of your own unique way of thinking, feeling, and experiencing. As such, I will trust, encourage, and support you to guide us on our journey together.
01707 954010 View 01707 954010
Photo of Kam Laing - True Living Therapies
True Living Therapies
Verified Verified
If you're tired of battling stress, overwhelm, anxiety or if you're frustrated because you can't seem to be as productive or confident as you want, or need, to be then hypnotherapy can work amazingly well for you. Your subconscious is in the driving seat and while it tries to help you feel safe and survive, it can also hinder you too. Often we aren't entirely aware, at a conscious level, why we're struggling or stuck in self-sabotaging behaviour patterns. Hypnotherapy is able to reach your subconscious and work with it to correct course, allowing you to achieve what you want.
If you're tired of battling stress, overwhelm, anxiety or if you're frustrated because you can't seem to be as productive or confident as you want, or need, to be then hypnotherapy can work amazingly well for you. Your subconscious is in the driving seat and while it tries to help you feel safe and survive, it can also hinder you too. Often we aren't entirely aware, at a conscious level, why we're struggling or stuck in self-sabotaging behaviour patterns. Hypnotherapy is able to reach your subconscious and work with it to correct course, allowing you to achieve what you want.
0161 509 4175 View 0161 509 4175
Photo of Eleftheria Panteliou, Psychotherapist, MSc, BPC
Eleftheria Panteliou
Psychotherapist, MSc, BPC
I offer psychodynamic and reflective supervision to psychologists and therapists working with emotional distress, trauma, and complex relational dynamics. My supervisory work supports thinking about clinical material, transference and countertransference, ethical questions, and the emotional impact of the work. I have particular experience supervising work with developmental trauma, identity-related difficulties, loss, and work across cultural or systemic contexts. My approach is collaborative and reflective, supporting clinical understanding and professional development.
I offer psychodynamic and reflective supervision to psychologists and therapists working with emotional distress, trauma, and complex relational dynamics. My supervisory work supports thinking about clinical material, transference and countertransference, ethical questions, and the emotional impact of the work. I have particular experience supervising work with developmental trauma, identity-related difficulties, loss, and work across cultural or systemic contexts. My approach is collaborative and reflective, supporting clinical understanding and professional development.
01538 711632 View 01538 711632
Photo of Dr Tara Seed, Psychologist, HCPC - Clin. Psych.
Dr Tara Seed
Psychologist, HCPC - Clin. Psych.
1 Endorsed
We are a private practice and can work with people of all ages and backgrounds, facing a range of difficulties. We know choosing a practice and person can feel overwhelming. We can help - we are personally and professionally passionate about our work and the people we work with. We can help to lift your mood, manage intense emotions, reduce anxiety, nightmares/flashbacks, build confidence, reduce self criticism and shame and support adjustment after a bereavement. We can help to improve relationships.We have a specialist perinatal pathway,supporting recovery following a difficult pregancy, birth/NICU experience or baby loss.
We are a private practice and can work with people of all ages and backgrounds, facing a range of difficulties. We know choosing a practice and person can feel overwhelming. We can help - we are personally and professionally passionate about our work and the people we work with. We can help to lift your mood, manage intense emotions, reduce anxiety, nightmares/flashbacks, build confidence, reduce self criticism and shame and support adjustment after a bereavement. We can help to improve relationships.We have a specialist perinatal pathway,supporting recovery following a difficult pregancy, birth/NICU experience or baby loss.
0161 524 6563 View 0161 524 6563
Photo of Y Brown - Counsellor / Psychotherapist - MBACP (Accred), Counsellor, MBACP Accred
Are you struggling with stress, anxiety or depression? Do you feel frustrated, fed up and tiered of no improvement? Do you need help moving forward? Counselling Changes Lives. Please give me a call today for a “Free Initial Consultation” 0161 506 6643 My name is Yolande, I am an accredited counsellor and psychotherapist with over 20 years experience. I work with a wide range of counselling issues and challenges. You are welcome to call or email me at any time. I work online and in person, giving you full flexibility for your sessions. This is a warm, safe, confidential and professional space for you
