Counselling in Sevenoaks

Photo of undefined - Your Time and Space, MSc, MBACP, Counsellor
Your Time and Space
Counsellor, MSc, MBACP
Verified Verified
Sevenoaks TN15
I am an integrative counsellor and senior psychological therapist with over 8000 hours of clinical practice. I offer a range of therapeutic resources to support adults, adolescents, children and families when they are struggling to resolve psychological issues. I am a qualified in EMDR and Trauma-focused CBT, working with Autism and ADHD, amongst other therapies and have considerable training and experience managing traumatic presentations stemming from adverse life experiences and also specialise in treating the psychological effects of serious or terminal illness.
I am an integrative counsellor and senior psychological therapist with over 8000 hours of clinical practice. I offer a range of therapeutic resources to support adults, adolescents, children and families when they are struggling to resolve psychological issues. I am a qualified in EMDR and Trauma-focused CBT, working with Autism and ADHD, amongst other therapies and have considerable training and experience managing traumatic presentations stemming from adverse life experiences and also specialise in treating the psychological effects of serious or terminal illness.
07723 452091 View 07723 452091
Photo of Louise Gulley, MBACP, Counsellor
Louise Gulley
Counsellor, MBACP
Verified Verified
Sevenoaks TN13
I work with RELATIONSHIP CHALLENGES. So, whether you're: a mother struggling in your relationship with your child or motherhood itself; a couple in crisis; experiencing recurring relationship problems; or still searching for that elusive romantic relationship I’m keen to work with you. I work with both individuals and couples; and I can discuss with you which one of these may be the best fit for you. I find that by exploring your personal history we can often discover the root cause of your challenges so you can begin to enjoy intimacy and connection.
I work with RELATIONSHIP CHALLENGES. So, whether you're: a mother struggling in your relationship with your child or motherhood itself; a couple in crisis; experiencing recurring relationship problems; or still searching for that elusive romantic relationship I’m keen to work with you. I work with both individuals and couples; and I can discuss with you which one of these may be the best fit for you. I find that by exploring your personal history we can often discover the root cause of your challenges so you can begin to enjoy intimacy and connection.
01883 776035 View 01883 776035
Photo of Amanda Enness, MBACP Accred, Counsellor
Amanda Enness
Counsellor, MBACP Accred
Verified Verified
Sevenoaks TN14
My name is Amanda I am an accredited counselling member of the BACP and hold BUPA recognition. I work with both adults and adolescents and I am qualified to work with trauma. I have experience of working with people struggling with anxiety, stress, depression, loss/bereavement and relationship issues. My approach to counselling varies according to your need, because we all act, think and feel in our own individual ways. I will draw on my theoretical training to work with you, but it will be a collaborative process as we work together building a relationship towards tackling challenging issues you may be facing
My name is Amanda I am an accredited counselling member of the BACP and hold BUPA recognition. I work with both adults and adolescents and I am qualified to work with trauma. I have experience of working with people struggling with anxiety, stress, depression, loss/bereavement and relationship issues. My approach to counselling varies according to your need, because we all act, think and feel in our own individual ways. I will draw on my theoretical training to work with you, but it will be a collaborative process as we work together building a relationship towards tackling challenging issues you may be facing
07480 801806 View 07480 801806
Photo of Joanna Hogan Mbabcp Isst, MBABCP, Psychotherapist
Joanna Hogan Mbabcp Isst
Psychotherapist, MBABCP
Verified Verified
Sevenoaks TN13
Joanna is a BABCP-accredited Cognitive Behavioural Therapist and advanced Schema Therapist.  She uses  tried and tested methods in her practice, including cognitive behavioural therapy (CBT), CBT-I (CBT for insomnia), acceptance and commitment therapy (ACT) and for more complex issues, schema therapy & EMDR. Jo sees adults with anxiety, OCD, insomnia, nightmares, post-traumatic stress disorder, post-natal depression, work stress, health anxiety (hypochondria) , performance anxiety, panic attacks, agoraphobia, phobias, social anxiety and shyness, low self-esteem and confidence issues and personality-level issues.
