Counselling in Tavistock

Photo of Lisa Clive - Dr Lisa Clive, Ebb and Flow Psychology and EMDR, Psychologist, HCPC - Clin. Psych.
Dr Lisa Clive, Ebb and Flow Psychology and EMDR
Psychologist, HCPC - Clin. Psych.
2 Endorsed
Tavistock PL19
At Ebb and Flow Psychology we specialise in caring for the whole family, recognising the importance of caring for parents in order to help you care for your children. We understand that children and adults experience things differently and support parents to deepen their understanding of their child’s world and strengthen their relationships.
At Ebb and Flow Psychology we specialise in caring for the whole family, recognising the importance of caring for parents in order to help you care for your children. We understand that children and adults experience things differently and support parents to deepen their understanding of their child’s world and strengthen their relationships.
01822 661367 View 01822 661367
Photo of Emily Burns - Emily Burns Child Therapy, Counsellor, DCounsPsych, MBACP
Emily Burns Child Therapy
Counsellor, DCounsPsych, MBACP
Tavistock PL19
Emily is a Child and Adolescent Therapist who has worked therapeutically with children and families for over twenty years. She has helped many children through difficult times using play and the arts to communicate emotions, often in ways words cannot. She works with play, creative arts, mindfulness, visualisations and other techniques to help children and young people cope with and make sense of anxiety and strong emotions. With specialism in trauma and attachment and child-parent work she is independent provider for the Adoption Support Fund and works with vulnerable children at Trevi House and Psychology Associates.
Emily is a Child and Adolescent Therapist who has worked therapeutically with children and families for over twenty years. She has helped many children through difficult times using play and the arts to communicate emotions, often in ways words cannot. She works with play, creative arts, mindfulness, visualisations and other techniques to help children and young people cope with and make sense of anxiety and strong emotions. With specialism in trauma and attachment and child-parent work she is independent provider for the Adoption Support Fund and works with vulnerable children at Trevi House and Psychology Associates.
01822 668324 View 01822 668324
Photo of Carla Polhill, Counsellor, MNCPS Acc.
Carla Polhill
Counsellor, MNCPS Acc.
1 Endorsed
Tavistock PL19
I help individuals who are feeling overwhelmed by difficult emotions, including anxiety, deep sadness and feeling lost. I am inspired to work with clients who have a history of trauma, have suffered bereavement, have problems in relationships, are struggling at work or are feeling overwhelmed with day to day life. The work I have supported clients with has enabled them to develop coping strategies, increase awareness, self-acceptance and the opportunities to make changes in their lives. With the support I offer, you can begin to feel and think about yourself more positively and with self compassion and self caring and confidence.
I help individuals who are feeling overwhelmed by difficult emotions, including anxiety, deep sadness and feeling lost. I am inspired to work with clients who have a history of trauma, have suffered bereavement, have problems in relationships, are struggling at work or are feeling overwhelmed with day to day life. The work I have supported clients with has enabled them to develop coping strategies, increase awareness, self-acceptance and the opportunities to make changes in their lives. With the support I offer, you can begin to feel and think about yourself more positively and with self compassion and self caring and confidence.
01822 661393 View 01822 661393
Photo of Fran Dewdney, Counsellor, MBACP
Fran Dewdney
Counsellor, MBACP
Tavistock PL19
Life doesn't come with a Sat Nav. If it did, life might be a little easier. Instead, life has a habit of taking unexpected turns. Perhaps you are facing anxiety, grief, relationship difficulties, illness, a major life change or simply feel that things aren't quite as they should be. Sometimes we don't need someone to solve our problems. We simply need someone willing to sit beside us while we find our own way through. Whatever has brought you here, you'll find a safe, compassionate space where you can be heard without judgement.
Life doesn't come with a Sat Nav. If it did, life might be a little easier. Instead, life has a habit of taking unexpected turns. Perhaps you are facing anxiety, grief, relationship difficulties, illness, a major life change or simply feel that things aren't quite as they should be. Sometimes we don't need someone to solve our problems. We simply need someone willing to sit beside us while we find our own way through. Whatever has brought you here, you'll find a safe, compassionate space where you can be heard without judgement.
01822 667862 View 01822 667862
Photo of Jamie Mark Thomas Styler, Counsellor, MBACP
Jamie Mark Thomas Styler
Counsellor, MBACP
1 Endorsed
Tavistock PL19
