Counselling in Waltham Cross

Photo of Amanda Cox - A Little Room of Therapy, Counsellor, MBACP
A Little Room of Therapy
Counsellor, MBACP
1 Endorsed
Life does not come with a guide book, we can often find ourselves overwhelmed and distressed and not sure where to turn to. Sometimes you may not even be aware of the root cause of your problems, but have a nagging doubt of not feeling quite right. Anxiety, bereavement,relationship, job changes can leave you feeling unable to cope and overwhelmed. I am here to listen to you in a non-judgemental capacity in a safe confidential space. Talking about what is troubling you and being truly heard can prove to be invaluable, as together we unravel your thoughts and emotions, enabling you to take back the control over your life.
Life does not come with a guide book, we can often find ourselves overwhelmed and distressed and not sure where to turn to. Sometimes you may not even be aware of the root cause of your problems, but have a nagging doubt of not feeling quite right. Anxiety, bereavement,relationship, job changes can leave you feeling unable to cope and overwhelmed. I am here to listen to you in a non-judgemental capacity in a safe confidential space. Talking about what is troubling you and being truly heard can prove to be invaluable, as together we unravel your thoughts and emotions, enabling you to take back the control over your life.
01992 350426 View 01992 350426
Photo of Jane Gillett, Counsellor, MBACP
Jane Gillett
Counsellor, MBACP
1 Endorsed
Waitlist for new clients
We all have times in our life where we may need the support of our family and friends to help us get through. Sometimes though seeking professional support of a counsellor is beneficial to enable you to discuss and work through things you may feel unable to discuss with friends and family. I can work with you on a number of life problems in a way that suits your needs. I will help you become more in touch and aware of feelings, thoughts and barriers in your life. I believe that the counselling relationship is important and work in a way that is beneficial to helping you become more self-aware, authentic and able to move forward.
We all have times in our life where we may need the support of our family and friends to help us get through. Sometimes though seeking professional support of a counsellor is beneficial to enable you to discuss and work through things you may feel unable to discuss with friends and family. I can work with you on a number of life problems in a way that suits your needs. I will help you become more in touch and aware of feelings, thoughts and barriers in your life. I believe that the counselling relationship is important and work in a way that is beneficial to helping you become more self-aware, authentic and able to move forward.
01992 945251 View 01992 945251
Photo of Ilayda Kuran, Psychotherapist, MSc, MBABCP
Ilayda Kuran
Psychotherapist, MSc, MBABCP
Online Only
Hi there! I am a qualified child and adolescent practitioner. I work with children, young people and families who may suffer with anxiety, depression, low confidence and more, also including: - Anxiety based school avoidance - Parent work for children with anxiety, depression, behavioural concerns or ADHD/Autism - Exam stress - Emotional Regulation If you feel this is something I could help you with, please get in touch!
Hi there! I am a qualified child and adolescent practitioner. I work with children, young people and families who may suffer with anxiety, depression, low confidence and more, also including: - Anxiety based school avoidance - Parent work for children with anxiety, depression, behavioural concerns or ADHD/Autism - Exam stress - Emotional Regulation If you feel this is something I could help you with, please get in touch!
01707 954025 View 01707 954025
Photo of Hendrix Hammond, Psychotherapist, MSc, MUKCP
Hendrix Hammond
Psychotherapist, MSc, MUKCP
Online Only
I’m a consultant relationship, couple, and family therapist with over 15 years of experience working across public, private, and charity sectors. As a down-to-earth psychotherapist, I help clients navigate challenges related to relationships, identity, and self-esteem. My approach is goal-oriented, combining active listening with practical insights to foster meaningful change. I’ve had the honour of contributing as an expert therapist for GQ, the Observer, and the BBC. I believe therapy is a collaborative journey where we work together to achieve growth and clarity. I also provide supervision for fellow professionals in the field.
I’m a consultant relationship, couple, and family therapist with over 15 years of experience working across public, private, and charity sectors. As a down-to-earth psychotherapist, I help clients navigate challenges related to relationships, identity, and self-esteem. My approach is goal-oriented, combining active listening with practical insights to foster meaningful change. I’ve had the honour of contributing as an expert therapist for GQ, the Observer, and the BBC. I believe therapy is a collaborative journey where we work together to achieve growth and clarity. I also provide supervision for fellow professionals in the field.
