Counselling in Preston

Photo of Helena Smith, Counsellor in Preston, England
Helena Smith
Counsellor, BACP
Verified Verified
Preston PR3
Not accepting new clients
It can be such a relief to share your worries and concerns about whatever is causing you stress or distress in your life. Sometimes, we need another person who isn't part of our family or friendship group. I am here to be that person, here to listen, understand and help you unravel those jumbled thoughts when life is feeling stressful. I offer a safe space and my experience of working with depression, anxiety, work or family difficulties and a warm, supportive, friendly and confidential environment. Don't hesitate to contact me for a chat together to see if I am the right person for you.
It can be such a relief to share your worries and concerns about whatever is causing you stress or distress in your life. Sometimes, we need another person who isn't part of our family or friendship group. I am here to be that person, here to listen, understand and help you unravel those jumbled thoughts when life is feeling stressful. I offer a safe space and my experience of working with depression, anxiety, work or family difficulties and a warm, supportive, friendly and confidential environment. Don't hesitate to contact me for a chat together to see if I am the right person for you.
01254 927994 View 01254 927994
Photo of Nicola Lord, Counsellor in Preston, England
Nicola Lord
Counsellor, BACP
Verified Verified
Preston PR2
Hello, my name is Nicola. I have a strong passion for working with individuals of all ages, including both adults and children/young people. My ultimate goal is to assist others in overcoming personal challenges by providing a therapeutic environment that allows people to freely express their thoughts and emotions, while feeling comfortable and protected. With experience in various settings such as NHS, voluntary sector, higher education, and as a self-employed counsellor, I bring a wealth of knowledge and resourcefulness to my profession. Additionally, I am proficient in conducting sessions face to face or through online platforms.
Hello, my name is Nicola. I have a strong passion for working with individuals of all ages, including both adults and children/young people. My ultimate goal is to assist others in overcoming personal challenges by providing a therapeutic environment that allows people to freely express their thoughts and emotions, while feeling comfortable and protected. With experience in various settings such as NHS, voluntary sector, higher education, and as a self-employed counsellor, I bring a wealth of knowledge and resourcefulness to my profession. Additionally, I am proficient in conducting sessions face to face or through online platforms.
01722 440742 View 01722 440742
Photo of Shaun Noteman, Counsellor in Preston, England
Shaun Noteman
Counsellor, PNCPS Acc.
Verified Verified
Preston PR2  (Online Only)
Are you at a period in your life when emotional and psychological issues have become a concern for you. I offer a safe, confidential and non-judgemental space for you to work with me in dealing with these issues. Begin your journey working on the concerns that you are struggling with, may feel difficult or overwhelming. These concerns that may have a repeating pattern, themes or life 'just not feeling right' I have experience of working with a range of life-limiting conditions
Are you at a period in your life when emotional and psychological issues have become a concern for you. I offer a safe, confidential and non-judgemental space for you to work with me in dealing with these issues. Begin your journey working on the concerns that you are struggling with, may feel difficult or overwhelming. These concerns that may have a repeating pattern, themes or life 'just not feeling right' I have experience of working with a range of life-limiting conditions
01257 440893 View 01257 440893
Photo of Beverley Chapman, Counsellor in Preston, England
Beverley Chapman
Counsellor, MA
Verified Verified
Preston PR4
A good healthy relationship can enrich our lives and and provide a deep sense of fulfilment, both emotionally and physically. When relationships are not working we often feel frustrated, and confused with measurable consequences on our lives and those around us.There are many reasons why relationships become difficult or unmanageable These may be because of poor communication, arguments that are repeated or never resolved, trust issues, an affair or life stage transitions such as having children, divorce, blended families, bereavement or retirement.
A good healthy relationship can enrich our lives and and provide a deep sense of fulfilment, both emotionally and physically. When relationships are not working we often feel frustrated, and confused with measurable consequences on our lives and those around us.There are many reasons why relationships become difficult or unmanageable These may be because of poor communication, arguments that are repeated or never resolved, trust issues, an affair or life stage transitions such as having children, divorce, blended families, bereavement or retirement.
01305 235629 View 01305 235629
