Counselling in Plymouth

Photo of Michelle Elbrow - Tomorrows Land Counselling Services, Counsellor
Tomorrows Land Counselling Services
Counsellor
Verified Verified
Plymouth PL1
Welcome to Tomorrows Land Counselling Services. At Tomorrow's Land Counselling Services, I am committed to helping individuals navigate life's challenges with compassionate and professional support. We often feel we have no one we can really talk to. I am here to be that person for you to do just that. I know first-hand how daunting it feels as a client to walk into a counselling room and share one's innermost thoughts and feelings with a stranger.  I am here to provide a safe non-judgemental space to make you feel comfortable and at ease for you to open up to allow you to delve deeper into your difficulties/challenges. 
Welcome to Tomorrows Land Counselling Services. At Tomorrow's Land Counselling Services, I am committed to helping individuals navigate life's challenges with compassionate and professional support. We often feel we have no one we can really talk to. I am here to be that person for you to do just that. I know first-hand how daunting it feels as a client to walk into a counselling room and share one's innermost thoughts and feelings with a stranger.  I am here to provide a safe non-judgemental space to make you feel comfortable and at ease for you to open up to allow you to delve deeper into your difficulties/challenges. 
01572 491315 View 01572 491315
Photo of Louise Lindsey, BACP, Counsellor
Louise Lindsey
Counsellor, BACP
Verified Verified
Online Only
I am a Qualified Counsellor and I offer online counselling for anyone dealing with life’s many challenges. This includes Anxiety, Depression, Bereavement and Grief, PTSD, Low Self Esteem, Work Related Stress, Social Anxiety and Addiction. I offer an integrated approach using CBT, Person Centred Approach, Transactional Analysis and Gestalt Therapy.
I am a Qualified Counsellor and I offer online counselling for anyone dealing with life’s many challenges. This includes Anxiety, Depression, Bereavement and Grief, PTSD, Low Self Esteem, Work Related Stress, Social Anxiety and Addiction. I offer an integrated approach using CBT, Person Centred Approach, Transactional Analysis and Gestalt Therapy.
07738 704160 View 07738 704160
Photo of Alex Fox - Flourish with Fox, MSc, MBACP, Counsellor
Flourish with Fox
Counsellor, MSc, MBACP
Verified Verified
Plymouth PL4
My ideal client is someone seeking more than just external success—they are striving for mental and emotional balance. Often, they feel overwhelmed, disconnected, or stuck, whether due to life transitions, self-doubt, or emotional stress. They need guidance to rebuild their confidence, manage anxiety, and find inner strength. Their goal is to feel empowered, resilient, and fully aligned with their values and aspirations. They want to regain control of their lives by cultivating mental clarity and emotional growth, so they can thrive and find fulfillment in every area of life.
My ideal client is someone seeking more than just external success—they are striving for mental and emotional balance. Often, they feel overwhelmed, disconnected, or stuck, whether due to life transitions, self-doubt, or emotional stress. They need guidance to rebuild their confidence, manage anxiety, and find inner strength. Their goal is to feel empowered, resilient, and fully aligned with their values and aspirations. They want to regain control of their lives by cultivating mental clarity and emotional growth, so they can thrive and find fulfillment in every area of life.
01752 741708 View 01752 741708
Photo of Ben Selby - Ben Selby Counselling, MBACP Accred, Psychotherapist
Ben Selby Counselling
Psychotherapist, MBACP Accred
Verified Verified
Plymouth PL1
As a person centred therapist, I help clients to make positive life changes across a wide range of areas. Together, we can help you to take control of your life, improve your self confidence and unlock your true potential. I have over 16 years of experience, which has given me the knowledge and tools to guide clients through any situation they may be experiencing. I'm based in the tranquil environment of the Millfields in Stonehouse and offer flexible appointments (including early evening appointments). If you can't come to me, we can even use FaceTime for our appointments!
As a person centred therapist, I help clients to make positive life changes across a wide range of areas. Together, we can help you to take control of your life, improve your self confidence and unlock your true potential. I have over 16 years of experience, which has given me the knowledge and tools to guide clients through any situation they may be experiencing. I'm based in the tranquil environment of the Millfields in Stonehouse and offer flexible appointments (including early evening appointments). If you can't come to me, we can even use FaceTime for our appointments!
