Counselling in High Peak

Photo of Cath Townley, Psychotherapist in High Peak, England
Cath Townley
Psychotherapist, DCounsPsych, MBABCP
Verified Verified
1 Endorsed
High Peak SK22
I am a qualified and experienced counsellor/psychotherapist based in New Mills, High Peak. I offer weekday appointments. If you are finding some aspects of life to be difficult, I can work with you to make life more enjoyable. Sometimes it is not the obvious content of a therapy session which brings about change or growth, but the relational process of having a safe supportive counselling relationship which can help you to gain freedom from your fears and anxieties. The relationship I build with my clients empowers positive change. I also provide training to organisations and clinical supervision to other counsellors and trainees.
I am a qualified and experienced counsellor/psychotherapist based in New Mills, High Peak. I offer weekday appointments. If you are finding some aspects of life to be difficult, I can work with you to make life more enjoyable. Sometimes it is not the obvious content of a therapy session which brings about change or growth, but the relational process of having a safe supportive counselling relationship which can help you to gain freedom from your fears and anxieties. The relationship I build with my clients empowers positive change. I also provide training to organisations and clinical supervision to other counsellors and trainees.
01663 798327 View 01663 798327
Photo of Rionach Casey, Psychotherapist in High Peak, England
Rionach Casey
Psychotherapist, MSc, MUKCP
Verified Verified
High Peak SK22
Hello and a warm welcome to you. You may have been struggling with an emotional problem for many years or be feeling stressed, anxious or generally overwhelmed. It is important that you feel comfortable enough to talk through your difficulties with the right person. I am a Person-Centred psychotherapist and supervisor supporting adults, young people and children, including with anxiety, depression, self-esteem, loss, grief, trauma and abuse and relationship issues. My aim is to create a safe and supportive counselling environment that allows us to explore your concerns and enables you to work towards positive change.
Hello and a warm welcome to you. You may have been struggling with an emotional problem for many years or be feeling stressed, anxious or generally overwhelmed. It is important that you feel comfortable enough to talk through your difficulties with the right person. I am a Person-Centred psychotherapist and supervisor supporting adults, young people and children, including with anxiety, depression, self-esteem, loss, grief, trauma and abuse and relationship issues. My aim is to create a safe and supportive counselling environment that allows us to explore your concerns and enables you to work towards positive change.
01663 790769 View 01663 790769
Photo of Anya Zinkivskay, Counsellor in High Peak, England
Anya Zinkivskay
Counsellor, MRes, MBACP
Verified Verified
1 Endorsed
High Peak SK22
As private practice and NHS practitioner, with a 20-year background in neuropsychology, I structure therapy around the needs of my clients. Using Trauma-informed practice I employ Evidence-based techniques such as CBT, ERP and EMDR, in conjunction with psychoeducation. Client-Centred approach is central to my therapeutic aim of deepening self-awareness and offering clients a proactive involvement in their therapeutic process. My private practice is in New Mills, Derbyshire and virtually on Zoom. Where, in a confidential, safe and empathic environment I have been supporting clients from across the UK and Europe.
As private practice and NHS practitioner, with a 20-year background in neuropsychology, I structure therapy around the needs of my clients. Using Trauma-informed practice I employ Evidence-based techniques such as CBT, ERP and EMDR, in conjunction with psychoeducation. Client-Centred approach is central to my therapeutic aim of deepening self-awareness and offering clients a proactive involvement in their therapeutic process. My private practice is in New Mills, Derbyshire and virtually on Zoom. Where, in a confidential, safe and empathic environment I have been supporting clients from across the UK and Europe.
01663 790112 View 01663 790112
Photo of Mark Addis CBT Peaks and Dales , Psychotherapist in High Peak, England
Mark Addis CBT Peaks and Dales
Psychotherapist, MSc, MBABCP
Verified Verified
High Peak SK22
CBT Peak and Dales is a specific CBT treatment clinic based in the Peak District in Derbyshire. I offer online and face-to-face treatment options for adults 18-65 years. Referrals may be via your GP, other health professionals, health insurance providers, or self referral.
CBT Peak and Dales is a specific CBT treatment clinic based in the Peak District in Derbyshire. I offer online and face-to-face treatment options for adults 18-65 years. Referrals may be via your GP, other health professionals, health insurance providers, or self referral.
01663 790301 View 01663 790301
Photo of Jessica Terry, Counsellor in High Peak, England
Jessica Terry
Counsellor, MBACP
Verified Verified
High Peak SK22
