Counselling in Patchway
![Photo of Lucie Bouchet, MBACP, Psychotherapist](https://photos.psychologytoday.com/5f7ff285-edd0-4d4f-b41c-83d4e46398b2/2/320x400.jpeg)
"I am fascinated about Humans' ability to heal their emotional wounds when they feel supported and accompanied on their personal path. We all have greater potential and resources than we think. A lot of the times it is difficult to access these, for various reasons. Therapy helps us explore the ways we relate to ourselves and others. It is a journey towards finding / becoming yourself".
"I am fascinated about Humans' ability to heal their emotional wounds when they feel supported and accompanied on their personal path. We all have greater potential and resources than we think. A lot of the times it is difficult to access these, for various reasons. Therapy helps us explore the ways we relate to ourselves and others. It is a journey towards finding / becoming yourself".
![Photo of Caroline O'Brien, MA, MNCPS Acc., Counsellor](https://photos.psychologytoday.com/f603d1ec-8a56-4a51-9fba-e154ec731cd7/2/320x400.jpeg)
People attend counselling for all sorts of reasons. For some of us it helps to have someone outside of friends and family to share our thoughts with and reflect on the challenges we face. Counselling can also be a refuge when crisis hits and we need help to understand and process our experiences. Whatever it is that brings you here, I welcome you and offer you space to think and to connect. My approach is warm and grounded. I work integratively, meaning that I draw on a range of counselling approaches and work with you to agree aims and a pace that is supportive.
People attend counselling for all sorts of reasons. For some of us it helps to have someone outside of friends and family to share our thoughts with and reflect on the challenges we face. Counselling can also be a refuge when crisis hits and we need help to understand and process our experiences. Whatever it is that brings you here, I welcome you and offer you space to think and to connect. My approach is warm and grounded. I work integratively, meaning that I draw on a range of counselling approaches and work with you to agree aims and a pace that is supportive.
![Photo of Robert (Bob) Fisher, MA, MNCPS Acc., Counsellor](https://photos.psychologytoday.com/4a7e0bf0-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Robert (Bob) Fisher
Counsellor, MA, MNCPS Acc.
Verified Verified
Patchway BS10
Not accepting new clients
I understand it takes a lot of courage for many people to come to therapy perhaps for the first time or even on each visit, I provide a counselling/psychological therapy service from my home in Westbury Park Bristol which is a safe space and where you will receive a warm welcome. I endeavour to shape the therapy to meet my client’s needs rather than just come from one theory (I do not believe in one size fits all); hence I have an eclectic approach to my work drawn from many years experience in many different settings.
I understand it takes a lot of courage for many people to come to therapy perhaps for the first time or even on each visit, I provide a counselling/psychological therapy service from my home in Westbury Park Bristol which is a safe space and where you will receive a warm welcome. I endeavour to shape the therapy to meet my client’s needs rather than just come from one theory (I do not believe in one size fits all); hence I have an eclectic approach to my work drawn from many years experience in many different settings.
![Photo of Patricia Falvey, MBACP, Counsellor](https://photos.psychologytoday.com/98730882-0eef-433f-a426-9b2bd00258d1/2/320x400.jpeg)
We live in a culture that promotes the idea of strong, powerful individuals who live picture perfect lives. There is little room for showing our vulnerability, or our need for connection. There is a cultural expectation that when things are difficult for us we should just 'get over it' and not make a fuss, this might manifest in you with thoughts of "what's wrong with me", "why is this so hard" and "I should be able to manage by myself" and so on! You may be feeling fragmented, disconnected, numb, overwhelmed, fearful, unable to cope, you might feel like giving up.
We live in a culture that promotes the idea of strong, powerful individuals who live picture perfect lives. There is little room for showing our vulnerability, or our need for connection. There is a cultural expectation that when things are difficult for us we should just 'get over it' and not make a fuss, this might manifest in you with thoughts of "what's wrong with me", "why is this so hard" and "I should be able to manage by myself" and so on! You may be feeling fragmented, disconnected, numb, overwhelmed, fearful, unable to cope, you might feel like giving up.
