Counselling in Plymouth

Photo of Karen Sargison - Total Focus Therapy, Counsellor, MSc, MNCPS Acc.
Total Focus Therapy
Counsellor, MSc, MNCPS Acc.
Verified Verified
Are you finding it difficult to cope with at the moment? Do you feel stuck, confused, broken or stressed? Perhaps you’re bothered by overwhelming thoughts or emotions and feel anxious, unhappy or depressed. Or perhaps you're experiencing low self-esteem or not feeling good enough. When life throws challenges our way (past or recent), it can leave you feeling alone, hopeless and unable to find a way forward. If this is you, you are not alone. Change is possible. Let me help you find a way through. I can work with you to help regain control, break negative patterns, find solutions and become the person you were always meant to be.
Are you finding it difficult to cope with at the moment? Do you feel stuck, confused, broken or stressed? Perhaps you’re bothered by overwhelming thoughts or emotions and feel anxious, unhappy or depressed. Or perhaps you're experiencing low self-esteem or not feeling good enough. When life throws challenges our way (past or recent), it can leave you feeling alone, hopeless and unable to find a way forward. If this is you, you are not alone. Change is possible. Let me help you find a way through. I can work with you to help regain control, break negative patterns, find solutions and become the person you were always meant to be.
01572 494659 View 01572 494659
Photo of Megan Andrews - Picking Up The Pieces, Counsellor, MBACP
Picking Up The Pieces
Counsellor, MBACP
Verified Verified
I'm Megan. Life can throw unexpected difficulties in our direction at any time & things can get tough making you feel anxious, fearful, sad, trapped or alone causing you to struggle & feel you cant find your way out-you are alone. Picking Up the Pieces can help you to understand your situation better, together we can find ways forward, enhance choices to regain control & achieve a happier you.
I'm Megan. Life can throw unexpected difficulties in our direction at any time & things can get tough making you feel anxious, fearful, sad, trapped or alone causing you to struggle & feel you cant find your way out-you are alone. Picking Up the Pieces can help you to understand your situation better, together we can find ways forward, enhance choices to regain control & achieve a happier you.
01752 982187 View 01752 982187
Photo of Rosalind Townsend, Psychotherapist, MHGI
Rosalind Townsend
Psychotherapist, MHGI
Verified Verified
Are you affected by anxiety, depression, trauma, grief, anger or addiction? Are you overwhelmed or disheartened by difficulties relating to life challenges or changes? Do you need support to re-think or repair a relationship, or to reassess priorities or work-life balance? If so, I can help. My aim, if you choose to work with me, is that you will leave each session feeling a little better, more hopeful and more confident in your ability to recover, or make the changes that you would like to see in your life.
Are you affected by anxiety, depression, trauma, grief, anger or addiction? Are you overwhelmed or disheartened by difficulties relating to life challenges or changes? Do you need support to re-think or repair a relationship, or to reassess priorities or work-life balance? If so, I can help. My aim, if you choose to work with me, is that you will leave each session feeling a little better, more hopeful and more confident in your ability to recover, or make the changes that you would like to see in your life.
01572 492162 View 01572 492162
Photo of Rowena Slater, Counsellor, MBACP
Rowena Slater
Counsellor, MBACP
Verified Verified
Hello, well done for getting here. Finding a counsellor that's a good 'fit' isn't easy, especially when life is getting too much to cope with. Are you finding life overwhelming? Not sure which way to turn? Maybe I can help? I specialise in working with people who are struggling with anxiety, are feeling really low, not knowing which way to turn. Talking to someone who is really listening to you, helping you make sense of what is going on without judgement or telling you what to do could really help. Lets work a way to make a change together.
Hello, well done for getting here. Finding a counsellor that's a good 'fit' isn't easy, especially when life is getting too much to cope with. Are you finding life overwhelming? Not sure which way to turn? Maybe I can help? I specialise in working with people who are struggling with anxiety, are feeling really low, not knowing which way to turn. Talking to someone who is really listening to you, helping you make sense of what is going on without judgement or telling you what to do could really help. Lets work a way to make a change together.
01752 741539 View 01752 741539
Photo of Hazel Bowyer-Adams, Counsellor, MBACP
Hazel Bowyer-Adams
Counsellor, MBACP
Verified Verified