Are you struggling with stress, anxiety or depression? Do you feel frustrated, fed up and tiered of no improvement? Do you need help moving forward? Counselling Changes Lives. Please give me a call today for a “Free Initial Consultation” 0161 506 6643 My name is Yolande, I am an accredited counsellor and psychotherapist with over 20 years experience. I work with a wide range of counselling issues and challenges. You are welcome to call or email me at any time. I work online and in person, giving you full flexibility for your sessions. This is a warm, safe, confidential and professional space for you
0161 509 6643 View 0161 509 6643
Photo of Rachel Simpson, Psychotherapist, MBACP
Rachel Simpson
Psychotherapist, MBACP
Are you struggling with anxiety, low mood or self esteem? Our work together can help you make sense and get more control of difficult thoughts & feelings, gain confidence and make changes in your life.
Are you struggling with anxiety, low mood or self esteem? Our work together can help you make sense and get more control of difficult thoughts & feelings, gain confidence and make changes in your life.
07500 572602 View 07500 572602
Photo of Sarah Ankamah, Counsellor, MBACP
Sarah Ankamah
Counsellor, MBACP
Online Only
Sometimes the road gets rough, and the things we've always found so easy to do suddenly become overwhelming, that's when we need someone to talk to; Someone to listen and possibly shed a light in the darkness. At the heart of my practice is the belief that every person deserves a safe, compassionate space to be heard, understood, and supported without judgement. My approach is warm and relational integrating evidence-based therapeutic approaches withe empathy, authenticity and respect for my client's unique experiences.I work collaboratively with clients to help them build emotional resilience, develop healthier coping strategies
Sometimes the road gets rough, and the things we've always found so easy to do suddenly become overwhelming, that's when we need someone to talk to; Someone to listen and possibly shed a light in the darkness. At the heart of my practice is the belief that every person deserves a safe, compassionate space to be heard, understood, and supported without judgement. My approach is warm and relational integrating evidence-based therapeutic approaches withe empathy, authenticity and respect for my client's unique experiences.I work collaboratively with clients to help them build emotional resilience, develop healthier coping strategies
0161 694 6465 View 0161 694 6465
Photo of Gavin John Reid, Counsellor, MBACP
Gavin John Reid
Counsellor, MBACP
Many LGBTQ+ people grow up feeling different, misunderstood, unsafe, or emotionally disconnected from themselves. I work with clients exploring issues connected to shame, identity, relationships, anxiety, trauma, self worth, addiction, recovery, and the long term impact of growing up in non affirming environments. Many people come to therapy feeling emotionally exhausted, overwhelmed, stuck in painful patterns, or constantly questioning their own worth and place in the world.
Many LGBTQ+ people grow up feeling different, misunderstood, unsafe, or emotionally disconnected from themselves. I work with clients exploring issues connected to shame, identity, relationships, anxiety, trauma, self worth, addiction, recovery, and the long term impact of growing up in non affirming environments. Many people come to therapy feeling emotionally exhausted, overwhelmed, stuck in painful patterns, or constantly questioning their own worth and place in the world.
07920 064712 View 07920 064712
Photo of James Alastair King, Counsellor, MBACP
James Alastair King
Counsellor, MBACP
Although I regularly work with clients of all ages and genders, the majority of my clients tend to be young men, who have unresolved feelings or experiences which are impacting on their daily lives. I work as an integrative counsellor, from a person-centred perspective. This means that you can bring whatever you wish to the session, while we work at your pace and depth. I employ theory and techniques from CBT, psychodynamic and other therapeutic philosophies which I feel may be useful. Where we start is not the important thing as ultimately, you will naturally discover the things that matter the most to you.
Although I regularly work with clients of all ages and genders, the majority of my clients tend to be young men, who have unresolved feelings or experiences which are impacting on their daily lives. I work as an integrative counsellor, from a person-centred perspective. This means that you can bring whatever you wish to the session, while we work at your pace and depth. I employ theory and techniques from CBT, psychodynamic and other therapeutic philosophies which I feel may be useful. Where we start is not the important thing as ultimately, you will naturally discover the things that matter the most to you.
0161 509 6177 View 0161 509 6177
