Counselling in Saltburn-by-the-Sea

Photo of Dr Kelly Jayne, Psychotherapist, PhD, HCPC-Art Therap.
Dr Kelly Jayne
Psychotherapist, PhD, HCPC-Art Therap.
I am a doctor in Art Psychotherapy and specialize in working with people who have experienced complex trauma. I also have training in Mindfulness, NLP, I'm psychoanalytically informed, and am currently embarking on accredited EMDR training. I am person-centred, and have a compassion approach. I am also qualified to provide Clinical Supervision and Consultancy. I provide sessions online, or in person on request.
I am a doctor in Art Psychotherapy and specialize in working with people who have experienced complex trauma. I also have training in Mindfulness, NLP, I'm psychoanalytically informed, and am currently embarking on accredited EMDR training. I am person-centred, and have a compassion approach. I am also qualified to provide Clinical Supervision and Consultancy. I provide sessions online, or in person on request.
01287 555568 View 01287 555568
Photo of Cat O'Neill, Psychologist, HCPC - Clin. Psych.
Cat O'Neill
Psychologist, HCPC - Clin. Psych.
Hello, and welcome. My name is Cat, and I’m a Clinical Psychologist committed to helping people navigate emotional and mental health challenges. My approach is warm, supportive, and based on proven therapy methods. Together, we will create a space where you feel heard, understood, and respected while maintaining clear professional boundaries. Traumatic life experiences, self-doubt, and low mood can shape how we see ourselves and the world. Therapy offers the opportunity to explore these challenges with curiosity and self-compassion, moving towards greater self-acceptance. Feel free to get in touch to explore how therapy may help.
Hello, and welcome. My name is Cat, and I’m a Clinical Psychologist committed to helping people navigate emotional and mental health challenges. My approach is warm, supportive, and based on proven therapy methods. Together, we will create a space where you feel heard, understood, and respected while maintaining clear professional boundaries. Traumatic life experiences, self-doubt, and low mood can shape how we see ourselves and the world. Therapy offers the opportunity to explore these challenges with curiosity and self-compassion, moving towards greater self-acceptance. Feel free to get in touch to explore how therapy may help.
01287 551454 View 01287 551454
Photo of Nikki Wright, Counsellor, MUKCP
Nikki Wright
Counsellor, MUKCP
3 Endorsed
Hello and welcome. Are you finding life challenging right now? Or perhaps you are struggling with anxiety, depression, grief, or other emotional stresses. Maybe you have experienced a traumatic life event or are trying to acknowledge a separation. Life can be tough to navigate at times and we can find it hard to see a way forward. I believe that authentic connection with ourselves and others can contribute to our peace of mind and is essential to our emotional well-being and personal growth. Whatever you need to bring to the space, I will provide a relational, non-judgemental environment to explore alongside you.
Hello and welcome. Are you finding life challenging right now? Or perhaps you are struggling with anxiety, depression, grief, or other emotional stresses. Maybe you have experienced a traumatic life event or are trying to acknowledge a separation. Life can be tough to navigate at times and we can find it hard to see a way forward. I believe that authentic connection with ourselves and others can contribute to our peace of mind and is essential to our emotional well-being and personal growth. Whatever you need to bring to the space, I will provide a relational, non-judgemental environment to explore alongside you.
01287 550673 View 01287 550673
Photo of Nichola F Martin - Nicky's Therapy Space, Counsellor, PsychD, MBACP
Nicky's Therapy Space
Counsellor, PsychD, MBACP
Not accepting new clients
Hi my name is Nicky Martin and I am a friendly professional BACP registered Child & Young Person Counsellor located in Saltburn by the Sea and Stokesley and easily accessible for children and young people coming from the surrounding areas of Teesside and North Yorkshire. I am experienced in helping pre-teen and young people who have experienced personal difficulties, including anxiety, depression, life transitions, home insecurity, feelings of loss, grief and bereavement, trauma, child traumatic grief, problems with family or school life, self-harm, and with neuro-divergent young people with ASD & ADHD.
