Counselling in Spalding

Photo of Zoe Elizabeth Drury, Psychotherapist, MBABCP
Zoe Elizabeth Drury
Psychotherapist, MBABCP
Online Only
My is Zoe, I am a Qualified Children and Young People's Cognitive Behavioural Psychotherapist (CBT) and EMDR Therapist based in the Lincolnshire Area. I have 13 years experience of working with Young People and Families. I provide a confidential space to allow children, young people and carers to learn CBT strategies to understand and manage strong emotions that affect our Mental Health. I have experience of working with Young People with Autism and ADHD. I ensure that strategies are adapted and I can provide support to parents around emotional regulation.
My is Zoe, I am a Qualified Children and Young People's Cognitive Behavioural Psychotherapist (CBT) and EMDR Therapist based in the Lincolnshire Area. I have 13 years experience of working with Young People and Families. I provide a confidential space to allow children, young people and carers to learn CBT strategies to understand and manage strong emotions that affect our Mental Health. I have experience of working with Young People with Autism and ADHD. I ensure that strategies are adapted and I can provide support to parents around emotional regulation.
01775 660869 View 01775 660869
Photo of Kristina Harrison, Counsellor, MNCPS Acc.
Kristina Harrison
Counsellor, MNCPS Acc.
Spalding PE11
Hello, I’m Kristina, a counsellor based in Spalding, Lincs. I offer face-to-face, online, or telephone sessions and have availability for daytime and evening clients. I support individuals dealing with anxiety, depression, stress and low self-esteem, with a special focus on grief. As a Person-centred counsellor, I provide a supportive, empathetic space where you can explore your thoughts and feelings at your own pace. Please feel free to book a free 15-minute introductory call to see if we’re a good fit.
Hello, I’m Kristina, a counsellor based in Spalding, Lincs. I offer face-to-face, online, or telephone sessions and have availability for daytime and evening clients. I support individuals dealing with anxiety, depression, stress and low self-esteem, with a special focus on grief. As a Person-centred counsellor, I provide a supportive, empathetic space where you can explore your thoughts and feelings at your own pace. Please feel free to book a free 15-minute introductory call to see if we’re a good fit.
01775 660667 View 01775 660667
Photo of Alice Violet Vacani - Horizons Art Therapy, Psychotherapist, MA, HCPC-Art Therap.
Horizons Art Therapy
Psychotherapist, MA, HCPC-Art Therap.
Spalding PE12
If you have found this page, you are more than likely experiencing a challenging time and are looking for some support. Life can throw us some difficult hurdles yet with a helping hand we can clear them, often even surprising ourselves! I have experience working with a wide range of mental health dianosis, learning difficulties, trauma and unsafe coping mechanisms. This includes Military veterans and offenders of all genders. If you are looking for an open and creative space, then here it is! I will support you in finding peace, harmony and healthy coping mechnaisms in life via creation, reflection and development.
If you have found this page, you are more than likely experiencing a challenging time and are looking for some support. Life can throw us some difficult hurdles yet with a helping hand we can clear them, often even surprising ourselves! I have experience working with a wide range of mental health dianosis, learning difficulties, trauma and unsafe coping mechanisms. This includes Military veterans and offenders of all genders. If you are looking for an open and creative space, then here it is! I will support you in finding peace, harmony and healthy coping mechnaisms in life via creation, reflection and development.
01406 438812 View 01406 438812
Photo of Laura Helen Ford - Bridges of Pride Counselling, Counsellor, MNCPS Acc.
Bridges of Pride Counselling
Counsellor, MNCPS Acc.
Spalding PE11
The challenges we face in life can feel overwhelming and it can be difficult to know where to start. Finding the right therapist to work with will help you make that start. Sometimes we know what we want to deal with and sometimes it's a sense that something isn't right.  Low self esteem, anxiety, depression, relationship issues, substance abuse, self harm; there are many ways that our mind and body will attempt to cope with what we feel and the long term consequences leave us in a place disconnected from ourselves and our world.
The challenges we face in life can feel overwhelming and it can be difficult to know where to start. Finding the right therapist to work with will help you make that start. Sometimes we know what we want to deal with and sometimes it's a sense that something isn't right.  Low self esteem, anxiety, depression, relationship issues, substance abuse, self harm; there are many ways that our mind and body will attempt to cope with what we feel and the long term consequences leave us in a place disconnected from ourselves and our world.
