Counselling in Totnes

Photo of Kim-Leng Hills, Counsellor in Totnes, England
Kim-Leng Hills
Counsellor, MBACP
Verified
1 Endorsed
Totnes TQ9
Waitlist for new clients
I am a fully insured and qualified Counsellor registered with the BACP, working with ages 13+ through to seniors, coming from different backgrounds and life experiences both face to face or online. Sessions are ran entirely at your individual pace and specific to your needs and ways of working. They are also open ended, meaning you are not bound to a set amount of sessions. I work with a whole multitude of areas, not just what is set out on this profile, and you’re always welcome to enquire if you are unsure.
I am a fully insured and qualified Counsellor registered with the BACP, working with ages 13+ through to seniors, coming from different backgrounds and life experiences both face to face or online. Sessions are ran entirely at your individual pace and specific to your needs and ways of working. They are also open ended, meaning you are not bound to a set amount of sessions. I work with a whole multitude of areas, not just what is set out on this profile, and you’re always welcome to enquire if you are unsure.
01364 701881 View 01364 701881
Photo of Ben Giddey, Counsellor in Totnes, England
Ben Giddey
Counsellor, MNCPS Acc.
Verified
Totnes TQ9
A supportive, authentic therapeutic relationship for help with Anxiety, Depression, Grief, Adult ADHD, Relationship Issues, Developmental Trauma, Attachment Issues, OCD Behaviours, Intrusive or Obsessive Thoughts, Addictions, etc.. My approach is Integrative; Person Centred, Gestalt, CBT, IFS, Inner Child Healing, Somatic Focused, influenced by ten years experience as a practitioner of Integrated Energy Healing (mind/body therapy). Focusing on what is happening in the here and now, we have agency to affect healing and change.
A supportive, authentic therapeutic relationship for help with Anxiety, Depression, Grief, Adult ADHD, Relationship Issues, Developmental Trauma, Attachment Issues, OCD Behaviours, Intrusive or Obsessive Thoughts, Addictions, etc.. My approach is Integrative; Person Centred, Gestalt, CBT, IFS, Inner Child Healing, Somatic Focused, influenced by ten years experience as a practitioner of Integrated Energy Healing (mind/body therapy). Focusing on what is happening in the here and now, we have agency to affect healing and change.
01803 222622 View 01803 222622
Photo of Debbie Horton, Counsellor in Totnes, England
Debbie Horton
Counsellor, MNCPS Acc.
Verified
Totnes TQ9
I’m a caring and experienced counsellor, who can support you wholeheartedly in helping you to move forwards. I work from a warm and comfortable room in Totnes.
I’m a caring and experienced counsellor, who can support you wholeheartedly in helping you to move forwards. I work from a warm and comfortable room in Totnes.
01803 221759 View 01803 221759
Photo of Julia Samworth, Psychotherapist in Totnes, England
Julia Samworth
Psychotherapist, MUKCP
Verified
Totnes TQ9
Psychotherapy is my passion and I feel privileged to meet every new client and journey with them. I reach out to help people in a safe, calm and confidential environment. I will be journeying with you, sharing your view and taking a leap of faith into the unknown with you. Here you can feel free, to be yourself. To be just as you are. To be understood without judgement. To see another perspective and be open to possibility. I am committed to helping you to gain a greater knowledge and understanding of yourself, to enable you to make the positive life changes you want and to have greater skills at managing life's challenges.
Psychotherapy is my passion and I feel privileged to meet every new client and journey with them. I reach out to help people in a safe, calm and confidential environment. I will be journeying with you, sharing your view and taking a leap of faith into the unknown with you. Here you can feel free, to be yourself. To be just as you are. To be understood without judgement. To see another perspective and be open to possibility. I am committed to helping you to gain a greater knowledge and understanding of yourself, to enable you to make the positive life changes you want and to have greater skills at managing life's challenges.
01525 305098 View 01525 305098
Photo of Ruth Jenni, Counsellor in Totnes, England
Ruth Jenni
Counsellor, MBACP
Verified
Totnes TQ9
Welcome. Please take your time, and for more information do read my website. If you feel I may be able to help, I will be very happy to talk to you. Maybe life feels just too difficult right now? Are you grieving, highly anxious, depressed or suffering in some other way? Are you in need of someone to listen deeply and compassionately? Over the years I have been alongside many people with anxiety, depression, trauma history, deep grief, relationship issues, anger, shame, low self esteem and more, offering tools and learning that really makes a difference. I work in person and online.
