Counselling in Prescot

Photo of Louise Critchley-Thomas - Alliance Counselling: Louise Critchley-Thomas, Counsellor, MA, MBACP
Each of us experience difficulties at some point in our lives and having a confidential, safe place to discuss problems, allows us to share our burdens more readily. Asking for help is a brave step, therefore it is important to me that my clients feel heard and understood. Your problems are unique to you and this requires a flexible, individual approach. I am a fully qualified and experienced psychotherapist, trained in Person-Centred Therapy, I offer a warm, supportive and non-judgemental space for clients, where they can work through their problems, at their pace.
Each of us experience difficulties at some point in our lives and having a confidential, safe place to discuss problems, allows us to share our burdens more readily. Asking for help is a brave step, therefore it is important to me that my clients feel heard and understood. Your problems are unique to you and this requires a flexible, individual approach. I am a fully qualified and experienced psychotherapist, trained in Person-Centred Therapy, I offer a warm, supportive and non-judgemental space for clients, where they can work through their problems, at their pace.
0151 541 0540 View 0151 541 0540
Photo of Carmen Marin, Psychotherapist, MSc, MBACP Accred
Carmen Marin
Psychotherapist, MSc, MBACP Accred
Prescot L35
Hello! My name is Carmen and I am working as a private practitioner. I worked before in schools, drug and alcohol rehab and occupational health (EAP and assessments). I'll work with you in a way that will enable you to discover yourself, maybe the difficulty which probably causes you distress, increase your motivation and hopefully change your life in better. We can talk about what it is happening now but also we can address aspects from your past which are just on 'pause' at the minute but they 'creep' out whenever they want. Usually my sessions are based on your needs, purpose and action.
Hello! My name is Carmen and I am working as a private practitioner. I worked before in schools, drug and alcohol rehab and occupational health (EAP and assessments). I'll work with you in a way that will enable you to discover yourself, maybe the difficulty which probably causes you distress, increase your motivation and hopefully change your life in better. We can talk about what it is happening now but also we can address aspects from your past which are just on 'pause' at the minute but they 'creep' out whenever they want. Usually my sessions are based on your needs, purpose and action.
01744 413385 View 01744 413385
Photo of Kellie Mawdsley, Psychotherapist, MNCPS Acc.
Kellie Mawdsley
Psychotherapist, MNCPS Acc.
Prescot L34
I have been practicing for many years. I have experience of working with adults, children and families; counselling a variety of issues. I adapt and adjust my sessions to ensure you the client get what you want and need from each counselling session. I will work with you to explore and understand your fears and distress, encouraging you to move forward at your pace.
I have been practicing for many years. I have experience of working with adults, children and families; counselling a variety of issues. I adapt and adjust my sessions to ensure you the client get what you want and need from each counselling session. I will work with you to explore and understand your fears and distress, encouraging you to move forward at your pace.
01744 582195 View 01744 582195
Amelia Bellmon
Psychotherapist, MBABCP
Online Only
Hi! My name is Amelia. I am a Cognitive Behaviour Therapist (CBT) who works with children, adolescents and their parents/carers. I love working with young people - I appreciate how difficult life can be for our younger generation, I want to support them to overcome their challenges and live their lives as fully as possible. I often work with young people affected by low mood, general anxiety, phobias, OCD or social anxiety, although I can offer support with a wide range of difficulties. I am really passionate about working to the goals of young people and helping them to feel empowered and involved in their own care.
Hi! My name is Amelia. I am a Cognitive Behaviour Therapist (CBT) who works with children, adolescents and their parents/carers. I love working with young people - I appreciate how difficult life can be for our younger generation, I want to support them to overcome their challenges and live their lives as fully as possible. I often work with young people affected by low mood, general anxiety, phobias, OCD or social anxiety, although I can offer support with a wide range of difficulties. I am really passionate about working to the goals of young people and helping them to feel empowered and involved in their own care.
