Counselling in Pulborough

Photo of Tracy Brower - Tracy Singer Counselling, BACP, Counsellor
Tracy Singer Counselling
Counsellor, BACP
Verified Verified
Pulborough RH20
It takes courage to embark on the therapeutic journey, yet is one that can be personally and professionally transformational even if that feels unlikely right now. I have learnt from experience, that there is always a path that can be found to understand, come to terms with, and get through even the most challenging situations, overwhelming feelings, self-doubt. Importantly I offer a non-judgemental, empathic, confidential and safe environment which invites you to unpack and explore your emotions , to unload and express whatever it is that you have been holding on to, or struggling with.
It takes courage to embark on the therapeutic journey, yet is one that can be personally and professionally transformational even if that feels unlikely right now. I have learnt from experience, that there is always a path that can be found to understand, come to terms with, and get through even the most challenging situations, overwhelming feelings, self-doubt. Importantly I offer a non-judgemental, empathic, confidential and safe environment which invites you to unpack and explore your emotions , to unload and express whatever it is that you have been holding on to, or struggling with.
07380 319914 View 07380 319914
Photo of Liane Elizabeth Oldham, MBACP Accred, Psychotherapist
Liane Elizabeth Oldham
Psychotherapist, MBACP Accred
Verified Verified
Pulborough RH20
Waitlist for new clients
Life is challenging for all of us. Sometimes we hit a trigger and we feel in crisis. Often talking to friends and family is difficult, yet we still need a safe, confidential space to off load our feelings. Counselling gives us that time and space to explore our feelings, free from any judgement. It helps to build resilience and to identify any negative behaviour and thought patterns that may be making life more difficult for us. It helps us to develop a greater self awareness of what is working and not working for us in both personal and professional relationships. It doesn't solve everything but it helps to give a greater choice.
Life is challenging for all of us. Sometimes we hit a trigger and we feel in crisis. Often talking to friends and family is difficult, yet we still need a safe, confidential space to off load our feelings. Counselling gives us that time and space to explore our feelings, free from any judgement. It helps to build resilience and to identify any negative behaviour and thought patterns that may be making life more difficult for us. It helps us to develop a greater self awareness of what is working and not working for us in both personal and professional relationships. It doesn't solve everything but it helps to give a greater choice.
07480 789497 View 07480 789497
Photo of Lisa Cook, MBACP, Counsellor
Lisa Cook
Counsellor, MBACP
Verified Verified
Pulborough RH20
Whether a couple or an individual, whatever troubles you…abuse, anxiety, low self-esteem, relationship issues, sex, sexuality and psychosexual issues, trauma or any other issue…the first step back to well-being is to reach out for support. Perhaps a counselling relationship is what you need to help you through. Although family, close friends and colleagues can offer valuable support, sometimes these very relationships can be barriers to exploring honestly and openly what you may be thinking or experiencing. This is where the therapeutic counselling relationship could help.
Whether a couple or an individual, whatever troubles you…abuse, anxiety, low self-esteem, relationship issues, sex, sexuality and psychosexual issues, trauma or any other issue…the first step back to well-being is to reach out for support. Perhaps a counselling relationship is what you need to help you through. Although family, close friends and colleagues can offer valuable support, sometimes these very relationships can be barriers to exploring honestly and openly what you may be thinking or experiencing. This is where the therapeutic counselling relationship could help.
01903 497579 View 01903 497579
Photo of Dr Liz Saunders, MBBS, MBABCP, Psychotherapist
Dr Liz Saunders
Psychotherapist, MBBS, MBABCP
Verified Verified
Pulborough RH20
Hi. I'm Dr. Liz Saunders and I'm a qualified doctor and a CBT therapist. I have experience in using CBT for many different types of problems and with people of all ages, however, many of my clients are young people who are struggling with anxiety or confidence issues at college, university or work or with difficult interpersonal relationships. I have a particular interest in helping young people to reach their full potential academically and professionally and in their lives more generally.
Hi. I'm Dr. Liz Saunders and I'm a qualified doctor and a CBT therapist. I have experience in using CBT for many different types of problems and with people of all ages, however, many of my clients are young people who are struggling with anxiety or confidence issues at college, university or work or with difficult interpersonal relationships. I have a particular interest in helping young people to reach their full potential academically and professionally and in their lives more generally.
07380 316858 View 07380 316858
Photo of Caroline Lane - Lanes Counselling, BACP, Counsellor
Lanes Counselling
Counsellor, BACP