With so many demands on your time, it’s easy to find yourself at the bottom of your priority list. There’s always something or someone that needs your attention, so the idea of self-care may seem like an indulgence that you just don’t have time for.  I find that life has a way of making us stop and listen, whether that be through a physical or mental health concern, family or relationship difficulty, problems at work or a major life event. I'm here to help you through these challenges. In our sessions, I will help you to explore what’s going on emotionally so that you can find out what’s lying underneath any uncomfortable feelings.
With so many demands on your time, it’s easy to find yourself at the bottom of your priority list. There’s always something or someone that needs your attention, so the idea of self-care may seem like an indulgence that you just don’t have time for.  I find that life has a way of making us stop and listen, whether that be through a physical or mental health concern, family or relationship difficulty, problems at work or a major life event. I'm here to help you through these challenges. In our sessions, I will help you to explore what’s going on emotionally so that you can find out what’s lying underneath any uncomfortable feelings.
0161 524 3957 View 0161 524 3957
Photo of Dawn Pierce, Counsellor in High Peak, England
Dawn Pierce
Counsellor, MNCPS Acc.
Verified Verified
High Peak SK22
I am a Person Centred Counsellor with a pluralistic stance to how I work with clients. This means that I aim to work collaboratively with all clients young & old. I do this by being flexible and adapting my approach in a way that meets clients needs and preferred ways of working. I believe that there are many valid ways of working in therapy and value my clients thoughts about what is most helpful for them.
I am a Person Centred Counsellor with a pluralistic stance to how I work with clients. This means that I aim to work collaboratively with all clients young & old. I do this by being flexible and adapting my approach in a way that meets clients needs and preferred ways of working. I believe that there are many valid ways of working in therapy and value my clients thoughts about what is most helpful for them.
01457 600872 View 01457 600872
Photo of Stu Roberts, Counsellor in High Peak, England
Stu Roberts
Counsellor, DCounsPsych, MBACP
Verified Verified
High Peak SK22
I'm Stu, the counsellor and founder SJR Therapy. I am passionate about mental health and firmly believe that counselling can change a persons life. I have a wealth of experience in lots of different areas - I worked in education for a number of years, as a counsellor and mentor to teaching staff and students and worked in the financial service industry before changing careers to counselling and psychotherapy. Having struggled with poor mental health myself and receiving therapy as a result, I can totally understand the nerves and anxiety that you may have before you embark on your therapeutic journey but you have nothing to fear.
I'm Stu, the counsellor and founder SJR Therapy. I am passionate about mental health and firmly believe that counselling can change a persons life. I have a wealth of experience in lots of different areas - I worked in education for a number of years, as a counsellor and mentor to teaching staff and students and worked in the financial service industry before changing careers to counselling and psychotherapy. Having struggled with poor mental health myself and receiving therapy as a result, I can totally understand the nerves and anxiety that you may have before you embark on your therapeutic journey but you have nothing to fear.
01457 600890 View 01457 600890
Photo of Sally Eccleston, Psychologist in High Peak, England
Sally Eccleston
Psychologist, PhD, HCPC - Ed. Psych.
Verified Verified
High Peak SK23
Welcome! My name is Dr. Sally Eccleston and I’m a registered psychologist specialising in a somatic approach to therapy, who works with adults, children, families and schools. I can help you or your child if you are experiencing anxiety and stress, or fear, anger, shutdown or PTSD as a result of trauma. My approach is unique as I offer therapeutic work combining my training in psychology and yoga which is very bespoke to each individual. If you are looking for sessions which combine body orientated therapeutic support with positive psychology and solution focused work, please do reach out for a chat.
Welcome! My name is Dr. Sally Eccleston and I’m a registered psychologist specialising in a somatic approach to therapy, who works with adults, children, families and schools. I can help you or your child if you are experiencing anxiety and stress, or fear, anger, shutdown or PTSD as a result of trauma. My approach is unique as I offer therapeutic work combining my training in psychology and yoga which is very bespoke to each individual. If you are looking for sessions which combine body orientated therapeutic support with positive psychology and solution focused work, please do reach out for a chat.
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Les Best Counselling
Counsellor, MBACP
Verified Verified
High Peak SK22
01663 790711 View 01663 790711