Joanna is a BABCP-accredited Cognitive Behavioural Therapist and advanced Schema Therapist.  She uses  tried and tested methods in her practice, including cognitive behavioural therapy (CBT), CBT-I (CBT for insomnia), acceptance and commitment therapy (ACT) and for more complex issues, schema therapy & EMDR. Jo sees adults with anxiety, OCD, insomnia, nightmares, post-traumatic stress disorder, post-natal depression, work stress, health anxiety (hypochondria) , performance anxiety, panic attacks, agoraphobia, phobias, social anxiety and shyness, low self-esteem and confidence issues and personality-level issues.
07480 538363 View 07480 538363
Photo of Brenda Hogg, MBACP, Counsellor
Brenda Hogg
Counsellor, MBACP
Verified Verified
Sevenoaks TN13
There are many reasons you might decide to seek counselling, at any stage of your life; each reason is valid and unique to you. There might be issues related to unresolved traumas in the past, or it might be that day-to-day pressures have become challenging and are affecting you. Whatever your reason, it can be helpful to have a therapist, working together with you, forming a professional and confidential relationship - unlike any of those you might share with family and friends - wherein you are welcome to explore your concerns; thereby offering you a deeper understanding of yourself - helping you move forward.
There are many reasons you might decide to seek counselling, at any stage of your life; each reason is valid and unique to you. There might be issues related to unresolved traumas in the past, or it might be that day-to-day pressures have become challenging and are affecting you. Whatever your reason, it can be helpful to have a therapist, working together with you, forming a professional and confidential relationship - unlike any of those you might share with family and friends - wherein you are welcome to explore your concerns; thereby offering you a deeper understanding of yourself - helping you move forward.
07427 541077 View 07427 541077
Photo of undefined - Helen Mia Harris, MA, MNCPS Acc., Psychotherapist
Helen Mia Harris
Psychotherapist, MA, MNCPS Acc.
Verified Verified
Sevenoaks TN13
Are you living alone together? Is Your Relationship/Marriage in Crisis or facing difficult challenges at this time? Rekindle emotional closeness, trust and warmth. Do you have Marital Problems? I offer Couples Therapy, Marriage Counselling & Individual Relationship Therapy and Coaching. My sessions include two Communication & Empathy PDFs which I will send to you after our session. – My sessions will help you both to strengthen appreciation, trust and emotional closeness by recognising the triggers and dynamics that are at play between you. I am passionate about the work I do with relationships and know I can help you both.
Are you living alone together? Is Your Relationship/Marriage in Crisis or facing difficult challenges at this time? Rekindle emotional closeness, trust and warmth. Do you have Marital Problems? I offer Couples Therapy, Marriage Counselling & Individual Relationship Therapy and Coaching. My sessions include two Communication & Empathy PDFs which I will send to you after our session. – My sessions will help you both to strengthen appreciation, trust and emotional closeness by recognising the triggers and dynamics that are at play between you. I am passionate about the work I do with relationships and know I can help you both.
01622 938347 View 01622 938347
Photo of Rebecca Delaunay, MBACP, Counsellor
Rebecca Delaunay
Counsellor, MBACP
Verified Verified
Sevenoaks TN13
Issues I work with include joylessness & low self esteem; addictive/excessive behaviour; relationship & sexual issues/ affairs & divorce; anger/emotional imbalances; bereavement/loss; sexual/physical abuse, trauma & PTSD. But whatever is troubling you please do get in touch: working through current problems we may look back at childhood & unresolved past issues, making sense of how things have been for you & why behaviours have developed whilst being curious about what could be be different: what purpose is there in this challenging time? how do you want to live & what needs to change?
Issues I work with include joylessness & low self esteem; addictive/excessive behaviour; relationship & sexual issues/ affairs & divorce; anger/emotional imbalances; bereavement/loss; sexual/physical abuse, trauma & PTSD. But whatever is troubling you please do get in touch: working through current problems we may look back at childhood & unresolved past issues, making sense of how things have been for you & why behaviours have developed whilst being curious about what could be be different: what purpose is there in this challenging time? how do you want to live & what needs to change?
01732 443121 View 01732 443121
Photo of Laura Shtaingos, MBACP, Counsellor
Laura Shtaingos
Counsellor, MBACP
Verified Verified
Sevenoaks TN13
Is parenthood what you dreamed of? Or are you feeling like things are not quite right? Are you struggling with the weight of expectations on you? Are you feeling anxious or inexplicably sad? Maybe you can’t find your own way for the sea of other people's opinions? Perhaps you’re struggling to get through the day without feeling completely overwhelmed? Perhaps you know that you need to make the space and time to find a way forward?