01752 987295 View 01752 987295
Photo of Sarah Robinson, MBACP Accred, Counsellor
Sarah Robinson
Counsellor, MBACP Accred
Verified Verified
Plymouth PL9
I can help you through difficult life situations, overwhelming feelings, and unhelpful behaviours; towards stability, peace, and the life you want. I believe, who we really are is joyful and unique. However, sometimes experiences and environments can stifle our connection to ourselves: the pathway to our joy and satisfaction with who we are. You may feel anxious, stressed, worthless, guilty, depressed or angry. You might have found ways of coping which provide some relief, but not for long. You may self-harm, self-sabotage, have addictions, or overwork. You might feel that pain and unhappiness is ingrained. I assure you it isn't!
I can help you through difficult life situations, overwhelming feelings, and unhelpful behaviours; towards stability, peace, and the life you want. I believe, who we really are is joyful and unique. However, sometimes experiences and environments can stifle our connection to ourselves: the pathway to our joy and satisfaction with who we are. You may feel anxious, stressed, worthless, guilty, depressed or angry. You might have found ways of coping which provide some relief, but not for long. You may self-harm, self-sabotage, have addictions, or overwork. You might feel that pain and unhappiness is ingrained. I assure you it isn't!
01752 741314 View 01752 741314
Photo of Jayne Anne Chugg, DCounsPsych, MNCPS Acc., Counsellor
Jayne Anne Chugg
Counsellor, DCounsPsych, MNCPS Acc.
Verified Verified
Plymouth PL5
Hello my name is Jayne, I am an experienced counsellor since 2007, live and work around the Plymouth area, i offer face-to-face counselling at my private practice and would consider home visits and offer telephone calls and zoom. As a private practioner my experience has given me the opportunity to work with a diverse range of issues, what i can offer is a safe space and a listening ear for you to come and explore any personal experienced issues/problems that may be effecting you at this time in a relaxed confidential manner. My background is working in a care sector with acute/mental health and autism with children and adults.
Hello my name is Jayne, I am an experienced counsellor since 2007, live and work around the Plymouth area, i offer face-to-face counselling at my private practice and would consider home visits and offer telephone calls and zoom. As a private practioner my experience has given me the opportunity to work with a diverse range of issues, what i can offer is a safe space and a listening ear for you to come and explore any personal experienced issues/problems that may be effecting you at this time in a relaxed confidential manner. My background is working in a care sector with acute/mental health and autism with children and adults.
01752 741348 View 01752 741348
Photo of Maria Michalakopoulou - Dragonfly Counselling Cornwall, MSc, MNCPS Acc., Counsellor
Dragonfly Counselling Cornwall
Counsellor, MSc, MNCPS Acc.
Verified Verified
Plymouth PL1
I am passionately committed to finding out what feels safe for each client, in order to offer a safe, therapeutic space, with empathy, warmth and unconditional positive regard. I work in a holistic way, bringing awareness to mind, body, emotions & soul (aka "true self", “authentic self”). I deeply believe that authentic, human relationships are a powerful tool towards positive change. I believe in the uniqueness of each human being and appreciate that "one size doesn't fit all". This is why my continuous commitment to training over the years has enriched my skills & knowledge and allows me to adjust my approach to client needs.
I am passionately committed to finding out what feels safe for each client, in order to offer a safe, therapeutic space, with empathy, warmth and unconditional positive regard. I work in a holistic way, bringing awareness to mind, body, emotions & soul (aka "true self", “authentic self”). I deeply believe that authentic, human relationships are a powerful tool towards positive change. I believe in the uniqueness of each human being and appreciate that "one size doesn't fit all". This is why my continuous commitment to training over the years has enriched my skills & knowledge and allows me to adjust my approach to client needs.
01726 219582 View 01726 219582
Photo of Nigel Summerton - Personal & Relationship Counselling, DCounsPsych, MBACP Accred, Counsellor
