Counselling in Ottery Saint Mary

Photo of louise Riley, Psychotherapist, MA
louise Riley
Psychotherapist, MA
Verified Verified
My name is Louise and I’m a qualified Private practitioner holding a Masters Degree in Dance Movement Psychotherapy (DMP) and Internal Family Systems Level one trained. I specialise in working with children and adults with Anxiety and anxiety related issues, medically unexplained symptoms (MUS), Trauma, Low self esteem and confidence, Loss, Attachment, Dementia, Alzheimer’s and Parkinson’s disease. I’m a member of ADMP (Association of dance movement psychotherapy) whose guidelines I follow.
My name is Louise and I’m a qualified Private practitioner holding a Masters Degree in Dance Movement Psychotherapy (DMP) and Internal Family Systems Level one trained. I specialise in working with children and adults with Anxiety and anxiety related issues, medically unexplained symptoms (MUS), Trauma, Low self esteem and confidence, Loss, Attachment, Dementia, Alzheimer’s and Parkinson’s disease. I’m a member of ADMP (Association of dance movement psychotherapy) whose guidelines I follow.
01404 519470 View 01404 519470
Photo of Oliver Jenkin, Counsellor, MNCPS Acc.
Oliver Jenkin
Counsellor, MNCPS Acc.
Verified Verified
Serves Area
I have experience of supporting individuals with a range of different issues, including anxiety, low mood, work-related stress and living with long-term illness amongst others. I work with adults of all ages and in all stages of life. While I use a blend of different approaches, the core of my work is to treat everything you bring to counselling as valid and important, to support you to see your situation more clearly and make positive changes to your situation.
I have experience of supporting individuals with a range of different issues, including anxiety, low mood, work-related stress and living with long-term illness amongst others. I work with adults of all ages and in all stages of life. While I use a blend of different approaches, the core of my work is to treat everything you bring to counselling as valid and important, to support you to see your situation more clearly and make positive changes to your situation.
01395 204763 View 01395 204763
Photo of Tina Welch - Tina Welch Counselling & Psychotherapy, Counsellor, MBACP
Tina Welch Counselling & Psychotherapy
Counsellor, MBACP
Verified Verified
1 Endorsed
Serves Area
With over 25yrs experience as a counsellor/psychotherapist, I have been very privileged to witness many individuals, couples and families make lasting positive changes. I feel very passionate about my work & deeply commit to offering a sincere, caring, confidential & professional space, either online or in my practice rooms at Honiton & Exeter. I believe in working with diversity, each unique person with me is at the core of the work we do together. I aim to understand with true empathy, listen without judgement and to use my skills to help you find a way forward that is right for you, without fear of rejection, criticism or blame.
With over 25yrs experience as a counsellor/psychotherapist, I have been very privileged to witness many individuals, couples and families make lasting positive changes. I feel very passionate about my work & deeply commit to offering a sincere, caring, confidential & professional space, either online or in my practice rooms at Honiton & Exeter. I believe in working with diversity, each unique person with me is at the core of the work we do together. I aim to understand with true empathy, listen without judgement and to use my skills to help you find a way forward that is right for you, without fear of rejection, criticism or blame.
01404 515531 View 01404 515531
Photo of Hannah Duncan, Counsellor, MBACP Accred
Hannah Duncan
Counsellor, MBACP Accred
Verified Verified
1 Endorsed
Serves Area
Waitlist for new clients
Good therapy is about change: changing reactions, behaviours, a difficult aspect of self, challenging attitudes/beliefs about yourself or your story. I love working with clients who are prepared to jump in, take risks and seek solutions - this is the way to ensure real change. I will jump in and risk too. I value being human and involved in the therapy and am also practically minded and view the best wisdom as something that can directly be applied to life. A supervisee recently described me as "real, relational, ordinary, practical and not floaty/wispy". I like to incorporate psychoeducation and relevant theoretical information.