Hi my name is Nicky Martin and I am a friendly professional BACP registered Child & Young Person Counsellor located in Saltburn by the Sea and Stokesley and easily accessible for children and young people coming from the surrounding areas of Teesside and North Yorkshire. I am experienced in helping pre-teen and young people who have experienced personal difficulties, including anxiety, depression, life transitions, home insecurity, feelings of loss, grief and bereavement, trauma, child traumatic grief, problems with family or school life, self-harm, and with neuro-divergent young people with ASD & ADHD.
01287 555612 View 01287 555612
Photo of Jade Harker, Counsellor, MNCPS Acc.
Jade Harker
Counsellor, MNCPS Acc.
Serves Area
I hope you are ok, before I explained about my qualifications and the type of work I do, I wanted to explain how you get started. You have already done step one you are thinking about reaching out (I know how much courage this takes, so well done). I offer a safe, warm environment where you can open up without fear of judgement. I work with both adults and children, who have a variety of presenting issues from bereavement, anxiety, stress, low self-esteem and much more. I also have some therapy pets that can come into the sessions.
I hope you are ok, before I explained about my qualifications and the type of work I do, I wanted to explain how you get started. You have already done step one you are thinking about reaching out (I know how much courage this takes, so well done). I offer a safe, warm environment where you can open up without fear of judgement. I work with both adults and children, who have a variety of presenting issues from bereavement, anxiety, stress, low self-esteem and much more. I also have some therapy pets that can come into the sessions.
01642 668031 View 01642 668031
Photo of Jacy Pitman, Counsellor, MBACP
Jacy Pitman
Counsellor, MBACP
Online Only
I’m an experienced person-centred therapist with over 20 years' experience providing counselling in NHS settings across Teesside. These days, my primary focus is grief therapy — supporting people through bereavement, loss, complicated grief, baby loss, and birth trauma. For the past 5 years, in semi-retirement from the NHS, I have concentrated my private practice in this area, while also working closely with a neonatal charity specialising in birth trauma, baby loss, and the related grief and emotional impact of neonatal experiences.
I’m an experienced person-centred therapist with over 20 years' experience providing counselling in NHS settings across Teesside. These days, my primary focus is grief therapy — supporting people through bereavement, loss, complicated grief, baby loss, and birth trauma. For the past 5 years, in semi-retirement from the NHS, I have concentrated my private practice in this area, while also working closely with a neonatal charity specialising in birth trauma, baby loss, and the related grief and emotional impact of neonatal experiences.
01287 552036 View 01287 552036
Photo of Ellie Ryde, Counsellor, MBACP
Ellie Ryde
Counsellor, MBACP
Serves Area
You might be feeling stuck, overwhelmed, or like something just isn’t right, even if you can’t put your finger on it. Maybe you’re exhausted from relationships that leave you feeling unseen, or you find yourself constantly overthinking, people-pleasing, or doubting your own needs. I work with people who are ready to understand themselves on a deeper level, even if that feels scary at first. My clients often want to break old patterns, build self-trust, and start showing up in their lives in a way that feels more true to who they are. You don’t need to have it all figured out, just a willingness to be curious and honest.
You might be feeling stuck, overwhelmed, or like something just isn’t right, even if you can’t put your finger on it. Maybe you’re exhausted from relationships that leave you feeling unseen, or you find yourself constantly overthinking, people-pleasing, or doubting your own needs. I work with people who are ready to understand themselves on a deeper level, even if that feels scary at first. My clients often want to break old patterns, build self-trust, and start showing up in their lives in a way that feels more true to who they are. You don’t need to have it all figured out, just a willingness to be curious and honest.
01287 550576 View 01287 550576