Personal & Relationship Counselling
Counsellor, DCounsPsych, MBACP Accred
Verified Verified
Plymouth PL4
Personal and Relationship Counselling are a group of BACP Accredited therapists, psychotherapists and supervisors. We have been providing counselling for individuals, relationships and organisations, in the Plymouth, Devon and Cornwall areas for 30 years. Our Counsellors have been vetted for both professional and personal qualities, because we know these are essential for positive therapeutic results, and want to continue to build on our excellent reputation. If you feel that you would like to begin counselling, please visit our website to see who you could be talking to.
Personal and Relationship Counselling are a group of BACP Accredited therapists, psychotherapists and supervisors. We have been providing counselling for individuals, relationships and organisations, in the Plymouth, Devon and Cornwall areas for 30 years. Our Counsellors have been vetted for both professional and personal qualities, because we know these are essential for positive therapeutic results, and want to continue to build on our excellent reputation. If you feel that you would like to begin counselling, please visit our website to see who you could be talking to.
01752 968311 View 01752 968311
Photo of Nigel Jones, MNCPS Acc., Counsellor
Nigel Jones
Counsellor, MNCPS Acc.
Verified Verified
Plymouth PL7
If you suffer from anxiety then looking for help is pretty tough. If you feel up for a chat, call me on 07918 050934 where we can talk for a while. This way you can decide if you feel we can work together to find the right way forward for you.
If you suffer from anxiety then looking for help is pretty tough. If you feel up for a chat, call me on 07918 050934 where we can talk for a while. This way you can decide if you feel we can work together to find the right way forward for you.
01572 494675 View 01572 494675
Photo of Kirsty Yeoman, MBABCP, Psychotherapist
Kirsty Yeoman
Psychotherapist, MBABCP
Verified Verified
Online Only
Hello. It's Kirsty here. I'm an Acceptance and Commitment Therapy (ACT), EMDR and fully accredited Cognitive and Behavioural Therapy (CBT) therapist. I have extensive experience of working with people who may struggle with anxiety, painful thoughts and feelings, who may have a critical perception of themselves, who may find relationships difficult or experience the world and others as unsafe. I also have experience of working with people who may describe their problems as low mood, trauma, social anxiety, generalised anxiety disorder (GAD), obsessive compulsive disorder (OCD), panic, health anxiety or long term conditions.
Hello. It's Kirsty here. I'm an Acceptance and Commitment Therapy (ACT), EMDR and fully accredited Cognitive and Behavioural Therapy (CBT) therapist. I have extensive experience of working with people who may struggle with anxiety, painful thoughts and feelings, who may have a critical perception of themselves, who may find relationships difficult or experience the world and others as unsafe. I also have experience of working with people who may describe their problems as low mood, trauma, social anxiety, generalised anxiety disorder (GAD), obsessive compulsive disorder (OCD), panic, health anxiety or long term conditions.
01752 741496 View 01752 741496
Photo of Philipp Grote, MBACP Accred, Counsellor
Philipp Grote
Counsellor, MBACP Accred
Verified Verified
1 Endorsed
Plymouth PL4
I am an integrative counsellor offers a trauma informed way of working. Mental health related labels often create the impression that the difficulties we experience as people are based on our personality or that we are somehow permanently damaged. Symptoms can include long term mental health issues, often from childhood, often built around a sense of shame and isolation.
I am an integrative counsellor offers a trauma informed way of working. Mental health related labels often create the impression that the difficulties we experience as people are based on our personality or that we are somehow permanently damaged. Symptoms can include long term mental health issues, often from childhood, often built around a sense of shame and isolation.
01572 494661 View 01572 494661
Photo of Josie Burden, MBACP, Psychotherapist
Josie Burden
Psychotherapist, MBACP
Verified Verified
Plymouth PL3
Feeling overwhelmed or stuck? You’re not alone. I am an experienced psychotherapist in supporting hormonal mental health (PMDD/PND), ADHD, low self esteem, anxiety & depression.I will work with you to understand, manage, & cope with your challenges in a safe, supportive environment. In our sessions, we will explore identifying triggers & patterns within a validating, trustworthy & safe environment.