Good therapy is about change: changing reactions, behaviours, a difficult aspect of self, challenging attitudes/beliefs about yourself or your story. I love working with clients who are prepared to jump in, take risks and seek solutions - this is the way to ensure real change. I will jump in and risk too. I value being human and involved in the therapy and am also practically minded and view the best wisdom as something that can directly be applied to life. A supervisee recently described me as "real, relational, ordinary, practical and not floaty/wispy". I like to incorporate psychoeducation and relevant theoretical information.
07481 341671 View 07481 341671
Photo of Toni Wickens - Talk With TJ, Counsellor, MBACP
Talk With TJ
Counsellor, MBACP
Verified Verified
Online Only
Ever considered having a biker as your counsellor? My aim is to recreate the supportive environment one would get around a campfire with the added calmness of a cruise in the countryside. Lets take a journey together. I am down to earth and human. Sometimes throttle therapy doesn't work and we need a little extra support. 
Ever considered having a biker as your counsellor? My aim is to recreate the supportive environment one would get around a campfire with the added calmness of a cruise in the countryside. Lets take a journey together. I am down to earth and human. Sometimes throttle therapy doesn't work and we need a little extra support. 
01392 321974 View 01392 321974
Photo of Linda Macaulay, Counsellor, MBACP
Linda Macaulay
Counsellor, MBACP
Verified Verified
Serves Area
As a very experienced Counsellor (qualified 1998) and Physical Therapist (Pilates Instructor qualified 1984) I have an innate interest in and deep respect for people. My mission has been to support and work with my clients in assisting them in achieving their healing and wellness. Often it helps to be listened to and it is important to understand why things are the way they are. Perhaps you feel "stuck"and are at a loss to know how to deal with a difficult situation - or it may be that you are having difficulties in relationships with other people.
As a very experienced Counsellor (qualified 1998) and Physical Therapist (Pilates Instructor qualified 1984) I have an innate interest in and deep respect for people. My mission has been to support and work with my clients in assisting them in achieving their healing and wellness. Often it helps to be listened to and it is important to understand why things are the way they are. Perhaps you feel "stuck"and are at a loss to know how to deal with a difficult situation - or it may be that you are having difficulties in relationships with other people.
07445 343049 View 07445 343049
Photo of Ruth Adelaide Elizabeth Mathers - Ruth Mathers - Fellow Traveller Therapy, Counsellor, BACP
Ruth Mathers - Fellow Traveller Therapy
Counsellor, BACP
Verified Verified
Serves Area
I believe that counselling cannot be 'one size fits all '. Everyone is unique, and while people may have similar experiences, no one else has lived your exact life. As an integrative counsellor, I will tailor our sessions to your needs and goals. I understand that not everyone comes to counselling because they want to. Sometimes, it can feel like a last resort or a step taken with hesitation. Reaching out for support can be daunting, and facing the challenges that bring you here takes immense courage. This is a non-judgmental space where you can feel safe to explore at your own pace.
I believe that counselling cannot be 'one size fits all '. Everyone is unique, and while people may have similar experiences, no one else has lived your exact life. As an integrative counsellor, I will tailor our sessions to your needs and goals. I understand that not everyone comes to counselling because they want to. Sometimes, it can feel like a last resort or a step taken with hesitation. Reaching out for support can be daunting, and facing the challenges that bring you here takes immense courage. This is a non-judgmental space where you can feel safe to explore at your own pace.
01572 491317 View 01572 491317