Photo of Lorraine Gibbons in Preston, England
Lorraine Gibbons
Verified Verified
Preston PR1
Thank you for taking time to read my profile. I am a qualified Systemic Family Practitioner supporting Children, Young People and Families to find solutions to their problems including issues such as anger, self-esteem, anxiety, life transitions and trauma. I am also an Internal Family Systems Practitioner supporting young people, adults and couples and my holistic approach will ensure that every avenue is explored to ensure the most beneficial experience for you.
Thank you for taking time to read my profile. I am a qualified Systemic Family Practitioner supporting Children, Young People and Families to find solutions to their problems including issues such as anger, self-esteem, anxiety, life transitions and trauma. I am also an Internal Family Systems Practitioner supporting young people, adults and couples and my holistic approach will ensure that every avenue is explored to ensure the most beneficial experience for you.
01772 419527 View 01772 419527
Photo of Apple Counselling, Counsellor in Preston, England
Apple Counselling
Counsellor, BACP
Verified Verified
Preston PR4
Are you struggling with something difficult in the here and now, such as the loss of a loved one, or the breakdown of a relationship? Or perhaps you’re aware of vague, underlying feelings of sadness, anxiety, or anger. Maybe you feel trapped in a cycle of repeated disappointments with partners, friends, career and don’t know why. Whether you know what the problem is, or even if you don’t, therapy can help. It’s an opportunity to explore yourself; to examine feelings, thought, and motivations to gain understanding - the first step towards navigating a different, happier course. You've taken the first brave step - the next is to call.
Are you struggling with something difficult in the here and now, such as the loss of a loved one, or the breakdown of a relationship? Or perhaps you’re aware of vague, underlying feelings of sadness, anxiety, or anger. Maybe you feel trapped in a cycle of repeated disappointments with partners, friends, career and don’t know why. Whether you know what the problem is, or even if you don’t, therapy can help. It’s an opportunity to explore yourself; to examine feelings, thought, and motivations to gain understanding - the first step towards navigating a different, happier course. You've taken the first brave step - the next is to call.
01772 419875 View 01772 419875
Photo of Sal Bailey, Psychotherapist in Preston, England
Sal Bailey
Psychotherapist, MBACP
Verified Verified
Preston PR2
Hi, my name is Sal. I work with people with a wide range of issues. Many people come to therapy because they are having a difficult time and want someone to listen to them, others want help in finding reasons why they are feeling this way. Sometimes people have more complex issues and need someone skilled and experienced to help them manage and work through them.
Hi, my name is Sal. I work with people with a wide range of issues. Many people come to therapy because they are having a difficult time and want someone to listen to them, others want help in finding reasons why they are feeling this way. Sometimes people have more complex issues and need someone skilled and experienced to help them manage and work through them.
01772 963124 View 01772 963124
Photo of Dr Dany Just, Psychologist in Preston, England
Dr Dany Just
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Preston PR2  (Online Only)
Hi, I'm Dany, a clinical psychologist based in the North-West. I am an experienced clinical psychologist dedicated to help you improve your quality of life. I embrace a rich tapestry of therapeutic approaches – CBT, DBT, CFT, ACT, relational etc. – to tailor sessions to honour your unique experiences. Your journey of self-discovery and growth is nurtured in a sensitive space, where I am committed to fostering understanding and wellbeing. Take a step towards celebrating the strength and uniqueness within you with me as your compassionate companion.
Hi, I'm Dany, a clinical psychologist based in the North-West. I am an experienced clinical psychologist dedicated to help you improve your quality of life. I embrace a rich tapestry of therapeutic approaches – CBT, DBT, CFT, ACT, relational etc. – to tailor sessions to honour your unique experiences. Your journey of self-discovery and growth is nurtured in a sensitive space, where I am committed to fostering understanding and wellbeing. Take a step towards celebrating the strength and uniqueness within you with me as your compassionate companion.
View
Photo of Niomi Wilkinson, Psychotherapist in Preston, England
Niomi Wilkinson
Psychotherapist, MBACP Accred
Verified Verified
Preston PR5
Hi, I'm Niomi. Recognising that you have a challenge, problem or issue that you wish to address can take courage. We can discuss how I can help you, or your child, to work towards achieving your goals for change. Seeing a therapist can be incredibly beneficial and effective, whether it is for a short period of focused work or a longer course of psychotherapy. I create a safe, comfortable non-judgmental space where we can work together on your needs. This can be face to face, or outdoor therapy through walk and talk, or online.