0151 453 2082 View 0151 453 2082
Photo of Gemma Bigwood, Counsellor, BACP
Gemma Bigwood
Counsellor, BACP
Prescot L34
Hi there, Scrolling through profiles can feel quite overwhelming, can’t it? You’re probably just looking for someone local, with a warm, friendly approach who can offer you the right support you need. My name is Gemma and I’m a qualified integrative therapist. In simple terms, this means I draw from a range of therapeutic approaches to support you in the best way possible. I am a compassionate and dedicated counsellor, with experience in helping clients navigate challenging issues such as relationship difficulties, anxiety, grief and depression.
Hi there, Scrolling through profiles can feel quite overwhelming, can’t it? You’re probably just looking for someone local, with a warm, friendly approach who can offer you the right support you need. My name is Gemma and I’m a qualified integrative therapist. In simple terms, this means I draw from a range of therapeutic approaches to support you in the best way possible. I am a compassionate and dedicated counsellor, with experience in helping clients navigate challenging issues such as relationship difficulties, anxiety, grief and depression.
0151 453 6872 View 0151 453 6872
Photo of Loraine Pearson, Counsellor, MBACP
Loraine Pearson
Counsellor, MBACP
1 Endorsed
Prescot L35
Emotional situations can heavily impact the way you are coping every day. The way you feel, the thoughts you have and the emotions you experience. You face challenges of varying degrees and difficulties throughout your life. You may need more help and support now to help cope with your day-to-day life. You may face adversity and challenges which pose great stresses and strains on you, and you may be stuck and unable to deal with the things you need to face. If this resonates with you or reminds you of someone you are worried about give me a call today.
Emotional situations can heavily impact the way you are coping every day. The way you feel, the thoughts you have and the emotions you experience. You face challenges of varying degrees and difficulties throughout your life. You may need more help and support now to help cope with your day-to-day life. You may face adversity and challenges which pose great stresses and strains on you, and you may be stuck and unable to deal with the things you need to face. If this resonates with you or reminds you of someone you are worried about give me a call today.
01732 920235 View 01732 920235
Photo of Linda Victoria Ward, Counsellor, MBACP
Linda Victoria Ward
Counsellor, MBACP
2 Endorsed
Prescot L35
Hello, I’m Linda and I’m an Integrative/Person-Centred Counsellor based in the Cheshire and Merseyside area for in person therapy, I also offer online, telephone and some walk and talk therapy (if applicable). Most of us will experience personal difficulties at some stage in our life and we may understandably struggle and may even want some support during these challenging times. We may require help to move forward if we are feeling stuck, frustrated, feel like giving up, or are looking to find our focus again.
Hello, I’m Linda and I’m an Integrative/Person-Centred Counsellor based in the Cheshire and Merseyside area for in person therapy, I also offer online, telephone and some walk and talk therapy (if applicable). Most of us will experience personal difficulties at some stage in our life and we may understandably struggle and may even want some support during these challenging times. We may require help to move forward if we are feeling stuck, frustrated, feel like giving up, or are looking to find our focus again.
01928 243550 View 01928 243550
Photo of Sandra Wakefield, Counsellor, MBACP
Sandra Wakefield
Counsellor, MBACP
5 Endorsed
Prescot L35
Hi, I'm Sandra, a counsellor based in Warrington, Cheshire. Sometimes we need to let go of things that are on our minds but are afraid of the consequences therefore life feels outside of our control and the ability to cope seems not enough. You may need more support to help you rediscover your spirit and qualities by picking your way through what is going on in your life. I know the importance of feeling safe as I have lived life experiences in emotional situations so understanding the way you are feeling, and the thoughts you have will bring challenges but we can explore these feelings together as we build on our relationship.
Hi, I'm Sandra, a counsellor based in Warrington, Cheshire. Sometimes we need to let go of things that are on our minds but are afraid of the consequences therefore life feels outside of our control and the ability to cope seems not enough. You may need more support to help you rediscover your spirit and qualities by picking your way through what is going on in your life. I know the importance of feeling safe as I have lived life experiences in emotional situations so understanding the way you are feeling, and the thoughts you have will bring challenges but we can explore these feelings together as we build on our relationship.