Sometimes life can be hard, confusing and difficult to navigate and choosing a therapist can be a daunting task; whether it is your first time reaching out or whether you have had counselling previously and are reaching out again. Counselling can help you to gain a greater understanding and awareness of yourself, helping to process emotions or events and ensuring that you feel heard and understood. Sometimes there are specific concerns, situations or challenges that you want to talk about, and sometimes counselling can just be that safe space to talk.
Sometimes life can be hard, confusing and difficult to navigate and choosing a therapist can be a daunting task; whether it is your first time reaching out or whether you have had counselling previously and are reaching out again. Counselling can help you to gain a greater understanding and awareness of yourself, helping to process emotions or events and ensuring that you feel heard and understood. Sometimes there are specific concerns, situations or challenges that you want to talk about, and sometimes counselling can just be that safe space to talk.
01752 741181 View 01752 741181
Photo of Lea Elizabeth Christie, Counsellor, DCounsPsych, BACP
Lea Elizabeth Christie
Counsellor, DCounsPsych, BACP
Verified Verified
1 Endorsed
I am committed to helping you explore, examine and move forward in a way that is ideal for you. Nothing is too big or too small to bring to sessions. We can work together at a pace that suits you. Clients often work with goals or a focus on mind, others aren’t quite sure what they need or want to explore.
I am committed to helping you explore, examine and move forward in a way that is ideal for you. Nothing is too big or too small to bring to sessions. We can work together at a pace that suits you. Clients often work with goals or a focus on mind, others aren’t quite sure what they need or want to explore.
01752 982176 View 01752 982176
Photo of Fiona Eaton - Counselling Christian Leaders, Counsellor, ACC-CP
Counselling Christian Leaders
Counsellor, ACC-CP
Verified Verified
I am an ACC Accredited & BACP registered counsellor who has been in various leadership roles for 30 years in Church and different ministries offering a service to individuals and couples who also serve in any leadership role a Christian context. I have worked with many Christian clients and those from many diverse backgrounds who have issues that don't seem to have been resolved independently of therapy. I offer an integrative way of working having trained in Person Centred Therapy, Gestalt, CBT, Psychosexual and Relationship Therapy, Inner Child, Christian Mindfulness and Therapeutic writing. Find out more about me on my website.
I am an ACC Accredited & BACP registered counsellor who has been in various leadership roles for 30 years in Church and different ministries offering a service to individuals and couples who also serve in any leadership role a Christian context. I have worked with many Christian clients and those from many diverse backgrounds who have issues that don't seem to have been resolved independently of therapy. I offer an integrative way of working having trained in Person Centred Therapy, Gestalt, CBT, Psychosexual and Relationship Therapy, Inner Child, Christian Mindfulness and Therapeutic writing. Find out more about me on my website.
01803 223012 View 01803 223012
Photo of Amanda Jane Quick, Psychotherapist, MBACP
Amanda Jane Quick
Psychotherapist, MBACP
Verified Verified
Choosing a therapist can be daunting, especially when you may be feeling anxious, depressed, confused, or at a low point. Maybe you're thinking how can anyone understand. If you’ve had no experience of working with a counsellor, or previous counseling wasn't what you expected or were ready to continue, I understand this can be difficult. I work with the complexity and difficulty of trauma which ranges from person to person. You maybe at a crisis point, feeling challenged in your life or struggling to find a way out or move foward. I work from a space by the sea which offers a peaceful location to slow down.
Choosing a therapist can be daunting, especially when you may be feeling anxious, depressed, confused, or at a low point. Maybe you're thinking how can anyone understand. If you’ve had no experience of working with a counsellor, or previous counseling wasn't what you expected or were ready to continue, I understand this can be difficult. I work with the complexity and difficulty of trauma which ranges from person to person. You maybe at a crisis point, feeling challenged in your life or struggling to find a way out or move foward. I work from a space by the sea which offers a peaceful location to slow down.
01572 492187 View 01572 492187
Photo of Louise Lindsey, Counsellor, BACP
Louise Lindsey
Counsellor, BACP
Verified Verified
Online Only