020 3870 3515 View 020 3870 3515
Photo of Selin Aklan, Psychotherapist, MA, HCPC-Art Therap.
Selin Aklan
Psychotherapist, MA, HCPC-Art Therap.
1 Endorsed
Online Only
Culture and Generational trauma plays a big part in my work. I help clients connect to their self, their roots and find a sense of belonging. I believe trauma can flow down in generations which can cause repeated experiences, familial distress, mental health, anxiety, depression, low self-esteem and bodily responses. I am offering a sacred safe space to explore, acknowledge, notice and release. I also include Shadow work, this will allow clients to shine light on parts they may not show to others due to things like shame, i offer a non judgemental space to safely develop self- discovery, self- acceptance and compassion.
Culture and Generational trauma plays a big part in my work. I help clients connect to their self, their roots and find a sense of belonging. I believe trauma can flow down in generations which can cause repeated experiences, familial distress, mental health, anxiety, depression, low self-esteem and bodily responses. I am offering a sacred safe space to explore, acknowledge, notice and release. I also include Shadow work, this will allow clients to shine light on parts they may not show to others due to things like shame, i offer a non judgemental space to safely develop self- discovery, self- acceptance and compassion.
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Photo of Toni Hird-Hall, Psychotherapist, BACP
Toni Hird-Hall
Psychotherapist, BACP
My ideal clients are adults who feel overwhelmed, stuck, or affected by experiences such as trauma, loss, anxiety, low self-esteem, or relationship difficulties. I welcome neurodivergent clients, including those with ADHD or autism, and people exploring diverse relationship styles, including consensual non-monogamy. I offer alternative methods of therapy in session such as the use of therapy cards, Russian dolls, Toys and Fidgets.
My ideal clients are adults who feel overwhelmed, stuck, or affected by experiences such as trauma, loss, anxiety, low self-esteem, or relationship difficulties. I welcome neurodivergent clients, including those with ADHD or autism, and people exploring diverse relationship styles, including consensual non-monogamy. I offer alternative methods of therapy in session such as the use of therapy cards, Russian dolls, Toys and Fidgets.
01707 241522 View 01707 241522
Photo of Eleni Colocassis, Counsellor, MBACP
Eleni Colocassis
Counsellor, MBACP
4 Endorsed
I work with adults and young people, who are experiencing challenges that affect their day-to-day life. These include relationship and family issues, divorce, abuse, panic disorders and child related issues - to mention just a few. Sometimes these challenges can lead to feeling isolated or confused, depression, anxiety or stress. Maybe you have struggled with fitting into society or you have been struggling with low self esteem. Either way, I can offer you a safe space to gently explore your experiences.
I work with adults and young people, who are experiencing challenges that affect their day-to-day life. These include relationship and family issues, divorce, abuse, panic disorders and child related issues - to mention just a few. Sometimes these challenges can lead to feeling isolated or confused, depression, anxiety or stress. Maybe you have struggled with fitting into society or you have been struggling with low self esteem. Either way, I can offer you a safe space to gently explore your experiences.
01707 241842 View 01707 241842
Photo of Kim Frederica Hewitt, Counsellor, MBACP
Kim Frederica Hewitt
Counsellor, MBACP
I support adults and young people who are struggling with how they are feeling. It may be that you are feeling scared, alone, or not quite yourself, and unsure who you can talk to in confidence. I offer a safe, confidential space where you can speak freely without judgement. Together, we can explore what is going on for you, helping you gain understanding, reconnect with yourself, and support your personal growth. I aim to empower you to make choices that feel right for you and move towards a more balanced and fulfilling life.
I support adults and young people who are struggling with how they are feeling. It may be that you are feeling scared, alone, or not quite yourself, and unsure who you can talk to in confidence. I offer a safe, confidential space where you can speak freely without judgement. Together, we can explore what is going on for you, helping you gain understanding, reconnect with yourself, and support your personal growth. I aim to empower you to make choices that feel right for you and move towards a more balanced and fulfilling life.
01992 932934 View 01992 932934
Photo of Angela Connoley, Psychotherapist, MBACP Accred
Angela Connoley
Psychotherapist, MBACP Accred
I appreciate it may have taken a great deal of courage to arrive at my profile today and I extend a warm welcome to you. I understand and value highly the support that counselling provides, particularly at a time when it feels as though you are struggling alone with few options. Maybe you're feeling a bit lost, anxious, stressed, depressed or confused. Struggling with something and could use some support to help explore and resolve it? Are you ready to make some changes to improve the quality of your life? Let's take the journey together to find understanding, clarity and relief as you gain improvement to the quality of your life.