Verified Verified
Pulborough RH20
I am a Relate trained relationship counsellor with over 20 years experience. I am very passionate about helping clients move forward and I often challenge and draw upon a vast array of tools to help clients get out of a "stuck" place. My practice offers a wide range of therapies from a variety of approaches to help individuals, couples, children and adolescents with a spectrum of difficulties and symptoms. We are passionate about getting you to the place you want to be. Each counsellor is trained in a range of approaches which enables us to tailor our approach to suit each individual or couple,
I am a Relate trained relationship counsellor with over 20 years experience. I am very passionate about helping clients move forward and I often challenge and draw upon a vast array of tools to help clients get out of a "stuck" place. My practice offers a wide range of therapies from a variety of approaches to help individuals, couples, children and adolescents with a spectrum of difficulties and symptoms. We are passionate about getting you to the place you want to be. Each counsellor is trained in a range of approaches which enables us to tailor our approach to suit each individual or couple,
01903 924199 View 01903 924199
Photo of Katrina Allen, COSRT Accred, Psychotherapist
Katrina Allen
Psychotherapist, COSRT Accred
Verified Verified
Pulborough RH20
Are you experiencing Sexual well-being or Relationship issues, or being affected or worried by a Sex Addiction? It can be difficult to seek comfort and support from family & friends regarding issues like these & the fact that you are reading this means you've made a big positive step in recognising you'd like support. With 20 years of experience, I understand that care for my client is the key to successful therapy and I guarantee that I'll always put you & all aspects of your well-being at the forefront of all we do together. Our engagement will be totally confidential, non-judgmental and most of all focused on your betterment
Are you experiencing Sexual well-being or Relationship issues, or being affected or worried by a Sex Addiction? It can be difficult to seek comfort and support from family & friends regarding issues like these & the fact that you are reading this means you've made a big positive step in recognising you'd like support. With 20 years of experience, I understand that care for my client is the key to successful therapy and I guarantee that I'll always put you & all aspects of your well-being at the forefront of all we do together. Our engagement will be totally confidential, non-judgmental and most of all focused on your betterment
01302 490952 View 01302 490952
Photo of Rachel Bates, MUKCP, Psychotherapist
Rachel Bates
Psychotherapist, MUKCP
Verified Verified
Pulborough RH20
Life today seems to be overloaded by a variety of stress in many spheres of existence. What should be enjoyable and fulfilling sometimes turns out to be the very cause of suffering. In the midst of the busy-ness of life, we do not take the time to address this suffering and instead criticise and blame ourselves or others. This could potentially leave us feeling confused and ashamed. Shame does not heal the pain of suffering. Every human being has a need to be understood, accepted and validated because the human brain is wired to love and be loved.
Life today seems to be overloaded by a variety of stress in many spheres of existence. What should be enjoyable and fulfilling sometimes turns out to be the very cause of suffering. In the midst of the busy-ness of life, we do not take the time to address this suffering and instead criticise and blame ourselves or others. This could potentially leave us feeling confused and ashamed. Shame does not heal the pain of suffering. Every human being has a need to be understood, accepted and validated because the human brain is wired to love and be loved.
01293 301836 View 01293 301836
Photo of Samuel Cheung - Psychotherapeutic Counsellor, MBACP, Counsellor
Samuel Cheung - Psychotherapeutic Counsellor
Counsellor, MBACP
Verified Verified
Pulborough RH20
You might be looking into therapy because a specific issue is causing you difficulty, pain or suffering. Alternatively, perhaps it’s a more general sense of unease, distress or conflict you're facing. A sense that 'something isn't quite right'. Maybe you want deeper understanding; that of yourself, as well as your relating with others and the world around you. Whatever you bring, I'll do my utmost to 'walk alongside you' in understanding, exploration and support. As a Humanistic Psychotherapeutic Counsellor, I provide a relational psychotherapeutic space. Inviting a deeper awareness, fuller experiencing, sense and meaning-making.
You might be looking into therapy because a specific issue is causing you difficulty, pain or suffering. Alternatively, perhaps it’s a more general sense of unease, distress or conflict you're facing. A sense that 'something isn't quite right'. Maybe you want deeper understanding; that of yourself, as well as your relating with others and the world around you. Whatever you bring, I'll do my utmost to 'walk alongside you' in understanding, exploration and support. As a Humanistic Psychotherapeutic Counsellor, I provide a relational psychotherapeutic space. Inviting a deeper awareness, fuller experiencing, sense and meaning-making.
01403 912662 View 01403 912662

