Counselling in Portslade

Photo of Bryony Malley, Counsellor, MBACP
Bryony Malley
Counsellor, MBACP
Serves Area
Hello, I am a fully qualified and experienced counsellor offering affordable counselling in Brighton. Many of us think about trying counselling at some point in our lives. Perhaps you have experienced a loss recently, or a change which you are struggling to adjust to or cope with. You may feel lost, stuck, or troubled by something from the past. Whatever brings you to counselling, my aim is to provide a safe and confidential space where you can explore the issues which matter to you, and work together to find some clarity and a way forward which feels right for you.
Hello, I am a fully qualified and experienced counsellor offering affordable counselling in Brighton. Many of us think about trying counselling at some point in our lives. Perhaps you have experienced a loss recently, or a change which you are struggling to adjust to or cope with. You may feel lost, stuck, or troubled by something from the past. Whatever brings you to counselling, my aim is to provide a safe and confidential space where you can explore the issues which matter to you, and work together to find some clarity and a way forward which feels right for you.
07340 642085 View 07340 642085
Photo of Anita Toze - Anita Toze Clinical Psychologist & Psychotherapist, Psychologist, MSc, HCPC - Clin. Psych.
Anita Toze Clinical Psychologist & Psychotherapist
Psychologist, MSc, HCPC - Clin. Psych.
Serves Area
No matter what brings you to therapy, your experience matters. You may notice patterns repeating, intense emotions that don’t let up, or physical sensations that leave you on edge without a clear reason. Our brains and bodies often react long before we understand why, and therapy can help you make sense of these responses rather than feeling ruled by them.
No matter what brings you to therapy, your experience matters. You may notice patterns repeating, intense emotions that don’t let up, or physical sensations that leave you on edge without a clear reason. Our brains and bodies often react long before we understand why, and therapy can help you make sense of these responses rather than feeling ruled by them.
View
Photo of Katy Oswald, Counsellor, MBACP Accred
Katy Oswald
Counsellor, MBACP Accred
Serves Area
You may be experiencing anxiety, depression, loneliness, relationship challenges, low self-confidence, a loss in meaning, the impact of childhood experiences, difficult emotions that overwhelm you, feeling disconnected and lost. You may be wanting to make changes or going through a significant life event or transition. I have significant experience supporting people working through mid-life transitions. I am a calm, grounded and considered counsellor. I can offer you a safe and honest space to understand what is underneath how are feeling.
You may be experiencing anxiety, depression, loneliness, relationship challenges, low self-confidence, a loss in meaning, the impact of childhood experiences, difficult emotions that overwhelm you, feeling disconnected and lost. You may be wanting to make changes or going through a significant life event or transition. I have significant experience supporting people working through mid-life transitions. I am a calm, grounded and considered counsellor. I can offer you a safe and honest space to understand what is underneath how are feeling.
01273 121243 View 01273 121243
Photo of Sally Hill, Psychologist, PsychD, HCPC - Clin. Psych.
Sally Hill
Psychologist, PsychD, HCPC - Clin. Psych.
Serves Area
My main focus is always on creating a safe therapeutic relationship where we can think creatively together about the difficulties you might be facing. I particularly enjoy working with neurodivergent young people and adults, exploring together how they experience the world. I work predominantly from a trauma-informed perspective and a lot of my work with neurodivergent families focusses on the parent-child relationship.
My main focus is always on creating a safe therapeutic relationship where we can think creatively together about the difficulties you might be facing. I particularly enjoy working with neurodivergent young people and adults, exploring together how they experience the world. I work predominantly from a trauma-informed perspective and a lot of my work with neurodivergent families focusses on the parent-child relationship.
01273 092392 View 01273 092392
Photo of Theresa de Prey, Counsellor, MBACP
Theresa de Prey
Counsellor, MBACP
Serves Area
Hi, my name is Theresa. If emotions, behaviours or substances you use to cope are just not working for you any more please contact me. Perhaps you feel isolated, misunderstood, unheard or that you are hiding your real self from others. This may express itself in social anxiety, depression, substance use or avoiding difficult conversations. Together we can look at how your past experience continues to affect your present. If appropriate we can also look at developing tools to help you move towards a happier and heathier future. I work actively in sessions asking questions and suggesting links to your past when appropriate.