01775 660868 View 01775 660868
Photo of Viera Harrison, Counsellor, PNCPS Acc.
Viera Harrison
Counsellor, PNCPS Acc.
Spalding PE12
I believe that counselling is not just for crisis, but it helps to deal with everyday stresses and worries. I aim to help you feel at ease so you can talk freely about whatever worries you. Whether you're dealing with anxiety, depression, stress, grief, loss, substance misuse, negative behaviour patterns, perimenopause, abuse, family or relationship challenges, sexuality, or lack of self-esteem and confidence, l am here to help. My background includes working with individuals of all ages, as well as couples. I have a strong passion for supporting teenagers. But ultimately, even as adults, we all carry our inner wounded child inside.
I believe that counselling is not just for crisis, but it helps to deal with everyday stresses and worries. I aim to help you feel at ease so you can talk freely about whatever worries you. Whether you're dealing with anxiety, depression, stress, grief, loss, substance misuse, negative behaviour patterns, perimenopause, abuse, family or relationship challenges, sexuality, or lack of self-esteem and confidence, l am here to help. My background includes working with individuals of all ages, as well as couples. I have a strong passion for supporting teenagers. But ultimately, even as adults, we all carry our inner wounded child inside.
01775 661172 View 01775 661172
Photo of Kathy Michelle Morgan, Counsellor, MNCPS Acc.
Kathy Michelle Morgan
Counsellor, MNCPS Acc.
Spalding PE12
Hello and welcome, thank you for taking the time to read my profile. I am a Mum of two and a Nanny of three and had my fair share of challenges in life. I studied counselling for four years at university and my learning is very much ongoing I have a passion for people and the mind and believe in positivity for a healthier life. Confidence is not always a given for some people, some of us need to work hard. And for that reason, I provide a safe, calm confidential space to explore what may be going on for you and together I aim to support you to make sense of your feelings and see a way forward from difficulties.
Hello and welcome, thank you for taking the time to read my profile. I am a Mum of two and a Nanny of three and had my fair share of challenges in life. I studied counselling for four years at university and my learning is very much ongoing I have a passion for people and the mind and believe in positivity for a healthier life. Confidence is not always a given for some people, some of us need to work hard. And for that reason, I provide a safe, calm confidential space to explore what may be going on for you and together I aim to support you to make sense of your feelings and see a way forward from difficulties.
01406 431506 View 01406 431506
Photo of Lynda Meina - The Therapy Space, Psychologist, PsychD, HCPC - Clin. Psych.
The Therapy Space
Psychologist, PsychD, HCPC - Clin. Psych.
Spalding PE12
As a Consultant Clinical Psychologist (>25 years of clinical experience!), I have met many people with very a range of difficulties. I begin by listening to understand what is going on in your life. Really attending to you, we can unlock your potential and transform your relationships (even with yourself). Using evidence-based therapies, including Cognitive Analytic Therapy, Cognitive Behavioural Therapy, and EMDR, I provide personalised interventions tailored to you. Whether you're navigating traumatic experiences; facing relationship challenges; or seeking personal growth, my approach helps you break free of unhelpful patterns.
As a Consultant Clinical Psychologist (>25 years of clinical experience!), I have met many people with very a range of difficulties. I begin by listening to understand what is going on in your life. Really attending to you, we can unlock your potential and transform your relationships (even with yourself). Using evidence-based therapies, including Cognitive Analytic Therapy, Cognitive Behavioural Therapy, and EMDR, I provide personalised interventions tailored to you. Whether you're navigating traumatic experiences; facing relationship challenges; or seeking personal growth, my approach helps you break free of unhelpful patterns.
01406 431557 View 01406 431557
Photo of David Rouse - Shining Light Counselling, Counsellor, BACP
Shining Light Counselling
Counsellor, BACP
Spalding PE11
Hello and welcome, I'm David, I wonder, if your Feeling unsure, anxious, scared, angry, confused? Have you had to experience loss and the pain of losing someone you love and care about. All that can be hard to live with, on a daily basis, contact me so we can talk it through, to see if its something we can work together to help you with.
Hello and welcome, I'm David, I wonder, if your Feeling unsure, anxious, scared, angry, confused? Have you had to experience loss and the pain of losing someone you love and care about. All that can be hard to live with, on a daily basis, contact me so we can talk it through, to see if its something we can work together to help you with.