Photo of Donna Sullivan, Counsellor, MA, MBACP Accred
Donna Sullivan
Counsellor, MA, MBACP Accred
I'm really interested in people - who we are and why we become who we are. In order to understand ourselves it can help to talk about ourselves, our experiences and feelings. I can offer a safe, secure and non judgmental space where you can do this. Together we can work out why you have reached a point in your life that may be causing you problems, or why you may be feeling stuck. I work with people who are overwhelmed by their circumstances or feel anxious and depressed and find it difficult to move forward. Counselling can give you an opportunity to examine how you can change and improve your circumstances.
I'm really interested in people - who we are and why we become who we are. In order to understand ourselves it can help to talk about ourselves, our experiences and feelings. I can offer a safe, secure and non judgmental space where you can do this. Together we can work out why you have reached a point in your life that may be causing you problems, or why you may be feeling stuck. I work with people who are overwhelmed by their circumstances or feel anxious and depressed and find it difficult to move forward. Counselling can give you an opportunity to examine how you can change and improve your circumstances.
0161 519 4753 View 0161 519 4753
Photo of Nicole O'Neill, Psychotherapist, MSc, MBACP
Nicole O'Neill
Psychotherapist, MSc, MBACP
2 Endorsed
I'm a Psychotherapist and Counsellor based in Manchester City Centre, offering both in-person and online sessions to meet you where you are. My approach is client-led and relational, providing a safe, non-judgemental space where you can feel heard, accepted, and supported. I offer a free 15-minute consultation so we can connect, see if we’re a good fit, and ensure my experience aligns with what you’re looking for. Clients often describe me as warm, grounded, and easy to talk to, someone who feels real, not clinical. I aim to create a therapeutic relationship that’s built on honesty, empathy, and authenticity.
I'm a Psychotherapist and Counsellor based in Manchester City Centre, offering both in-person and online sessions to meet you where you are. My approach is client-led and relational, providing a safe, non-judgemental space where you can feel heard, accepted, and supported. I offer a free 15-minute consultation so we can connect, see if we’re a good fit, and ensure my experience aligns with what you’re looking for. Clients often describe me as warm, grounded, and easy to talk to, someone who feels real, not clinical. I aim to create a therapeutic relationship that’s built on honesty, empathy, and authenticity.
07857 753439 View 07857 753439
Photo of Jon Morgan, Psychotherapist, MNCPS Acc.
Jon Morgan
Psychotherapist, MNCPS Acc.
I work in a structured, compassionate and supportive way to help you overcome overwhelming emotions such as anxiety, depression, anger, jealousy, guilt and shame, and find greater clarity and fulfilment. My approach will help you make these complex issues more manageable and we can start to address them bit by bit. I will share insights, offer practical strategies and work with you to access your own inner resources, take action and make real changes in your life.
I work in a structured, compassionate and supportive way to help you overcome overwhelming emotions such as anxiety, depression, anger, jealousy, guilt and shame, and find greater clarity and fulfilment. My approach will help you make these complex issues more manageable and we can start to address them bit by bit. I will share insights, offer practical strategies and work with you to access your own inner resources, take action and make real changes in your life.
0161 524 9414 View 0161 524 9414
Photo of Kazzy Whiting - EMDR & Trauma Therapy • Queer • ADHD & Autism, Psychotherapist, MBABCP
EMDR & Trauma Therapy • Queer • ADHD & Autism
Psychotherapist, MBABCP
Online Only
Hey, I’m Kazzy. I work primarily with women and those in the queer community, many of whom are also autistic, have ADHD or are living with the impact of trauma. People often come to therapy because something no longer feels manageable. It may be that you are feeling stuck, overwhelmed, anxious or disconnected from yourself. You may find yourself caught in painful patterns of shame, self-criticism, people-pleasing or difficult relationships, without really understanding why. Without an explanation, many of us begin to feel as though there is something inherently wrong with us.
Hey, I’m Kazzy. I work primarily with women and those in the queer community, many of whom are also autistic, have ADHD or are living with the impact of trauma. People often come to therapy because something no longer feels manageable. It may be that you are feeling stuck, overwhelmed, anxious or disconnected from yourself. You may find yourself caught in painful patterns of shame, self-criticism, people-pleasing or difficult relationships, without really understanding why. Without an explanation, many of us begin to feel as though there is something inherently wrong with us.