More Therapists Nearby

Photo of Steph Pickerill, Psychotherapist, MA, UKCP Trainee
Steph Pickerill
Psychotherapist, MA, UKCP Trainee
Verified Verified
Torquay TQ2
I offer support and understanding to people struggling in all sorts of ways. I work with people experiencing stress, loss, depression, anxiety, and the impact of mental health on day-to-day life. Including relationship problems, destructive behaviour patterns, intrusive thoughts and feelings of being blocked, off balance or held back. I work deeply and gently with difficulty and emotional pain while allowing for the growth that suffering can bring us. I believe that therapy should empower you to support your own healing.
I offer support and understanding to people struggling in all sorts of ways. I work with people experiencing stress, loss, depression, anxiety, and the impact of mental health on day-to-day life. Including relationship problems, destructive behaviour patterns, intrusive thoughts and feelings of being blocked, off balance or held back. I work deeply and gently with difficulty and emotional pain while allowing for the growth that suffering can bring us. I believe that therapy should empower you to support your own healing.
01803 308945 View 01803 308945
Photo of Victoria Clare Lumby, Counsellor, MBACP
Victoria Clare Lumby
Counsellor, MBACP
Verified Verified
There are so many reasons why you might be looking for a counsellor/therapist; these could be depression, anxiety, sadness, relationships, past abuse, low self-esteem, bereavement and loss etc and now the effects of Covid 19. Sometimes you just need a neutral place to think; someone to listen and help you make sense of what's going on and enable you to make the changes you want and need. I'm a counsellor it's what I do. I offer a compassionate non-judgemental place where you will be safe to speak. In our first appointment I will listen to what you bring and we can then decide together how to move forward together.
There are so many reasons why you might be looking for a counsellor/therapist; these could be depression, anxiety, sadness, relationships, past abuse, low self-esteem, bereavement and loss etc and now the effects of Covid 19. Sometimes you just need a neutral place to think; someone to listen and help you make sense of what's going on and enable you to make the changes you want and need. I'm a counsellor it's what I do. I offer a compassionate non-judgemental place where you will be safe to speak. In our first appointment I will listen to what you bring and we can then decide together how to move forward together.
01952 984159 View 01952 984159
Photo of David Trussler, Psychotherapist, MSc, MBACP
David Trussler
Psychotherapist, MSc, MBACP
Verified Verified
In my work as a Psychodynamic Psychotherapist, I help adults who are experiencing considerable difficulties with their thoughts and feelings about themselves and in their relationships with others - particularly with partners, family and at work. These difficulties are often associated with a variety of psychological problems and negatively affect mental health, sometimes severely. Persistent poor mental health and relationship issues are often rooted in problems with caregiving experienced as an infant, child and teenager.
In my work as a Psychodynamic Psychotherapist, I help adults who are experiencing considerable difficulties with their thoughts and feelings about themselves and in their relationships with others - particularly with partners, family and at work. These difficulties are often associated with a variety of psychological problems and negatively affect mental health, sometimes severely. Persistent poor mental health and relationship issues are often rooted in problems with caregiving experienced as an infant, child and teenager.
01392 321871 View 01392 321871
Photo of Bella Law, Counsellor, MNCPS Acc.
Bella Law
Counsellor, MNCPS Acc.
Verified Verified
The world seems to be an extremely chaotic and overwhelming place. Clients are telling me they feel 'out of control' in many aspects of their lives, a world in which they can’t understand the feelings that are merging, so many losses, readjustments and uncertainty. Like never before life is changing; it is hardly surprising our well-formed strategies that have previously worked so well no longer have the same positive effect. This can throw us ‘off course’ and can have a major unsettling impact on our lives and relationships. Counselling can help us to see things from a different perspective and helps to discover new strategies.
The world seems to be an extremely chaotic and overwhelming place. Clients are telling me they feel 'out of control' in many aspects of their lives, a world in which they can’t understand the feelings that are merging, so many losses, readjustments and uncertainty. Like never before life is changing; it is hardly surprising our well-formed strategies that have previously worked so well no longer have the same positive effect. This can throw us ‘off course’ and can have a major unsettling impact on our lives and relationships. Counselling can help us to see things from a different perspective and helps to discover new strategies.
01297 303952 View 01297 303952
Photo of Vanessa Johnson - Vanessa Johnson Therapy, Counsellor, MSc, MBACP
Vanessa Johnson Therapy
Counsellor, MSc, MBACP
Verified Verified
Exeter EX1