Hi, I'm Niomi. Recognising that you have a challenge, problem or issue that you wish to address can take courage. We can discuss how I can help you, or your child, to work towards achieving your goals for change. Seeing a therapist can be incredibly beneficial and effective, whether it is for a short period of focused work or a longer course of psychotherapy. I create a safe, comfortable non-judgmental space where we can work together on your needs. This can be face to face, or outdoor therapy through walk and talk, or online.
01253 835706 View 01253 835706
Photo of Cookies Counselling, Psychotherapist in Preston, England
Cookies Counselling
Psychotherapist, MA, MBACP
Verified Verified
Preston PR2
Hi everyone my name is Catherine. I am aware that everyone is different and at different stages in their life and therefore we all have different expectations. Which makes my services unique to you, as I tailor make the sessions to meet every individual clients needs. I am committed to ensuring my clients overcome their presenting issues and I will always do my very best to help them meet their therapy goals and support them to reach their full potential.
Hi everyone my name is Catherine. I am aware that everyone is different and at different stages in their life and therefore we all have different expectations. Which makes my services unique to you, as I tailor make the sessions to meet every individual clients needs. I am committed to ensuring my clients overcome their presenting issues and I will always do my very best to help them meet their therapy goals and support them to reach their full potential.
01772 419577 View 01772 419577
Photo of Paul Robinson, Psychotherapist in Preston, England
Paul Robinson
Psychotherapist, MNCPS Acc.
Verified Verified
Preston PR1
Hi, my name is Paul Robinson, a psychotherapist and counsellor based in Preston, Lancashire. I have always enjoyed working with people, helping them to overcome their difficulties and distress and to develop and grow. People have always described me as "easy to talk to" and I use this as the foundation to the friendly, empathic and non-judgemental approach I offer to my clients. It is my sincere hope that the relationship we create together becomes the space in which we can explore the challenges and distress that brings you to consider seeing a therapist, and to then be able to move on in life in a much better way.
Hi, my name is Paul Robinson, a psychotherapist and counsellor based in Preston, Lancashire. I have always enjoyed working with people, helping them to overcome their difficulties and distress and to develop and grow. People have always described me as "easy to talk to" and I use this as the foundation to the friendly, empathic and non-judgemental approach I offer to my clients. It is my sincere hope that the relationship we create together becomes the space in which we can explore the challenges and distress that brings you to consider seeing a therapist, and to then be able to move on in life in a much better way.
01924 667367 View 01924 667367
Photo of In Toto Counselling, Counsellor in Preston, England
In Toto Counselling
Counsellor, DCounsPsych, MBACP
Verified Verified
Preston PR1  (Online Only)
I am an integrative counsellor offering talking therapy focused on you and your needs. Sometimes this will mean providing a safe place to openly discuss your concerns and difficulties without judgement and sometimes this will be providing solutions and guidance around practical elements to help overcome your concerns and difficulties, depending on what best suits your needs. I work with children, young people, adults and couples across a range of presenting issues.
I am an integrative counsellor offering talking therapy focused on you and your needs. Sometimes this will mean providing a safe place to openly discuss your concerns and difficulties without judgement and sometimes this will be providing solutions and guidance around practical elements to help overcome your concerns and difficulties, depending on what best suits your needs. I work with children, young people, adults and couples across a range of presenting issues.
01772 288309 View 01772 288309
Photo of Frances Redding, Psychotherapist in Preston, England
Frances Redding
Psychotherapist, MSc, MBABCP
Verified Verified
Preston PR2
Waitlist for new clients
Hello I'm Fran and I've worked for the NHS for 18 years in mental health/physical health settings. I'm a therapist and supervisor offering a compassionate space to help clients and colleagues, on a private basis. I use a combination of Compassion Focused Therapy which uses a non judgemental approach to help clients understand themselves/difficulties and make decisions for change in their best interests, alongside Cognitive Behavioural Therapy and Eye Movement Desensitisation Re-processing of psychological trauma.
Hello I'm Fran and I've worked for the NHS for 18 years in mental health/physical health settings. I'm a therapist and supervisor offering a compassionate space to help clients and colleagues, on a private basis. I use a combination of Compassion Focused Therapy which uses a non judgemental approach to help clients understand themselves/difficulties and make decisions for change in their best interests, alongside Cognitive Behavioural Therapy and Eye Movement Desensitisation Re-processing of psychological trauma.