01775 668829 View 01775 668829
Photo of Sue Penfold - Calm Waters Counselling Services, Counsellor, MBACP
Calm Waters Counselling Services
Counsellor, MBACP
1 Endorsed
Spalding PE11
Hi my name is Sue, as a qualified Therapist I offer a non judgemental, confidential environment, where you can safely explore different ways of looking at your life and identify more helpful ways to enjoy it. I provide a safe therapeutic environment filled with warmth and authenticity, where you can focus on understanding those overwhelming feelings, manage challenges of life and work towards the rewards of finding the "real you". I work from a Person-centred therapy approach, recognising we are masters of our own destiny, free to choose and control how we live our life. So in therapy you decide what YOU want to talk about.
Hi my name is Sue, as a qualified Therapist I offer a non judgemental, confidential environment, where you can safely explore different ways of looking at your life and identify more helpful ways to enjoy it. I provide a safe therapeutic environment filled with warmth and authenticity, where you can focus on understanding those overwhelming feelings, manage challenges of life and work towards the rewards of finding the "real you". I work from a Person-centred therapy approach, recognising we are masters of our own destiny, free to choose and control how we live our life. So in therapy you decide what YOU want to talk about.
01775 660700 View 01775 660700
Photo of Rajeshwari Suwarneraj - MANAM Counselling & Wellbeing, Counsellor, MBACP
MANAM Counselling & Wellbeing
Counsellor, MBACP
Spalding PE11
Hi, I'm Rajie, an Integrative psychotherapeutic counsellor and a life coach and I offer service across UK and outside UK both in English & Tamil. When you feel like you are stuck, struggling with problems, don't know if you're on the right path, I'm here to offer a safe and non judgemental environment where I will help you with your personal growth and to empower yourself. My approach will be based on person centred & psychodynamic theories, however I will plan my services including life coaching and cognitive behavioural therapy, depending on what clients' needs as I believe that every individual & their problems is different.
Hi, I'm Rajie, an Integrative psychotherapeutic counsellor and a life coach and I offer service across UK and outside UK both in English & Tamil. When you feel like you are stuck, struggling with problems, don't know if you're on the right path, I'm here to offer a safe and non judgemental environment where I will help you with your personal growth and to empower yourself. My approach will be based on person centred & psychodynamic theories, however I will plan my services including life coaching and cognitive behavioural therapy, depending on what clients' needs as I believe that every individual & their problems is different.
01775 661171 View 01775 661171
Photo of Jolanta Grossi - Harmonycounselling, Counsellor, MBACP
Harmonycounselling
Counsellor, MBACP
Spalding PE11
Hi and welcome. I am Humanistic and Integrative therapist. Sometimes we face challenges in life which can be difficult to cope with. I am offering a safe, confidential environment to explore and work together to move forward.
Hi and welcome. I am Humanistic and Integrative therapist. Sometimes we face challenges in life which can be difficult to cope with. I am offering a safe, confidential environment to explore and work together to move forward.
01775 668869 View 01775 668869
Photo of Jo Thompson - Jo Thompson, Counsellor, MUKCP
Jo Thompson
Counsellor, MUKCP
Spalding PE12
At times life can become too much, you may be struggling and feeling stuck, not knowing which way to turn. You may chose to explore relationships, patterns of behaviour and influences from the past or present. Choices made due to abuse, trauma or any other issues may be holding you back from your true potential. Either way, we can work towards seeking greater understanding of your unique problems in a non-judgemental curious way.
At times life can become too much, you may be struggling and feeling stuck, not knowing which way to turn. You may chose to explore relationships, patterns of behaviour and influences from the past or present. Choices made due to abuse, trauma or any other issues may be holding you back from your true potential. Either way, we can work towards seeking greater understanding of your unique problems in a non-judgemental curious way.
020 8176 6734 View 020 8176 6734
Photo of Samantha Pleasance-Brown - Be You Counselling, Counsellor, PNCPS Acc.
Be You Counselling
Counsellor, PNCPS Acc.
Spalding PE11
My name is Samantha, I offer professional counselling to you at those times of difficulty. Are you feeling low or stressed, anger, guilt, anxiety, depression or panic attacks? Do you feel numb or like you have switched off? You may not understand why you feel the way you do. As your counsellor I will listen closely to you and pick up on your feelings, thoughts and emotions. I will work with you to see the world from your perspective and offer insights that will help us both explore the issue(s) you want to work through. This will be done at a pace that is comfortable for you.