People sometimes think counselling is only for those who have experienced severe trauma. It’s not. My clients don’t always know the cause of their discomfort. They just know that something isn’t quite right. I’m a firm believer that everyone can benefit from counselling. My clients come to me for a variety of reasons. Some want counselling to recover from childhood trauma, domestic abuse or physical violence. Others feel isolated, alone and unheard. Perhaps you’ve experienced bullying, low self-esteem or suicidal thoughts. Many of my clients don’t really know what’s wrong. They just feel burdened, unhappy or ‘stuck’.
People sometimes think counselling is only for those who have experienced severe trauma. It’s not. My clients don’t always know the cause of their discomfort. They just know that something isn’t quite right. I’m a firm believer that everyone can benefit from counselling. My clients come to me for a variety of reasons. Some want counselling to recover from childhood trauma, domestic abuse or physical violence. Others feel isolated, alone and unheard. Perhaps you’ve experienced bullying, low self-esteem or suicidal thoughts. Many of my clients don’t really know what’s wrong. They just feel burdened, unhappy or ‘stuck’.
01822 661319 View 01822 661319
Photo of Sarah Mills, Counsellor, MSc, MBACP
Sarah Mills
Counsellor, MSc, MBACP
Online Only
Hi, I’m Sarah. I became a counsellor as I believe in the healing power of the counselling relationship. Sometimes we can feel lost and alone with how we feel. Having someone to share and work through our thoughts and feelings with, in a safe, nonjudgemental environment can help us to make the changes we want to make and begin to move forward with our lives.
Hi, I’m Sarah. I became a counsellor as I believe in the healing power of the counselling relationship. Sometimes we can feel lost and alone with how we feel. Having someone to share and work through our thoughts and feelings with, in a safe, nonjudgemental environment can help us to make the changes we want to make and begin to move forward with our lives.
01822 667724 View 01822 667724
Photo of Kathy Kelly, Counsellor, MBACP Snr. Accred
Kathy Kelly
Counsellor, MBACP Snr. Accred
Tavistock PL19
I worked in the NHS in Mental Health for 20years before moving into private practice. My experience covers a wealth of various issues and aims to meet individual needs and goals. My practice is based around individuals wants/need and desire for change.
I worked in the NHS in Mental Health for 20years before moving into private practice. My experience covers a wealth of various issues and aims to meet individual needs and goals. My practice is based around individuals wants/need and desire for change.
01822 667997 View 01822 667997
Photo of Jeff Dawson, Counsellor, MA, MBACP
Jeff Dawson
Counsellor, MA, MBACP
1 Endorsed
Tavistock PL19
I specialise in supporting men and dads who feel overwhelmed by work stress, relationship challenges, anxiety, depression or past trauma - especially dads struggling to connect with their teenagers. Many feel stuck, isolated and exhausted by expectations to 'man up', but are ready to become the father, partner, and man they truly want to be. I also work with young people aged 12-25 navigating anxiety, depression, family conflict, identity questions, school pressures, and major life transitions. As a male counsellor with specialist training in adolescent mental health, I offer practical tools, genuine understanding, and a safe space
I specialise in supporting men and dads who feel overwhelmed by work stress, relationship challenges, anxiety, depression or past trauma - especially dads struggling to connect with their teenagers. Many feel stuck, isolated and exhausted by expectations to 'man up', but are ready to become the father, partner, and man they truly want to be. I also work with young people aged 12-25 navigating anxiety, depression, family conflict, identity questions, school pressures, and major life transitions. As a male counsellor with specialist training in adolescent mental health, I offer practical tools, genuine understanding, and a safe space
01822 661316 View 01822 661316
Photo of Alison Hodgetts - West Country Child Psychology , Psychologist, PhD, HCPC - Clin. Psych.
West Country Child Psychology
Psychologist, PhD, HCPC - Clin. Psych.
1 Endorsed
Tavistock PL19
There can be many obstacles for children during their development. These can be varied and can include developmental difficulties such as autism, illnesses within a family unit, separation and divorce, or difficulties with learning. Many children and young people will navigate these issues, however others may present with difficulties with sleeping and eating, or behaviour that is challenging for a family or school; or they could present with symptoms of anxiety and depression. When this happens, families can feel confused, frustrated, isolated and misunderstood.