01925 948106 View 01925 948106
Photo of Drew Cass - Cass Therapy, Psychotherapist, MNCPS Acc.
Cass Therapy
Psychotherapist, MNCPS Acc.
Serves Area
Specifically worked in areas supporting people in crisis, low moods, anxiety stress and depression. Also helping people understand their addiction and the support available, theres possibility of working with familys too . Helping individuals gain an understanding of them selves to regain control, manageability and find stability. Helping you find your own path in life and support you to find your way out of the uncomfortable situations that may have arisen. Therapy can help in many areas of your life. In our session we will explore you to help find suitable solutions
Specifically worked in areas supporting people in crisis, low moods, anxiety stress and depression. Also helping people understand their addiction and the support available, theres possibility of working with familys too . Helping individuals gain an understanding of them selves to regain control, manageability and find stability. Helping you find your own path in life and support you to find your way out of the uncomfortable situations that may have arisen. Therapy can help in many areas of your life. In our session we will explore you to help find suitable solutions
01767 669814 View 01767 669814
Photo of Helen Beesley, Psychologist, HCPC - Clin. Psych.
Helen Beesley
Psychologist, HCPC - Clin. Psych.
Serves Area
I am a Chartered Clinical Psychologist and I provide psychological therapy for adults facing challenges with emotional difficulties such as depression, anxiety, grief and trauma related issues. We all experience low mood and anxiety at times in our lives. Sometimes this can feel difficult to manage and psychological therapy can help. An area of specialism is Clinical Health Psychology, helping people whose psychological difficulties relate to dealing with physical illness such as cancer. Some people I work with have a history of difficult experiences in childhood or traumatic experiences at any stage in life.
I am a Chartered Clinical Psychologist and I provide psychological therapy for adults facing challenges with emotional difficulties such as depression, anxiety, grief and trauma related issues. We all experience low mood and anxiety at times in our lives. Sometimes this can feel difficult to manage and psychological therapy can help. An area of specialism is Clinical Health Psychology, helping people whose psychological difficulties relate to dealing with physical illness such as cancer. Some people I work with have a history of difficult experiences in childhood or traumatic experiences at any stage in life.
0151 541 5346 View 0151 541 5346
Photo of Lisa Major - Sentio Psychotherapy Practice, Counsellor, MA, MNCPS Acc.
Sentio Psychotherapy Practice
Counsellor, MA, MNCPS Acc.
Serves Area
You may have your own unique reasons for wanting counselling or you might not be sure what the problem is or why you are feeling the way you are. All of this is ok. Counselling is about gaining a deeper understanding of your thoughts, feelings, fears, motivations & defences. It's about helping you to gain more awareness into your life and find more growthful ways of living. Finding the right counsellor is an important first step in this journey. My free initial consultation is an opportunity for you to decide whether I am the right fit for you and to ask any questions you may have.
You may have your own unique reasons for wanting counselling or you might not be sure what the problem is or why you are feeling the way you are. All of this is ok. Counselling is about gaining a deeper understanding of your thoughts, feelings, fears, motivations & defences. It's about helping you to gain more awareness into your life and find more growthful ways of living. Finding the right counsellor is an important first step in this journey. My free initial consultation is an opportunity for you to decide whether I am the right fit for you and to ask any questions you may have.
0151 453 6637 View 0151 453 6637
Photo of Kelly Sartorius, Counsellor, MNCPS Acc.
Kelly Sartorius
Counsellor, MNCPS Acc.
Serves Area
Seeking counselling is a brave step toward self-discovery and healing. Counselling is most sought after for a variety of reasons, such as anxiety or depression navigating life transitions, stress, trauma and bereavement also relationship enhancement, and promoting self-awareness and personal development. I am compassionate and understanding. I offer a tailored approach to therapy. Do you want to feel heard, validated, and supported in a safe, non-judgmental space, then look know further. I combine various psychological models, including CBT, person-centred therapy and psychdynamic. I work weekdays, weekends, evenings & late nights
