Counselling in Swindon

Photo of Melanie Richards, Psychotherapist in Swindon, England
Melanie Richards
Psychotherapist, DCounsPsych, MBACP
Verified
Swindon SN1
I understand how difficult it can be to take the first step when looking for support but please be assured that I will do all I can to put you at ease. I am experienced in a wide range of issues, supporting clients from all walks of life including personnel from the emergency services. I offer a secure, confidential and professional relationship in the privacy of regular, reliable sessions. I also work as Clinical Lead with 13-25 year olds in a young persons service. My approach is holistic, in that I am interested in "the whole person".
I understand how difficult it can be to take the first step when looking for support but please be assured that I will do all I can to put you at ease. I am experienced in a wide range of issues, supporting clients from all walks of life including personnel from the emergency services. I offer a secure, confidential and professional relationship in the privacy of regular, reliable sessions. I also work as Clinical Lead with 13-25 year olds in a young persons service. My approach is holistic, in that I am interested in "the whole person".
01793 234315 View 01793 234315
Photo of Michael Bizley, Counsellor in Swindon, England
Michael Bizley
Counsellor, MNCPS Acc.
Verified
Swindon SN1  (Online Only)
I work purely as an Online Therapist for which I am fully qualified and trained to do. This has many benefits, not only as it doesn't mean travelling but we also have the options of working in different ways, such as video, email, audio or instant messaging. Sometimes it can reduce anxieties as you can be in a space that feels comfortable for you. I have a particular interest in working with MEN in therapy as I am aware how difficult it can be for a man to seek therapy and talk about their emotions and experiences. My aim is to provide that safe space in which all clients can explore their feelings and emotions.
I work purely as an Online Therapist for which I am fully qualified and trained to do. This has many benefits, not only as it doesn't mean travelling but we also have the options of working in different ways, such as video, email, audio or instant messaging. Sometimes it can reduce anxieties as you can be in a space that feels comfortable for you. I have a particular interest in working with MEN in therapy as I am aware how difficult it can be for a man to seek therapy and talk about their emotions and experiences. My aim is to provide that safe space in which all clients can explore their feelings and emotions.
01249 471511 View 01249 471511
Photo of Aneta Sirociuk, Counsellor in Swindon, England
Aneta Sirociuk
Counsellor, MA, MBACP
Verified
1 Endorsed
Swindon SN1
Hi, my name is Aneta. I am an integrative psychotherapeutic counsellor, which means that I draw from various approaches, including Gestalt, Person Centred and Psychodynamic, putting the therapeutic relationship at the centre of my work. I have experience working therapeutically with people from all walks of life, but my two main areas of expertise are supporting people to process their trauma (both recent and historic) and working with clients from ethnically diverse communities. I facilitate culturally sensitive therapy with an understanding of issues related to diversity and identity.
Hi, my name is Aneta. I am an integrative psychotherapeutic counsellor, which means that I draw from various approaches, including Gestalt, Person Centred and Psychodynamic, putting the therapeutic relationship at the centre of my work. I have experience working therapeutically with people from all walks of life, but my two main areas of expertise are supporting people to process their trauma (both recent and historic) and working with clients from ethnically diverse communities. I facilitate culturally sensitive therapy with an understanding of issues related to diversity and identity.
01793 540984 View 01793 540984
Photo of Melanie Holland Tucker Therapy, Counsellor in Swindon, England
Melanie Holland Tucker Therapy
Counsellor, MBACP
Verified
Swindon SN25
When you are feeling overwhelmed by difficult past or present experiences, thoughts and feelings talking to someone who will listen can help. Are you feeling alone in this? you don't have to. I offer a confidential, empathic and non-judgemental space in which together we can explore what is causing your distress and a way forward at your pace. Whilst fostering clarity and self-awareness, I bring a warm, calm and compassionate approach to my work in which my client feels supported and empowered. I have a passionate belief in the human capacity for change and growth and in the power of therapy to nurture this for my clients.
When you are feeling overwhelmed by difficult past or present experiences, thoughts and feelings talking to someone who will listen can help. Are you feeling alone in this? you don't have to. I offer a confidential, empathic and non-judgemental space in which together we can explore what is causing your distress and a way forward at your pace. Whilst fostering clarity and self-awareness, I bring a warm, calm and compassionate approach to my work in which my client feels supported and empowered. I have a passionate belief in the human capacity for change and growth and in the power of therapy to nurture this for my clients.