01772 503093 View 01772 503093
Photo of Martin Rigby Counselling, Counsellor in Preston, England
Martin Rigby Counselling
Counsellor, MSc, MBACP
Verified Verified
1 Endorsed
Preston PR4
Hello my name is Martin Rigby. I'm an experienced, qualified and registered person-centred counsellor working in private practice in Preston, Ashton-in-Makerfield, Hindley, Leigh and Wigan. I provide counselling face-to-face, by phone and online to people of all ages, cultures and backgrounds. I work with young people, adults, senior citizens, couples and organisations. My counselling fees are: Initial 30 minute appointment-free of charge. Individual:£35. Couples:£40. Home visits:£45- travel costs may apply. Skype/IM, Facetime, Whattsapp:£25. Consessions are available.
Hello my name is Martin Rigby. I'm an experienced, qualified and registered person-centred counsellor working in private practice in Preston, Ashton-in-Makerfield, Hindley, Leigh and Wigan. I provide counselling face-to-face, by phone and online to people of all ages, cultures and backgrounds. I work with young people, adults, senior citizens, couples and organisations. My counselling fees are: Initial 30 minute appointment-free of charge. Individual:£35. Couples:£40. Home visits:£45- travel costs may apply. Skype/IM, Facetime, Whattsapp:£25. Consessions are available.
01305 235631 View 01305 235631
Photo of Wayne Moorhead, Counsellor in Preston, England
Wayne Moorhead
Counsellor, MBACP
Verified Verified
Preston PR4
Have you ever felt so incredibly overwhelmed by life, like things are just too hard, that you can’t make sense of anything? Do you feel alone, invisible and unwanted most of the time? Are you struggling to find the true you? Our pathways in life often become muddled due to circumstances outside our control. This leads to a disconnection with who we really are, leaving us feeling lost, directionless and unable to trust ourselves. Counselling helps us to make sense of our struggles and reengage with who we really are and have always been.
Have you ever felt so incredibly overwhelmed by life, like things are just too hard, that you can’t make sense of anything? Do you feel alone, invisible and unwanted most of the time? Are you struggling to find the true you? Our pathways in life often become muddled due to circumstances outside our control. This leads to a disconnection with who we really are, leaving us feeling lost, directionless and unable to trust ourselves. Counselling helps us to make sense of our struggles and reengage with who we really are and have always been.
01772 283518 View 01772 283518
Photo of Keeley Louise Counselling, Counsellor in Preston, England
Keeley Louise Counselling
Counsellor, DCounsPsych, MBACP
Verified Verified
Preston PR4
I am a caring, compassionate individual that has a natural empathy towards others. I aim to provide a safe space that will enable you to explore your current situation without fear of being judged. I will walk with you whilst you explore any challenges, emotions and feelings that may be holding you back from reaching your full potential. At times, we all need a helping hand or somebody to shine a torch through the darkness. Reaching out for support is not a sign of weakness, it takes strength and courage. I have experienced the benefits of counselling myself and feel humbled to be in a position to offer the same support to others.
I am a caring, compassionate individual that has a natural empathy towards others. I aim to provide a safe space that will enable you to explore your current situation without fear of being judged. I will walk with you whilst you explore any challenges, emotions and feelings that may be holding you back from reaching your full potential. At times, we all need a helping hand or somebody to shine a torch through the darkness. Reaching out for support is not a sign of weakness, it takes strength and courage. I have experienced the benefits of counselling myself and feel humbled to be in a position to offer the same support to others.
01772 963073 View 01772 963073
Photo of Paula Slater, Psychologist in Preston, England
Paula Slater
Psychologist, MSc, GMBPsS
Verified Verified
1 Endorsed
Preston PR1
I am a wife, a mother of 3 beautiful children, and a Psychologist. I have dedicated my life to helping adults, children and young people maintain their mental health and well-being. My mission has been to help and empower anyone to overcome their most challenging obstacles and start living happier and healthier lifestyles. My extensive experience means that I'm fully equipped to guide, support and assist you in building the life you clearly deserve. I aim to create a life balance that prioritises your well-being and celebrates all aspects of your true self. My approach is integrative and I am very down to earth.