There can be many obstacles for children during their development. These can be varied and can include developmental difficulties such as autism, illnesses within a family unit, separation and divorce, or difficulties with learning. Many children and young people will navigate these issues, however others may present with difficulties with sleeping and eating, or behaviour that is challenging for a family or school; or they could present with symptoms of anxiety and depression. When this happens, families can feel confused, frustrated, isolated and misunderstood.
01566 700670 View 01566 700670
Photo of Dr Sophie Louise Mayhew, Psychologist, PsychD, CPsychol
Dr Sophie Louise Mayhew
Psychologist, PsychD, CPsychol
Tavistock PL19
Many people come to me wanting to feel understood, less overwhelmed, and free from the weight of trauma, shame, loss, or persistent self‑criticism. If you’re struggling with sadness, worry, difficult relationships, complex problems or long‑standing emotional pain, I offer a safe compassionate space to explore what’s happening, make sense of your experiences, and support to move forwards with greater confidence, resilience, kindness and clarity.
Many people come to me wanting to feel understood, less overwhelmed, and free from the weight of trauma, shame, loss, or persistent self‑criticism. If you’re struggling with sadness, worry, difficult relationships, complex problems or long‑standing emotional pain, I offer a safe compassionate space to explore what’s happening, make sense of your experiences, and support to move forwards with greater confidence, resilience, kindness and clarity.
01572 498990 View 01572 498990
Photo of Emma White, Counsellor, PNCPS Acc.
Emma White
Counsellor, PNCPS Acc.
Tavistock PL19
Welcome, as an integrative counsellor and psychotherapist I provide a supportive, intuitive approach to therapy. I hold a person centered, humanistic, holistic outlook and have experience and training in working with trauma. Offering a calm, confidential space, my intention is for us to work together, to establish day to day coping strategies as well as exploring underlying issues. We simply start with where you are now, even when things are difficult, and consider ways forward. Enabling you to live life more fully, feel more at ease and make decisions that feel right for you.
Welcome, as an integrative counsellor and psychotherapist I provide a supportive, intuitive approach to therapy. I hold a person centered, humanistic, holistic outlook and have experience and training in working with trauma. Offering a calm, confidential space, my intention is for us to work together, to establish day to day coping strategies as well as exploring underlying issues. We simply start with where you are now, even when things are difficult, and consider ways forward. Enabling you to live life more fully, feel more at ease and make decisions that feel right for you.
01566 708762 View 01566 708762
Photo of Dr Rochelle Woollacott, Psychologist, PsychD, HCPC - Couns. Psych.
Dr Rochelle Woollacott
Psychologist, PsychD, HCPC - Couns. Psych.
2 Endorsed
Online Only
People come to therapy for many different and important reasons. For some it is to discuss difficult and emotional experiences, while for others its to have a space in their week to reflect and make time to check-in with themselves. I ask all my clients to come with an open-mind as therapy can take you on a journey of self-discovery. I have worked with many clients with varying degrees of personal difficulties; severe and mild distress including depression, anxiety, suicide, low-self-esteem, earlier life trauma, PTSD, relational difficulties and many more.
People come to therapy for many different and important reasons. For some it is to discuss difficult and emotional experiences, while for others its to have a space in their week to reflect and make time to check-in with themselves. I ask all my clients to come with an open-mind as therapy can take you on a journey of self-discovery. I have worked with many clients with varying degrees of personal difficulties; severe and mild distress including depression, anxiety, suicide, low-self-esteem, earlier life trauma, PTSD, relational difficulties and many more.
01837 516734 View 01837 516734
Photo of Jayne Anne Chugg, Counsellor, DCounsPsych, MNCPS Acc.
Jayne Anne Chugg
Counsellor, DCounsPsych, MNCPS Acc.
Serves Area
Hello my name is Jayne, I am an experienced counsellor since 2007, live and work around the Plymouth area, i offer face-to-face counselling at my private practice and would consider home visits and offer telephone calls and zoom. As a private practioner my experience has given me the opportunity to work with a diverse range of issues, what i can offer is a safe space and a listening ear for you to come and explore any personal experienced issues/problems that may be effecting you at this time in a relaxed confidential manner.
Hello my name is Jayne, I am an experienced counsellor since 2007, live and work around the Plymouth area, i offer face-to-face counselling at my private practice and would consider home visits and offer telephone calls and zoom. As a private practioner my experience has given me the opportunity to work with a diverse range of issues, what i can offer is a safe space and a listening ear for you to come and explore any personal experienced issues/problems that may be effecting you at this time in a relaxed confidential manner.