![Photo of Diane Susan Hall - Di Hall, DCounsPsych, MBACP Snr. Accred, Counsellor](https://photos.psychologytoday.com/0589a22d-2ef0-475c-8eaf-c03cb6721df1/3/320x400.jpeg)
Di Hall
Counsellor, DCounsPsych, MBACP Snr. Accred
Verified Verified
Patchway BS34
Waitlist for new clients
Are you going through a challenging period that is affecting daily life? Are you struggling with issues of anxiety, anxiety disorders, depression, anger separation, loss, grief, trauma, low self esteem/confidence? I can work with you to discover new ways of responding to these different blocks and dilemmas in life. Therapy being offered is person to person & online.
Are you going through a challenging period that is affecting daily life? Are you struggling with issues of anxiety, anxiety disorders, depression, anger separation, loss, grief, trauma, low self esteem/confidence? I can work with you to discover new ways of responding to these different blocks and dilemmas in life. Therapy being offered is person to person & online.
More Therapists Nearby
![Photo of Sally Ellis, BACP, Counsellor](https://photos.psychologytoday.com/33974dde-2897-4125-a30f-0ed1a97eb794/1/320x400.jpeg)
I'm a qualified counsellor, Supervisor & hypnotherapist working with individuals and couples, I work with Neurodiversity, LGBTQAI+ community, Depression, Anxiety, Relationships/Family difficulties, Sexual Abuse, Domestic Abuse, Grief, Life changes/ Transitions. I offer a confidential, safe space for you to explore a variety of issues. I aim to develop a trusting relationship which is non-judgemental and wholly accepting you and your own way of navigating life. I am an integrative counsellor working from a person centered core .
I'm a qualified counsellor, Supervisor & hypnotherapist working with individuals and couples, I work with Neurodiversity, LGBTQAI+ community, Depression, Anxiety, Relationships/Family difficulties, Sexual Abuse, Domestic Abuse, Grief, Life changes/ Transitions. I offer a confidential, safe space for you to explore a variety of issues. I aim to develop a trusting relationship which is non-judgemental and wholly accepting you and your own way of navigating life. I am an integrative counsellor working from a person centered core .
![Photo of Hendrina Sterling Rodriguez - Mind Empower Therapy, PNCPS Acc., Counsellor](https://photos.psychologytoday.com/5e939e19-8b30-4c0b-b20a-271ef7cab8ec/2/320x400.png)
Specialising in hypnotherapy, RTT, NLP, CBT, counselling and psychotherapy, I support clients in releasing negative patterns fostering change and improving mental well-being. I help individuals overcome challenges and achieve goals through personalised therapy.
Specialising in hypnotherapy, RTT, NLP, CBT, counselling and psychotherapy, I support clients in releasing negative patterns fostering change and improving mental well-being. I help individuals overcome challenges and achieve goals through personalised therapy.
![Photo of Kristelle Lynne Haslam, MA, MUKCP, Psychotherapist](https://photos.psychologytoday.com/54c0794d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I work with both individuals and couples. As an individual, some sudden event may have thrown you into crisis and challenged your ability to cope. This might include, a difficulty in a relationship; a loss/bereavement of some kind; or a change that has resulted in stress/anxiety and a feeling of being destabilised. Alternatively you may be suffering from a more general, on-going struggle to see any direction or purpose. A feeling of being disconnected from yourself and others and of there being very little enjoyment in your life.
I work with both individuals and couples. As an individual, some sudden event may have thrown you into crisis and challenged your ability to cope. This might include, a difficulty in a relationship; a loss/bereavement of some kind; or a change that has resulted in stress/anxiety and a feeling of being destabilised. Alternatively you may be suffering from a more general, on-going struggle to see any direction or purpose. A feeling of being disconnected from yourself and others and of there being very little enjoyment in your life.
![Photo of Nikita Kageler, MBACP, Psychotherapist](https://photos.psychologytoday.com/dc8d52e3-27a9-47b2-a82c-edd65d6958f2/1/320x400.jpeg)
Have you found yourself saying things like “I should be over this by now”, “I need to be strong”, “If I move forward, I’m afraid that I will forget my memories”, “No one else really understands", "I don’t want to bother others”, “How do I move on?”. Perhaps these feelings are a result of loss. Loss occurs in our lives in many ways: losing someone, leaving a home or country, the loss of a relationship, the loss of a job, or even a loss of a part of ourselves. My purpose is to help people process the heaviness, the burdens, the shame, the guilt, the fears, the things we daren’t say to others.