More Therapists Nearby

Photo of Via Vitae Counselling Services, Counsellor in High Peak, England
Via Vitae Counselling Services
Counsellor, BACP
Verified Verified
Glossop SK13  (Online Only)
Are you looking to change your major relationships, or your job? Do you want to improve your self-esteem or are seeking the confidence to rebuild yourself after a traumatic event? Change takes time, but you don't have to do it alone. I take an individual approach, and appreciate that everyone is different with different needs. I will work with you, allowing you to have control over your therapy, and I will encourage you to have a voice. If you are willing to make the most of what you learn about yourself then you are more likely to make progress that lasts and changes your life for the better. Supervision is available too.
Are you looking to change your major relationships, or your job? Do you want to improve your self-esteem or are seeking the confidence to rebuild yourself after a traumatic event? Change takes time, but you don't have to do it alone. I take an individual approach, and appreciate that everyone is different with different needs. I will work with you, allowing you to have control over your therapy, and I will encourage you to have a voice. If you are willing to make the most of what you learn about yourself then you are more likely to make progress that lasts and changes your life for the better. Supervision is available too.
01457 607256 View 01457 607256
Photo of Sandra Marston, Counsellor in High Peak, England
Sandra Marston
Counsellor, MBACP
Verified Verified
Stockport SK1
Hello I am wondering if you are finding life a bit tough right now. Maybe you are feeling anxious and worried about the future. People I work with often feel that life is getting on top of them, they are not living the life they want - they have lost confidence, sometimes feeling afraid, frustrated, lonely - experiencing a range of emotions that feel difficult to understand and work through. I can help you deal with those big and small ups and downs in life. Feelings of panic, anxiety and stress Perhaps a relationship issue is causing you some concern. Together we can find ways to help you deal with these feelings and emotions
Hello I am wondering if you are finding life a bit tough right now. Maybe you are feeling anxious and worried about the future. People I work with often feel that life is getting on top of them, they are not living the life they want - they have lost confidence, sometimes feeling afraid, frustrated, lonely - experiencing a range of emotions that feel difficult to understand and work through. I can help you deal with those big and small ups and downs in life. Feelings of panic, anxiety and stress Perhaps a relationship issue is causing you some concern. Together we can find ways to help you deal with these feelings and emotions
01625 704007 View 01625 704007
Photo of Amanda Fryer, Counsellor in High Peak, England
Amanda Fryer
Counsellor, MBACP
Verified Verified
1 Endorsed
Broadbottom SK14
As an integrative counselor, I am friendly and use various techniques like Adlerian therapy, art therapy, behavioral therapy, creative therapy and many more. I work in a varied way allowing you to go at your own pace as smoothly as possible. My office is mobile and it's a place which is easily accessible from most areas. I can help you with any of the following: anxiety, depression; grief and bereavement; childhood inherited trauma; coercive control; relationships; and self-development. Anger, inner emotions, and care of self I have lots of training in trauma, and development. Each week is different. let's focus on you!
As an integrative counselor, I am friendly and use various techniques like Adlerian therapy, art therapy, behavioral therapy, creative therapy and many more. I work in a varied way allowing you to go at your own pace as smoothly as possible. My office is mobile and it's a place which is easily accessible from most areas. I can help you with any of the following: anxiety, depression; grief and bereavement; childhood inherited trauma; coercive control; relationships; and self-development. Anger, inner emotions, and care of self I have lots of training in trauma, and development. Each week is different. let's focus on you!
01253 835852 View 01253 835852
Photo of Helen Joy Green, Counsellor in High Peak, England
Helen Joy Green
Counsellor, DCounsPsych, MBACP
Verified Verified
Buxton DE6
Hello and welcome, We all deserve a helping hand. Someone to lead us through the dark times. I believe I can offer this, by sharing my 16 years of practice, which has provided me with a vast experience/knowledge of working with adults, couples and young people. My passion is in the belief that we have the ability to grow and reach our potential. I work with compassion, genuineness and have a real passion for the effectiveness of the counselling process. I am a highly a sensitive person which helps me to empathise with others deeply. I value indifference and work in a non judgemental way.