Feeling overwhelmed or stuck? You’re not alone. I am an experienced psychotherapist in supporting hormonal mental health (PMDD/PND), ADHD, low self esteem, anxiety & depression.I will work with you to understand, manage, & cope with your challenges in a safe, supportive environment. In our sessions, we will explore identifying triggers & patterns within a validating, trustworthy & safe environment.
01572 494674 View 01572 494674
Photo of Mark Stephen Worthington, HCPC - Clin. Psych., Psychologist
Mark Stephen Worthington
Psychologist, HCPC - Clin. Psych.
Verified Verified
Plymouth PL4
I have 20+ years experience working with adults who have experienced traumatic histories, difficulties in relationships, overwhelming feelings, a complex world within their minds, troubling voices, intrusive thoughts, losses, low mood, frustrations, anxieties, who might have learned to cope in ways that can attract all kinds psychiatric diagnoses. I work with people who might have tried particular models of talking therapy before but need a tailored approach to understanding their troubles. I often see people who are not clear about what is troubling them or what they want, but require a safe space in which clarity might emerge.
I have 20+ years experience working with adults who have experienced traumatic histories, difficulties in relationships, overwhelming feelings, a complex world within their minds, troubling voices, intrusive thoughts, losses, low mood, frustrations, anxieties, who might have learned to cope in ways that can attract all kinds psychiatric diagnoses. I work with people who might have tried particular models of talking therapy before but need a tailored approach to understanding their troubles. I often see people who are not clear about what is troubling them or what they want, but require a safe space in which clarity might emerge.
07884 122195 View 07884 122195
Photo of Dr Lynsey Williams, PhD
Dr Lynsey Williams
PhD
Verified Verified
Plymouth PL4
I reply to enquires quickly and will return your message promptly. I am a trained Humanistic therapist, this means I am led by my client’s needs, and work to understand the unique experience of each individual that has led them to seek help. All the clients I see want to resolve difficulties they are experiencing and achieve improvements to their emotional well being and the relationship they have with themselves and others. The skills and approaches developed over the course of my career enable me to adapt to your specific needs.
I reply to enquires quickly and will return your message promptly. I am a trained Humanistic therapist, this means I am led by my client’s needs, and work to understand the unique experience of each individual that has led them to seek help. All the clients I see want to resolve difficulties they are experiencing and achieve improvements to their emotional well being and the relationship they have with themselves and others. The skills and approaches developed over the course of my career enable me to adapt to your specific needs.
01752 982805 View 01752 982805
Photo of Adele Selley, DCounsPsych, MBACP, Counsellor
Adele Selley
Counsellor, DCounsPsych, MBACP
Verified Verified
Plymouth PL6
I am a fully qualified, experienced Counsellor who may be able to help you. My counselling aims to suit each person as an individual. Over the years I have found that my work as a Counsellor has become more of a passion rather than simply a profession. Previous clients have stated that they have found me to be a warm, caring Counsellor who is very approachable. I am a registered member of the BACP (British Association for Counselling and Psychotherapy) and work by their Code of Ethics which includes monthly supervision. Please take a look at my Website : http://newleafcounsellingplymouth.co.uk
I am a fully qualified, experienced Counsellor who may be able to help you. My counselling aims to suit each person as an individual. Over the years I have found that my work as a Counsellor has become more of a passion rather than simply a profession. Previous clients have stated that they have found me to be a warm, caring Counsellor who is very approachable. I am a registered member of the BACP (British Association for Counselling and Psychotherapy) and work by their Code of Ethics which includes monthly supervision. Please take a look at my Website : http://newleafcounsellingplymouth.co.uk
01752 982519 View 01752 982519
Photo of Alicia Dawson, MBACP, Counsellor
Alicia Dawson
Counsellor, MBACP
Verified Verified
Plymouth PL1