Have you found yourself saying things like “I should be over this by now”, “I need to be strong”, “If I move forward, I’m afraid that I will forget my memories”, “No one else really understands", "I don’t want to bother others”, “How do I move on?”. Perhaps these feelings are a result of loss. Loss occurs in our lives in many ways: losing someone, leaving a home or country, the loss of a relationship, the loss of a job, or even a loss of a part of ourselves. My purpose is to help people process the heaviness, the burdens, the shame, the guilt, the fears, the things we daren’t say to others.
![Photo of Colin Brown, Counsellor](https://photos.psychologytoday.com/a1296c4d-3405-4f40-a3d0-acb2da87019a/2/320x400.jpeg)
It’s when you sense, or realise, that things can’t remain the same and yet you feel frozen, unable to act, and you don’t know what to do. A personal crisis might leave you feeling powerless and anxious. Then you find that the ways in which you generally deal with problems aren’t working: the people you’d usually turn to for support aren’t enough, they might be too involved with the issues you’re facing. You might also feel unwell. It’s not uncommon to feel anxious, depressed or emotionally fragile. This is when counselling can help. I offer Face to Face, Walk and Talk, Online and Telephone Counselling.
It’s when you sense, or realise, that things can’t remain the same and yet you feel frozen, unable to act, and you don’t know what to do. A personal crisis might leave you feeling powerless and anxious. Then you find that the ways in which you generally deal with problems aren’t working: the people you’d usually turn to for support aren’t enough, they might be too involved with the issues you’re facing. You might also feel unwell. It’s not uncommon to feel anxious, depressed or emotionally fragile. This is when counselling can help. I offer Face to Face, Walk and Talk, Online and Telephone Counselling.
![Photo of Elise Bird, MNCPS Acc., Counsellor](https://photos.psychologytoday.com/cc58536c-5482-434f-bbac-78da74d1dc11/2/320x400.jpeg)
I am a qualified integrative therapist with a person-centred ethos, offering a grounded, warm and down-to-earth approach. My role is to create a safe, non-judgemental space for you to explore and navigate the difficulties you might be experiencing in a way that makes you feel heard, valued and understood. Wherever you’re at, that is where I will meet you. We will go at your pace, and collaborate in finding the best way forward for you to make sense of your experience and find authenticity, acceptance, awareness and the confidence to change.
I am a qualified integrative therapist with a person-centred ethos, offering a grounded, warm and down-to-earth approach. My role is to create a safe, non-judgemental space for you to explore and navigate the difficulties you might be experiencing in a way that makes you feel heard, valued and understood. Wherever you’re at, that is where I will meet you. We will go at your pace, and collaborate in finding the best way forward for you to make sense of your experience and find authenticity, acceptance, awareness and the confidence to change.
![Photo of Preeya Vadher, MA, MBACP, Psychotherapist](https://photos.psychologytoday.com/db7e2997-75c5-49ce-9add-e4f7771a2b17/2/320x400.jpeg)
I offer a warm and friendly space for reflection to help you gain insight into yourself and what’s going on for you. I’ll encourage you to pay close attention to your thoughts and feelings and make connections between different parts of your life. I believe that therapy can help you know yourself more fully and that you can make changes to your life based on this understanding. I’m committed to building a trusting and authentic relationship with you and believe therapy should be compassionate, down-to-earth and approachable.
I offer a warm and friendly space for reflection to help you gain insight into yourself and what’s going on for you. I’ll encourage you to pay close attention to your thoughts and feelings and make connections between different parts of your life. I believe that therapy can help you know yourself more fully and that you can make changes to your life based on this understanding. I’m committed to building a trusting and authentic relationship with you and believe therapy should be compassionate, down-to-earth and approachable.
