Counselling in Tavistock

Photo of Sarah Boreham, MA, MUKCP, Psychotherapist
Sarah Boreham
Psychotherapist, MA, MUKCP
Verified Verified
Tavistock PL19
UKCP clinically experienced in counselling and psychotherapy with children, youth and adults, in the following areas: depression and anxiety, NHS/community acute and enduring mental health, family, parent and child issues, depression, panic disorder, anxiety, trauma, relationship issues, Domestic Abuse, occupational/life stress, addiction/substance abuse recovery, autistic spectrum/developmental delay, learning disability, children and young persons experiencing domestic violence, refugees, forensic and eating disorder. As a practitioner I have been part of multidisciplinary teams.If you have any questions or would like to book.
UKCP clinically experienced in counselling and psychotherapy with children, youth and adults, in the following areas: depression and anxiety, NHS/community acute and enduring mental health, family, parent and child issues, depression, panic disorder, anxiety, trauma, relationship issues, Domestic Abuse, occupational/life stress, addiction/substance abuse recovery, autistic spectrum/developmental delay, learning disability, children and young persons experiencing domestic violence, refugees, forensic and eating disorder. As a practitioner I have been part of multidisciplinary teams.If you have any questions or would like to book.
01822 667714 View 01822 667714
Photo of Kathy Kelly, MBACP Snr. Accred, Counsellor
Kathy Kelly
Counsellor, MBACP Snr. Accred
Verified Verified
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 arounds peoples wants/need and desire for change. Website: www.breakaway-sw.com
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 arounds peoples wants/need and desire for change. Website: www.breakaway-sw.com
01822 667997 View 01822 667997
Photo of Chris Eames, MBACP, Counsellor
Chris Eames
Counsellor, MBACP
Verified Verified
Tavistock PL19
Are you finding life hard right now? Do you know something’s not quite right, but are struggling to make sense of what's going on? You may be experiencing difficulty in your relationships with others, either at work, or in the family. You may have noticed that it’s becoming harder to regulate your emotions, or impossible to make decisions about your own life. Talking to someone neutral can help you get back in touch with what you really feel, leaving you free to make the decisions you need to get back on track. Whatever your situation, I can help you make sense of whatever's going on, and support you in finding a way through.
Are you finding life hard right now? Do you know something’s not quite right, but are struggling to make sense of what's going on? You may be experiencing difficulty in your relationships with others, either at work, or in the family. You may have noticed that it’s becoming harder to regulate your emotions, or impossible to make decisions about your own life. Talking to someone neutral can help you get back in touch with what you really feel, leaving you free to make the decisions you need to get back on track. Whatever your situation, I can help you make sense of whatever's going on, and support you in finding a way through.
07813 067743 View 07813 067743
Photo of Fran Dewdney, MBACP, Counsellor
Fran Dewdney
Counsellor, MBACP
Verified Verified
Tavistock PL19
Losing someone close to you can be one of the hardest things you will experience in your life. Leaving you feeling isolated, lost and as if life will never be the same again. I have lots of experience of working with clients who are struggling in their grief to help them come to terms with what has happened, make sense of how they feel and look forward to their future. I have particular experience supporting women and their partners who have had pregnancy related grief/crisis from working within a Plymouth based charity for six years.
Losing someone close to you can be one of the hardest things you will experience in your life. Leaving you feeling isolated, lost and as if life will never be the same again. I have lots of experience of working with clients who are struggling in their grief to help them come to terms with what has happened, make sense of how they feel and look forward to their future. I have particular experience supporting women and their partners who have had pregnancy related grief/crisis from working within a Plymouth based charity for six years.
01822 668572 View 01822 668572
Photo of Jeff Dawson, MA, MBACP, Counsellor
Jeff Dawson
Counsellor, MA, MBACP
Verified Verified
Tavistock PL19
Are you struggling with your mental and emotional health? Do you need some support to help make sense of your life? If so, I could help. I'm a psychotherapeutic counsellor and coach specialising in working with young people aged 12-25-years-old but adept at working with adults too. My name is Jeff and I have worked in a variety of roles from youth worker, coach, mentor, trainer and now psychotherapeutic counsellor. I am competent and skilled at building a therapeutic relationship that can help you to explore your inner world with safety to help soothe and heal the challenges you face.