Welcome. Please take your time, and for more information do read my website. If you feel I may be able to help, I will be very happy to talk to you. Maybe life feels just too difficult right now? Are you grieving, highly anxious, depressed or suffering in some other way? Are you in need of someone to listen deeply and compassionately? Over the years I have been alongside many people with anxiety, depression, trauma history, deep grief, relationship issues, anger, shame, low self esteem and more, offering tools and learning that really makes a difference. I work in person and online.
01803 221472 View 01803 221472
Photo of Mariana Cervantes Child Adolescent Psychotherapist, Psychotherapist in Totnes, England
Mariana Cervantes Child Adolescent Psychotherapist
Psychotherapist, MSc, MBACP
Verified
Totnes TQ9
As a psychotherapist working with all age groups, I use my professional skills and experience to provide a safe, judgement-free space for children, young people and adults to explore what might be underlying their difficulties. I support clients with a wide range of issues including anxiety, depression, anger, isolation, identity, sexuality, low self-esteem, school difficulties, friendship issues, loss, grief, bullying, abuse, neglect, parental separation and other issues. I also provide parent work sessions for parents who have concerns about their relationship with their child/children and family dynamics.
As a psychotherapist working with all age groups, I use my professional skills and experience to provide a safe, judgement-free space for children, young people and adults to explore what might be underlying their difficulties. I support clients with a wide range of issues including anxiety, depression, anger, isolation, identity, sexuality, low self-esteem, school difficulties, friendship issues, loss, grief, bullying, abuse, neglect, parental separation and other issues. I also provide parent work sessions for parents who have concerns about their relationship with their child/children and family dynamics.
07403 923624 View 07403 923624
Photo of Daniel Paul Frederick Conway, Psychotherapist in Totnes, England
Daniel Paul Frederick Conway
Psychotherapist, MSc, UKCP Trainee
Verified
Totnes TQ9
I have a deep interest in working with a wide range of psychological issues including: • Freedom from limiting thoughts and behaviours • Relationship issues • Stress management • Experiences of trauma • Grief and loss • Depression and anxiety • Life transitions • Jealousy • Low self-esteem • Shame • Personal growth and development
I have a deep interest in working with a wide range of psychological issues including: • Freedom from limiting thoughts and behaviours • Relationship issues • Stress management • Experiences of trauma • Grief and loss • Depression and anxiety • Life transitions • Jealousy • Low self-esteem • Shame • Personal growth and development
01803 228259 View 01803 228259
Photo of Charlotte Watson, Counsellor in Totnes, England
Charlotte Watson
Counsellor, MBACP
Verified
Totnes TQ9
In my experience we may all at times face hurdles too daunting to negotiate alone. I work with a wide range of issues focussing on clients who have suffered sexual abuse, as well as young people and adults experiencing stress, anxiety, trauma, panic attacks, depression and low self esteem. We may have issues and patterns of behaviour from the past that we are ready to leave behind. I offer a safe, confidential therapeutic space to be heard and feel safe. In some cases I work in the here and now, in others I believe in order to understand and find our inner resources to change present behaviour we need to delve into our past.
In my experience we may all at times face hurdles too daunting to negotiate alone. I work with a wide range of issues focussing on clients who have suffered sexual abuse, as well as young people and adults experiencing stress, anxiety, trauma, panic attacks, depression and low self esteem. We may have issues and patterns of behaviour from the past that we are ready to leave behind. I offer a safe, confidential therapeutic space to be heard and feel safe. In some cases I work in the here and now, in others I believe in order to understand and find our inner resources to change present behaviour we need to delve into our past.
01364 701745 View 01364 701745
Photo of David Oxley, Psychotherapist in Totnes, England
David Oxley
Psychotherapist, MA, MBACP Accred
Verified
Totnes TQ9
Welcome Welcome Welcome! I imagine if you are reading this you are looking for someone who can help with whats troubling you and help you find some answers and relief. I have over 20 years experience helping clients with a wide variety of issues and vulnerabilities and offer a warm, safe, confidential and supportive space.
Welcome Welcome Welcome! I imagine if you are reading this you are looking for someone who can help with whats troubling you and help you find some answers and relief. I have over 20 years experience helping clients with a wide variety of issues and vulnerabilities and offer a warm, safe, confidential and supportive space.