Hi, my name is Theresa. If emotions, behaviours or substances you use to cope are just not working for you any more please contact me. Perhaps you feel isolated, misunderstood, unheard or that you are hiding your real self from others. This may express itself in social anxiety, depression, substance use or avoiding difficult conversations. Together we can look at how your past experience continues to affect your present. If appropriate we can also look at developing tools to help you move towards a happier and heathier future. I work actively in sessions asking questions and suggesting links to your past when appropriate.
View
Photo of Dr Anna Chiara Sicilia, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Anna Chiara Sicilia
Psychologist, PsychD, HCPC - Clin. Psych.
Serves Area
I am Anna, a Chartered Clinical Psychologist, Clinical Supervisor and Consultant for the TV, Media and Radio. I have worked in the NHS in mental health services since 2014, specialising in supporting working age adults presenting with a range of difficulties. I am able to support both individuals and couples. I specialise in supporting people from the LGBTQI+ community and creative professionals. As a person from the LGBTQI+ community, with a background of having grown up in the fashion world in Italy, I have an ability to create a non-judgmental space where safe exploration of different aspects of your identity is encouraged.
I am Anna, a Chartered Clinical Psychologist, Clinical Supervisor and Consultant for the TV, Media and Radio. I have worked in the NHS in mental health services since 2014, specialising in supporting working age adults presenting with a range of difficulties. I am able to support both individuals and couples. I specialise in supporting people from the LGBTQI+ community and creative professionals. As a person from the LGBTQI+ community, with a background of having grown up in the fashion world in Italy, I have an ability to create a non-judgmental space where safe exploration of different aspects of your identity is encouraged.
01273 034687 View 01273 034687
Photo of Steve Broome, Counsellor, MBACP
Steve Broome
Counsellor, MBACP
Serves Area
Starting counselling can feel like a daunting journey. I am here to provide you with the support you need to help you process your thoughts and feelings, and explore how you might move forward in your life. I have worked with clients for over a decade and I am non-judgemental, accepting of you and your experiences, and here to listen to and work with whatever is on your mind. While counselling can be challenging at times, it can also come as a huge relief and be experienced as liberating and growthful.
Starting counselling can feel like a daunting journey. I am here to provide you with the support you need to help you process your thoughts and feelings, and explore how you might move forward in your life. I have worked with clients for over a decade and I am non-judgemental, accepting of you and your experiences, and here to listen to and work with whatever is on your mind. While counselling can be challenging at times, it can also come as a huge relief and be experienced as liberating and growthful.
01273 934723 View 01273 934723
Photo of Netti Buswell - Netti Buswell Therapy, Counsellor, MBACP
Netti Buswell Therapy
Counsellor, MBACP
Online Only
Working with me would mean being able to speak freely in a safe, non-judgemental environment. Sometimes it's difficult to speak to friends or family so talking therapy could be the right choice for you. I offer you an empathetic and respectful space. My work with you would be based on developing a therapeutic, supportive and healthy relationship, giving you the opportunity to explore your issues, find inner strength and confidence, reach your goals and find ways to experience a much more satisfying, healthier and meaningful life in the future.
Working with me would mean being able to speak freely in a safe, non-judgemental environment. Sometimes it's difficult to speak to friends or family so talking therapy could be the right choice for you. I offer you an empathetic and respectful space. My work with you would be based on developing a therapeutic, supportive and healthy relationship, giving you the opportunity to explore your issues, find inner strength and confidence, reach your goals and find ways to experience a much more satisfying, healthier and meaningful life in the future.
01273 037850 View 01273 037850
Photo of Lisa Dando, Psychotherapist, MBACP
Lisa Dando
Psychotherapist, MBACP
Serves Area
Why therapy? It's not always easy to talk about what is bothering us. You may be looking for support for something that has been worrying you for a while or because of a current upset, such as relationship difficulties or a life change. What I can help with I specialise in helping to understand how we relate to other people. You may be in a relationship with someone that doesn’t feel quite right or with a family member where there has been a long-standing difficulty. Our relationships with people can sometimes make us feel unsettled. When things don’t feel right, we can often feel depressed, anxious or experience panic attacks.