More Therapists Nearby

Photo of Louise Hall - Through The Woods Well-Being Service CIC, Counsellor, BACP
At Through the Woods Well-Being Service CIC, we're genuinely here for you. From your initial contact we want you to feel comfortable and supported. Together, we will explore the challenges affecting your mental health and emotional wellbeing.  We have worked with many clients facing anxiety, depression, grief, low self-esteem, relationship issues and trauma. Additionally, we have worked with clients with ADHD and who are Neurodivergent.
At Through the Woods Well-Being Service CIC, we're genuinely here for you. From your initial contact we want you to feel comfortable and supported. Together, we will explore the challenges affecting your mental health and emotional wellbeing.  We have worked with many clients facing anxiety, depression, grief, low self-esteem, relationship issues and trauma. Additionally, we have worked with clients with ADHD and who are Neurodivergent.
0191 743 6416 View 0191 743 6416
Photo of Melisa Adams, Psychotherapist, MSc, MBACP Accred
Melisa Adams
Psychotherapist, MSc, MBACP Accred
Online Only
We are told how important exercise is for our physical well-being, your mental health is no different. Mental health and physical health are interconnected. Stress, anxiety, and depression can manifest as physical symptoms. So, maintaining good mental health can positively influence physical health. Therapy changes lives and for that reason, if you are unhappy, stressed, and not sure what to do, you need to remember that life is short, and you deserve to live the life you want. Put yourself first and do what makes you happy! I will help you become your own therapist, providing you with healthy tools and support tailored for you.
We are told how important exercise is for our physical well-being, your mental health is no different. Mental health and physical health are interconnected. Stress, anxiety, and depression can manifest as physical symptoms. So, maintaining good mental health can positively influence physical health. Therapy changes lives and for that reason, if you are unhappy, stressed, and not sure what to do, you need to remember that life is short, and you deserve to live the life you want. Put yourself first and do what makes you happy! I will help you become your own therapist, providing you with healthy tools and support tailored for you.
01302 490114 View 01302 490114
Photo of Emma Moore, Psychotherapist, MBACP
Emma Moore
Psychotherapist, MBACP
1 Endorsed
Modern life throws many pressures and challenges our way and many of us find it difficult to admit that we're struggling. Often fear of judgement prevents us from reaching out for help. This is where therapy can come in. My work in a Mental Health Primary Care Team & roles in the community have provided me with experience of in working in many areas of psychological distress such as: Low self-esteem Interpersonal relationship problems/ breakdowns Depression Anxiety Bereavement/Loss Trauma Domestic abuse Bullying Social isolation/ Loneliness Sexuality/ gender confusion Homelessness Feeling a failure/ lost in life.
Modern life throws many pressures and challenges our way and many of us find it difficult to admit that we're struggling. Often fear of judgement prevents us from reaching out for help. This is where therapy can come in. My work in a Mental Health Primary Care Team & roles in the community have provided me with experience of in working in many areas of psychological distress such as: Low self-esteem Interpersonal relationship problems/ breakdowns Depression Anxiety Bereavement/Loss Trauma Domestic abuse Bullying Social isolation/ Loneliness Sexuality/ gender confusion Homelessness Feeling a failure/ lost in life.
01642 130423 View 01642 130423
Photo of Danielle Louise Hammond - Clear Head Therapy, Psychotherapist, MBABCP
Clear Head Therapy
Psychotherapist, MBABCP
Online Only
I work with clients experiencing anxiety disorders, ptsd and depression. Many feel stuck or overwhelmed and want support to feel more in control. I help clients identify clear goals and use evidence-based therapies CBT and EMDR to support healing. I offer online therapy, which research shows is just as effective as in-person therapy, and it gives you more flexibility. Together, we’ll develop practical strategies to help you feel better and move forward. You might not know exactly what you want from therapy yet, and that’s okay, part of our work together can be identifying your goals and finding the right path to reach them.
I work with clients experiencing anxiety disorders, ptsd and depression. Many feel stuck or overwhelmed and want support to feel more in control. I help clients identify clear goals and use evidence-based therapies CBT and EMDR to support healing. I offer online therapy, which research shows is just as effective as in-person therapy, and it gives you more flexibility. Together, we’ll develop practical strategies to help you feel better and move forward. You might not know exactly what you want from therapy yet, and that’s okay, part of our work together can be identifying your goals and finding the right path to reach them.
01325 522484 View 01325 522484
Photo of Matt James, Psychotherapist, UKCP Trainee
Matt James
Psychotherapist, UKCP Trainee
Change begins with being truly heard. I offer support with mental health challenges, trauma, grief, life events and more. Through our sessions, we can creatively explore experiences together, and unlock new responses and ways of being.