Is parenthood what you dreamed of? Or are you feeling like things are not quite right? Are you struggling with the weight of expectations on you? Are you feeling anxious or inexplicably sad? Maybe you can’t find your own way for the sea of other people's opinions? Perhaps you’re struggling to get through the day without feeling completely overwhelmed? Perhaps you know that you need to make the space and time to find a way forward?
01732 795907 View 01732 795907
Photo of Julie Shannon, MUKCP, Psychotherapist
Julie Shannon
Psychotherapist, MUKCP
Verified Verified
Sevenoaks TN14
I have worked in the field of mental health for over thirty years and am a fully qualified and registered member of the UK Council for Psychotherapy offering Existential Psychotherapy and training workshops in the West Kent and Surrey area. Over the course of my career, I have worked effectively with clients who are struggling with a variety of problems on both a one to one and group-work basis. Existential psychotherapy strives to empower you and place you and your life choices at the centre of the therapeutic process. I also include psychodynamic, schema and attachment based and cognitive behavioural approaches,
I have worked in the field of mental health for over thirty years and am a fully qualified and registered member of the UK Council for Psychotherapy offering Existential Psychotherapy and training workshops in the West Kent and Surrey area. Over the course of my career, I have worked effectively with clients who are struggling with a variety of problems on both a one to one and group-work basis. Existential psychotherapy strives to empower you and place you and your life choices at the centre of the therapeutic process. I also include psychodynamic, schema and attachment based and cognitive behavioural approaches,
07723 445188 View 07723 445188
Photo of Dr Sarah Lloyd, PsychD, HCPC - Clin. Psych., Psychologist
Dr Sarah Lloyd
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Sevenoaks TN13
I approach therapy with a compassionate, authentic, non-judgemental stance. I am experienced in working with a broad range of clinical presentations including anxiety (e.g. generalised anxiety, social anxiety, health anxiety, OCD) and depression as well as supporting people through difficult life circumstances (e.g. divorce, bereavement). I have specialist knowledge working with people experiencing psychological distress within the context of physical health difficulties and have an ongoing interest in work-related stress and burnout.
I approach therapy with a compassionate, authentic, non-judgemental stance. I am experienced in working with a broad range of clinical presentations including anxiety (e.g. generalised anxiety, social anxiety, health anxiety, OCD) and depression as well as supporting people through difficult life circumstances (e.g. divorce, bereavement). I have specialist knowledge working with people experiencing psychological distress within the context of physical health difficulties and have an ongoing interest in work-related stress and burnout.
01732 443343 View 01732 443343
Photo of Lyn Owens Ward, MA, MUKCP, Psychotherapist
Lyn Owens Ward
Psychotherapist, MA, MUKCP
Verified Verified
Sevenoaks TN13
I am an experienced Counsellor and Psychotherapist with over 20 years experience in private practice. I work with adults and specialise working with Anxiety, Stress and Depression. I create a safe, open and non-judgemental space for you to explore your worries and concerns. No matter what your personal struggle is, Counselling and Psychotherapy can help you to gain relief from your symptoms and many people find it an enriching experience. As an Integrative Therapist I believe that the best chance for creating sustained change is to have a variety of techniques to help me 'tailor' my approach to suit your needs.
I am an experienced Counsellor and Psychotherapist with over 20 years experience in private practice. I work with adults and specialise working with Anxiety, Stress and Depression. I create a safe, open and non-judgemental space for you to explore your worries and concerns. No matter what your personal struggle is, Counselling and Psychotherapy can help you to gain relief from your symptoms and many people find it an enriching experience. As an Integrative Therapist I believe that the best chance for creating sustained change is to have a variety of techniques to help me 'tailor' my approach to suit your needs.
07481 361803 View 07481 361803
Photo of undefined - CJK Counselling, DCounsPsych, Psychotherapist
CJK Counselling
Psychotherapist, DCounsPsych
Verified Verified
Sevenoaks TN14