Does it feel as though your feelings are too overwhelming at times? The preoccupation of fearing the worse, feeling not good enough and doubting yourself is tiring to carry around and becoming more difficult to mask. The uncertainty of how to change things adds to the frustration and muddle you are feeling. I understand talking about yourself can be difficult because of a fear of being judged or you may not know where to begin. I will do my best to put you at ease as finding the right counsellor is really important to be able to talk about how you feel, gain new insights, understand your behaviours and build self confidence.
Does it feel as though your feelings are too overwhelming at times? The preoccupation of fearing the worse, feeling not good enough and doubting yourself is tiring to carry around and becoming more difficult to mask. The uncertainty of how to change things adds to the frustration and muddle you are feeling. I understand talking about yourself can be difficult because of a fear of being judged or you may not know where to begin. I will do my best to put you at ease as finding the right counsellor is really important to be able to talk about how you feel, gain new insights, understand your behaviours and build self confidence.
01752 741104 View 01752 741104
Photo of Michael Stephen Bennett, MBACP, Counsellor
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 Stacey Sewell, MBACP, Counsellor
Stacey Sewell
Counsellor, MBACP
Verified Verified
Plymouth PL4
I work with people experiencing a range of difficulties including: depression, anxiety, stress, worry, feeling stuck or lost, loneliness, low self-esteem or a lack of confidence, imposter syndrome, feeling unsure of who they are, and relationship difficulties. I offer integrative counselling, which means I draw on a range of approaches to therapy, putting them together in a way that’s unique to each person I work with. I collaborate with clients to figure out what might help them through the difficulties they’re facing.
I work with people experiencing a range of difficulties including: depression, anxiety, stress, worry, feeling stuck or lost, loneliness, low self-esteem or a lack of confidence, imposter syndrome, feeling unsure of who they are, and relationship difficulties. I offer integrative counselling, which means I draw on a range of approaches to therapy, putting them together in a way that’s unique to each person I work with. I collaborate with clients to figure out what might help them through the difficulties they’re facing.
01572 491082 View 01572 491082
Photo of Lea Elizabeth Christie, DCounsPsych, BACP, Counsellor
Lea Elizabeth Christie
Counsellor, DCounsPsych, BACP
Verified Verified
1 Endorsed
Plymouth PL9
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 Ciara White Psychotherapy And Supervision, MBACP, Psychotherapist
Ciara White Psychotherapy And Supervision
Psychotherapist, MBACP
Verified Verified
3 Endorsed
Plymouth PL4
Traumatic life events can create sudden, urgent need for support. Equally, therapy can be a planned act of self care, facing barriers to growth and happiness. 18 years practice with young people, adults, families & couples therapy has taught me how everyone has unique experiences and needs. My approach is integrative, tailored to each client. I draw on 7 years academic studies & continuous professional development including psychotherapy, counselling, CBT, DBT, trauma focused therapy, coaching, SFBT and a PgC in supervision. I am committed to providing a positive, rewarding experience for clients, supervisees and organisations.
Traumatic life events can create sudden, urgent need for support. Equally, therapy can be a planned act of self care, facing barriers to growth and happiness. 18 years practice with young people, adults, families & couples therapy has taught me how everyone has unique experiences and needs. My approach is integrative, tailored to each client. I draw on 7 years academic studies & continuous professional development including psychotherapy, counselling, CBT, DBT, trauma focused therapy, coaching, SFBT and a PgC in supervision. I am committed to providing a positive, rewarding experience for clients, supervisees and organisations.
07480 534860 View 07480 534860

See more therapy options for Plymouth

How does your Counsellor compare?

Number of Counsellors in Plymouth

100+

Average cost per session

£50

Counsellors in Plymouth who prioritize treating:

88% Anxiety
85% Depression
80% 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% AXA PPP
35% Aviva
35% Bupa

How Counsellors in Plymouth see their clients

83% In Person and Online
17% Online Only

Gender breakdown

82% Female
17% 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.