Hello and welcome, We all deserve a helping hand. Someone to lead us through the dark times. I believe I can offer this, by sharing my 16 years of practice, which has provided me with a vast experience/knowledge of working with adults, couples and young people. My passion is in the belief that we have the ability to grow and reach our potential. I work with compassion, genuineness and have a real passion for the effectiveness of the counselling process. I am a highly a sensitive person which helps me to empathise with others deeply. I value indifference and work in a non judgemental way.
01782 983552 View 01782 983552
Photo of Amy Walton, Psychotherapist in High Peak, England
Amy Walton
Psychotherapist, MSc, MBACP Accred
Verified Verified
2 Endorsed
Buxton SK17  (Online Only)
Modern life has become complex and ever-changing. It can leave you feeling unsatisfied or in distress without really knowing why. Things may just not feel right, or you may be battling an issue that you have been experiencing for years. You may have turned to ways of coping that you would like to change or explore. Counselling provides a safe space for you to unravel your thoughts and make sense of your world. I believe you are the expert of your experience; I will listen and assist you in exploring and understanding your world. Together we will work towards enabling you to live a life in line with your values and needs.
Modern life has become complex and ever-changing. It can leave you feeling unsatisfied or in distress without really knowing why. Things may just not feel right, or you may be battling an issue that you have been experiencing for years. You may have turned to ways of coping that you would like to change or explore. Counselling provides a safe space for you to unravel your thoughts and make sense of your world. I believe you are the expert of your experience; I will listen and assist you in exploring and understanding your world. Together we will work towards enabling you to live a life in line with your values and needs.
01298 608992 View 01298 608992
Photo of Marie Brockley, Counsellor in High Peak, England
Marie Brockley
Counsellor, MA, BACP
Verified Verified
Macclesfield SK10
How to explain what counselling is... If you're holding a cup of coffee and somebody accidentally bumps into you, you will most likely spill a drop or two, or depending on the bump impact a few spoonfuls or more. If there had been tea or something else in your cup, the result would be the same. Your emotions and feelings are like the coffee, because sometimes when life comes along and shakes you (which will happen to us all) whatever is inside your cup will spill out. Sometimes life can be easier until you get bumped.....but then you may need somebody to talk to, this is where counselling can help.
How to explain what counselling is... If you're holding a cup of coffee and somebody accidentally bumps into you, you will most likely spill a drop or two, or depending on the bump impact a few spoonfuls or more. If there had been tea or something else in your cup, the result would be the same. Your emotions and feelings are like the coffee, because sometimes when life comes along and shakes you (which will happen to us all) whatever is inside your cup will spill out. Sometimes life can be easier until you get bumped.....but then you may need somebody to talk to, this is where counselling can help.
01538 712372 View 01538 712372
Photo of Jennifer @Need2Talk2Someone Counselling Services, Psychologist in High Peak, England
Jennifer @Need2Talk2Someone Counselling Services
Psychologist, MSc, GMBPsS
Verified Verified
1 Endorsed
Buxton SK17
Are you noticing difficulties with work-life balance, abusing alcohol, cigarettes, or food, not caring or caring too much, avoiding or wondering what everyone else thinks? Support is available when these traits come into play, especially when stressed as negative self-sabotage coping strategies kick in. I support people with anxiety, anger, parenting, work and life relationships and more. Make time to find the source and motivation for your thoughts feelings and behaviours and together we can make a difference in your life.
Are you noticing difficulties with work-life balance, abusing alcohol, cigarettes, or food, not caring or caring too much, avoiding or wondering what everyone else thinks? Support is available when these traits come into play, especially when stressed as negative self-sabotage coping strategies kick in. I support people with anxiety, anger, parenting, work and life relationships and more. Make time to find the source and motivation for your thoughts feelings and behaviours and together we can make a difference in your life.
01538 712566 View 01538 712566
Photo of Anne Therapy Services, Counsellor in High Peak, England
Anne Therapy Services
Counsellor, MA, MBACP
Verified Verified
Buxton SK17  (Online Only)
Hi, I have been a counsellor for 24 yrs and supervisor for 14 yrs, working with adults and young people. My focus is very much on the client's needs and working at your pace, in a caring and safe way, looking at a wide range of short term, on-going and/or long term issues around trauma, stress, anxiety, phobias etc. which can affect your everyday life. I am also an Accredited Certified EFT Practitioner, which is known as a tapping tool, that can help you to overcome and let go of negative beliefs, emotions and thought patterns, and reduce anxiety that allows you to feel more relaxed and able to cope with every day life.