More Therapists Nearby

Photo of Helen Marie Yates, BACP, Counsellor
Helen Marie Yates
Counsellor, BACP
Verified Verified
1 Endorsed
Shepton Mallet BA4
Hello and welcome, I have experience in many different client issues, to name some- self harm, relationship difficulties, body dysmorphia, gender dysphoria, neuro diversity, relationship difficulties, bereavement, miscarriage, infertility, addiction and trauma. I have a strong grounding in eating disorders, LGBTQ issues and sexual abuse. You may use the space how you wish to and I will be alongside you, supporting you along the way to find your own answers and come to your own solutions, conclusions and understandings. I wouldn't offer you advice but would facilitate what you would like to work on and what you wish to explore.
Hello and welcome, I have experience in many different client issues, to name some- self harm, relationship difficulties, body dysmorphia, gender dysphoria, neuro diversity, relationship difficulties, bereavement, miscarriage, infertility, addiction and trauma. I have a strong grounding in eating disorders, LGBTQ issues and sexual abuse. You may use the space how you wish to and I will be alongside you, supporting you along the way to find your own answers and come to your own solutions, conclusions and understandings. I wouldn't offer you advice but would facilitate what you would like to work on and what you wish to explore.
01373 485190 View 01373 485190
Photo of Rose Persson, BPC, Psychotherapist
Rose Persson
Psychotherapist, BPC
Verified Verified
Shepton Mallet BA4
Not accepting new clients
You may feel your problems are too small or insignificant and may find it hard to understand why things seem so difficult but I am particularly equipped to work with those who really want to understand what might be underlying their current feelings of depression or anxiety.
You may feel your problems are too small or insignificant and may find it hard to understand why things seem so difficult but I am particularly equipped to work with those who really want to understand what might be underlying their current feelings of depression or anxiety.
01963 408881 View 01963 408881
Photo of Dr Damian Stoupe, PhD, MBACP, Counsellor
Dr Damian Stoupe
Counsellor, PhD, MBACP
Verified Verified
Shepton Mallet BA4  (Online Only)
Counselling should help men live a life where they are free to encounter, without fear, the daily surprises life throws at them. I work with an approach that builds on your strengths and focuses on happiness, not depression, the future, not the past. It is an approach the emphases male values, and fun. My PhD research has revealed that fun is not just about socialising; it’s a potent catalyst for emotional and intellectual growth, with benefits for your personal life and career development.
Counselling should help men live a life where they are free to encounter, without fear, the daily surprises life throws at them. I work with an approach that builds on your strengths and focuses on happiness, not depression, the future, not the past. It is an approach the emphases male values, and fun. My PhD research has revealed that fun is not just about socialising; it’s a potent catalyst for emotional and intellectual growth, with benefits for your personal life and career development.
01749 605555 View 01749 605555
Photo of Christopher Guy Soloman, MBACP Accred, Psychotherapist
Christopher Guy Soloman
Psychotherapist, MBACP Accred
Verified Verified
Shepton Mallet BA4  (Online Only)
Hello and welcome to my page. I recognise the courage it takes to approach a therapist and would like to help you. Over ten years of practising, therapy has shown me time and time again how people can overcome their problems successfully and live fulfilled and happy lives. In today's pressured world, mental health problems are all too common. Maybe you're struggling with depression or stress or the problem is anxiety, or trauma, or grief. Perhaps you're struggling with a habit that started off as a pleasure but turned into an addiction over lockdown. Whatever the mental health problem, talking therapy can help.
Hello and welcome to my page. I recognise the courage it takes to approach a therapist and would like to help you. Over ten years of practising, therapy has shown me time and time again how people can overcome their problems successfully and live fulfilled and happy lives. In today's pressured world, mental health problems are all too common. Maybe you're struggling with depression or stress or the problem is anxiety, or trauma, or grief. Perhaps you're struggling with a habit that started off as a pleasure but turned into an addiction over lockdown. Whatever the mental health problem, talking therapy can help.
01749 608528 View 01749 608528
Photo of Sarah-Jane Butler, DCounsPsych, HCPC - Couns. Psych., Psychologist
Sarah-Jane Butler
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
2 Endorsed
Warminster BA4  (Online Only)