![Photo of Nick Benians, PsychD, HCPC - Clin. Psych., Psychologist](https://photos.psychologytoday.com/fbc0c3bb-b6e7-43d0-8abd-04e05323fcc6/2/320x400.jpeg)
Nick Benians
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Bristol BS9
Waitlist for new clients
If you are ready for lasting change, then EMDR therapy may be for you – EMDR seeks to address the heart of the matter. I can help you to move from 'coping' to greater self-acceptance, and embracing life more fully.
If you are ready for lasting change, then EMDR therapy may be for you – EMDR seeks to address the heart of the matter. I can help you to move from 'coping' to greater self-acceptance, and embracing life more fully.
![Photo of Kate Mortimer - Mindscape Therapies Ltd, MA](https://photos.psychologytoday.com/d81a8e9f-df0e-4fbd-b76e-f914fa6ff58f/1/320x400.jpeg)
Hi, I'm Kate, a skilled, inclusive, creative, warm, empathic and well qualified HCPC registered therapist. I offer clinical hypnotherapy and Eye Movement Desensitisation and Reprocessing (EMDR) to children, adolescents and adults. If life events have contributed to you experiencing PTSD, anxiety, or depression, and you want to honour the past while moving forward, please do call me. I also support people to develop a healthy relationship with their body and with food. I was an NHS practitioner for 22 years in CAMHS and adult mental health, and have also practised privately for 18 years! LGBT+ and neurodivergent friendly.
Hi, I'm Kate, a skilled, inclusive, creative, warm, empathic and well qualified HCPC registered therapist. I offer clinical hypnotherapy and Eye Movement Desensitisation and Reprocessing (EMDR) to children, adolescents and adults. If life events have contributed to you experiencing PTSD, anxiety, or depression, and you want to honour the past while moving forward, please do call me. I also support people to develop a healthy relationship with their body and with food. I was an NHS practitioner for 22 years in CAMHS and adult mental health, and have also practised privately for 18 years! LGBT+ and neurodivergent friendly.
![Photo of Kirsten Malcolm - Kirsten Malcolm (Freedom Therapy), MNCPS Acc., Counsellor](https://photos.psychologytoday.com/91a8a1c1-d5fa-46bf-992c-84f4061067b9/2/320x400.png)
I'm enthusiastic about helping people make a noticeable difference in their lives. Offering a refreshing blend of warm compassion, humour (when appropriate!) and straight talk, together we'll navigate your challenges and build strategies that work for You. As your supportive guide, I'll show how therapy can be a powerful tool for growth and self-discovery. I know taking the first step towards positive change can be daunting and courageous, but you don't have to go through it alone. I realise it's hard knowing how to choose a therapist from so many capable people, so I offer a free consultation to help your decision-making process.
I'm enthusiastic about helping people make a noticeable difference in their lives. Offering a refreshing blend of warm compassion, humour (when appropriate!) and straight talk, together we'll navigate your challenges and build strategies that work for You. As your supportive guide, I'll show how therapy can be a powerful tool for growth and self-discovery. I know taking the first step towards positive change can be daunting and courageous, but you don't have to go through it alone. I realise it's hard knowing how to choose a therapist from so many capable people, so I offer a free consultation to help your decision-making process.
![Photo of Joe Pawson, MA, MUKCP, Psychotherapist](https://photos.psychologytoday.com/156fd803-3f93-4b04-81f7-66fa2575b6ed/2/320x400.jpeg)
People come to psychotherapy for all kinds of different reasons. Perhaps a particular issue is making life very difficult, or maybe you have more general feelings of discontentment, unease or unhappiness that you want to address. One-to-one psychotherapy can help by providing a safe, therapeutic space in which you feel able to explore and express difficult thoughts, feelings and memories. This process of deep exploration helps you to grow and develop in areas that have previously felt stuck, painful or have been blocked out.
People come to psychotherapy for all kinds of different reasons. Perhaps a particular issue is making life very difficult, or maybe you have more general feelings of discontentment, unease or unhappiness that you want to address. One-to-one psychotherapy can help by providing a safe, therapeutic space in which you feel able to explore and express difficult thoughts, feelings and memories. This process of deep exploration helps you to grow and develop in areas that have previously felt stuck, painful or have been blocked out.
