Counselling in Rossendale

Photo of Zoe Purse Mbacp Pgdip, Counsellor in Rossendale, England
Zoe Purse Mbacp Pgdip
Counsellor, MBACP
Verified
1 Endorsed
Rossendale BB4
Welcome. I'm Zoe Purse. I provide counselling to individuals and young people in the lovely Rossendale Valley, Lancashire. I work from home in a purpose built log cabin in rural surroundings yet right in the heart of town. There is easy access to local transport and motorway links. I have also supported people with life limiting illness or with bereavement and loss counselling at a hospice in Manchester. I am passionate about helping people who are going through difficult, emotional turmoil and understand that everyone is unique. I offer support with understanding and empathy along side being non-judgmental, caring and genuine.
Welcome. I'm Zoe Purse. I provide counselling to individuals and young people in the lovely Rossendale Valley, Lancashire. I work from home in a purpose built log cabin in rural surroundings yet right in the heart of town. There is easy access to local transport and motorway links. I have also supported people with life limiting illness or with bereavement and loss counselling at a hospice in Manchester. I am passionate about helping people who are going through difficult, emotional turmoil and understand that everyone is unique. I offer support with understanding and empathy along side being non-judgmental, caring and genuine.
01254 920415 View 01254 920415
Photo of Andrea Birkins, Counsellor in Rossendale, England
Andrea Birkins
Counsellor, MBACP
Verified
Rossendale BB4  (Online Only)
Are you struggling alone to navigate life's challenges? Do you feel lost and want to make changes in your life but aren't sure how to start? Maybe you just need someone to listen without judgement and provide a safe environment where you can explore what a happier future looks like for you. I would like to work with you to achieve your goals within a warm and empathic relationship based on Person Centred theory. I work in a creative way and tailor sessions to meet your individual needs and preferences.
Are you struggling alone to navigate life's challenges? Do you feel lost and want to make changes in your life but aren't sure how to start? Maybe you just need someone to listen without judgement and provide a safe environment where you can explore what a happier future looks like for you. I would like to work with you to achieve your goals within a warm and empathic relationship based on Person Centred theory. I work in a creative way and tailor sessions to meet your individual needs and preferences.
View
Photo of Lucy Marie Fenwick, Counsellor in Rossendale, England
Lucy Marie Fenwick
Counsellor, DCounsPsych, MBACP
Verified
Rossendale BB4
Welcome, I'm Lucy, An Integrative Person Centered & EMDR trained Therapist with special experience in Attachment. Online/Telephone/Skype sessions available. I work with adults, children & young people. I will provide a therapeutic space for you or your child to explore what is troubling you. I have special experience in Self-Harm, Self esteem issues & ADHD/Autism. I promise to be accepting & non-judgemental & to provide a confidential space for you to explore your world. I offer a free consultation via telephone & I work in both Rossendale & Manchester City Centre. My fees are £60, EMDR varies-limited concessions are available.
Welcome, I'm Lucy, An Integrative Person Centered & EMDR trained Therapist with special experience in Attachment. Online/Telephone/Skype sessions available. I work with adults, children & young people. I will provide a therapeutic space for you or your child to explore what is troubling you. I have special experience in Self-Harm, Self esteem issues & ADHD/Autism. I promise to be accepting & non-judgemental & to provide a confidential space for you to explore your world. I offer a free consultation via telephone & I work in both Rossendale & Manchester City Centre. My fees are £60, EMDR varies-limited concessions are available.
07723 428961 View 07723 428961
Photo of Tony Hall, Counsellor in Rossendale, England
Tony Hall
Counsellor, MBACP
Verified
Rossendale BB4
I work with problems including depression, anxiety and low self-esteem and have a special interest in Autism and Aspergers, particularly in supporting adults who find they are struggling to come to terms with what it means to be autistic. I work in private practice and as a counsellor at Understanding Autism North West.
I work with problems including depression, anxiety and low self-esteem and have a special interest in Autism and Aspergers, particularly in supporting adults who find they are struggling to come to terms with what it means to be autistic. I work in private practice and as a counsellor at Understanding Autism North West.
01706 619833 View 01706 619833
Photo of Debbie Challinor Counselling and Psychotherapy, Counsellor in Rossendale, England
Debbie Challinor Counselling and Psychotherapy
Counsellor, MBACP
Verified
Rossendale BB4