My name is Samantha, I offer professional counselling to you at those times of difficulty. Are you feeling low or stressed, anger, guilt, anxiety, depression or panic attacks? Do you feel numb or like you have switched off? You may not understand why you feel the way you do. As your counsellor I will listen closely to you and pick up on your feelings, thoughts and emotions. I will work with you to see the world from your perspective and offer insights that will help us both explore the issue(s) you want to work through. This will be done at a pace that is comfortable for you.
01775 665745 View 01775 665745
Photo of Jane Elizabeth Evans Whiley, Counsellor, MA, MBACP Snr. Accred
Jane Elizabeth Evans Whiley
Counsellor, MA, MBACP Snr. Accred
Serves Area
Are you feeling in need of counselling support? Choosing the right counsellor to provide support is not always easy. Giving careful attention to both the context of counselling being offered and the qualifications and experience of your chosen counsellor is an important factor in this process .Life brings challenges for all of us. Sometimes, those challenges can make it difficult to manage daily life or maintain healthy, fulfilling relationships. In those moments, it can be incredibly helpful to have a space where you feel seen, heard, and supported.
Are you feeling in need of counselling support? Choosing the right counsellor to provide support is not always easy. Giving careful attention to both the context of counselling being offered and the qualifications and experience of your chosen counsellor is an important factor in this process .Life brings challenges for all of us. Sometimes, those challenges can make it difficult to manage daily life or maintain healthy, fulfilling relationships. In those moments, it can be incredibly helpful to have a space where you feel seen, heard, and supported.
01460 207128 View 01460 207128
Photo of Russell John Woodward - Breakthrough2Change, Counsellor, MSc, PNCPS Acc.
Breakthrough2Change
Counsellor, MSc, PNCPS Acc.
Serves Area
If you are experiencing anxiety, suffering from low mood or depression, or find yourself struggling within relationships, I am here to help. I am a person-centred experiential therapist with additional training in Emotionally Focused Therapy (EFT). EFT is a multimodal approach of therapy for individuals, couples & families. EFT is an attachment-based, humanistic, experiential therapy approach, helping clients work 'with & through' their core emotional processes to build healthy emotional bonds with self and others. If you want to become emotionally 'fit' & well and improve your mental health & relationships, contact me.
If you are experiencing anxiety, suffering from low mood or depression, or find yourself struggling within relationships, I am here to help. I am a person-centred experiential therapist with additional training in Emotionally Focused Therapy (EFT). EFT is a multimodal approach of therapy for individuals, couples & families. EFT is an attachment-based, humanistic, experiential therapy approach, helping clients work 'with & through' their core emotional processes to build healthy emotional bonds with self and others. If you want to become emotionally 'fit' & well and improve your mental health & relationships, contact me.
01205 336971 View 01205 336971
Photo of Karen Harrison, Counsellor, MBACP
Karen Harrison
Counsellor, MBACP
Serves Area
Thank you for viewing my profile. I offer a safe, confidential space to explore your issues, past or present, through counselling and talking therapy. You have the choice to work either face-to-face, in person at my private, comfortable office, or remotely via video or telephone. I offer appointments between 3pm-6pm weekdays and Saturday mornings. Counselling is always at your pace and frequency and duration of sessions can be discussed at your first session.
Thank you for viewing my profile. I offer a safe, confidential space to explore your issues, past or present, through counselling and talking therapy. You have the choice to work either face-to-face, in person at my private, comfortable office, or remotely via video or telephone. I offer appointments between 3pm-6pm weekdays and Saturday mornings. Counselling is always at your pace and frequency and duration of sessions can be discussed at your first session.
01733 902720 View 01733 902720
Photo of Fiona Knowles - Fiona Knowles Counselling & Supervision, Counsellor, MBACP
Fiona Knowles Counselling & Supervision
Counsellor, MBACP
Serves Area
Are you suffering from anxiety, panic attacks, felling generally low, or facing challenges that are preventing you from moving forward and leading a full and happy life? At times life can be very difficult leaving you feeling confused, unhappy, unheard, and restricting you from leading the life you want. Counselling can be the first step towards change, regaining a sense of control in your life, and a better, more positive future for you. I work around a wide variety of issues, problems and complex situations providing you with support, empathy and a space for you to share your concerns.