Change begins with being truly heard. I offer support with mental health challenges, trauma, grief, life events and more. Through our sessions, we can creatively explore experiences together, and unlock new responses and ways of being.
0113 519 4386 View 0113 519 4386
Photo of Martha Ash, Counsellor, MBACP
Martha Ash
Counsellor, MBACP
Online Only
Hi, I’m Martha - I thrive on deep human connection. With over 5 years working in mental health, I’ve developed my natural ability to be present with others in a way that helps people feel heard, safe, and understood. I work with people wanting to understand themselves more deeply, whether that's untangling anxiety, navigating relationships, making sense of past experiences, or learning how to feel more fully themselves. I value self-awareness and humility, so I’ll always be honest about what I can and cannot offer. The therapeutic relationship is central to meaningful change, and I want you to find someone you truly connect with.
Hi, I’m Martha - I thrive on deep human connection. With over 5 years working in mental health, I’ve developed my natural ability to be present with others in a way that helps people feel heard, safe, and understood. I work with people wanting to understand themselves more deeply, whether that's untangling anxiety, navigating relationships, making sense of past experiences, or learning how to feel more fully themselves. I value self-awareness and humility, so I’ll always be honest about what I can and cannot offer. The therapeutic relationship is central to meaningful change, and I want you to find someone you truly connect with.
01642 053432 View 01642 053432
Photo of Dr Jessica McCarrick, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Jessica McCarrick
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Online Only
Hello and welcome, my name is Dr Jessica McCarrick (Jess). I am a HCPC registered Counselling Psychologist and I provide psychological assessment and therapy to adults experiencing difficulties with their mental health and wellbeing. I specialise in working with individuals who find themselves repeating unhelpful patterns which impact on their feelings about themselves, their self-identity and their relationships with others. I am based in the North East of England, but currently, I provide online therapy and I am therefore able to work with those who live further afield.
Hello and welcome, my name is Dr Jessica McCarrick (Jess). I am a HCPC registered Counselling Psychologist and I provide psychological assessment and therapy to adults experiencing difficulties with their mental health and wellbeing. I specialise in working with individuals who find themselves repeating unhelpful patterns which impact on their feelings about themselves, their self-identity and their relationships with others. I am based in the North East of England, but currently, I provide online therapy and I am therefore able to work with those who live further afield.
01642 053608 View 01642 053608
Photo of Jane louise Hupston - Counselling by Jane & Animal Assisted Therapy, Counsellor, MBACP Accred
I’m accredited & I work in an Integrative way. By exploring your thoughts & feelings, you’ll discover underlying issues and discover ways to manage better, gaining strategies to cope. Therapy will help you gain a true sense of self & discover your potential. If you have negative experiences, self-doubts we will work through together to overcome them finding you more positive direction. Therapy will empower you to take control of your life. Therapy pets are available to sit with you throughout your sessions. I’m trained in Rewind Therapy for trauma. I hold a Certificate & Diploma in Supervision should any therapists require support.
I’m accredited & I work in an Integrative way. By exploring your thoughts & feelings, you’ll discover underlying issues and discover ways to manage better, gaining strategies to cope. Therapy will help you gain a true sense of self & discover your potential. If you have negative experiences, self-doubts we will work through together to overcome them finding you more positive direction. Therapy will empower you to take control of your life. Therapy pets are available to sit with you throughout your sessions. I’m trained in Rewind Therapy for trauma. I hold a Certificate & Diploma in Supervision should any therapists require support.
01723 333046 View 01723 333046
Photo of David Benjamin, Counsellor, BACP
David Benjamin
Counsellor, BACP
As a Trauma Informed therapist and supervisor I offer confidential one to one sessions for issues including anxiety and trauma. Face to face or video call. As an adopted adult, I've experienced my own attachment issues that come with this and can work through these with you in a trauma informed way. You will be made to feel welcome and safe as we work together.
As a Trauma Informed therapist and supervisor I offer confidential one to one sessions for issues including anxiety and trauma. Face to face or video call. As an adopted adult, I've experienced my own attachment issues that come with this and can work through these with you in a trauma informed way. You will be made to feel welcome and safe as we work together.
01642 680994 View 01642 680994
Photo of Sally Kay, Counsellor, MBACP Accred
Sally Kay
Counsellor, MBACP Accred