I'm a counsellor with lived neurodivergent experience, passionate about working with adults in the neurodivergent community. I understand that seeking counselling can be a vulnerable and courageous step. Whether facing trauma, anxiety, depression, relationship issues, or simply seeking a better understanding of yourself and your experiences, I am here to help. Working together, we can create a safe space where you, as the expert in your own experiences, are free to be who you are unapologetically. I will support you as you tell your story, helping you to make sense of it and leaving you with a clearer view of your next chapter.
I'm a counsellor with lived neurodivergent experience, passionate about working with adults in the neurodivergent community. I understand that seeking counselling can be a vulnerable and courageous step. Whether facing trauma, anxiety, depression, relationship issues, or simply seeking a better understanding of yourself and your experiences, I am here to help. Working together, we can create a safe space where you, as the expert in your own experiences, are free to be who you are unapologetically. I will support you as you tell your story, helping you to make sense of it and leaving you with a clearer view of your next chapter.
01706 335950 View 01706 335950
Photo of Ambar Ayub, Counsellor in Rossendale, England
Ambar Ayub
Counsellor, MA, MBACP
Verified
Rossendale BB4
I am a Muslim therapist who understands your struggles to find a counsellor who you can connect with and show your true self to. I want you to be able to share your positive and negative experiences so we can work together through your difficulties. Although therapy can be challenging, I am here to listen and support you through your journey, even if this means repeating the same situation multiple times. If it matters to you, it matters to me. I am here to work collaboratively with you at your pace, and to support your self-development. We will work holistically, taking into consideration your views, background, and experience.
I am a Muslim therapist who understands your struggles to find a counsellor who you can connect with and show your true self to. I want you to be able to share your positive and negative experiences so we can work together through your difficulties. Although therapy can be challenging, I am here to listen and support you through your journey, even if this means repeating the same situation multiple times. If it matters to you, it matters to me. I am here to work collaboratively with you at your pace, and to support your self-development. We will work holistically, taking into consideration your views, background, and experience.
01706 619809 View 01706 619809
Photo of Thriving Young Minds, Counsellor in Rossendale, England
Thriving Young Minds
Counsellor, MBACP Accred
Verified
Rossendale BB4
I'm Adele and I'm the founder of Thriving Young Minds in Ramsbottom, Bury. We are a team of therapists offering Counselling and Play Therapy for children, teenagers and young adults aged 4-25 years. This means that we can provide the most appropriate support for your needs. If you are impacted by autism, anxiety, panic, low mood, depression, relationship difficulties, bereavement, school issues, trauma and abuse, and if you're unsure of how to move forward, we can work with you to achieve your goals in a strengths-focused way, to help you develop the confidence to thrive rather than just survive.
I'm Adele and I'm the founder of Thriving Young Minds in Ramsbottom, Bury. We are a team of therapists offering Counselling and Play Therapy for children, teenagers and young adults aged 4-25 years. This means that we can provide the most appropriate support for your needs. If you are impacted by autism, anxiety, panic, low mood, depression, relationship difficulties, bereavement, school issues, trauma and abuse, and if you're unsure of how to move forward, we can work with you to achieve your goals in a strengths-focused way, to help you develop the confidence to thrive rather than just survive.
07429 186569 View 07429 186569
Photo of Burnley Counselling Services, Psychotherapist in Rossendale, England
Burnley Counselling Services
Psychotherapist, MA
Rossendale BB4
There is so much focus these days on "What's wrong with you" using terms such as 'depression', 'anxiety', 'disorder', rather than talking about "What happened to you?" Your mental health is much more than just a label or a diagnosis and therapy offers so much more than just talking. It can give you new understanding, new insights, a different perspective, clarity about a problem and the way forward. It can teach you skills to live your life better, teach you more healthy coping strategies or simply give you the space and time for self reflection and a place to find peace of mind.
There is so much focus these days on "What's wrong with you" using terms such as 'depression', 'anxiety', 'disorder', rather than talking about "What happened to you?" Your mental health is much more than just a label or a diagnosis and therapy offers so much more than just talking. It can give you new understanding, new insights, a different perspective, clarity about a problem and the way forward. It can teach you skills to live your life better, teach you more healthy coping strategies or simply give you the space and time for self reflection and a place to find peace of mind.
01282 526845 View 01282 526845
Photo of Cherie Deakin Psychotherapy Supervisor, Psychotherapist in Rossendale, England
Cherie Deakin Psychotherapy Supervisor
Psychotherapist, MA, MBACP
Verified