01793 540787 View 01793 540787
Photo of Tanya Orr, Counsellor in Swindon, England
Tanya Orr
Counsellor, SNCPS Acc.
Verified
Swindon SN4
Hello, my name is Tanya. As a counsellor- psychotherapist for over 25 years and a supervisor for 15, I continue to see how helpful counselling can be. I have immediate availability on Mondays and Tuesdays. Are you finding life tough, trying to deal with stress, anxiety, loss, feeling low or depressed or the impact of abuse and trauma? I am sorry you are having to struggle - life can get us down and sometimes the most courageous thing we can do is to seek some support. In our first session you can tell me what you are dealing with and see if it feels ok to work with me.
Hello, my name is Tanya. As a counsellor- psychotherapist for over 25 years and a supervisor for 15, I continue to see how helpful counselling can be. I have immediate availability on Mondays and Tuesdays. Are you finding life tough, trying to deal with stress, anxiety, loss, feeling low or depressed or the impact of abuse and trauma? I am sorry you are having to struggle - life can get us down and sometimes the most courageous thing we can do is to seek some support. In our first session you can tell me what you are dealing with and see if it feels ok to work with me.
01793 540410 View 01793 540410
Photo of Julie Chivers, Counsellor in Swindon, England
Julie Chivers
Counsellor, MBACP Accred
Verified
Swindon SN3
I wonder what brings you here today. Are you feeling lost, anxious, or sad, not sure where to turn to? Are you feeling the emotional pain of a bereavement or issues in or the end of a relationship, whether a partner or family issues. I can offer you the time and space to explore your difficulties and help you to work through them in a safe and confidential environment, being open-minded, without judgement or criticism. Please call or e-mail me to discuss how I can help you.
I wonder what brings you here today. Are you feeling lost, anxious, or sad, not sure where to turn to? Are you feeling the emotional pain of a bereavement or issues in or the end of a relationship, whether a partner or family issues. I can offer you the time and space to explore your difficulties and help you to work through them in a safe and confidential environment, being open-minded, without judgement or criticism. Please call or e-mail me to discuss how I can help you.
01793 236556 View 01793 236556
Photo of Nicole Rice, Counsellor in Swindon, England
Nicole Rice
Counsellor, MBACP
Verified
2 Endorsed
Swindon SN2
Life's path can be windy and uncertain, where and who do you turn to when there are areas you cant resolve? Counselling is the opportunity to discuss with someone without judgement or advice. Instead we will create a relationship where you will be free to make your own choices and decisions which benefit you. Have you ever wondered who you could or should be? Where you're heading or why life hasn't been how you would have liked? Let's take time and discuss what's happening for you? I am able to provide short or long term counselling to suit your individual needs.
Life's path can be windy and uncertain, where and who do you turn to when there are areas you cant resolve? Counselling is the opportunity to discuss with someone without judgement or advice. Instead we will create a relationship where you will be free to make your own choices and decisions which benefit you. Have you ever wondered who you could or should be? Where you're heading or why life hasn't been how you would have liked? Let's take time and discuss what's happening for you? I am able to provide short or long term counselling to suit your individual needs.
01793 540773 View 01793 540773
Photo of Theresa Bell, Counsellor in Swindon, England
Theresa Bell
Counsellor, DCounsPsych, MBACP
Verified
Swindon SN4
I offer Counselling and Supervision. My background is in education, providing support for students from Primary, Secondary, Sixth Form/College, and University. While working with a diverse range of people, I have received specialist training for working with students and adults with Autism, ADHD, Asperger's and challenging behaviour. I have also previously worked in a Specialist Autistic (SRP) unit. I also work with adults and those that have received a late diagnosis to help accept, adjust and make sense of this impact on their lives and that of their family.
I offer Counselling and Supervision. My background is in education, providing support for students from Primary, Secondary, Sixth Form/College, and University. While working with a diverse range of people, I have received specialist training for working with students and adults with Autism, ADHD, Asperger's and challenging behaviour. I have also previously worked in a Specialist Autistic (SRP) unit. I also work with adults and those that have received a late diagnosis to help accept, adjust and make sense of this impact on their lives and that of their family.
01793 379659 View 01793 379659