I am Dr Sarah Butler, a Counselling Psychologist offering support online and based in the UK. As a Psychologist I am qualified to work with different problems and difficulties including adult ADHD assessment, depression, anxiety and trauma. My work is enhanced by years of study into the theory and evidence of different therapeutic approaches, and the study of clients' experiences of therapy. This means I can provide a non-judgmental and confidential space where you can explore your feelings but also learn about the causes of your problems, what keeps them going, how you can make changes. I am also a Flow for depression consultant.
I am Dr Sarah Butler, a Counselling Psychologist offering support online and based in the UK. As a Psychologist I am qualified to work with different problems and difficulties including adult ADHD assessment, depression, anxiety and trauma. My work is enhanced by years of study into the theory and evidence of different therapeutic approaches, and the study of clients' experiences of therapy. This means I can provide a non-judgmental and confidential space where you can explore your feelings but also learn about the causes of your problems, what keeps them going, how you can make changes. I am also a Flow for depression consultant.
024 7542 2211 View 024 7542 2211
Photo of Emma Pickerill, UKCP Trainee, Psychotherapist
Emma Pickerill
Psychotherapist, UKCP Trainee
Verified Verified
Shepton Mallet BA4
Through open and honest dialogue I work with you to explore your inner world and uncover the root of your struggles, ultimately helping you to find new ways of being and relating to yourself and others. My approach is to create a safe and supportive space for you to explore your thoughts, feelings and experiences. Therapy is a process where we work together to uncover the underlying patterns and beliefs that may be holding you back. By fostering self-awareness and promoting self-acceptance I help you develop a deeper understanding of yourself and your relationships.
Through open and honest dialogue I work with you to explore your inner world and uncover the root of your struggles, ultimately helping you to find new ways of being and relating to yourself and others. My approach is to create a safe and supportive space for you to explore your thoughts, feelings and experiences. Therapy is a process where we work together to uncover the underlying patterns and beliefs that may be holding you back. By fostering self-awareness and promoting self-acceptance I help you develop a deeper understanding of yourself and your relationships.
01935 312715 View 01935 312715
Photo of Ellen Lloyd, MBACP, Counsellor
Ellen Lloyd
Counsellor, MBACP
Verified Verified
Warminster BA4
If you are feeling sad, confused, angry... If you are struggling to understand or like yourself... If you feel a bit rubbish about everything... If you need someone to talk to... I would love to work with you.
If you are feeling sad, confused, angry... If you are struggling to understand or like yourself... If you feel a bit rubbish about everything... If you need someone to talk to... I would love to work with you.
01747 441182 View 01747 441182
Photo of Billie-Jude Thorpe, MBACP, Counsellor
Billie-Jude Thorpe
Counsellor, MBACP
Verified Verified
Shepton Mallet BA4
Internal Family Systems is the fundamental psychotherapeutic approach that helps people deal with the legacy of trauma. We will work collaboratively, understanding what is being brought to the room and making sense of it together in an environment of safety and respect. I hope that our time together will deepen your self awareness and capacity for a fuller sense of you. Through expanding and deepening your understanding of yourself, compassion and perspectives can broaden- loosening the bolts on personal narratives or beliefs and creating room and opportunities for a different experience.
Internal Family Systems is the fundamental psychotherapeutic approach that helps people deal with the legacy of trauma. We will work collaboratively, understanding what is being brought to the room and making sense of it together in an environment of safety and respect. I hope that our time together will deepen your self awareness and capacity for a fuller sense of you. Through expanding and deepening your understanding of yourself, compassion and perspectives can broaden- loosening the bolts on personal narratives or beliefs and creating room and opportunities for a different experience.
View
Photo of Dr James Kiff, PsychD, CPsychol, Psychologist
Dr James Kiff
Psychologist, PsychD, CPsychol
Verified Verified
Warminster BA4
When we feel stuck, experience difficult emotions, or the challenges we have are distressing, finding a space to work through and move beyond what has led you to experience those difficulties can feel overwhelming in itself. Through working together we look to create a space where you can explore, make sense of and manage distress, address challenges and build psychological well-being, while supporting you to build confidence to move forward.