Seeking counselling is a brave step toward self-discovery and healing. Counselling is most sought after for a variety of reasons, such as anxiety or depression navigating life transitions, stress, trauma and bereavement also relationship enhancement, and promoting self-awareness and personal development. I am compassionate and understanding. I offer a tailored approach to therapy. Do you want to feel heard, validated, and supported in a safe, non-judgmental space, then look know further. I combine various psychological models, including CBT, person-centred therapy and psychdynamic. I work weekdays, weekends, evenings & late nights
0151 453 4516 View 0151 453 4516
Photo of Julie Jameson, Counsellor, BACP
Julie Jameson
Counsellor, BACP
Serves Area
Is COVID 19 causing you concern? Are you feeling stressed, lonely or anxious?This can often cause nausea ,constantly on edge? Maybe you are struggling to cope with a bereavement, relationship issues or loneliness? Counselling can help individuals overcome some of the struggles that we can often be faced with in our lives. Within a safe, warm and confidential environment your difficulties can be shared and explored. Empathic, non-judgemental therapy will help you to gain a better understanding of your feelings, thoughts and behaviour. This will enable you to move forward in life and provide you with a greater sense of well being.
Is COVID 19 causing you concern? Are you feeling stressed, lonely or anxious?This can often cause nausea ,constantly on edge? Maybe you are struggling to cope with a bereavement, relationship issues or loneliness? Counselling can help individuals overcome some of the struggles that we can often be faced with in our lives. Within a safe, warm and confidential environment your difficulties can be shared and explored. Empathic, non-judgemental therapy will help you to gain a better understanding of your feelings, thoughts and behaviour. This will enable you to move forward in life and provide you with a greater sense of well being.
07733 534626 View 07733 534626
Photo of Laura-Jane Waterhouse, Counsellor, MBACP
Laura-Jane Waterhouse
Counsellor, MBACP
Serves Area
I am a person centred counsellor and also have a qualification in cognitive behavioural therapy. I believe counselling is a journey of self-discovery and personal development that is a continual process both during and after therapy has taken place. Through counselling, a person will learn about themselves in a way they would never intend or maybe expect. As a counsellor I will be alongside you on your therapeutic journey and create a safe space that is respectful and non-biased to allow you to discover yourself and work through any issues that may be troubling you.
I am a person centred counsellor and also have a qualification in cognitive behavioural therapy. I believe counselling is a journey of self-discovery and personal development that is a continual process both during and after therapy has taken place. Through counselling, a person will learn about themselves in a way they would never intend or maybe expect. As a counsellor I will be alongside you on your therapeutic journey and create a safe space that is respectful and non-biased to allow you to discover yourself and work through any issues that may be troubling you.
0151 453 6703 View 0151 453 6703
Photo of Louise Hill - Inside Out Counselling, Counsellor, MBACP
Inside Out Counselling
Counsellor, MBACP
Serves Area
I am a fully qualified, integrative counsellor and a member of the BACP with extensive experience in the field of eating disorders. I offer a warm, confidential and non-judgemental approach; providing you the space to explore your feelings in a supportive environment. The approaches I am trained in range from Person Centred, Psychodynamic, Cognitive Behavioural Therapy (CBT), Solution Focussed Brief Therapy and Transactional Analysis. As every individual is unique, these models provide me with the flexibility to match your needs and how you like to work.
I am a fully qualified, integrative counsellor and a member of the BACP with extensive experience in the field of eating disorders. I offer a warm, confidential and non-judgemental approach; providing you the space to explore your feelings in a supportive environment. The approaches I am trained in range from Person Centred, Psychodynamic, Cognitive Behavioural Therapy (CBT), Solution Focussed Brief Therapy and Transactional Analysis. As every individual is unique, these models provide me with the flexibility to match your needs and how you like to work.
01744 419666 View 01744 419666