I appreciate it may have taken a great deal of courage to arrive at my profile today and I extend a warm welcome to you. I understand and value highly the support that counselling provides, particularly at a time when it feels as though you are struggling alone with few options. Maybe you're feeling a bit lost, anxious, stressed, depressed or confused. Struggling with something and could use some support to help explore and resolve it? Are you ready to make some changes to improve the quality of your life? Let's take the journey together to find understanding, clarity and relief as you gain improvement to the quality of your life.
01707 938845 View 01707 938845
Photo of Digna Patel, Counsellor, MBACP Accred
Digna Patel
Counsellor, MBACP Accred
You may not feel not good enough, overwhelmed by anxiety, self-doubt, or trying to always please others. Comparing yourself to others may make you doubt yourself more. You may struggle with low confidence, setting boundaries, or understanding your emotions — this might be shaped by past experiences, cultural pressures, or difficult relationships. You want to feel more in control, feel heard, build self-compassion, and find healthier ways to cope. Being more aware of your feelings and needs can help with communication. Putting in boundaries for yourself can improve relationships with those around you.
You may not feel not good enough, overwhelmed by anxiety, self-doubt, or trying to always please others. Comparing yourself to others may make you doubt yourself more. You may struggle with low confidence, setting boundaries, or understanding your emotions — this might be shaped by past experiences, cultural pressures, or difficult relationships. You want to feel more in control, feel heard, build self-compassion, and find healthier ways to cope. Being more aware of your feelings and needs can help with communication. Putting in boundaries for yourself can improve relationships with those around you.
020 4538 1149 View 020 4538 1149
Photo of Charis Hatton - Charis Hatton Counselling , Counsellor, MBACP
Charis Hatton Counselling
Counsellor, MBACP
3 Endorsed
Serves Area
I offer a calm, supportive space for adults who feel anxious, overwhelmed, or stuck, even if they appear to be coping well on the outside. You may be struggling with low self-esteem, difficulties in relationships, or the emotional impact of past experiences that still feel present in your day-to-day life. Many people come to therapy because something doesn’t feel quite right, even if they can’t yet put it into words. You might notice familiar patterns repeating, feel unsure of yourself, or carry a sense of unease that doesn’t seem to have a clear cause. If you’ve spent a long time putting others first or questioning your own needs,
I offer a calm, supportive space for adults who feel anxious, overwhelmed, or stuck, even if they appear to be coping well on the outside. You may be struggling with low self-esteem, difficulties in relationships, or the emotional impact of past experiences that still feel present in your day-to-day life. Many people come to therapy because something doesn’t feel quite right, even if they can’t yet put it into words. You might notice familiar patterns repeating, feel unsure of yourself, or carry a sense of unease that doesn’t seem to have a clear cause. If you’ve spent a long time putting others first or questioning your own needs,
01992 932280 View 01992 932280
Photo of Stella Hendricks, Counsellor, DCounsPsych, MBACP
Stella Hendricks
Counsellor, DCounsPsych, MBACP
1 Endorsed
Serves Area
In today's fast-paced world, life can feel incredibly challenging. We may find ourselves grappling with understanding our behaviours and reactions, feeling stuck and overwhelmed by life events. The hustle and bustle can leave us feeling disconnected and anxious, struggling to make sense of our inner turmoil. Whether the struggles stem from our relationships, work, addictions, or self-perception. We may often feel trapped by patterns of behaviour. The goal of therapy is to gain a deeper understanding of our challenges that may mask the underlying issues that have influenced who we are today.
In today's fast-paced world, life can feel incredibly challenging. We may find ourselves grappling with understanding our behaviours and reactions, feeling stuck and overwhelmed by life events. The hustle and bustle can leave us feeling disconnected and anxious, struggling to make sense of our inner turmoil. Whether the struggles stem from our relationships, work, addictions, or self-perception. We may often feel trapped by patterns of behaviour. The goal of therapy is to gain a deeper understanding of our challenges that may mask the underlying issues that have influenced who we are today.