Photo of Jo Holder, Counsellor in Swindon, England
Jo Holder
Counsellor, MBACP
Verified
Swindon SN2
I am an open minded, warm hearted individual that offers a confidential, friendly, therapeutic space with a warm welcome. I fully understanding how difficult it may be for clients to take their first steps into counselling. I work with the client through their feelings, past traumas or painful experiences. It's important for an indivifual to feel really listened too, accepted and understood.
I am an open minded, warm hearted individual that offers a confidential, friendly, therapeutic space with a warm welcome. I fully understanding how difficult it may be for clients to take their first steps into counselling. I work with the client through their feelings, past traumas or painful experiences. It's important for an indivifual to feel really listened too, accepted and understood.
01793 387017 View 01793 387017
Photo of Tanya Wiseman. Feel Enabled Counselling, Counsellor in Swindon, England
Tanya Wiseman. Feel Enabled Counselling
Counsellor, MBACP
Verified
Swindon SN2
Our mental health is so important. All too quickly we can feel swept away by life’s demands, by the experiences or decisions that can feel thrust upon us and by the needs and wants of others. Life can be exhausting and hard to navigate, often finding the way forward feels difficult to identify. This is where counselling comes in. As a fully qualified & experienced relational therapist, my role will be one of support, curiosity and gentle guidance.
Our mental health is so important. All too quickly we can feel swept away by life’s demands, by the experiences or decisions that can feel thrust upon us and by the needs and wants of others. Life can be exhausting and hard to navigate, often finding the way forward feels difficult to identify. This is where counselling comes in. As a fully qualified & experienced relational therapist, my role will be one of support, curiosity and gentle guidance.
01793 387663 View 01793 387663
Photo of Angela Alexsandra Warwick, Counsellor in Swindon, England
Angela Alexsandra Warwick
Counsellor, MNCPS Acc.
Verified
Swindon SN2  (Online Only)
Seeking counselling and having the space to talk and focus on you, can help when life throws you difficult situations, feelings and events. Having the space to talk about whatever you choose to without judgement can be liberating. As a Person-Centred Counsellor I work alongside you, supporting you in any decisions you choose to make. My aim is to build a professional, trusting relationship with you where you feel safe to share any issues you choose to bring to your sessions.
Seeking counselling and having the space to talk and focus on you, can help when life throws you difficult situations, feelings and events. Having the space to talk about whatever you choose to without judgement can be liberating. As a Person-Centred Counsellor I work alongside you, supporting you in any decisions you choose to make. My aim is to build a professional, trusting relationship with you where you feel safe to share any issues you choose to bring to your sessions.
01793 540574 View 01793 540574
Photo of Danielle Harris, Psychotherapist in Swindon, England
Danielle Harris
Psychotherapist, MSc, MUKCP
Verified
Swindon SN25  (Online Only)
I work with people from all walks of life. I provide an online counselling service that meets you where you’re at, both physically and emotionally. I have experience working with a wide range of issues including, abuse, anxiety, stress, depression, eating difficulties, loneliness, relationship problems, health concerns, bereavement, self-esteem, sexual orientation, sexual abuse, discrimination, and many more difficulties that are faced in life. Working online, I often meet expats and digital nomads, however, online counselling can also be suitable to everyone, including people living and working in their home country.
I work with people from all walks of life. I provide an online counselling service that meets you where you’re at, both physically and emotionally. I have experience working with a wide range of issues including, abuse, anxiety, stress, depression, eating difficulties, loneliness, relationship problems, health concerns, bereavement, self-esteem, sexual orientation, sexual abuse, discrimination, and many more difficulties that are faced in life. Working online, I often meet expats and digital nomads, however, online counselling can also be suitable to everyone, including people living and working in their home country.
01793 540771 View 01793 540771
Photo of Jennie Langley, Counsellor in Swindon, England
Jennie Langley
Counsellor, MBACP
Verified
Swindon SN1
Hello and thank you for choosing to read my profile. Sometimes life can get hard; it can perhaps feel overwhelming. You may be experiencing feelings of anxiety or stress. Perhaps you are aware of feelings of low mood or depression. You might be experiencing relationship difficulties or issues at work. Maybe you feel that you lack confidence or self-esteem. These issues can build up over time and through our work together, I can help you reflect on, explore and understand these better to help you find a way forward.