Why therapy? It's not always easy to talk about what is bothering us. You may be looking for support for something that has been worrying you for a while or because of a current upset, such as relationship difficulties or a life change. What I can help with I specialise in helping to understand how we relate to other people. You may be in a relationship with someone that doesn’t feel quite right or with a family member where there has been a long-standing difficulty. Our relationships with people can sometimes make us feel unsettled. When things don’t feel right, we can often feel depressed, anxious or experience panic attacks.
01273 934602 View 01273 934602
Photo of Valentina Enis - Valentina Enis Attachment-Focused Trauma Therapist, Counsellor, MBACP
You may be feeling anxious in relationships, emotionally overwhelmed, or repeating patterns you don’t fully understand. Perhaps past experiences or attachment wounds are affecting how you relate to others. You want clarity, emotional stability and a deeper understanding of yourself so you can feel more secure, connected and grounded in your life and relationships. I offer attachment-focused, trauma-informed therapy for adults and couples in Brighton & Hove and online.
You may be feeling anxious in relationships, emotionally overwhelmed, or repeating patterns you don’t fully understand. Perhaps past experiences or attachment wounds are affecting how you relate to others. You want clarity, emotional stability and a deeper understanding of yourself so you can feel more secure, connected and grounded in your life and relationships. I offer attachment-focused, trauma-informed therapy for adults and couples in Brighton & Hove and online.
020 4538 0895 View 020 4538 0895
Photo of Becky Sheppard, Psychotherapist, MA, HCPC-Drama Therap.
Becky Sheppard
Psychotherapist, MA, HCPC-Drama Therap.
1 Endorsed
Serves Area
You don't need the 'right words'. As a dramatherapist, in addition to sitting and talking, I can offer creative techniques and materials to help you to share what's going on, gain new perspectives and make changes in your life. If you are feeling anxious, struggling with low mood or self-esteem, having difficulties at home/work/school, questioning your identity or asking questions that you would appreciate sharing in a non-judgemental space - I can help. I work in person in Brighton and online with adults and with children and young people (aged 5-18). Get in touch to discuss how I might be able to support you (or your child).
You don't need the 'right words'. As a dramatherapist, in addition to sitting and talking, I can offer creative techniques and materials to help you to share what's going on, gain new perspectives and make changes in your life. If you are feeling anxious, struggling with low mood or self-esteem, having difficulties at home/work/school, questioning your identity or asking questions that you would appreciate sharing in a non-judgemental space - I can help. I work in person in Brighton and online with adults and with children and young people (aged 5-18). Get in touch to discuss how I might be able to support you (or your child).
01273 110398 View 01273 110398
Photo of Oriana Lauria, Counsellor, MBACP
Oriana Lauria
Counsellor, MBACP
2 Endorsed
Serves Area
Free consultation available. My approach blends talking therapy with creative, somatic, and experiential techniques, offering theory-informed ways to understand yourself on a deeper level. You may be feeling anxious, overwhelmed, disconnected, or stuck, noticing that talking alone hasn’t been enough. Perhaps your body holds pain or fatigue, or you feel out of sync with yourself and others. I offer a space where you can slow down and explore what’s happening beneath the surface — not to “fix” yourself, but to develop awareness and a sense of choice, honouring mind, body, emotions, and nervous system.
Free consultation available. My approach blends talking therapy with creative, somatic, and experiential techniques, offering theory-informed ways to understand yourself on a deeper level. You may be feeling anxious, overwhelmed, disconnected, or stuck, noticing that talking alone hasn’t been enough. Perhaps your body holds pain or fatigue, or you feel out of sync with yourself and others. I offer a space where you can slow down and explore what’s happening beneath the surface — not to “fix” yourself, but to develop awareness and a sense of choice, honouring mind, body, emotions, and nervous system.
View
Photo of Trudi Pearce, Counsellor, MSc, MBACP
Trudi Pearce
Counsellor, MSc, MBACP
1 Endorsed
Serves Area
I provide a safe space for clients navigating change, identity, and self-acceptance, whether that is coming out, transitioning, healing from emotional, physical, violent or sexual abuse, exploring trauma responses or finding peace with ageing and the body. As a proud cis queer woman, many of my clients are LGBTQ+, seeking a safe space to untangle shame, trauma, assult and years of being misunderstood and neither seen or heard. Together, we can explore who you are beneath old patterns so you can live more freely, love more deeply, and move forward with authenticity, confidence and sustainable positive change.