Hi, I have been a counsellor for 24 yrs and supervisor for 14 yrs, working with adults and young people. My focus is very much on the client's needs and working at your pace, in a caring and safe way, looking at a wide range of short term, on-going and/or long term issues around trauma, stress, anxiety, phobias etc. which can affect your everyday life. I am also an Accredited Certified EFT Practitioner, which is known as a tapping tool, that can help you to overcome and let go of negative beliefs, emotions and thought patterns, and reduce anxiety that allows you to feel more relaxed and able to cope with every day life.
0161 696 8429 View 0161 696 8429
Photo of Amanda E Smith, Psychotherapist in High Peak, England
Amanda E Smith
Psychotherapist, MBBS, COSRT Accred
Verified Verified
Buxton SK17
A fulfilling sex life is an important part of healthy human life & relationships. However many have difficulties at some time in life. Examples of contributing factors include relationship problems, stress, anxiety, depression, bereavement, illness, disability & medication. I aim to put clients at ease and work at my clients' pace so they don't feel rushed or pressured. You can contact me by email, phone or text. I offer a free 10 min phone chat for anyone considering an appointment, to discuss what you'd like to get out of sessions & help you to decide if I'm the right therapist for you. Sessions are typically weekly/fortnightly
A fulfilling sex life is an important part of healthy human life & relationships. However many have difficulties at some time in life. Examples of contributing factors include relationship problems, stress, anxiety, depression, bereavement, illness, disability & medication. I aim to put clients at ease and work at my clients' pace so they don't feel rushed or pressured. You can contact me by email, phone or text. I offer a free 10 min phone chat for anyone considering an appointment, to discuss what you'd like to get out of sessions & help you to decide if I'm the right therapist for you. Sessions are typically weekly/fortnightly
01246 925937 View 01246 925937
Photo of Therapy with Rick, Psychotherapist in High Peak, England
Therapy with Rick
Psychotherapist, MBACP
Verified Verified
Buxton SK17  (Online Only)
Hello and welcome. I'm Rick and my outlook towards therapy is uncomplicated: We explore your past to understand your present to make way for a better future. Together, we'll untangle the complications of your history, straighten your story and encourage your self discovery. We go from arrested development to healthy living. We heal beyond our history. I work in what’s called a psychodynamic way: Psycho - Mind. Dynamic - Movement. We do some movement of the mind….
Hello and welcome. I'm Rick and my outlook towards therapy is uncomplicated: We explore your past to understand your present to make way for a better future. Together, we'll untangle the complications of your history, straighten your story and encourage your self discovery. We go from arrested development to healthy living. We heal beyond our history. I work in what’s called a psychodynamic way: Psycho - Mind. Dynamic - Movement. We do some movement of the mind….
01538 710736 View 01538 710736
Photo of Linda Szekely, Psychotherapist in High Peak, England
Linda Szekely
Psychotherapist, MSc, MBACP
Verified Verified
Macclesfield SK10
Hello. My name is Linda and I am a qualified supervisor and Psychotherapist. I understand how hard it is to reach out for help, but through support and guidance things can change. If you are struggling to come to terms with something, or feel stressed, anxious, or feel like you are facing a challenge that you need support with, then please do get in touch. I have over 10 years’ experience of working with children, teenagers, and adults, with a variety of difficulties.
Hello. My name is Linda and I am a qualified supervisor and Psychotherapist. I understand how hard it is to reach out for help, but through support and guidance things can change. If you are struggling to come to terms with something, or feel stressed, anxious, or feel like you are facing a challenge that you need support with, then please do get in touch. I have over 10 years’ experience of working with children, teenagers, and adults, with a variety of difficulties.
07588 737932 View 07588 737932

See more therapy options for High Peak

How does your Counsellor compare?

Number of Counsellors in High Peak

< 10

Counsellors in High Peak who prioritize treating:

89% Anxiety
78% Depression
78% Trauma and PTSD
67% Relationship Issues
67% Bereavement
67% Self-Harming
56% ADHD

Average years in practice

8 Years

Top 3 insurances accepted

100% Any/Out-of-network Insurance
67% Bupa
33% Aetna

How Counsellors in High Peak see their clients

100% In Person and Online

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counselling

How can I find a therapist in High Peak?

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.