Are you struggling with your mental and emotional health? Do you need some support to help make sense of your life? If so, I could help. I'm a psychotherapeutic counsellor and coach specialising in working with young people aged 12-25-years-old but adept at working with adults too. My name is Jeff and I have worked in a variety of roles from youth worker, coach, mentor, trainer and now psychotherapeutic counsellor. I am competent and skilled at building a therapeutic relationship that can help you to explore your inner world with safety to help soothe and heal the challenges you face.
01822 661316 View 01822 661316
Photo of Sarah Mills, MSc, MBACP, Counsellor
Sarah Mills
Counsellor, MSc, MBACP
Verified Verified
Tavistock PL19  (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 Emily Burns - Emily Burns Child Therapy, DCounsPsych, MBACP, Counsellor
Emily Burns Child Therapy
Counsellor, DCounsPsych, MBACP
Verified Verified
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. She is experienced in child-parent work and offers support to parents and professionals. She has specialisms in trauma and attachment and works with vulnerable children at Trevi 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. She is experienced in child-parent work and offers support to parents and professionals. She has specialisms in trauma and attachment and works with vulnerable children at Trevi and Psychology Associates.
01822 668324 View 01822 668324
Photo of Lisa Clive - Dr Lisa Clive, Ebb and Flow Psychology and EMDR, HCPC - Clin. Psych., Psychologist
Dr Lisa Clive, Ebb and Flow Psychology and EMDR
Psychologist, HCPC - Clin. Psych.
Verified Verified
Tavistock PL19
Welcome to Ebb and Flow, I specialise in working with trauma, loss and bereavement offering a bespoke psychological support for children, parents, families and professionals based in Devon. I offer a range of individual, family and group therapies including EMDR (eye movement desensitisation and reprocessing therapy).
Welcome to Ebb and Flow, I specialise in working with trauma, loss and bereavement offering a bespoke psychological support for children, parents, families and professionals based in Devon. I offer a range of individual, family and group therapies including EMDR (eye movement desensitisation and reprocessing therapy).
01822 661367 View 01822 661367
Photo of Jamie Mark Thomas Styler, MBACP, Counsellor
Jamie Mark Thomas Styler
Counsellor, MBACP
Verified Verified
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 Dr Sophie Louise Mayhew, PsychD, CPsychol, Psychologist
Dr Sophie Louise Mayhew
Psychologist, PsychD, CPsychol
Verified Verified
Tavistock PL19
UK wide service. Do you feel tired of your self criticism? Does it bring you down or create worry? I can help you develop a different relationship with yourself. One that will help you move forward in life with courage, wisdom and warmth.
UK wide service. Do you feel tired of your self criticism? Does it bring you down or create worry? I can help you develop a different relationship with yourself. One that will help you move forward in life with courage, wisdom and warmth.
01572 498990 View 01572 498990
Photo of Lori Thackham, MNCPS Acc., Counsellor
Lori Thackham
Counsellor, MNCPS Acc.
Verified Verified
Tavistock PL19
Welcome - I offer counselling for anxiety, depression and trauma to adults and young people. I am experienced in supporting people to understand themselves better; work through life experiences; identify needs and how to get them met in ways that support a greater sense of wellbeing. I can help to empower you to find your own answers to life's problems. I work flexibly to help you in your process of gaining clarity and deeper understanding, enabling you to find solutions & make decisions to move forward in your life. I am also a qualified Counselling Supervisor. I offer concessions to trainee counsellors.
Welcome - I offer counselling for anxiety, depression and trauma to adults and young people. I am experienced in supporting people to understand themselves better; work through life experiences; identify needs and how to get them met in ways that support a greater sense of wellbeing. I can help to empower you to find your own answers to life's problems. I work flexibly to help you in your process of gaining clarity and deeper understanding, enabling you to find solutions & make decisions to move forward in your life. I am also a qualified Counselling Supervisor. I offer concessions to trainee counsellors.
01822 661241 View 01822 661241
Photo of Karen Toms, MSc, MBACP, Counsellor
Karen Toms
Counsellor, MSc, MBACP
Verified Verified
Tavistock PL19
Are you struggling with anxiety, have low self-esteem or are constrained by perfectionism? Do you have difficulties in your family or work life or battle with food issues and body confidence? Clients often come to me when they are at a crossroads or have spent a long time wanting to fulfil their potential but not making progress. I provide a safe non-judgemental space where you can feel fully supported to talk about issues that are challenging you, have difficult conversations and share tears and laughter. With my help you can establish the goals you want to achieve and put in place initiatives to create lasting positive change.