My journey to becoming a Qualified Counsellor is shaped by over 21 years of experience as a HCPC Registered Paramedic. Having worked on the frontline, I truly understand the immense pressures and challenges that come with these roles. Life can feel overwhelming at times and we can feel stuck and unable to move forward. I am an Integrative Therapist. This means that I draw on several therapeutic modalities to best meet your individual needs. We can regularly review our work together to ensure you are finding it helpful.
My journey to becoming a Qualified Counsellor is shaped by over 21 years of experience as a HCPC Registered Paramedic. Having worked on the frontline, I truly understand the immense pressures and challenges that come with these roles. Life can feel overwhelming at times and we can feel stuck and unable to move forward. I am an Integrative Therapist. This means that I draw on several therapeutic modalities to best meet your individual needs. We can regularly review our work together to ensure you are finding it helpful.
07738 704160 View 07738 704160
Photo of Damien Melhem, Counsellor, MBACP
Damien Melhem
Counsellor, MBACP
Verified Verified
Choosing to start therapy is a brave decision. It means recognising that you need support. It’s about acknowledging that you are worthy of care and that it’s okay to ask for help. The first step often involves overcoming fears and uncertainties about the process. Therapy requires you to open up about your thoughts, feelings, and experiences, which can feel incredibly vulnerable. It takes courage to share your innermost struggles with someone else, trusting that they will understand and support you without judgment. This journey can be challenging, but the courage to persist through these challenges is what leads to healing.
Choosing to start therapy is a brave decision. It means recognising that you need support. It’s about acknowledging that you are worthy of care and that it’s okay to ask for help. The first step often involves overcoming fears and uncertainties about the process. Therapy requires you to open up about your thoughts, feelings, and experiences, which can feel incredibly vulnerable. It takes courage to share your innermost struggles with someone else, trusting that they will understand and support you without judgment. This journey can be challenging, but the courage to persist through these challenges is what leads to healing.
01752 741044 View 01752 741044
Photo of Naheed Holmes, Counsellor, MBACP Accred
Naheed Holmes
Counsellor, MBACP Accred
Verified Verified
People come to counselling for various reasons; talking with someone unconnected with your situation, can assist you in gaining new insight and support with your concerns. When you have the opportunity to explore these issues together with your counsellor, you may find ways to create new, healthier responses that benefit your behaviour, relationships and ultimately, your own wellbeing. My role is always to support you and ‘untangle’ issues in a collaborative way, allowing you to develop new ways of thinking to promote positive change.
People come to counselling for various reasons; talking with someone unconnected with your situation, can assist you in gaining new insight and support with your concerns. When you have the opportunity to explore these issues together with your counsellor, you may find ways to create new, healthier responses that benefit your behaviour, relationships and ultimately, your own wellbeing. My role is always to support you and ‘untangle’ issues in a collaborative way, allowing you to develop new ways of thinking to promote positive change.
01572 491096 View 01572 491096
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
Photo of Dawn Cornish - Ocean’s Breeze Counselling -, Counsellor, MNCPS Acc.
Ocean’s Breeze Counselling -
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
I am a experienced Bereavement Counsellor, helping individuals navigate the profound impact grief can have on all aspects of life—mentally, emotionally, physically, spiritually. Grief can bring up unwanted feelings which can be difficult to navigate and also leaves us not knowing how to move forward. I also support those dealing with past or present trauma, exploring how these experiences continue to affect their present lives. My focus includes helping clients who may be struggling with reliving past events, as well as how these issues can influence current relationships and self-perception, including low confidence and self-esteem
I am a experienced Bereavement Counsellor, helping individuals navigate the profound impact grief can have on all aspects of life—mentally, emotionally, physically, spiritually. Grief can bring up unwanted feelings which can be difficult to navigate and also leaves us not knowing how to move forward. I also support those dealing with past or present trauma, exploring how these experiences continue to affect their present lives. My focus includes helping clients who may be struggling with reliving past events, as well as how these issues can influence current relationships and self-perception, including low confidence and self-esteem