01364 701878 View 01364 701878
Photo of Annamai Martinot Counselling , Counsellor in Totnes, England
Annamai Martinot Counselling
Counsellor, MNCPS Acc.
Verified
1 Endorsed
Totnes TQ9
It takes courage to seek support when life isn’t going well, and we would like to work out why. Counselling can help in difficult times, and also in times when we wish to understand ourselves better. With awareness, we have the choice to change our thoughts, feelings and behaviours. I offer safe, confidential and free from judgement counselling sessions, either face-to-face in the heart of Totnes, South Devon, or online via zoom. I offer a free no obligation initial consultation 30 min phone call to discuss what brings you to counselling, answer any questions you may have and to ensure I'm the right therapist to help you.
It takes courage to seek support when life isn’t going well, and we would like to work out why. Counselling can help in difficult times, and also in times when we wish to understand ourselves better. With awareness, we have the choice to change our thoughts, feelings and behaviours. I offer safe, confidential and free from judgement counselling sessions, either face-to-face in the heart of Totnes, South Devon, or online via zoom. I offer a free no obligation initial consultation 30 min phone call to discuss what brings you to counselling, answer any questions you may have and to ensure I'm the right therapist to help you.
01803 926170 View 01803 926170
Photo of Ross Stephenson, Psychotherapist in Totnes, England
Ross Stephenson
Psychotherapist, MUKCP
Verified
Totnes TQ9
I am a Psychodynamic Psychotherapist working in the NHS and in private practice, both online, and in-person. I am here to help you with whatever challenges you are facing. My particular areas of therapeutic experience are working with stress, anxiety, depression, relationship issues, and past traumas.
I am a Psychodynamic Psychotherapist working in the NHS and in private practice, both online, and in-person. I am here to help you with whatever challenges you are facing. My particular areas of therapeutic experience are working with stress, anxiety, depression, relationship issues, and past traumas.
01803 220752 View 01803 220752
Photo of Dr Louise Hall, Psychologist in Totnes, England
Dr Louise Hall
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified
Totnes TQ9  (Online Only)
I get it—bringing someone in when you are hurting the most isn't an easy sell, particularly when you are used to keeping people out. Just like you, I've longed for those elusive 'answers,' trying to figure out the question, "what is wrong with me?" all on my own. I'm here to tell you that there is nothing wrong with you. There never was. In our work together you can start getting closer your wholeness, that was just there waiting for you to notice, all along. It has just been covered with decades of mudd and together we will excavate and you can begin to discover who you really are.
I get it—bringing someone in when you are hurting the most isn't an easy sell, particularly when you are used to keeping people out. Just like you, I've longed for those elusive 'answers,' trying to figure out the question, "what is wrong with me?" all on my own. I'm here to tell you that there is nothing wrong with you. There never was. In our work together you can start getting closer your wholeness, that was just there waiting for you to notice, all along. It has just been covered with decades of mudd and together we will excavate and you can begin to discover who you really are.
01392 321743 View 01392 321743
Photo of Dannie Lee, Counsellor in Totnes, England
Dannie Lee
Counsellor, MA, MBACP Accred
Verified
Totnes TQ9
If you’re struggling or finding things difficult, you’re not alone. Maybe you feel stuck, confused or overwhelmed. Maybe you feel lost, alone or disconnected from life, yourself or the people around you. Maybe you lack purpose or meaning in your life. Maybe you don't really know what the problem is but would like some support. I am here to listen, support and encourage you as you explore the issues you face, help you understand yourself better and see things more clearly. I can help you work through difficult thoughts and feelings, and find ways to manage them so they have less impact on your life and wellbeing.
If you’re struggling or finding things difficult, you’re not alone. Maybe you feel stuck, confused or overwhelmed. Maybe you feel lost, alone or disconnected from life, yourself or the people around you. Maybe you lack purpose or meaning in your life. Maybe you don't really know what the problem is but would like some support. I am here to listen, support and encourage you as you explore the issues you face, help you understand yourself better and see things more clearly. I can help you work through difficult thoughts and feelings, and find ways to manage them so they have less impact on your life and wellbeing.
07960 692464 View 07960 692464
Photo of Eleanor Franklin, Counsellor in Totnes, England
Eleanor Franklin