I provide a safe space for clients navigating change, identity, and self-acceptance, whether that is coming out, transitioning, healing from emotional, physical, violent or sexual abuse, exploring trauma responses or finding peace with ageing and the body. As a proud cis queer woman, many of my clients are LGBTQ+, seeking a safe space to untangle shame, trauma, assult and years of being misunderstood and neither seen or heard. Together, we can explore who you are beneath old patterns so you can live more freely, love more deeply, and move forward with authenticity, confidence and sustainable positive change.
01273 110137 View 01273 110137
Photo of Alex Ball, Counsellor, MA, MBACP Accred
Alex Ball
Counsellor, MA, MBACP Accred
Serves Area
I am an approachable and experienced therapist working with a broad spectrum of clients. My therapeutic approach is ‘Integrative’, meaning I use skills and theories from across the major modalities of Humanistic, Psychodynamic and CBT. I have a background in the charitable sector, working as a counsellor in community settings and in schools and colleges, and worked as a Youth Worker. I really value my clients and I am always accepting and non-judgemental, helping you feel safe throughout our work. I work with a collaborative and relational style, meaning our sessions will be conversational and I hope they’ll feel like teamwork.
I am an approachable and experienced therapist working with a broad spectrum of clients. My therapeutic approach is ‘Integrative’, meaning I use skills and theories from across the major modalities of Humanistic, Psychodynamic and CBT. I have a background in the charitable sector, working as a counsellor in community settings and in schools and colleges, and worked as a Youth Worker. I really value my clients and I am always accepting and non-judgemental, helping you feel safe throughout our work. I work with a collaborative and relational style, meaning our sessions will be conversational and I hope they’ll feel like teamwork.
01273 036062 View 01273 036062
Photo of Jemma Timberlake, Psychotherapist, MA, HCPC-Art Therap.
Jemma Timberlake
Psychotherapist, MA, HCPC-Art Therap.
Serves Area
I bring warmth, compassion and empathy to the therapy room, aiming to gently challenge and offer new perspectives whilst bringing a source of light in the darkness. With a particular interest in working with autism, ADHD, trauma, low mood, anxiety, self-esteem, bereavement and gender dysphoria. Adopting a trauma sensitive psychodynamic & psychoanalytical approach, where we can focus on both past and present experiences. This could be by using attachment theory, noticing repeating relational patterns or cycles of conflict, and thinking collaboratively about how you can begin to break free from these.
I bring warmth, compassion and empathy to the therapy room, aiming to gently challenge and offer new perspectives whilst bringing a source of light in the darkness. With a particular interest in working with autism, ADHD, trauma, low mood, anxiety, self-esteem, bereavement and gender dysphoria. Adopting a trauma sensitive psychodynamic & psychoanalytical approach, where we can focus on both past and present experiences. This could be by using attachment theory, noticing repeating relational patterns or cycles of conflict, and thinking collaboratively about how you can begin to break free from these.
01273 092014 View 01273 092014
Photo of Lucy Crean, Counsellor, MBACP
Lucy Crean
Counsellor, MBACP
Serves Area
Are you looking for help and support with problems that feel hard to overcome? I am an experienced therapist, and offer a warm, welcoming and calm space to explore your difficulties and facilitate positive change. Perhaps your life taken a turn or direction you are not happy with, or you might have tough choices to make. Maybe you can’t quite put your finger on why you feel unhappy or dissatisfied, but you know that something’s not right. Whatever has brought you to therapy, I am here to help.
Are you looking for help and support with problems that feel hard to overcome? I am an experienced therapist, and offer a warm, welcoming and calm space to explore your difficulties and facilitate positive change. Perhaps your life taken a turn or direction you are not happy with, or you might have tough choices to make. Maybe you can’t quite put your finger on why you feel unhappy or dissatisfied, but you know that something’s not right. Whatever has brought you to therapy, I am here to help.
01273 115425 View 01273 115425
Photo of Timothy Park, Counsellor, MBACP
Timothy Park
Counsellor, MBACP
1 Endorsed
Serves Area
Hi, I’m Tim. If you feel stuck in repeated patterns or disconnected from your own life, therapy can help you understand yourself more deeply and create meaningful change. Over the past ten years, I have helped individuals break free from deep-rooted challenges, including anxiety, trauma, ADHD, and addictive behaviours. My approach is deeply curious and non-passive. I won't just sit in silence and nod; we will actively work together to challenge old habits and help you regain control of your future.