Life can be overwhelming, but you don’t have to face it alone. I’m here to offer a safe, comfortable confidential space where you can explore your feelings without judgment. Reaching out can be daunting, but I aim to make the process as easy and supportive as possible. Together, we’ll work toward your therapy goals, with trust, openness, and even a bit of humour—therapy doesn’t always have to be serious! I specialize in helping with relationship issues, domestic abuse, trauma, and sexual abuse (both childhood and adult).
Life can be overwhelming, but you don’t have to face it alone. I’m here to offer a safe, comfortable confidential space where you can explore your feelings without judgment. Reaching out can be daunting, but I aim to make the process as easy and supportive as possible. Together, we’ll work toward your therapy goals, with trust, openness, and even a bit of humour—therapy doesn’t always have to be serious! I specialize in helping with relationship issues, domestic abuse, trauma, and sexual abuse (both childhood and adult).
01392 321305 View 01392 321305
Photo of Claudia Denington, Counsellor, BACP
Claudia Denington
Counsellor, BACP
Verified Verified
1 Endorsed
Ashburton TQ13
I have lots of experience working with relationship issues, self-esteem issues, anxiety, depression, stress, trauma, sexual abuse and work related issues. For many people who come to see me, they are looking for a supportive space during times of overwhelm, or want to work through areas of life which feel challenging. For some, the goal may be simply feeling better, for others we might work towards a more specific goal. Usually sessions will be held on a weekly basis during the same time slot each week. I integrate a range of different psychotherapeutic approaches subject to your needs.
I have lots of experience working with relationship issues, self-esteem issues, anxiety, depression, stress, trauma, sexual abuse and work related issues. For many people who come to see me, they are looking for a supportive space during times of overwhelm, or want to work through areas of life which feel challenging. For some, the goal may be simply feeling better, for others we might work towards a more specific goal. Usually sessions will be held on a weekly basis during the same time slot each week. I integrate a range of different psychotherapeutic approaches subject to your needs.
01626 243075 View 01626 243075
Photo of Charlotte Bohan - Charlotte Bohan Psychotherapy and (AF) EMDR , Counsellor, MBACP Accred
Charlotte Bohan Psychotherapy and (AF) EMDR
Counsellor, MBACP Accred
Verified Verified
Exeter EX4
I am a trauma informed therapist, using integrative therapy which is personalised to you using blended approaches, including (Attachment Focussed) EMDR, CBT and Mindfulness. I am interested in supporting you with depression, anxiety disorders, phobias, addiction, attachment trauma and styles, childhood trauma and difficulties, and processing difficult emotions like anger and grief. I am warm and will always treat you as an individual, we can co-create adaptive and useful resourcing to support you to cope with struggles. I have NHS experience as a therapist, supporting many clients. Feel free to reach out and I will always respond.
I am a trauma informed therapist, using integrative therapy which is personalised to you using blended approaches, including (Attachment Focussed) EMDR, CBT and Mindfulness. I am interested in supporting you with depression, anxiety disorders, phobias, addiction, attachment trauma and styles, childhood trauma and difficulties, and processing difficult emotions like anger and grief. I am warm and will always treat you as an individual, we can co-create adaptive and useful resourcing to support you to cope with struggles. I have NHS experience as a therapist, supporting many clients. Feel free to reach out and I will always respond.
01647 401675 View 01647 401675
Photo of Phoebe L Davey, Counsellor, BACP
Phoebe L Davey
Counsellor, BACP
Verified Verified
1 Endorsed
Exeter EX1
Therapy is a journey, it can provide a safe space to explore any issues that you may be experiencing and help you to make sense of your world.
Therapy is a journey, it can provide a safe space to explore any issues that you may be experiencing and help you to make sense of your world.
01392 719361 View 01392 719361
Photo of Lisa Stevenson, Counsellor, MNCPS Acc.
Lisa Stevenson
Counsellor, MNCPS Acc.
Verified Verified
Online Only
I'm a Relationship and Couples Counsellor because I believe - and I know from my own experience - that the impact of either a nourishing or a difficult, draining relationship affects our whole lives and how much we are able to engage with the world as our best selves. A crisis, an ongoing difficulty, or just loss of connection can make us feel hopeless and stuck and our sense of well-being is lost. Feeling hopeless with your intimate and sexual relationship can feel lonely and isolating. I will create a safe and unbiased space in which to explore what you are longing for and what is keeping you from having the relationship you want.
I'm a Relationship and Couples Counsellor because I believe - and I know from my own experience - that the impact of either a nourishing or a difficult, draining relationship affects our whole lives and how much we are able to engage with the world as our best selves. A crisis, an ongoing difficulty, or just loss of connection can make us feel hopeless and stuck and our sense of well-being is lost. Feeling hopeless with your intimate and sexual relationship can feel lonely and isolating. I will create a safe and unbiased space in which to explore what you are longing for and what is keeping you from having the relationship you want.
01934 317514 View 01934 317514
Photo of Katharine J Pidwell, Counsellor, MBACP
Katharine J Pidwell
Counsellor, MBACP