Rossendale BB4
Sometimes the issues we face paralyse us with anxieties. Sometimes we have no one in our lives who are able to help or we may not want to burden others. It’s difficult to trust people with our innermost worries, feelings and thoughts. Yet we all need help to get through difficult periods in our lives. It may be that friends and family tell us to stop dwelling on the past or try and move on. But no matter how hard we try, the past hangs around to haunt us or we have no words to describe what we feel. Additionally, we may wish to explore our experience for personal or professional reasons.
Sometimes the issues we face paralyse us with anxieties. Sometimes we have no one in our lives who are able to help or we may not want to burden others. It’s difficult to trust people with our innermost worries, feelings and thoughts. Yet we all need help to get through difficult periods in our lives. It may be that friends and family tell us to stop dwelling on the past or try and move on. But no matter how hard we try, the past hangs around to haunt us or we have no words to describe what we feel. Additionally, we may wish to explore our experience for personal or professional reasons.
01254 786654 View 01254 786654
Photo of Patrick Doyle, Psychotherapist in Rossendale, England
Patrick Doyle
Psychotherapist, MA, MBACP
Verified
Rossendale BB4
I am a highly qualified and experienced consultant psychotherapist and supervisor with 20 years experience and recognised clinical expertise in the treatment and assessment of a wide range of mental health problems (including: depression, anxiety, personality disorders and psychosis), problematic behaviours and addictions. My guiding aim is to help each client to the point where they no longer require therapy or medication, and can cope skilfully and independently with life’s challenges, and understand how the past can impede our ability to cope with the present.
I am a highly qualified and experienced consultant psychotherapist and supervisor with 20 years experience and recognised clinical expertise in the treatment and assessment of a wide range of mental health problems (including: depression, anxiety, personality disorders and psychosis), problematic behaviours and addictions. My guiding aim is to help each client to the point where they no longer require therapy or medication, and can cope skilfully and independently with life’s challenges, and understand how the past can impede our ability to cope with the present.
01282 526728 View 01282 526728
Photo of Uzma Ahmed, Psychotherapist in Rossendale, England
Uzma Ahmed
Psychotherapist, MA, MBACP
Verified
Rossendale BB4
I provide counselling to individuals with complex requirements as a fully qualified integrative psychotherapist. I have expertise working with clients who have a variety of issues, including self-harm, depression, anxiety and loss, relationship issues and breakups, PTSD, Autism, attachment issues, and child abuse. I have experience working with people who are also recovering addicts. Providing counselling in Urdu and Punjabi to clients has been my area of expertise, as I am a multilingual therapist.
I provide counselling to individuals with complex requirements as a fully qualified integrative psychotherapist. I have expertise working with clients who have a variety of issues, including self-harm, depression, anxiety and loss, relationship issues and breakups, PTSD, Autism, attachment issues, and child abuse. I have experience working with people who are also recovering addicts. Providing counselling in Urdu and Punjabi to clients has been my area of expertise, as I am a multilingual therapist.
01254 964028 View 01254 964028
Photo of Sandra Lynch, Counsellor in Rossendale, England
Sandra Lynch
Counsellor, MBACP Accred
Verified
Rossendale BB4
Not accepting new clients
People often first come for counselling when they begin to experience symptoms of low mood and anxiety such as disturbed sleep, low levels of motivation and energy, or increased rates of irritability and tension which just don’t seem to shift. These symptoms could be related to a significantly upsetting event, or they might be linked to a background of adversities and difficulties. Either way, you might be hoping to improve your mood and to reduce feelings of anxiety or panic, to regain a sense of confidence and self esteem, and to feel more energised and motivated. People often say they want to get back to their old self again.
People often first come for counselling when they begin to experience symptoms of low mood and anxiety such as disturbed sleep, low levels of motivation and energy, or increased rates of irritability and tension which just don’t seem to shift. These symptoms could be related to a significantly upsetting event, or they might be linked to a background of adversities and difficulties. Either way, you might be hoping to improve your mood and to reduce feelings of anxiety or panic, to regain a sense of confidence and self esteem, and to feel more energised and motivated. People often say they want to get back to their old self again.
01706 619188 View 01706 619188
Photo of Lisa Michelle Hollingworth, Counsellor in Rossendale, England
Lisa Michelle Hollingworth
Counsellor, MBACP
Verified
Rossendale BB4
01706 615012 View 01706 615012