Hi, I’m Tim. If you feel stuck in repeated patterns or disconnected from your own life, therapy can help you understand yourself more deeply and create meaningful change. Over the past ten years, I have helped individuals break free from deep-rooted challenges, including anxiety, trauma, ADHD, and addictive behaviours. My approach is deeply curious and non-passive. I won't just sit in silence and nod; we will actively work together to challenge old habits and help you regain control of your future.
01273 121315 View 01273 121315
Photo of Danielle Uphill, Psychotherapist, MA, MBACP Accred
Danielle Uphill
Psychotherapist, MA, MBACP Accred
Serves Area
Does your relationship feel stuck? Are you arguing about the same things, or has the silence between you become harder to bridge? Maybe you're working through an affair, navigating infertility or childlessness, or finding that life changes have pulled you apart rather than brought you closer. In our work together, we'll look at what's happening between you—the patterns that keep showing up, how you communicate (or don't), and what might be underneath the conflict or distance. My approach is collaborative and non-judgmental. I draw on systemic, psychodynamic, and humanistic perspectives to help you understand each other.
Does your relationship feel stuck? Are you arguing about the same things, or has the silence between you become harder to bridge? Maybe you're working through an affair, navigating infertility or childlessness, or finding that life changes have pulled you apart rather than brought you closer. In our work together, we'll look at what's happening between you—the patterns that keep showing up, how you communicate (or don't), and what might be underneath the conflict or distance. My approach is collaborative and non-judgmental. I draw on systemic, psychodynamic, and humanistic perspectives to help you understand each other.
01273 110593 View 01273 110593
Photo of Anna Pitsillides, Counsellor, BACP
Anna Pitsillides
Counsellor, BACP
Serves Area
Hi. My name is Anna and I am a Humanistic counsellor. This means I work in a way that aims to see your world through your eyes and create a safe, non-judgemental space in which you can explore your thoughts and feelings. This may enable you to understand yourself better by building awareness of the way you relate to yourself and others in the world. In this way, the possibility for change and choice can become more apparent. I will work with you at your pace and encourage you to bring to sessions what you feel you need to explore. Whatever your reason for seeking counselling, my aim is to walk alongside you on your journey.
Hi. My name is Anna and I am a Humanistic counsellor. This means I work in a way that aims to see your world through your eyes and create a safe, non-judgemental space in which you can explore your thoughts and feelings. This may enable you to understand yourself better by building awareness of the way you relate to yourself and others in the world. In this way, the possibility for change and choice can become more apparent. I will work with you at your pace and encourage you to bring to sessions what you feel you need to explore. Whatever your reason for seeking counselling, my aim is to walk alongside you on your journey.
View
Photo of Rose Gardner - The Therapy Clinic, Psychotherapist, MSc, MUKCP
The Therapy Clinic
Psychotherapist, MSc, MUKCP
Serves Area
The Therapy Clinic is a psychotherapy and counselling service in Brighton and Hove, founded to provide accessible, affordable, high quality services to those that need it in the community. We offer a range of approaches and affordabilities, and have a social enterprise ethos at heart. Whether you are feeling depressed, anxious, having issues in your relationship, or whether you are living with complex mental health needs, our team of clinicians, or our wider therapeutic network, can help. We offer individual, couple, and family counselling.
The Therapy Clinic is a psychotherapy and counselling service in Brighton and Hove, founded to provide accessible, affordable, high quality services to those that need it in the community. We offer a range of approaches and affordabilities, and have a social enterprise ethos at heart. Whether you are feeling depressed, anxious, having issues in your relationship, or whether you are living with complex mental health needs, our team of clinicians, or our wider therapeutic network, can help. We offer individual, couple, and family counselling.
01273 032458 View 01273 032458

How does your Counsellor compare?

Number of Counsellors in Portslade

50+

Average cost per session

£65

Counsellors in Portslade who prioritize treating:

92% Relationship Issues
92% Anxiety
92% Self Esteem
90% Depression
83% Stress
69% Bereavement
63% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

77% Aviva
62% AXA PPP
46% Bupa

How Counsellors in Portslade see their clients

96% In Person and Online
4% Online Only

Gender breakdown

74% Female
24% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Portslade?

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.