When we feel stuck, experience difficult emotions, or the challenges we have are distressing, finding a space to work through and move beyond what has led you to experience those difficulties can feel overwhelming in itself. Through working together we look to create a space where you can explore, make sense of and manage distress, address challenges and build psychological well-being, while supporting you to build confidence to move forward.
01373 482303 View 01373 482303
Photo of Laura Slaughter, MA, MBACP Accred, Psychotherapist
Laura Slaughter
Psychotherapist, MA, MBACP Accred
Verified Verified
Shepton Mallet BA4
Therapy offers insight and understanding helping you work towards an awareness of the self. It gives the opportunity to discover inbuilt defence mechanisms that perhaps no longer serve the person you have become as a result of the traumas we all experience in life. Counselling can be a quiet, safe space to breathe and think about your life. Who you are, where you are going and what you wish to gain. It can be a space to grieve the losses you have experienced in your life and the changes that happen throughout your life.
Therapy offers insight and understanding helping you work towards an awareness of the self. It gives the opportunity to discover inbuilt defence mechanisms that perhaps no longer serve the person you have become as a result of the traumas we all experience in life. Counselling can be a quiet, safe space to breathe and think about your life. Who you are, where you are going and what you wish to gain. It can be a space to grieve the losses you have experienced in your life and the changes that happen throughout your life.
01761 258289 View 01761 258289
Photo of Henrietta Lang, MA, MBACP, Counsellor
Henrietta Lang
Counsellor, MA, MBACP
Verified Verified
Shepton Mallet BA4
Waitlist for new clients
Are you exhausted by the effort it takes to manage your feelings? Do you want to feel safe? Do you wonder who you are or why you feel bad? Whether you are struggling with anxiety, depression, low self esteem, panic disorders or relationship problems, there is good news. Research has shown that a good relationship with a counsellor/therapist can really help. My approach is to help you understand both 'your hidden self' (the unconscious) and find everyday tools and tasks that can help you change your life. I hope I can show you that all the wisdom and creativity you need to enjoy your life is within reach.
Are you exhausted by the effort it takes to manage your feelings? Do you want to feel safe? Do you wonder who you are or why you feel bad? Whether you are struggling with anxiety, depression, low self esteem, panic disorders or relationship problems, there is good news. Research has shown that a good relationship with a counsellor/therapist can really help. My approach is to help you understand both 'your hidden self' (the unconscious) and find everyday tools and tasks that can help you change your life. I hope I can show you that all the wisdom and creativity you need to enjoy your life is within reach.
01749 605551 View 01749 605551
Photo of Claire Angela Tabor, MNCPS Acc., Psychotherapist
Claire Angela Tabor
Psychotherapist, MNCPS Acc.
Verified Verified
Shepton Mallet BA4
I believe we are all products of our upbringing and experiences. Sometimes, this can lead to struggling with anxiety, low self esteem, confusion and not feeling good in relationships. I can work with you to unravel what this is all about and help you find new ways of coping and moving forwards. We can talk or use creative methods to facilitate this discovery process. I work with young people, adults and couples for short or long term one to one sessions which are all driven by you and on your terms. I offer a free, initial meeting so you can decide if I am the right Counsellor for you. I also offer clinical supervision.
I believe we are all products of our upbringing and experiences. Sometimes, this can lead to struggling with anxiety, low self esteem, confusion and not feeling good in relationships. I can work with you to unravel what this is all about and help you find new ways of coping and moving forwards. We can talk or use creative methods to facilitate this discovery process. I work with young people, adults and couples for short or long term one to one sessions which are all driven by you and on your terms. I offer a free, initial meeting so you can decide if I am the right Counsellor for you. I also offer clinical supervision.
07481 339122 View 07481 339122

See more therapy options for Pulborough

How does your Counsellor compare?

Number of Counsellors in Pulborough

< 10

Counsellors in Pulborough who prioritize treating:

100% Self Esteem
88% Relationship Issues
88% Depression
88% Anxiety
88% Sexual Abuse
75% Domestic Abuse
75% Trauma and PTSD

Average years in practice

18 Years

Top 3 insurances accepted

75% Bupa
50% Aviva
25% Cigna and Evernorth

How Counsellors in Pulborough see their clients

100% In Person and Online

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Pulborough?

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.