I am a wife, a mother of 3 beautiful children, and a Psychologist. I have dedicated my life to helping adults, children and young people maintain their mental health and well-being. My mission has been to help and empower anyone to overcome their most challenging obstacles and start living happier and healthier lifestyles. My extensive experience means that I'm fully equipped to guide, support and assist you in building the life you clearly deserve. I aim to create a life balance that prioritises your well-being and celebrates all aspects of your true self. My approach is integrative and I am very down to earth.
01772 283893 View 01772 283893
Photo of Humera Patel, Counsellor in Preston, England
Humera Patel
Counsellor, MBACP
Verified Verified
Preston PR1
Warm Welcome! I am a qualified counsellor, my aim is to offer a space for clients to grow and flourish in different areas of life; the experience of therapy aims to empower and explore difficult issues in a safe, warm, therapeutic space. It has become my passion and one of my life goals to create and offer tools needed to flourish; in result reach your full potential. I have completed a diploma in therapeutic counselling. I am a registered member of the BACP which means that I follow an ethical framework and adhere to a professional governing body.
Warm Welcome! I am a qualified counsellor, my aim is to offer a space for clients to grow and flourish in different areas of life; the experience of therapy aims to empower and explore difficult issues in a safe, warm, therapeutic space. It has become my passion and one of my life goals to create and offer tools needed to flourish; in result reach your full potential. I have completed a diploma in therapeutic counselling. I am a registered member of the BACP which means that I follow an ethical framework and adhere to a professional governing body.
01772 285877 View 01772 285877
Photo of Ara Counselling Ltd, Counsellor in Preston, England
Ara Counselling Ltd
Counsellor, MBACP
Verified Verified
Preston PR4
Sometimes things can become a little too much, maybe a little overwhelming and we need to talk and have someone to listen to us. A safe space just to be heard and be ourselves. As a person-centred, experiential therapist I can offer you that time and space, affordability and easily accessible counselling in the heart of Preston at a time to suit you. As a member of the BACP and adhering to their ethical guidelines, there is nothing too big or too small to bring to counselling. You are not alone and I'm here for you. I am also an accredited Rewind Therapist providing closure without disclosure for trauma, PTSD and phobias.
Sometimes things can become a little too much, maybe a little overwhelming and we need to talk and have someone to listen to us. A safe space just to be heard and be ourselves. As a person-centred, experiential therapist I can offer you that time and space, affordability and easily accessible counselling in the heart of Preston at a time to suit you. As a member of the BACP and adhering to their ethical guidelines, there is nothing too big or too small to bring to counselling. You are not alone and I'm here for you. I am also an accredited Rewind Therapist providing closure without disclosure for trauma, PTSD and phobias.
01772 283219 View 01772 283219
Photo of Sharon Doherty - TherapyHear, Psychotherapist in Preston, England
Sharon Doherty - TherapyHear
Psychotherapist, MA, MBACP
Verified Verified
Preston PR2
Hello I'm Sharon. If you are thinking about the changes you would like we could find a way through together. I offer in person, video or telephone sessions. In person sessions take place at Natures Way, Preston, a relaxing and welcoming space. I specialise in working with stress, anxiety, depression, identity and relationships. I work with people with complex issues such as trauma and grief. I can help you gain understanding, explore behaviours and thoughts. I also focus working on your sense of self, resilience and self-esteem. From experience I know I can provide a comfortable space, where you feel at ease quickly.
Hello I'm Sharon. If you are thinking about the changes you would like we could find a way through together. I offer in person, video or telephone sessions. In person sessions take place at Natures Way, Preston, a relaxing and welcoming space. I specialise in working with stress, anxiety, depression, identity and relationships. I work with people with complex issues such as trauma and grief. I can help you gain understanding, explore behaviours and thoughts. I also focus working on your sense of self, resilience and self-esteem. From experience I know I can provide a comfortable space, where you feel at ease quickly.
01722 548396 View 01722 548396

See more therapy options for Preston

How does your Counsellor compare?

Number of Counsellors in Preston

100+

Average cost per session

£50

Counsellors in Preston who prioritize treating:

91% Anxiety
90% Depression
89% Self Esteem
81% Stress
79% Relationship Issues
76% Bereavement
72% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

52% AXA PPP
44% Aviva
41% Bupa

How Counsellors in Preston see their clients

83% In Person and Online
17% Online Only

Gender breakdown

70% Female
30% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Preston?

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.