My ideal client is an adult unsure of where they are in life. They have reached a point where they do not know what lies ahead. They may be unhappy in their current relationship/job/marriage and are uncertain of which way to turn. They want to feel alive again and look forward to each and every day rather than finding life a tedious merry go round of work and chores. In short they want to get back to what they love. Life is uncertain, but there are areas of your life that you CAN control even if the world appears to be chaotic.
My ideal client is an adult unsure of where they are in life. They have reached a point where they do not know what lies ahead. They may be unhappy in their current relationship/job/marriage and are uncertain of which way to turn. They want to feel alive again and look forward to each and every day rather than finding life a tedious merry go round of work and chores. In short they want to get back to what they love. Life is uncertain, but there are areas of your life that you CAN control even if the world appears to be chaotic.
01342 649246 View 01342 649246
Photo of Andrew Allan, MNCPS Acc., Counsellor
Andrew Allan
Counsellor, MNCPS Acc.
Verified Verified
Sevenoaks TN13
I am here to support you with a wide range of issues from anxiety to anger, bereavement to low mood. I specialise in relationships, working with individuals and couples on infidelity, intimacy, communications, relationship anxiety, wider family dilemmas and many more. I also specialise in compulsive sexual behaviours ("sex addiction"). I will work with you to address your challenges in the here and now, whilst also helping to shed a light on the root causes. Together, we will also explore what a happy future may look like. No two people are the same and so my counselling offer is bespoke for you rather than an off the shelf model.
I am here to support you with a wide range of issues from anxiety to anger, bereavement to low mood. I specialise in relationships, working with individuals and couples on infidelity, intimacy, communications, relationship anxiety, wider family dilemmas and many more. I also specialise in compulsive sexual behaviours ("sex addiction"). I will work with you to address your challenges in the here and now, whilst also helping to shed a light on the root causes. Together, we will also explore what a happy future may look like. No two people are the same and so my counselling offer is bespoke for you rather than an off the shelf model.
01732 496782 View 01732 496782
Photo of Nicola Potter Psychotherapist, MBACP Accred, Counsellor
Nicola Potter Psychotherapist
Counsellor, MBACP Accred
Verified Verified
1 Endorsed
Sevenoaks TN14
Welcome.. My name is Nicola, I am an accredited Psychotherapist and qualified EMDR therapist. I offer therapy to individuals and couples with a wide range of emotional challenges & difficulties.
Welcome.. My name is Nicola, I am an accredited Psychotherapist and qualified EMDR therapist. I offer therapy to individuals and couples with a wide range of emotional challenges & difficulties.
01732 905005 View 01732 905005
Photo of Fran Berger-North, MBACP, Counsellor
Fran Berger-North
Counsellor, MBACP
Verified Verified
Sevenoaks TN13  (Online Only)
If you're navigating life's challenges, seeking support, or working towards personal growth I can give you space to explore your feelings, thoughts, and goals. Sometimes when we are stuck it is difficult to know which way to move forward, and therapy can help you on your journey to improved mental and emotional well-being. Whether it's stress, relationships, mental health concerns, or personal development, I am committed to helping you thrive.
If you're navigating life's challenges, seeking support, or working towards personal growth I can give you space to explore your feelings, thoughts, and goals. Sometimes when we are stuck it is difficult to know which way to move forward, and therapy can help you on your journey to improved mental and emotional well-being. Whether it's stress, relationships, mental health concerns, or personal development, I am committed to helping you thrive.
01732 795918 View 01732 795918
Photo of Elaine Flaherty, MBACP, Counsellor
Elaine Flaherty
Counsellor, MBACP
Verified Verified
1 Endorsed
Sevenoaks TN13
I work with children, adolescents and adults. If life is difficult right now and you are feeling overwhelmed, anxious or in need of support, I am able to help. I will work with you to feel safe and relaxed in your sessions, with this comes trust and the ability to work through worries in a deeper more honest way. You are always at the centre of the work. The ultimate aim is to help you find skills and confidence within yourself, to manage your emotions and feelings, so that you feel safe and stronger within life's experiences. People I have worked with in the past have experienced positive changes in their lives.