Are you unhappy? I provide face-to-face counselling in Nunthorpe to help you understand why. You want things to change, but you don't know what or how. Somewhere everything went off track. You’re not fulfilled but you don’t seem to have the time for anything you want to do. Perhaps you’re lacking confidence or don’t know where you’re trying to get to. You’re trying to ignore the nagging feeling of gloom, but it’s bringing you down. I can help you to understand what is holding you back. I can help you to see things more clearly, to be the best that you can be and make the happy and satisfying life you want to have a reality.
Are you unhappy? I provide face-to-face counselling in Nunthorpe to help you understand why. You want things to change, but you don't know what or how. Somewhere everything went off track. You’re not fulfilled but you don’t seem to have the time for anything you want to do. Perhaps you’re lacking confidence or don’t know where you’re trying to get to. You’re trying to ignore the nagging feeling of gloom, but it’s bringing you down. I can help you to understand what is holding you back. I can help you to see things more clearly, to be the best that you can be and make the happy and satisfying life you want to have a reality.
01287 555103 View 01287 555103
Photo of Amanda Adamson - Kindred Therapy, Psychotherapist, MA, MBACP
Kindred Therapy
Psychotherapist, MA, MBACP
Serves Area
As a psychotherapist, it is a privilege to walk alongside clients who are hoping for change in their lives and relationships. I am a trauma-informed systemic psychotherapist with a Masters in Marriage and Family Therapy and therefore understand the dynamics of marital, parental and family relationships. I work collaboratively with clients to understand their inner strengths and resources but, as in any story, I believe that our people, culture and context shape us and are integral to understanding who each of us have become and informs the path to health and wholeness individually, as a couple or family.
As a psychotherapist, it is a privilege to walk alongside clients who are hoping for change in their lives and relationships. I am a trauma-informed systemic psychotherapist with a Masters in Marriage and Family Therapy and therefore understand the dynamics of marital, parental and family relationships. I work collaboratively with clients to understand their inner strengths and resources but, as in any story, I believe that our people, culture and context shape us and are integral to understanding who each of us have become and informs the path to health and wholeness individually, as a couple or family.
01347 665153 View 01347 665153
Photo of Amy Adamson, Counsellor, MBACP
Amy Adamson
Counsellor, MBACP
1 Endorsed
Online Only
Feeling overwhelmed or vulnerable in the face of life’s challenges is something many people experience, often when they least expect it. Perhaps you’re struggling to understand your emotions, finding relationships difficult, or noticing the same unhelpful patterns repeating in your life. Maybe low self‑confidence, low self‑esteem, anxiety, or depression are affecting your day‑to‑day wellbeing. If any of this resonates with you, support may be available.
Feeling overwhelmed or vulnerable in the face of life’s challenges is something many people experience, often when they least expect it. Perhaps you’re struggling to understand your emotions, finding relationships difficult, or noticing the same unhelpful patterns repeating in your life. Maybe low self‑confidence, low self‑esteem, anxiety, or depression are affecting your day‑to‑day wellbeing. If any of this resonates with you, support may be available.
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Photo of Deborah English, Counsellor, DCounsPsych, MNCPS Acc.
Deborah English
Counsellor, DCounsPsych, MNCPS Acc.
Offices based in Sunderland & Easington. Are you experiencing life changes that are causing you stress, low moods and anxiety? Are you struggling with your mental health? Are you struggling with past trauma? Perhaps your using substances or alcohol to cope with life’s pressures that are spiralling out of control? Do you feel ready to talk, explore and work through your issues in a safe and confidential space? I can help you address your concerns without any judgement and at your own pace while building a trusting authentic therapeutic relationship.
Offices based in Sunderland & Easington. Are you experiencing life changes that are causing you stress, low moods and anxiety? Are you struggling with your mental health? Are you struggling with past trauma? Perhaps your using substances or alcohol to cope with life’s pressures that are spiralling out of control? Do you feel ready to talk, explore and work through your issues in a safe and confidential space? I can help you address your concerns without any judgement and at your own pace while building a trusting authentic therapeutic relationship.
0191 743 6562 View 0191 743 6562

How does your Counsellor compare?

Number of Counsellors in Saltburn-by-the-Sea

< 10

Counsellors in Saltburn-by-the-Sea who prioritize treating:

86% Anxiety
71% Depression
71% Trauma and PTSD
71% Self Esteem
71% Stress
57% Relationship Issues
57% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Bupa

How Counsellors in Saltburn-by-the-Sea see their clients

86% In Person and Online
14% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in Saltburn-by-the-Sea?

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.