01752 741348 View 01752 741348
Photo of Syeda Daniel, Psychotherapist, MBABCP
Syeda Daniel
Psychotherapist, MBABCP
Serves Area
Many people from all walks of life can occasionally lose their direction or can struggle with stress, anxiety, and /or depression. Therapy can be a helpful process to work through these difficulties, supporting you towards improved well-being and healing of emotional difficulties. Within our sessions, we will work towards your goals, focusing on taking the time to understand you and your individual needs. You will be heard with non-judgment, compassion, kindness and empathy. Together we will work to find a way forward to improved well-being in a caring and meaningful way.
Many people from all walks of life can occasionally lose their direction or can struggle with stress, anxiety, and /or depression. Therapy can be a helpful process to work through these difficulties, supporting you towards improved well-being and healing of emotional difficulties. Within our sessions, we will work towards your goals, focusing on taking the time to understand you and your individual needs. You will be heard with non-judgment, compassion, kindness and empathy. Together we will work to find a way forward to improved well-being in a caring and meaningful way.
01837 516697 View 01837 516697
Photo of Nigel Summerton - Personal & Relationship Counselling, Counsellor, DCounsPsych, MBACP Accred
Personal & Relationship Counselling
Counsellor, DCounsPsych, MBACP Accred
Serves Area
Personal and Relationship Counselling are a group of BACP Accredited therapists, psychotherapists and supervisors. We have been providing counselling for individuals, relationships and organisations, in the Plymouth, Devon and Cornwall areas for 30 years. Our Counsellors have been vetted for both professional and personal qualities, because we know these are essential for positive therapeutic results, and want to continue to build on our excellent reputation. If you feel that you would like to begin counselling, please visit our website to see who you could be talking to.
Personal and Relationship Counselling are a group of BACP Accredited therapists, psychotherapists and supervisors. We have been providing counselling for individuals, relationships and organisations, in the Plymouth, Devon and Cornwall areas for 30 years. Our Counsellors have been vetted for both professional and personal qualities, because we know these are essential for positive therapeutic results, and want to continue to build on our excellent reputation. If you feel that you would like to begin counselling, please visit our website to see who you could be talking to.
01752 968311 View 01752 968311
Photo of Alicia Dawson, Counsellor, MBACP
Alicia Dawson
Counsellor, MBACP
Serves Area
I am a qualified Integrative Counsellor, EFT practitioner and Accredited Root Cause therapist. Are you feeling preoccupied by past experiences, which are impacting you? You may be feeling not being good enough and doubting yourself and decision making. The uncertainty of not knowing what my help leads to frustration and feeling stuck. Finding the right counsellor is really important to be able to talk about how you feel, gain new insights, understand your behaviours and build self confidence. I offer different effective types of therapy to support you and bring about lasting change.
I am a qualified Integrative Counsellor, EFT practitioner and Accredited Root Cause therapist. Are you feeling preoccupied by past experiences, which are impacting you? You may be feeling not being good enough and doubting yourself and decision making. The uncertainty of not knowing what my help leads to frustration and feeling stuck. Finding the right counsellor is really important to be able to talk about how you feel, gain new insights, understand your behaviours and build self confidence. I offer different effective types of therapy to support you and bring about lasting change.
01752 741104 View 01752 741104
Photo of Selina O'Hara - Selina O'Hara Reg. Member MBACP (Red Tree Therapy), Counsellor, MBACP
Hello, I'm Selina, and I’m a fully qualified and experienced Counsellor and Supervisor. I am trained in Gestalt therapy, and I work in an holistic way, led by my clients. I feel very strongly that the relationship I build with my clients is key to their development and my aim is to make sure that you feel truly heard and understood. I provide a safe space for my clients to heal and I work in a collaborative way, to help you feel more empowered. I am open and non-judgmental. I have a wide range of experience as a Counsellor and Supervisor, and have also lectured trainee Counsellors. I am currently offering on-line sessions.