Hello and thank you for choosing to read my profile. Sometimes life can get hard; it can perhaps feel overwhelming. You may be experiencing feelings of anxiety or stress. Perhaps you are aware of feelings of low mood or depression. You might be experiencing relationship difficulties or issues at work. Maybe you feel that you lack confidence or self-esteem. These issues can build up over time and through our work together, I can help you reflect on, explore and understand these better to help you find a way forward.
01793 540328 View 01793 540328
Photo of Fran Dundee, Counsellor in Swindon, England
Fran Dundee
Counsellor, MBACP Accred
Verified
1 Endorsed
Swindon SN1
Are your thoughts, feelings or circumstances distressing you? Are they affecting your relationships, sleep or ability to function and enjoy everyday life? Life can often be unpredictable and challenging. Sadness, fatigue and a sense of something missing can be draining and overwhelming. How can counselling help? Counselling offers a safe space to share your thoughts, feelings and circumstances. I listen deeply and you will feel heard. We can explore what you want to achieve from having counselling. Working out together how you can find balance and happiness. I work with your goals and what you want to achieve in your sessions.
Are your thoughts, feelings or circumstances distressing you? Are they affecting your relationships, sleep or ability to function and enjoy everyday life? Life can often be unpredictable and challenging. Sadness, fatigue and a sense of something missing can be draining and overwhelming. How can counselling help? Counselling offers a safe space to share your thoughts, feelings and circumstances. I listen deeply and you will feel heard. We can explore what you want to achieve from having counselling. Working out together how you can find balance and happiness. I work with your goals and what you want to achieve in your sessions.
01793 953040 View 01793 953040
Photo of Susan Jennings, Counsellor in Swindon, England
Susan Jennings
Counsellor, MBACP
Verified
Swindon SN25
I can help you understand your past, unlock your distress and help you move into a future with new strength, peace and happiness. I have over 20 years experience in the social and charity sector and work with people of all ages and problems but have particular skills in working with young people and those who are survivors of domestic abuse. I am DBS checked and a member of the British Association for Counselling and Psychotherapy.
I can help you understand your past, unlock your distress and help you move into a future with new strength, peace and happiness. I have over 20 years experience in the social and charity sector and work with people of all ages and problems but have particular skills in working with young people and those who are survivors of domestic abuse. I am DBS checked and a member of the British Association for Counselling and Psychotherapy.
01793 540714 View 01793 540714
Photo of A Time For You, Counselling and Reiki (Tina Deas), Counsellor in Swindon, England
A Time For You, Counselling and Reiki (Tina Deas)
Counsellor, MBACP Accred
Verified
Swindon SN5
I help Individuals and Couples with many different concerns. They often want to be able to feel and cope better, to improve their relationships, their wellbeing and their lives. Perhaps you are trying to cope with a bereavement or have suffered another loss such as the breakdown of a relationship. You may feel that with support, you are ready to tackle some trauma you have suffered or you may need help with your current situation. Or maybe you just feel a little lost and need some help to get yourself back on track or you don't really know where to start and feel anxious about talking to someone about your problems. I can help.
I help Individuals and Couples with many different concerns. They often want to be able to feel and cope better, to improve their relationships, their wellbeing and their lives. Perhaps you are trying to cope with a bereavement or have suffered another loss such as the breakdown of a relationship. You may feel that with support, you are ready to tackle some trauma you have suffered or you may need help with your current situation. Or maybe you just feel a little lost and need some help to get yourself back on track or you don't really know where to start and feel anxious about talking to someone about your problems. I can help.
01793 540333 View 01793 540333
Photo of Sandra Estelle Counselling, Counsellor in Swindon, England
Sandra Estelle Counselling
Counsellor, MBACP
Verified
1 Endorsed
Swindon SN4
My name is Sandra and I have worked as an Integrative Counsellor since 2013. For a lot of that time my work has been focused on working with the bereaved, both adults and children, helping them to understand their grief and finding ways to live with their loss. Through this work I have gained experience working with clients affected by a variety of tragedies, including suicide and the death of a child. I have also worked as a volunteer addiction counsellor, and as a facilitator for carers groups.