I work with children, adolescents and adults. If life is difficult right now and you are feeling overwhelmed, anxious or in need of support, I am able to help. I will work with you to feel safe and relaxed in your sessions, with this comes trust and the ability to work through worries in a deeper more honest way. You are always at the centre of the work. The ultimate aim is to help you find skills and confidence within yourself, to manage your emotions and feelings, so that you feel safe and stronger within life's experiences. People I have worked with in the past have experienced positive changes in their lives.
07588 693955 View 07588 693955
Photo of undefined - The MindFit Therapist , MBACP, Counsellor
The MindFit Therapist
Counsellor, MBACP
Verified Verified
Sevenoaks TN13  (Online Only)
A warm welcome to you; my name is Garry. Do you question, "Who am I?" or "How did I end up here again?"  Do you experience signs of depression, anxiety, stress or addiction?  Perhaps you are plagued by relationship difficulties? Has a sense of loss and grief impacted you, struggled with bad habits or addiction, or felt that life is not working for you?  These are some of the things many of us navigate alone daily. If this resonates with you, I can help.
A warm welcome to you; my name is Garry. Do you question, "Who am I?" or "How did I end up here again?"  Do you experience signs of depression, anxiety, stress or addiction?  Perhaps you are plagued by relationship difficulties? Has a sense of loss and grief impacted you, struggled with bad habits or addiction, or felt that life is not working for you?  These are some of the things many of us navigate alone daily. If this resonates with you, I can help.
01732 920949 View 01732 920949
Photo of Chloe Rowland At Psychwell, PsychD, HCPC - Clin. Psych., Psychologist
Chloe Rowland At Psychwell
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Sevenoaks TN13  (Online Only)
My name is Dr Chloe Rowland and I'm a Clinical Psychologist. Using an individual, tailored approach, I deliver psychological interventions that draw on a range of therapeutic modalities, including cognitive behavioural therapy (CBT) and dialectical behaviour therapy (DBT). This is led by your preferences and what is needed at the different stages of therapy.
My name is Dr Chloe Rowland and I'm a Clinical Psychologist. Using an individual, tailored approach, I deliver psychological interventions that draw on a range of therapeutic modalities, including cognitive behavioural therapy (CBT) and dialectical behaviour therapy (DBT). This is led by your preferences and what is needed at the different stages of therapy.
01622 538639 View 01622 538639
Photo of Dr Stacey Campbell, PsychD, HCPC - Clin. Psych., Psychologist
Dr Stacey Campbell
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Sevenoaks TN13
I think it's very brave to acknowledge when there are difficulties in your life and to embark on a journey of change. It is my privilege to accompany individuals on a therapeutic process which enables them to live a more meaningful life. Our journey together can sometimes be a brief stepping stone of goal focused support, or at other times the therapeutic process is longer term and more explorative. I am passionate about supporting neurodiverse individuals as well as individuals who have lived through adverse or traumatic life experiences. I welcome enquiries from all genders and sexualities.
I think it's very brave to acknowledge when there are difficulties in your life and to embark on a journey of change. It is my privilege to accompany individuals on a therapeutic process which enables them to live a more meaningful life. Our journey together can sometimes be a brief stepping stone of goal focused support, or at other times the therapeutic process is longer term and more explorative. I am passionate about supporting neurodiverse individuals as well as individuals who have lived through adverse or traumatic life experiences. I welcome enquiries from all genders and sexualities.
01732 443392 View 01732 443392
Photo of Rhianna Watts, HCPC - Clin. Psych., Psychologist
Rhianna Watts
Psychologist, HCPC - Clin. Psych.
Verified Verified
Sevenoaks TN14
Please visit my website for further information about my practice, my qualifications and experience, and what services I offer: https://drrhiannawatts.com/
Please visit my website for further information about my practice, my qualifications and experience, and what services I offer: https://drrhiannawatts.com/
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See more therapy options for Sevenoaks

How does your Counsellor compare?

Number of Counsellors in Sevenoaks

100+

Average cost per session

£70

Counsellors in Sevenoaks who prioritize treating:

94% Depression
92% Anxiety
85% Self Esteem
84% Relationship Issues
84% Stress
73% Bereavement
71% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

72% Aviva
56% WPA
54% AXA PPP

How Counsellors in Sevenoaks see their clients

91% In Person and Online
9% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Sevenoaks?

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.