Counsellor, MBACP
Verified
Totnes TQ9  (Online Only)
Anxiety is normal. Yes, I just said that! Yet many of us grow up with the idea that anxious feelings are negative and to be avoided at all costs. I spent years trying to escape my anxiety, which only made it worse. The more I pushed, the more it pushed back, until I spent all my time pushing. It was exhausting, resulting in OCD behaviours and panic attacks. Then I learnt to change my relationship with anxiety. I realised that to be anxious is to be human. I stopped struggling and instead began to work with my anxiety in new ways that gave me more options, both in the moment and in the long term.
Anxiety is normal. Yes, I just said that! Yet many of us grow up with the idea that anxious feelings are negative and to be avoided at all costs. I spent years trying to escape my anxiety, which only made it worse. The more I pushed, the more it pushed back, until I spent all my time pushing. It was exhausting, resulting in OCD behaviours and panic attacks. Then I learnt to change my relationship with anxiety. I realised that to be anxious is to be human. I stopped struggling and instead began to work with my anxiety in new ways that gave me more options, both in the moment and in the long term.
01548 800582 View 01548 800582
Photo of Jamie Gould, Counsellor in Totnes, England
Jamie Gould
Counsellor, MBACP
Verified
1 Endorsed
Totnes TQ9  (Online Only)
I have a lot of respect for anyone who chooses to begin counselling. It takes courage to be open with someone, and I don't take that for granted. As an Integrative counsellor, I have a range of therapeutic tools to help towards a breakthrough, particularly for clients who live with anxiety, depression, or present difficulties relating to past traumas.​ As human beings, we are wired for survival, and continually adjust to protect ourselves from threats and challenges. As our circumstances change through life, we may notice that the patterns which once kept us safe are now holding us back.
I have a lot of respect for anyone who chooses to begin counselling. It takes courage to be open with someone, and I don't take that for granted. As an Integrative counsellor, I have a range of therapeutic tools to help towards a breakthrough, particularly for clients who live with anxiety, depression, or present difficulties relating to past traumas.​ As human beings, we are wired for survival, and continually adjust to protect ourselves from threats and challenges. As our circumstances change through life, we may notice that the patterns which once kept us safe are now holding us back.
01803 221466 View 01803 221466
Photo of Talya Griffith, Psychotherapist in Totnes, England
Talya Griffith
Psychotherapist, MNCPS Acc.
Verified
Totnes TQ9
My name is Talya. At the heart of how I work is the belief that everyone's choices and experiences are understandable if we give the time and attention to understanding them. When we are supported it becomes more possible to gain insight into the ways we feel limited, to acknowledge and release the feelings that can keep us stuck and to find new ways of being. Therapy can provide a chance to heal from the hurts that accumulate within us and help us find the resources to meet life fully. Through our time together, you may find that new ways of relating to yourself and the world around you become possible.
My name is Talya. At the heart of how I work is the belief that everyone's choices and experiences are understandable if we give the time and attention to understanding them. When we are supported it becomes more possible to gain insight into the ways we feel limited, to acknowledge and release the feelings that can keep us stuck and to find new ways of being. Therapy can provide a chance to heal from the hurts that accumulate within us and help us find the resources to meet life fully. Through our time together, you may find that new ways of relating to yourself and the world around you become possible.
01364 701879 View 01364 701879
Photo of Dr Claire Williams, Psychologist in Totnes, England
Dr Claire Williams
Psychologist, HCPC - Clin. Psych.
Verified
Totnes TQ9
The typical client that I work with is looking for help with a myriad of difficulties impacting on them significantly. Often labelled with formal terms as anxiety, depression, obsessions, compulsions, anger, irritability, identity & sexuality issues, self-esteem, PTSD. What I see are clients who are coming to me with an emotional pain, unhealed trauma and loss. We are shaped by our histories and it helps to work with this in mind. I celebrate the natural resourcefulness that clients carry and like to work with this alongside developing new insight and skills into how to live a fulfilling life.
The typical client that I work with is looking for help with a myriad of difficulties impacting on them significantly. Often labelled with formal terms as anxiety, depression, obsessions, compulsions, anger, irritability, identity & sexuality issues, self-esteem, PTSD. What I see are clients who are coming to me with an emotional pain, unhealed trauma and loss. We are shaped by our histories and it helps to work with this in mind. I celebrate the natural resourcefulness that clients carry and like to work with this alongside developing new insight and skills into how to live a fulfilling life.