Verified Verified
I'm a BACP Registered Counsellor, & Supervisor with over 10 years experience, currently working in private practice. I'm passionate about making better mental health something accessible for all. Resourcing and facilitating people live their lives emotionally healthy. I've experience of and do work with a vast array of mental health issues, but seeing the person holistically rather than as a 'mental health condition' is so important in how I work. Any queries or questions please do contact me
I'm a BACP Registered Counsellor, & Supervisor with over 10 years experience, currently working in private practice. I'm passionate about making better mental health something accessible for all. Resourcing and facilitating people live their lives emotionally healthy. I've experience of and do work with a vast array of mental health issues, but seeing the person holistically rather than as a 'mental health condition' is so important in how I work. Any queries or questions please do contact me
01803 500649 View 01803 500649
Photo of Rebecca Harp, Psychotherapist, MA, HCPC-Drama Therap.
Rebecca Harp
Psychotherapist, MA, HCPC-Drama Therap.
Verified Verified
Exeter EX1
Since qualifying in 2016, I have specialised in supporting the LGBTQ+ community & women. Issues I have particular experience working with include anxiety, depression, stress & burnout, trauma, loss & bereavement, major life transitions, loss of identity, low self-esteem & low self-confidence, perfectionism, neurodiversity (including autism & ADHD), existential & spiritual exploration, relationship & family dynamics, navigating the menstrual cycle & coping with menstrual conditions, such as PMS & PMDD. I also have specialist experience of working with the LGBTQ+ community & issues such as gender dysphoria & internalised homophobia.
Since qualifying in 2016, I have specialised in supporting the LGBTQ+ community & women. Issues I have particular experience working with include anxiety, depression, stress & burnout, trauma, loss & bereavement, major life transitions, loss of identity, low self-esteem & low self-confidence, perfectionism, neurodiversity (including autism & ADHD), existential & spiritual exploration, relationship & family dynamics, navigating the menstrual cycle & coping with menstrual conditions, such as PMS & PMDD. I also have specialist experience of working with the LGBTQ+ community & issues such as gender dysphoria & internalised homophobia.
01392 321849 View 01392 321849
Photo of Dr Rachel Willcox, Psychologist, HCPC - Couns. Psych.
Dr Rachel Willcox
Psychologist, HCPC - Couns. Psych.
Verified Verified
Online Only
I am a Chartered Counselling Psychologist and I specialise in offering Eye Movement Desensitisation and Reprocessing (EMDR) I work in a way that is tailored uniquely for each client and integrate other evidenced-based approaches into my practice depending on your needs and working towards your goals together. These may include Compassion Focussed Therapy (CFT), Acceptance & Commitment Therapy (ACT) and Mindfulness. I consider myself to be kind, compassionate and gently challenging and aim to create an environment in which clients can move towards changing their lives for the better, learning new skills & gaining insight.
I am a Chartered Counselling Psychologist and I specialise in offering Eye Movement Desensitisation and Reprocessing (EMDR) I work in a way that is tailored uniquely for each client and integrate other evidenced-based approaches into my practice depending on your needs and working towards your goals together. These may include Compassion Focussed Therapy (CFT), Acceptance & Commitment Therapy (ACT) and Mindfulness. I consider myself to be kind, compassionate and gently challenging and aim to create an environment in which clients can move towards changing their lives for the better, learning new skills & gaining insight.
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Photo of Michael Stephen Bennett, Counsellor, MBACP
Michael Stephen Bennett
Counsellor, MBACP
Verified Verified
Online Only
Available weekday evening's between 6pm and 11pm. Each person's journey through life is a unique experience, and when times are difficult it can often feel overwhelming and lonely, like no one understands. Things before that were easy to do are now becoming increasingly tough, or at times even impossible. There are many reasons that lead people to seek out therapy, you have already overcome the first hurdle to recovery, and that is seeking some support.
Available weekday evening's between 6pm and 11pm. Each person's journey through life is a unique experience, and when times are difficult it can often feel overwhelming and lonely, like no one understands. Things before that were easy to do are now becoming increasingly tough, or at times even impossible. There are many reasons that lead people to seek out therapy, you have already overcome the first hurdle to recovery, and that is seeking some support.
01572 498978 View 01572 498978

See more therapy options for Ottery Saint Mary

How does your Counsellor compare?

Number of Counsellors in Ottery Saint Mary

< 10

Counsellors in Ottery Saint Mary who prioritize treating:

86% Depression
86% Anxiety
86% Self Esteem
71% Bereavement
71% Divorce
71% Anger Management
71% Stress

Average years in practice

20 Years

Gender breakdown

86% Female
14% Male

How Counsellors in Ottery Saint Mary see their clients

86% In Person and Online
14% Online Only
FAQs - About Therapy and Counselling

How can I find a therapist in Ottery Saint Mary?

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.