01752 741412 View 01752 741412
Photo of Caroline Dicker - Forget Me Not Counselling, Counsellor, MNCPS Acc.
Forget Me Not Counselling
Counsellor, MNCPS Acc.
Verified Verified
Welcome to Forget Me Not Counselling - I am Caroline and my goal is to offer professional and compassionate counselling which is accessible to those who need it. Perhaps you are navigating personal challenges, seeking emotional balance or simply wanting a safe place to explore your feelings . Maybe you are bereaved and feeling stuck ,perhaps you are feeling anxious and depressed . Are you overwhelmed and dealing with changes which you didn't expect. You don't have to struggle alone. I believe you are an expert through experience and your answers are inside yourself they are just temporarily hidden . ..lets find them together.
Welcome to Forget Me Not Counselling - I am Caroline and my goal is to offer professional and compassionate counselling which is accessible to those who need it. Perhaps you are navigating personal challenges, seeking emotional balance or simply wanting a safe place to explore your feelings . Maybe you are bereaved and feeling stuck ,perhaps you are feeling anxious and depressed . Are you overwhelmed and dealing with changes which you didn't expect. You don't have to struggle alone. I believe you are an expert through experience and your answers are inside yourself they are just temporarily hidden . ..lets find them together.
01572 494663 View 01572 494663
Photo of Nia True, Counsellor, MNCPS Acc.
Nia True
Counsellor, MNCPS Acc.
Verified Verified
Online Only
Clients come to me for help with a range of issues, including improving their relationships, managing (or creating) change, and overcoming challenges. Much of my work is with people who, like me, are neurodivergent (e.g. ADHDers, autistic or AuADHD) and/or GSRD (Gender, Sex and Relationship Diverse - e.g. queer, trans, NB, consensually non-monogamous or kinky). I am sex and kink-positive, and my approach is affirming whether or not neurodivergence and GSRD relate directly to our work together. Whether you're seeking support as an individual, a couple, or a triad, I can offer you a safe, accepting space in which to explore and grow.
Clients come to me for help with a range of issues, including improving their relationships, managing (or creating) change, and overcoming challenges. Much of my work is with people who, like me, are neurodivergent (e.g. ADHDers, autistic or AuADHD) and/or GSRD (Gender, Sex and Relationship Diverse - e.g. queer, trans, NB, consensually non-monogamous or kinky). I am sex and kink-positive, and my approach is affirming whether or not neurodivergence and GSRD relate directly to our work together. Whether you're seeking support as an individual, a couple, or a triad, I can offer you a safe, accepting space in which to explore and grow.
01572 497000 View 01572 497000
Photo of Raimonda Stephens - Raimonda Stephens | Rai Counselling, Counsellor, MBACP
Raimonda Stephens | Rai Counselling
Counsellor, MBACP
Verified Verified
As an integrative and LGBTQ+ affirming counsellor, I offer a warm, non-judgemental space tailored to your unique experiences. If you’re struggling with anxiety, low mood, relationship difficulties or feeling unsure of how to care for yourself, I am here to listen and support you. It can be difficult to recognise and express your needs, especially when they conflict with the expectations of others. Over time, this may lead to anxiety, self-doubt, or feeling disconnected from yourself and those around you. You might long to feel more understood, or more in touch with who you really are, but not know where to begin.
As an integrative and LGBTQ+ affirming counsellor, I offer a warm, non-judgemental space tailored to your unique experiences. If you’re struggling with anxiety, low mood, relationship difficulties or feeling unsure of how to care for yourself, I am here to listen and support you. It can be difficult to recognise and express your needs, especially when they conflict with the expectations of others. Over time, this may lead to anxiety, self-doubt, or feeling disconnected from yourself and those around you. You might long to feel more understood, or more in touch with who you really are, but not know where to begin.
01752 741637 View 01752 741637
Photo of Yvonne Beechfield, Counsellor, MBACP
Yvonne Beechfield
Counsellor, MBACP
Verified Verified
Life will sometimes take us down paths we havn't asked for, causing us to loose sense of our true self, dulling our energy and bringing uncertainty in how we choose to live. Talking does help. It gives you the chance to bring all your concerns and worries into a safe space where I can help you sort through each of them. With careful exploration we can identify what you might like to change and how to make the change. Life will feel easier and lighter as you start to gain control over how you choose to live it.