0161 524 8710 View 0161 524 8710
Photo of Tom Godfrey, Psychotherapist, MSc, MBABCP
Tom Godfrey
Psychotherapist, MSc, MBABCP
Let’s take the ‘wait’ out of therapy at a time when life feels heavy… My ideal client feels stuck in patterns of worry, fear, or self-doubt that they haven’t been able to shift on their own. They may struggle with anxiety, panic, OCD, depression, trauma or perfectionism. Often seeking relief, clarity and freedom to live without being held back by their thoughts. Their goals are often to feel more in control, reconnect with what matters, and build lasting resilience. My role is to provide practical, evidence-based tools and supportive guidance to help break free from unhelpful cycles and create lasting change.
Let’s take the ‘wait’ out of therapy at a time when life feels heavy… My ideal client feels stuck in patterns of worry, fear, or self-doubt that they haven’t been able to shift on their own. They may struggle with anxiety, panic, OCD, depression, trauma or perfectionism. Often seeking relief, clarity and freedom to live without being held back by their thoughts. Their goals are often to feel more in control, reconnect with what matters, and build lasting resilience. My role is to provide practical, evidence-based tools and supportive guidance to help break free from unhelpful cycles and create lasting change.
0161 524 3825 View 0161 524 3825
Photo of Darren Good, Psychotherapist, MBACP
Darren Good
Psychotherapist, MBACP
What might be possible if you accepted every part of yourself, even those you hide from the world? Modern life can be challenging, with its demands, expectations and technology, but self-discovery can lead to learning, growth and a greater sense of ease. I can be your calm companion as you explore the areas of life that need attention, helping you connect with others and feel more belonging. My approach is person-centred and acknowledges how childhood experiences shape our adulthood, so that therapy will partly involve coming to terms with the past and how it affects the present.
What might be possible if you accepted every part of yourself, even those you hide from the world? Modern life can be challenging, with its demands, expectations and technology, but self-discovery can lead to learning, growth and a greater sense of ease. I can be your calm companion as you explore the areas of life that need attention, helping you connect with others and feel more belonging. My approach is person-centred and acknowledges how childhood experiences shape our adulthood, so that therapy will partly involve coming to terms with the past and how it affects the present.
0161 524 3376 View 0161 524 3376
Photo of Srab Der - Transformative Healing , Counsellor, MBACP
Transformative Healing
Counsellor, MBACP
Hi there, my name is Srab and thank you for visiting my page. Is life frustrating and getting you down? Are you experiencing frequent burn out, stress, worry, anxiety, depression and confusion? Do you feel stuck in your work, relationship or marriage? Do you find yourself repeating self-destructive addictive behaviours to alcohol, drugs, food or gambling? Maybe your relationships have become damaged or broken and now there is a breakdown of trust. Are you finding hard to cope with a divorce, loss of employment, bereavement or illness? If so, you have found the right page. I am here to help you
Hi there, my name is Srab and thank you for visiting my page. Is life frustrating and getting you down? Are you experiencing frequent burn out, stress, worry, anxiety, depression and confusion? Do you feel stuck in your work, relationship or marriage? Do you find yourself repeating self-destructive addictive behaviours to alcohol, drugs, food or gambling? Maybe your relationships have become damaged or broken and now there is a breakdown of trust. Are you finding hard to cope with a divorce, loss of employment, bereavement or illness? If so, you have found the right page. I am here to help you
0161 850 4235 View 0161 850 4235

See more therapy options for Manchester

How does your Counsellor compare?

Number of Counsellors in Manchester

1,000+

Average cost per session

£65

Counsellors in Manchester who prioritize treating:

91% Anxiety
85% Depression
83% Self Esteem
78% Stress
76% Relationship Issues
68% Trauma and PTSD
68% Complex PTSD

Average years in practice

9 Years

Top 3 insurances accepted

68% Aviva
59% AXA PPP
54% Bupa

How Counsellors in Manchester see their clients

65% In Person and Online
35% Online Only

Gender breakdown

70% Female
28% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Manchester?

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.