More Therapists Nearby

Photo of Joanne Webb, Counsellor in Rossendale, England
Joanne Webb
Counsellor, MBACP
Verified
Rawtenstall BB4
As a BACP accredited counsellor with over 16 years experience, I support people through depression, anxiety, trauma, addiction, abuse, loss amongst many other issues. Having a confidential space to talk, a space just for you, can start you on the path to making positive changes. Each person's journey differs so I aim to explore it with you, adapting my skills to fit your needs. I believe each of us have the ability to enhance our lives, sometimes we just need a little help along the way. Taking that first step to meet a counsellor requires courage; I understand this and aim to make it as easy as possible.
As a BACP accredited counsellor with over 16 years experience, I support people through depression, anxiety, trauma, addiction, abuse, loss amongst many other issues. Having a confidential space to talk, a space just for you, can start you on the path to making positive changes. Each person's journey differs so I aim to explore it with you, adapting my skills to fit your needs. I believe each of us have the ability to enhance our lives, sometimes we just need a little help along the way. Taking that first step to meet a counsellor requires courage; I understand this and aim to make it as easy as possible.
01204 952933 View 01204 952933
Photo of Unwind Counselling, Counsellor in Rossendale, England
Unwind Counselling
Counsellor, MBACP
Verified
Haslingden BB4
Does it feel like life is getting on top of you? Can things sometimes feel overwhelming? Perhaps you can’t actually name what you’re feeling, but just feel low without really understanding why. I am here to help you process these thoughts and feelings to enable you to work towards a better understanding of yourself. This increased self- awareness will help you on the road to managing your life more effectively. I work with adults (any age, gender or sexual orientation) experiencing difficulties such as anxiety, depression, low self-esteem, grief or bereavement, addiction issues or relationship problems.
Does it feel like life is getting on top of you? Can things sometimes feel overwhelming? Perhaps you can’t actually name what you’re feeling, but just feel low without really understanding why. I am here to help you process these thoughts and feelings to enable you to work towards a better understanding of yourself. This increased self- awareness will help you on the road to managing your life more effectively. I work with adults (any age, gender or sexual orientation) experiencing difficulties such as anxiety, depression, low self-esteem, grief or bereavement, addiction issues or relationship problems.
01282 953319 View 01282 953319
Photo of Polaris Counselling and Training, Counsellor in Rossendale, England
Polaris Counselling and Training
Counsellor, MSc, MBACP Accred
Verified
Rawtenstall BB4
I have worked with a diverse range of clients since qualifying over a decade ago, and pride myself on being able to work effectively with an individual regardless of their specific circumstances. Having said that, I find that I work most effectively with clients who are eager for change and open to receiving challenge in a safe and comfortable environment. Whether they have a clear image of how they would like their life to be, or need help to cope with a seemingly overwhelming issue, I am happy to help. I believe that working collaboratively to understand, overcome and grow from life's challenges can be a rewarding process.
I have worked with a diverse range of clients since qualifying over a decade ago, and pride myself on being able to work effectively with an individual regardless of their specific circumstances. Having said that, I find that I work most effectively with clients who are eager for change and open to receiving challenge in a safe and comfortable environment. Whether they have a clear image of how they would like their life to be, or need help to cope with a seemingly overwhelming issue, I am happy to help. I believe that working collaboratively to understand, overcome and grow from life's challenges can be a rewarding process.
01706 335337 View 01706 335337
Photo of Karen Little, Counsellor in Rossendale, England
Karen Little
Counsellor, MBACP
Verified
Rawtenstall BB4
Life can be a struggle sometimes or it may have always been this way for you. You may feel that you live life just going through the motions, but inside you’re screaming. Maybe you feel empty or constantly angry. Perhaps you’ve lost yourself and don’t know how to find ‘you’ again. It could be that everything is an effort and you lack motivation, or you’ve lost your purpose in life. You may be stuck with negative thoughts about yourself or others; feeling lonely, angry, shame, guilty, grief, anxiety or sadness.