Are you struggling with anxiety, have low self-esteem or are constrained by perfectionism? Do you have difficulties in your family or work life or battle with food issues and body confidence? Clients often come to me when they are at a crossroads or have spent a long time wanting to fulfil their potential but not making progress. I provide a safe non-judgemental space where you can feel fully supported to talk about issues that are challenging you, have difficult conversations and share tears and laughter. With my help you can establish the goals you want to achieve and put in place initiatives to create lasting positive change.
01572 498965 View 01572 498965
Photo of Emma White, PNCPS Acc., Counsellor
Emma White
Counsellor, PNCPS Acc.
Verified Verified
Tavistock PL19
Welcome, I am an integrative counsellor and psychotherapist, providing a supportive, relational and intuitive approach to therapy. I hold a person centered, humanistic and holistic outlook and my experience and training in working with trauma means I am trauma informed. We always simply start with where you are now, and work together, even when things are difficult, to find ways to move forward. Enabling you to live life more fully, feel more at ease and make decisions that feel right for you. My intention is for us to work together to establish day to day coping strategies as well as exploring underlying issues.
Welcome, I am an integrative counsellor and psychotherapist, providing a supportive, relational and intuitive approach to therapy. I hold a person centered, humanistic and holistic outlook and my experience and training in working with trauma means I am trauma informed. We always simply start with where you are now, and work together, even when things are difficult, to find ways to move forward. Enabling you to live life more fully, feel more at ease and make decisions that feel right for you. My intention is for us to work together to establish day to day coping strategies as well as exploring underlying issues.
01566 708762 View 01566 708762
Photo of Heather Cowie, MBACP, Counsellor
Heather Cowie
Counsellor, MBACP
Verified Verified
1 Endorsed
Tavistock PL19  (Online Only)
My clients often tell me, that they feel exhausted because they have been carrying around a problem for a long time. If that sounds like you, then I'm here to tell you it's OK. Let me share the load, and help you put it down and unpack it. I can offer you a warm, friendly space to carefully explore what you're carrying. It might be you are struggling with a relationship, a loss, anxiety, anger, lack of confidence or sense of identity. Or maybe you're not even sure what it is. As both a teacher and counsellor, I have supported adults and young people with many of life's issues. You can bring anything to me no matter how big or small.
My clients often tell me, that they feel exhausted because they have been carrying around a problem for a long time. If that sounds like you, then I'm here to tell you it's OK. Let me share the load, and help you put it down and unpack it. I can offer you a warm, friendly space to carefully explore what you're carrying. It might be you are struggling with a relationship, a loss, anxiety, anger, lack of confidence or sense of identity. Or maybe you're not even sure what it is. As both a teacher and counsellor, I have supported adults and young people with many of life's issues. You can bring anything to me no matter how big or small.
01822 661372 View 01822 661372
Photo of Syeda Daniel, MBABCP, Psychotherapist
Syeda Daniel
Psychotherapist, MBABCP
Verified Verified
Tavistock PL19
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 Manu MacDonald, MA, MBACP, Counsellor
Manu MacDonald
Counsellor, MA, MBACP
Verified Verified
1 Endorsed
Tavistock PL19  (Online Only)
The most important thing first: No matter what place you’re in - there is hope for change and for things to get better. You may be reading this feeling vulnerable, disempowered, dejected, fearing disappointment or simply too overwhelmed to know how you feel. I'll meet you wherever you are and with whatever you bring and we can walk through your confusion and distress together. I've had the privilege of working with a diverse range of people with an equally diverse range of individual challenges. Spending time exploring your challenges can bring clarity, empower you to break with old patterns and help you find a positive way forward.
The most important thing first: No matter what place you’re in - there is hope for change and for things to get better. You may be reading this feeling vulnerable, disempowered, dejected, fearing disappointment or simply too overwhelmed to know how you feel. I'll meet you wherever you are and with whatever you bring and we can walk through your confusion and distress together. I've had the privilege of working with a diverse range of people with an equally diverse range of individual challenges. Spending time exploring your challenges can bring clarity, empower you to break with old patterns and help you find a positive way forward.