More Therapists Nearby

Photo of Paula Reilly - paula reilly counselling, Counsellor, MBACP
paula reilly counselling
Counsellor, MBACP
Hi, my name is Paula, I'm an integrative therapist working both face to face and on line. Question…. When was the last time you allowed yourself to be vulnerable? When did you last talk about things which make you uncomfortable. My next question is what if you did? What would the possibilities look like? Who would you be? What could you achieve? If we don’t make changes, we always get the same results. Is it time for change? This isn’t a journey you need to travel alone. We can work on change together.
Hi, my name is Paula, I'm an integrative therapist working both face to face and on line. Question…. When was the last time you allowed yourself to be vulnerable? When did you last talk about things which make you uncomfortable. My next question is what if you did? What would the possibilities look like? Who would you be? What could you achieve? If we don’t make changes, we always get the same results. Is it time for change? This isn’t a journey you need to travel alone. We can work on change together.
01767 669816 View 01767 669816
Photo of Emma Harris, Counsellor, MA, MBACP
Emma Harris
Counsellor, MA, MBACP
It isn't often, in our everyday lives, that we feel truly heard, understood and accepted without sensing judgement or criticism from others. I deeply acknowledge and understand the loneliness that comes from struggling in silence with life's difficulties. Therapy offers you a calm space to begin to tell your story; permission to pause and reflect on what you have been through, validate your response to trauma and loss and gently navigate the path forward. I will support you on your therapeutic journey, gently empowering you to realise your inner resources and ways of coping and navigating your world so that you feel more in control.
It isn't often, in our everyday lives, that we feel truly heard, understood and accepted without sensing judgement or criticism from others. I deeply acknowledge and understand the loneliness that comes from struggling in silence with life's difficulties. Therapy offers you a calm space to begin to tell your story; permission to pause and reflect on what you have been through, validate your response to trauma and loss and gently navigate the path forward. I will support you on your therapeutic journey, gently empowering you to realise your inner resources and ways of coping and navigating your world so that you feel more in control.
0161 524 0306 View 0161 524 0306
Photo of Kelsie James, Counsellor, MBACP
Kelsie James
Counsellor, MBACP
1 Endorsed
Serves Area
We aren't meant to fit into boxes. I believe that you are the expert of yourself and that my role is to help you explore whatever you bring in a nonjudgmental way with awareness, curiosity, and support. What brings you here today? Sometimes we seek therapy because we need someone to listen without judgment. Other times, we may feel that we have lost ourselves, or are trying to figure out who we want to be going forward. While there is no magic wand to get there in an instant, my practice style is to come alongside you and hold a safe space for you on your therapeutic journey.
We aren't meant to fit into boxes. I believe that you are the expert of yourself and that my role is to help you explore whatever you bring in a nonjudgmental way with awareness, curiosity, and support. What brings you here today? Sometimes we seek therapy because we need someone to listen without judgment. Other times, we may feel that we have lost ourselves, or are trying to figure out who we want to be going forward. While there is no magic wand to get there in an instant, my practice style is to come alongside you and hold a safe space for you on your therapeutic journey.
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Photo of Jennifer Lee, Counsellor, BACP
Jennifer Lee
Counsellor, BACP
Hi, I'm Jennifer, I am a fully qualified integrative counsellor who has been working as a mental health therapist within the NHS and local charities for many years. I focus on offering a warm, empathic and non-judgemental space for us to work together to explore your thoughts and feelings and support you to find a way forward though life’s challenges. I also have experience working in CAMHS as a children and young persons therapist and support parents with their children's mental health and the challenges of family life.
Hi, I'm Jennifer, I am a fully qualified integrative counsellor who has been working as a mental health therapist within the NHS and local charities for many years. I focus on offering a warm, empathic and non-judgemental space for us to work together to explore your thoughts and feelings and support you to find a way forward though life’s challenges. I also have experience working in CAMHS as a children and young persons therapist and support parents with their children's mental health and the challenges of family life.
0161 524 9151 View 0161 524 9151
Photo of Em Inglis, Counsellor, DCounsPsych, MBACP
Em Inglis
Counsellor, DCounsPsych, MBACP
Have you lived with anxiety or depression, and need someone to help you unravel what keeps you in distress? Perhaps you feel behind in life, and struggle to know what stops you from moving forward. I am here to help you to live more authentically, to explore your relationship with different parts of yourself, and to help you move from being stuck to a more flexible way of experiencing. I help my clients to build a compassionate relationship with themselves. The goal is that clients begin to feel able to cope with difficult feelings and situations, make decisions that align with their values, and strengthen their relationships.
Have you lived with anxiety or depression, and need someone to help you unravel what keeps you in distress? Perhaps you feel behind in life, and struggle to know what stops you from moving forward. I am here to help you to live more authentically, to explore your relationship with different parts of yourself, and to help you move from being stuck to a more flexible way of experiencing. I help my clients to build a compassionate relationship with themselves. The goal is that clients begin to feel able to cope with difficult feelings and situations, make decisions that align with their values, and strengthen their relationships.
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How does your Counsellor compare?

Number of Counsellors in Prescot

10+

Average cost per session

£50

Counsellors in Prescot who prioritize treating:

100% Anxiety
93% Depression
93% Bereavement
80% Self Esteem
80% Stress
73% Relationship Issues
73% Trauma and PTSD

Average years in practice

6 Years

Top 3 insurances accepted

75% Aviva
75% Vitality
50% AXA PPP

How Counsellors in Prescot see their clients

93% In Person and Online
7% Online Only

Gender breakdown

93% Female
7% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Prescot?

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.