![Photo of Cathy Boyd, MUKCP, Psychotherapist](https://photos.psychologytoday.com/263753ac-6bb3-4145-bb15-db051f17a56e/1/320x400.jpeg)
Whatever your starting point, therapy can help you to understand yourself and feel stronger in the face of life's challenges by building the sense of self. Problems may be current day or they may date further back to events in childhood, either can inform us of the way you function and where the issue lies.
Whatever your starting point, therapy can help you to understand yourself and feel stronger in the face of life's challenges by building the sense of self. Problems may be current day or they may date further back to events in childhood, either can inform us of the way you function and where the issue lies.
![Photo of Lottie Storey, MA, MBACP, Counsellor](https://photos.psychologytoday.com/311928c7-8ddb-4975-b541-a4b3f1739f12/2/320x400.jpeg)
People are drawn to counselling/psychotherapy for various reasons. Perhaps you are facing difficulties in your relationships or grappling with intense emotions. It could be that you're finding it hard to cope with a recent event in your life, or you're feeling distressed without a clear understanding of why. Therapy can help you to make sense of these experiences, gaining a deeper understanding of yourself and finding effective ways to tackle the challenges you encounter. Working alongside a skilled therapist can support you to find a way forward.
People are drawn to counselling/psychotherapy for various reasons. Perhaps you are facing difficulties in your relationships or grappling with intense emotions. It could be that you're finding it hard to cope with a recent event in your life, or you're feeling distressed without a clear understanding of why. Therapy can help you to make sense of these experiences, gaining a deeper understanding of yourself and finding effective ways to tackle the challenges you encounter. Working alongside a skilled therapist can support you to find a way forward.
![Photo of Emily Walmsley, PhD, UKCP Trainee, Psychotherapist](https://photos.psychologytoday.com/26af6976-ab9e-45f0-b86f-346fa2548395/3/320x400.jpeg)
I welcome clients facing a wide range of difficulties in their lives and offer a safe, non-judgemental space to listen and help you find ways to move on. You can bring all your feelings - whether anger, loneliness, anxiety, fear, shame, simply being stuck - and together we can make sense of where these feelings come from. In doing so, we can reduce their hold on you.
I welcome clients facing a wide range of difficulties in their lives and offer a safe, non-judgemental space to listen and help you find ways to move on. You can bring all your feelings - whether anger, loneliness, anxiety, fear, shame, simply being stuck - and together we can make sense of where these feelings come from. In doing so, we can reduce their hold on you.
![Photo of Elif Öykü Tolun, MSc, GMBPsS, Psychologist](https://photos.psychologytoday.com/c4162fc6-5c8b-47aa-a705-bbbee0037264/3/320x400.jpeg)
I've been conducting therapies with adults and adolescents both Turkish and English. I mostly use CBT and Mindfulness to help my clients. I work on anxiety, depression, anger management, social anxiety, health anxiety, relationship problems as well as other mental health problems. When necessary, I use Solution Focused Therapy techniques which help patients to see their strong sides to achieve the desired goals and some Art Therapy techniques so that my clients can open up easier and see the things they are not aware of.
I've been conducting therapies with adults and adolescents both Turkish and English. I mostly use CBT and Mindfulness to help my clients. I work on anxiety, depression, anger management, social anxiety, health anxiety, relationship problems as well as other mental health problems. When necessary, I use Solution Focused Therapy techniques which help patients to see their strong sides to achieve the desired goals and some Art Therapy techniques so that my clients can open up easier and see the things they are not aware of.
See more therapy options for Patchway
How does your Counsellor compare?
Number of Counsellors in Patchway
< 10
Counsellors in Patchway who prioritize treating:
100% | Depression |
100% | Anxiety |
80% | Relationship Issues |
80% | Bereavement |
80% | Parenting |
80% | Trauma and PTSD |
80% | Self Esteem |
Average years in practice
12 Years
Gender breakdown
100% | Female |
How Counsellors in Patchway see their clients
100% | In Person and Online |
FAQs - About Therapy and Counselling
How can I find a therapist in Patchway?
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
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.
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.
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.