01822 668453 View 01822 668453
Soul at Heart Counselling - Taking a break
Psychotherapist, MBACP
Verified Verified
Tavistock PL19
Not accepting new clients
Therapy offers a private and sacred space to think, feel and experience your true self. It explores your needs and processes feelings as they arise, and from this comes a new clarity of awareness. I sometimes think of it as coming out of the dark woods and into the light. This transformation of the self takes place at first within the therapeutic relationship. Being listened to unfolds a discovery of new insights, which activates the development of inner strength, resilience, resolve, and purpose, as it gradually releases you from the felt wounds you have been carrying, such as anger, confusion, sadness, grief, regret or loss.
Therapy offers a private and sacred space to think, feel and experience your true self. It explores your needs and processes feelings as they arise, and from this comes a new clarity of awareness. I sometimes think of it as coming out of the dark woods and into the light. This transformation of the self takes place at first within the therapeutic relationship. Being listened to unfolds a discovery of new insights, which activates the development of inner strength, resilience, resolve, and purpose, as it gradually releases you from the felt wounds you have been carrying, such as anger, confusion, sadness, grief, regret or loss.
View
Photo of Kate Howells, MBACP Accred, Counsellor
Kate Howells
Counsellor, MBACP Accred
Verified Verified
Tavistock PL19
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
Photo of Caroline Dicker - Forget Me Not Counselling, MNCPS Acc., Counsellor
Forget Me Not Counselling
Counsellor, MNCPS Acc.
Verified Verified
Tavistock PL19
Hello, I am Caroline and my experiences as a client ,over about 4 years inspired me to become a counsellor. These positive experiences changed my life for the better and I would like to use this to help others to deal with the complexities of life. Loss and change are inevitable and we can find change particularly difficult especially when it is imposed on us. Sometimes we hide feelings of deep distress until they explode to the surface knocking us off our feet. Redundancy ,unemployment, bereavement, chronic illness, low self esteem, anger management and depression are all issues which highlighted during COVID. and still remain
Hello, I am Caroline and my experiences as a client ,over about 4 years inspired me to become a counsellor. These positive experiences changed my life for the better and I would like to use this to help others to deal with the complexities of life. Loss and change are inevitable and we can find change particularly difficult especially when it is imposed on us. Sometimes we hide feelings of deep distress until they explode to the surface knocking us off our feet. Redundancy ,unemployment, bereavement, chronic illness, low self esteem, anger management and depression are all issues which highlighted during COVID. and still remain
01572 494663 View 01572 494663
Photo of Rebecca Inkin, MBACP, Counsellor
Rebecca Inkin
Counsellor, MBACP
Verified Verified
Tavistock PL19
I am a BACP registered Integrative Psychotherapeutic counsellor & Supervisor based in Callington. I work with both adults and young people and offer a flexible approach to counselling and working from a peaceful log cabin offer a private and relaxing space for my face-to-face service. If preferred I can also offer counselling via telephone or Skype. I work in an holistic way using Person-Centred, Gestalt, CBT and Trans-personal techniques connecting the mind, soul, emotion and body.
I am a BACP registered Integrative Psychotherapeutic counsellor & Supervisor based in Callington. I work with both adults and young people and offer a flexible approach to counselling and working from a peaceful log cabin offer a private and relaxing space for my face-to-face service. If preferred I can also offer counselling via telephone or Skype. I work in an holistic way using Person-Centred, Gestalt, CBT and Trans-personal techniques connecting the mind, soul, emotion and body.
01822 667891 View 01822 667891
1

See more therapy options for Tavistock

How does your Counsellor compare?

Number of Counsellors in Tavistock

20+

Average cost per session

£50

Counsellors in Tavistock who prioritize treating:

92% Anxiety
88% Depression
80% Self Esteem
76% Trauma and PTSD
76% Stress
72% Bereavement
68% Relationship Issues

Average years in practice

7 Years

Top 3 insurances accepted

75% Aviva
75% AXA PPP
50% Bupa

How Counsellors in Tavistock see their clients

84% In Person and Online
16% Online Only

Gender breakdown

84% Female
16% 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.