Hello, I'm Selina, and I’m a fully qualified and experienced Counsellor and Supervisor. I am trained in Gestalt therapy, and I work in an holistic way, led by my clients. I feel very strongly that the relationship I build with my clients is key to their development and my aim is to make sure that you feel truly heard and understood. I provide a safe space for my clients to heal and I work in a collaborative way, to help you feel more empowered. I am open and non-judgmental. I have a wide range of experience as a Counsellor and Supervisor, and have also lectured trainee Counsellors. I am currently offering on-line sessions.
01752 741487 View 01752 741487
Photo of Dr Richard McGerther, Psychotherapist, MBACP Accred
Dr Richard McGerther
Psychotherapist, MBACP Accred
Serves Area
I work with people who feel overwhelmed by life, but keep going because they’ve had to. People who long to be understood without having to explain themselves, who are tired of holding everything together. Maybe you live with trauma, chronic illness, or emotional patterns that don’t make sense—but you know there’s more to you than this. You want to feel safe in your body, clearer in your mind, and more connected to yourself. You don’t need surface-level advice. You need someone who really sees you—someone who can help you meet the parts of yourself you’ve had to push away, and find a way forward that finally feels like yours.
I work with people who feel overwhelmed by life, but keep going because they’ve had to. People who long to be understood without having to explain themselves, who are tired of holding everything together. Maybe you live with trauma, chronic illness, or emotional patterns that don’t make sense—but you know there’s more to you than this. You want to feel safe in your body, clearer in your mind, and more connected to yourself. You don’t need surface-level advice. You need someone who really sees you—someone who can help you meet the parts of yourself you’ve had to push away, and find a way forward that finally feels like yours.
07862 078644 View 07862 078644
Photo of SJ Tertini, Counsellor, MBACP
SJ Tertini
Counsellor, MBACP
Serves Area
Therapy with me is a conversation between two people—steady, honest, and spacious enough for you to show up exactly as you are. Different ways of experiencing and navigating the world are valued, so no matter who you are - you will be welcome, seen, and respected in this space. I have a particular interest in working with LGBT+ and neurodivergent people. Therapy with me offers you a chance to slow down, notice what’s going on beneath the surface, and explore the things that matter to you, even if you’re not quite sure what they are yet. Book a free 15-minute chat to see if we’re a good fit and ask any questions you might have.
Therapy with me is a conversation between two people—steady, honest, and spacious enough for you to show up exactly as you are. Different ways of experiencing and navigating the world are valued, so no matter who you are - you will be welcome, seen, and respected in this space. I have a particular interest in working with LGBT+ and neurodivergent people. Therapy with me offers you a chance to slow down, notice what’s going on beneath the surface, and explore the things that matter to you, even if you’re not quite sure what they are yet. Book a free 15-minute chat to see if we’re a good fit and ask any questions you might have.
01392 321261 View 01392 321261
Photo of Kate Howells, Counsellor, MBACP Accred
Kate Howells
Counsellor, MBACP Accred
1 Endorsed
Serves Area
Are you looking for a counsellor because you are feeling stuck and unable to stop behaving in unhelpful old patterns? You may have an idea of how you would like to be, but don’t know how to get there. You may find it hard to fit in and connect to people, feeling that everyone else is doing it better. You may be finding it hard to accept yourself as you are and be wondering what you have to offer. Anxiety and depression make it difficult to move away from this place. If you are on the autistic spectrum, these problems can be magnified. Finding a way out of this on your own can seem impossible.
Are you looking for a counsellor because you are feeling stuck and unable to stop behaving in unhelpful old patterns? You may have an idea of how you would like to be, but don’t know how to get there. You may find it hard to fit in and connect to people, feeling that everyone else is doing it better. You may be finding it hard to accept yourself as you are and be wondering what you have to offer. Anxiety and depression make it difficult to move away from this place. If you are on the autistic spectrum, these problems can be magnified. Finding a way out of this on your own can seem impossible.
01566 701200 View 01566 701200

How does your Counsellor compare?

Number of Counsellors in Tavistock

20+

Average cost per session

£60

Counsellors in Tavistock who prioritize treating:

96% Depression
96% Anxiety
91% Self Esteem
83% Stress
78% Trauma and PTSD
78% Complex PTSD
74% Relationship Issues

Average years in practice

14 Years

Top 3 insurances accepted

83% Aviva
67% AXA PPP
67% WPA

How Counsellors in Tavistock see their clients

83% In Person and Online
17% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Tavistock?

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.