Life can be a struggle sometimes or it may have always been this way for you. You may feel that you live life just going through the motions, but inside you’re screaming. Maybe you feel empty or constantly angry. Perhaps you’ve lost yourself and don’t know how to find ‘you’ again. It could be that everything is an effort and you lack motivation, or you’ve lost your purpose in life. You may be stuck with negative thoughts about yourself or others; feeling lonely, angry, shame, guilty, grief, anxiety or sadness.
01204 567830 View 01204 567830
Photo of Jacquelyn Bownes, Psychotherapist in Rossendale, England
Jacquelyn Bownes
Psychotherapist, MSc, MBACP
Verified
Edenfield BL0
My name is Jacquelyn & I'm an experienced, BACP Accredited, Counsellor & Psychotherapist & an award winning Coach. I provide a non judgemental space for you to talk through your concerns and work alongside you in finding ways to move forward and improve your sense of wellbeing. People come to counselling with me for many reasons & our work together can help you to; *Learn more about yourself *Make sense of your thoughts and feelings *Release some of the pressure you may be experiencing *Develop as a person *Learn how to take control of your life *Respond to challenges and change healthily *Build self confidence & self esteem
My name is Jacquelyn & I'm an experienced, BACP Accredited, Counsellor & Psychotherapist & an award winning Coach. I provide a non judgemental space for you to talk through your concerns and work alongside you in finding ways to move forward and improve your sense of wellbeing. People come to counselling with me for many reasons & our work together can help you to; *Learn more about yourself *Make sense of your thoughts and feelings *Release some of the pressure you may be experiencing *Develop as a person *Learn how to take control of your life *Respond to challenges and change healthily *Build self confidence & self esteem
01204 803149 View 01204 803149
Photo of Joanne Crook, Counsellor in Rossendale, England
Joanne Crook
Counsellor, MBACP Snr. Accred
Verified
1 Endorsed
Bury BL0  (Online Only)
No avail.For over 26 years, in the NHS, I worked in a psychological therapies department as a Senior Psychological Counsellor, and as a Clinical Supervisor. Therapy with me will offer time in a reflective space away from family, friends and work, with a skilled therapist. As well as healing, therapy offers a place in which to understand yourself and your place in the world and the opportunity to find a new, more comfortable way of being. I have been a Senior Accredited member of the BACP for 20 years. I now work as an integrative psychological therapist, an EMDR Practitioner and a Clinical Supervisor, based in Worsley, Manchester.
No avail.For over 26 years, in the NHS, I worked in a psychological therapies department as a Senior Psychological Counsellor, and as a Clinical Supervisor. Therapy with me will offer time in a reflective space away from family, friends and work, with a skilled therapist. As well as healing, therapy offers a place in which to understand yourself and your place in the world and the opportunity to find a new, more comfortable way of being. I have been a Senior Accredited member of the BACP for 20 years. I now work as an integrative psychological therapist, an EMDR Practitioner and a Clinical Supervisor, based in Worsley, Manchester.
01890 545510 View 01890 545510
Photo of Lucy Reynolds, Counsellor in Rossendale, England
Lucy Reynolds
Counsellor, MBACP
Verified
Ramsbottom BL0
Feelings of overwhelm, of not being good enough, or struggling with your own identity can be all too familiar as a busy woman, and the stress and anxiety, perhaps feelings of depression, can impact all too frequently on your daily life. Perhaps you have relationship issues - intimate relationships or those with friends and family, that are also getting you down, or past experiences you still carry around with you. It's heavy stuff right?
Feelings of overwhelm, of not being good enough, or struggling with your own identity can be all too familiar as a busy woman, and the stress and anxiety, perhaps feelings of depression, can impact all too frequently on your daily life. Perhaps you have relationship issues - intimate relationships or those with friends and family, that are also getting you down, or past experiences you still carry around with you. It's heavy stuff right?
01706 586526 View 01706 586526

See more therapy options for Rossendale

How does your Counsellor compare?

Number of Counsellors in Rossendale

10+

Average cost per session

£52

Counsellors in Rossendale who prioritize treating:

100% Anxiety
92% Self Esteem
85% Depression
85% Stress
77% Relationship Issues
77% Domestic Abuse
77% Trauma and PTSD

Average years in practice

14 Years

Top 3 insurances accepted

40% Any/Out-of-network Insurance
20% Other
20% Bupa

How Counsellors in Rossendale see their clients

93% In Person and Online
7% Online Only

Gender breakdown

85% Female
15% Male

FAQs - About Therapy and Counselling

How can I find a therapist in Rossendale?

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.