My name is Sandra and I have worked as an Integrative Counsellor since 2013. For a lot of that time my work has been focused on working with the bereaved, both adults and children, helping them to understand their grief and finding ways to live with their loss. Through this work I have gained experience working with clients affected by a variety of tragedies, including suicide and the death of a child. I have also worked as a volunteer addiction counsellor, and as a facilitator for carers groups.
01793 234426 View 01793 234426
Photo of Sam Hewitt - Therapeutic Counsellor (MBACP) Reg, Counsellor in Swindon, England
Sam Hewitt - Therapeutic Counsellor (MBACP) Reg
Counsellor, MBACP
Verified
Swindon SN1
Life can sometimes be difficult. There may be times when we find ourselves experiencing stress, anxiety, panic, or struggling with extremely low moods or bouts of depression. Maybe you find yourself struggling with life's difficulties, often feeling isolated and alone, believing that there isn't anyone you can turn to, including work colleagues, friends or family. Maybe past experience has taught you not to trust anyone with your feelings. Or maybe you find yourself believing that no one truly understands what you are going through.
Life can sometimes be difficult. There may be times when we find ourselves experiencing stress, anxiety, panic, or struggling with extremely low moods or bouts of depression. Maybe you find yourself struggling with life's difficulties, often feeling isolated and alone, believing that there isn't anyone you can turn to, including work colleagues, friends or family. Maybe past experience has taught you not to trust anyone with your feelings. Or maybe you find yourself believing that no one truly understands what you are going through.
07521 778424 View 07521 778424
Photo of Catherine Wallage Counselling, Counsellor in Swindon, England
Catherine Wallage Counselling
Counsellor, MBACP
Verified
Swindon SN25
I am a BACP person-centred counsellor working with kindness and compassion providing a confidential space to speak openly about what matters to you. I work with people experiencing various issues including anxiety, sadness, depression, grief, panic attacks, and stress at work or in relationships. Low self-esteem, negative thoughts and feelings. Lack of confidence and personal resilience. PTSD, Trauma and negative childhood experiences. Gender and sexuality worries, relationship difficulties, recent diagnosis and ill health, including those caring for children/partners with Autism, and ADHD.
I am a BACP person-centred counsellor working with kindness and compassion providing a confidential space to speak openly about what matters to you. I work with people experiencing various issues including anxiety, sadness, depression, grief, panic attacks, and stress at work or in relationships. Low self-esteem, negative thoughts and feelings. Lack of confidence and personal resilience. PTSD, Trauma and negative childhood experiences. Gender and sexuality worries, relationship difficulties, recent diagnosis and ill health, including those caring for children/partners with Autism, and ADHD.
01793 540335 View 01793 540335
Photo of Tracy Mendis, Counsellor in Swindon, England
Tracy Mendis
Counsellor, MBACP
Verified
1 Endorsed
Swindon SN5
Hurting? Unhappy? Confused? Need to talk to someone you can trust? I am a professionally trained and qualified counsellor. I offer a safe place where you can be truly heard - not judged or told what to do - and I work in whatever way is best for you and most appropriate to the circumstances that you are dealing with. Whatever you are facing - you don't have to do it alone. Together - we can find your way forward. I have 25 years experience in counselling & psychology and have worked in the UK and NZ. I work with adults and teenagers. I also offer supervision for practicing counsellors and enjoy working with counselling students.
Hurting? Unhappy? Confused? Need to talk to someone you can trust? I am a professionally trained and qualified counsellor. I offer a safe place where you can be truly heard - not judged or told what to do - and I work in whatever way is best for you and most appropriate to the circumstances that you are dealing with. Whatever you are facing - you don't have to do it alone. Together - we can find your way forward. I have 25 years experience in counselling & psychology and have worked in the UK and NZ. I work with adults and teenagers. I also offer supervision for practicing counsellors and enjoy working with counselling students.
01793 387141 View 01793 387141

See more therapy options for Swindon

How does your Counsellor compare?

Number of Counsellors in Swindon

80+

Average cost per session

£50

Counsellors in Swindon who prioritize treating:

93% Anxiety
89% Stress
87% Self Esteem
84% Depression
76% Relationship Issues
75% Bereavement
69% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

46% Cigna and Evernorth
46% Aviva
46% AXA PPP

How Counsellors in Swindon see their clients

88% In Person and Online
12% Online Only

Gender breakdown

84% Female
16% Male

FAQs - About Therapy and Counselling

How can I find a therapist in Swindon?

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.