01803 221634 View 01803 221634
Photo of Jane Hughes, Psychologist in Totnes, England
Jane Hughes
Psychologist, HCPC - Clin. Psych.
Verified
Totnes TQ9
I have been working with children, young people and their families all my professional life, and have 30 years experience. I work collaboratively with my clients to build a safe and trusting relationship, with which we can explore the range of difficulties we experience in life. Distress can take many forms and children and young people often express this in their behaviour. Many of us can experience different types of trauma, from the road traffic accidents, bullying at school, divorce and separation, non typical development to more complex traumas such as abuse, bereavement and going into care.
I have been working with children, young people and their families all my professional life, and have 30 years experience. I work collaboratively with my clients to build a safe and trusting relationship, with which we can explore the range of difficulties we experience in life. Distress can take many forms and children and young people often express this in their behaviour. Many of us can experience different types of trauma, from the road traffic accidents, bullying at school, divorce and separation, non typical development to more complex traumas such as abuse, bereavement and going into care.
01364 701887 View 01364 701887
Photo of Creative Therapy South Devon, Counsellor in Totnes, England
Creative Therapy South Devon
Counsellor, MBACP
Verified
Totnes TQ9
Hi, my name is Chrissie and I am an Internal Family Systems Therapy (IFS) therapist and a Conscious Connected Breathwork Therapist (a therapy that enables access to altered states of consciousness to support and facilitate your therapeutic journey- legally). There are alot of therapies/therapists out there and it is important to find a good fit for you personally. Recently I have begun to offer conscious connected breathwork on it's own or alongside weekly therapy. This type of breathwork helps us to heal emotionally and energetically, and is a great support on our path to awakening/ to wholeness.
Hi, my name is Chrissie and I am an Internal Family Systems Therapy (IFS) therapist and a Conscious Connected Breathwork Therapist (a therapy that enables access to altered states of consciousness to support and facilitate your therapeutic journey- legally). There are alot of therapies/therapists out there and it is important to find a good fit for you personally. Recently I have begun to offer conscious connected breathwork on it's own or alongside weekly therapy. This type of breathwork helps us to heal emotionally and energetically, and is a great support on our path to awakening/ to wholeness.
01803 222218 View 01803 222218
Photo of Anne Felicity Cockcroft, Counsellor in Totnes, England
Anne Felicity Cockcroft
Counsellor, MBACP
Verified
Totnes TQ9
Anne uses several different therapeutic approaches, integrating Person-Centred, Gestalt, Cognitive-Behavioural (CBT) and Transpersonal therapies. Apart from integrative counselling, her work is also deeply influenced by her training and experience in Mindfulness, Compassion-Focused Therapy, Somatic Experiencing, IFS and Compassionate Inquiry, which are additional approaches and modalities that she works within. She uses tools from these different approaches in a seamless way, according to what feels like the best fit for what a client is working with or the material that they are exploring.
Anne uses several different therapeutic approaches, integrating Person-Centred, Gestalt, Cognitive-Behavioural (CBT) and Transpersonal therapies. Apart from integrative counselling, her work is also deeply influenced by her training and experience in Mindfulness, Compassion-Focused Therapy, Somatic Experiencing, IFS and Compassionate Inquiry, which are additional approaches and modalities that she works within. She uses tools from these different approaches in a seamless way, according to what feels like the best fit for what a client is working with or the material that they are exploring.
01803 926094 View 01803 926094

See more therapy options for Totnes

How does your Counsellor compare?

Number of Counsellors in Totnes

60+

Average cost per session

£50

Counsellors in Totnes who prioritize treating:

91% Anxiety
85% Depression
83% Self Esteem
79% Relationship Issues
77% Stress
67% Trauma and PTSD
67% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

56% Aviva
56% AXA PPP
56% Vitality

How Counsellors in Totnes see their clients

90% In Person and Online
10% Online Only

Gender breakdown

79% Female
21% Male

FAQs - About Therapy and Counselling

How can I find a therapist in Totnes?

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.