Are you suffering from anxiety, panic attacks, felling generally low, or facing challenges that are preventing you from moving forward and leading a full and happy life? At times life can be very difficult leaving you feeling confused, unhappy, unheard, and restricting you from leading the life you want. Counselling can be the first step towards change, regaining a sense of control in your life, and a better, more positive future for you. I work around a wide variety of issues, problems and complex situations providing you with support, empathy and a space for you to share your concerns.
07496 664515 View 07496 664515
Photo of Jo Vickers, Psychotherapist, MNCPS Acc.
Jo Vickers
Psychotherapist, MNCPS Acc.
Serves Area
My aim is to co-create an environment that offers you a place to bring and share your unique experiences and begin to explore and understand how they have impacted you. I believe everyone can benefit from sharing their stories; often being truly heard for the first time. Nonetheless, this can feel odd initially, sat sharing information with a stranger. My creative approach to therapy responds to your individual needs to best support you whist undertaking this. My experience of working with survivors of trauma has been a live demonstration of the impact of previous and current experiences on our health.
My aim is to co-create an environment that offers you a place to bring and share your unique experiences and begin to explore and understand how they have impacted you. I believe everyone can benefit from sharing their stories; often being truly heard for the first time. Nonetheless, this can feel odd initially, sat sharing information with a stranger. My creative approach to therapy responds to your individual needs to best support you whist undertaking this. My experience of working with survivors of trauma has been a live demonstration of the impact of previous and current experiences on our health.
01522 440419 View 01522 440419
Photo of David Langdown, Counsellor, MNCPS Acc.
David Langdown
Counsellor, MNCPS Acc.
Serves Area
We dream of success, money, holidays, happy families and good health, but life doesn't always go to plan. When we are hit with the unexpected, a loss, a relationship that goes wrong, unbearable work pressures, troubled by unresolved experiences of the past or hopelessness about the future, our mental health is affected. We can feel sad, overwhelmed, fearful. We lose confidence and self-esteem. Our physical health suffers too and we can become dependent on medication, alcohol or other non-prescribed solutions. Counselling is a way out, providing support in a confidential, non-judgmental, understanding and empathetic relationship.
We dream of success, money, holidays, happy families and good health, but life doesn't always go to plan. When we are hit with the unexpected, a loss, a relationship that goes wrong, unbearable work pressures, troubled by unresolved experiences of the past or hopelessness about the future, our mental health is affected. We can feel sad, overwhelmed, fearful. We lose confidence and self-esteem. Our physical health suffers too and we can become dependent on medication, alcohol or other non-prescribed solutions. Counselling is a way out, providing support in a confidential, non-judgmental, understanding and empathetic relationship.
01778 309974 View 01778 309974
Photo of Philip Boddey - Philip Boddey Counselling, Psychotherapist, MBACP Accred
Philip Boddey Counselling
Psychotherapist, MBACP Accred
Serves Area
I have been a qualified psycotherapist and counsellor for in the region of 30 years to 2020 and have, during this time worked with ages 5 and upwards both individually, as couples, groups and families. I have worked alongside local authorities social services, education establishments, foster agencies, Police, CAMH, Health Insurance companies, the NHS and others.
I have been a qualified psycotherapist and counsellor for in the region of 30 years to 2020 and have, during this time worked with ages 5 and upwards both individually, as couples, groups and families. I have worked alongside local authorities social services, education establishments, foster agencies, Police, CAMH, Health Insurance companies, the NHS and others.
01780 430698 View 01780 430698

How does your Counsellor compare?

Number of Counsellors in Spalding

20+

Average cost per session

£50

Counsellors in Spalding who prioritize treating:

87% Anxiety
83% Depression
83% Bereavement
83% Stress
78% Relationship Issues
78% Self Esteem
65% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

50% Other
50% Any/Out-of-network Insurance
50% Bupa

How Counsellors in Spalding see their clients

96% In Person and Online
4% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Spalding?

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.