Life will sometimes take us down paths we havn't asked for, causing us to loose sense of our true self, dulling our energy and bringing uncertainty in how we choose to live. Talking does help. It gives you the chance to bring all your concerns and worries into a safe space where I can help you sort through each of them. With careful exploration we can identify what you might like to change and how to make the change. Life will feel easier and lighter as you start to gain control over how you choose to live it.
01752 968333 View 01752 968333
Photo of Kim Sturgeon, Psychotherapist, MBACP
Kim Sturgeon
Psychotherapist, MBACP
Verified Verified
I specialise in working with women who want to unpack and understand themselves and their experiences. From a non-pathologising and trauma-informed perspective, I work together with clients to process difficult experiences and find new ways of being that facilitate a life that is meaningful and fulfilling. I'm a fully qualified (level 6) Integrative Counsellor with additional training in sexual trauma and supporting survivors of sexual abuse with sex and intimacy.
I specialise in working with women who want to unpack and understand themselves and their experiences. From a non-pathologising and trauma-informed perspective, I work together with clients to process difficult experiences and find new ways of being that facilitate a life that is meaningful and fulfilling. I'm a fully qualified (level 6) Integrative Counsellor with additional training in sexual trauma and supporting survivors of sexual abuse with sex and intimacy.
01752 987209 View 01752 987209
Photo of Nichola Jean, Counsellor, MNCPS Acc.
Nichola Jean
Counsellor, MNCPS Acc.
Verified Verified
As an Accredited Counsellor, qualified Coach & Hypnotherapist I can offer you a safe, confidential and therapeutic space either online via zoom or in person in Plymouth, Devon. By integrating counselling, coaching, psychological education and guided self imagery with relaxation we. can work on the issues that are holding you back. Let me help you explore, develop and challenge yourself in as much emotional depth as feels right for you. Learn from your past - access your unconscious mind and allow yourself to move forward and transform your life. Believe in yourself - you can do this....
As an Accredited Counsellor, qualified Coach & Hypnotherapist I can offer you a safe, confidential and therapeutic space either online via zoom or in person in Plymouth, Devon. By integrating counselling, coaching, psychological education and guided self imagery with relaxation we. can work on the issues that are holding you back. Let me help you explore, develop and challenge yourself in as much emotional depth as feels right for you. Learn from your past - access your unconscious mind and allow yourself to move forward and transform your life. Believe in yourself - you can do this....
07572 989543 View 07572 989543
Photo of Magda Janaszek, Counsellor, MBACP
Magda Janaszek
Counsellor, MBACP
Verified Verified
I’m a fully qualified Therapeutic Counsellor, a proud member of the BACP (British Association for Counselling and Psychotherapy), based in Plymouth, Devon, UK. My approach is to offer a compassionate, safe, and confidential space where you can explore any emotional or life challenges you’re facing. I believe everyone has the ability to reach their true potential with the right support, and I am dedicated to helping you recognise your self-worth and work towards your goals in a non-judgmental, empowering environment.
I’m a fully qualified Therapeutic Counsellor, a proud member of the BACP (British Association for Counselling and Psychotherapy), based in Plymouth, Devon, UK. My approach is to offer a compassionate, safe, and confidential space where you can explore any emotional or life challenges you’re facing. I believe everyone has the ability to reach their true potential with the right support, and I am dedicated to helping you recognise your self-worth and work towards your goals in a non-judgmental, empowering environment.
07525 755527 View 07525 755527

See more therapy options for Plymouth

How does your Counsellor compare?

Number of Counsellors in Plymouth

100+

Average cost per session

£52

Counsellors in Plymouth who prioritize treating:

89% Anxiety
87% Depression
81% Self Esteem
79% Stress
74% Relationship Issues
70% Trauma and PTSD
64% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

38% Bupa
35% AXA PPP
35% WPA

How Counsellors in Plymouth see their clients

85% In Person and Online
15% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Plymouth?

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.