01992 932495 View 01992 932495
Photo of Pinar Demir, Psychotherapist, MBACP
Pinar Demir
Psychotherapist, MBACP
Serves Area
Welcome to my profile. I’m Pinar, an Integrative Psychotherapist working with children, adults, and couples. I draw on a range of evidence-based approaches to offer tailored, effective support for whatever you may be facing—whether it’s anxiety, stress, relationship difficulties, low mood, or a sense of feeling overwhelmed or stuck. Therapy with me is a collaborative process. Together, we explore the patterns influencing your emotional world, helping you gain clarity, develop healthier coping strategies, and move toward greater confidence and wellbeing. I offer a calm, confidential, and non-judgemental space.
Welcome to my profile. I’m Pinar, an Integrative Psychotherapist working with children, adults, and couples. I draw on a range of evidence-based approaches to offer tailored, effective support for whatever you may be facing—whether it’s anxiety, stress, relationship difficulties, low mood, or a sense of feeling overwhelmed or stuck. Therapy with me is a collaborative process. Together, we explore the patterns influencing your emotional world, helping you gain clarity, develop healthier coping strategies, and move toward greater confidence and wellbeing. I offer a calm, confidential, and non-judgemental space.
07723 449546 View 07723 449546
Photo of Karen Bolton, Counsellor, DCounsPsych, MBACP
Karen Bolton
Counsellor, DCounsPsych, MBACP
Serves Area
I value the uniqueness of each individual experience and will tailor my approach to meet you where you are in your life – working with you so that you no longer feel stuck, unhappy or alone, reducing your anxiety, stress or depression and finding ways to make positive changes that improve your self-acceptance, self-esteem and personal confidence. We can work together so that you are able to address difficult past experiences and gain positive ways to manage your future thoughts, feelings and behaviour. I work with people who are neurodivergent, adapting my practice to ensure specific needs of autism and ADHD are met.
I value the uniqueness of each individual experience and will tailor my approach to meet you where you are in your life – working with you so that you no longer feel stuck, unhappy or alone, reducing your anxiety, stress or depression and finding ways to make positive changes that improve your self-acceptance, self-esteem and personal confidence. We can work together so that you are able to address difficult past experiences and gain positive ways to manage your future thoughts, feelings and behaviour. I work with people who are neurodivergent, adapting my practice to ensure specific needs of autism and ADHD are met.
07480 821478 View 07480 821478
Photo of Ruth Lynch, Counsellor, MNCPS Acc.
Ruth Lynch
Counsellor, MNCPS Acc.
Serves Area
Do you feel stuck in anxious overthinking, constantly questioning yourself, or worn down by a harsh inner critic? You may know your worries don’t always make sense — yet they still feel overwhelming and hard to switch off. I work with adults experiencing anxiety, OCD, and low self-esteem who want practical ways to break unhelpful thinking patterns, feel more confident in themselves, and regain a sense of control and balance in their lives.
Do you feel stuck in anxious overthinking, constantly questioning yourself, or worn down by a harsh inner critic? You may know your worries don’t always make sense — yet they still feel overwhelming and hard to switch off. I work with adults experiencing anxiety, OCD, and low self-esteem who want practical ways to break unhelpful thinking patterns, feel more confident in themselves, and regain a sense of control and balance in their lives.
020 3835 5615 View 020 3835 5615
Photo of Clare Jane Vincent, Counsellor, MBACP Accred
Clare Jane Vincent
Counsellor, MBACP Accred
Serves Area
Each and every one of us needs support at different times in our life, reaching for support is not a weakness but a strength. I am an experienced BACP Accredited Psychotherapist, Fusion Therapeutic Life Coach, EFT practitioner, EMDR and REWIND (fast trauma release) therapist, who can support you at a time when you feel overwhelmed, upset or anxious. You will receive confidential, non-judgemental time and space so you can safely relax and focus on you, your solutions and your future.
Each and every one of us needs support at different times in our life, reaching for support is not a weakness but a strength. I am an experienced BACP Accredited Psychotherapist, Fusion Therapeutic Life Coach, EFT practitioner, EMDR and REWIND (fast trauma release) therapist, who can support you at a time when you feel overwhelmed, upset or anxious. You will receive confidential, non-judgemental time and space so you can safely relax and focus on you, your solutions and your future.
020 4538 0659 View 020 4538 0659
Maria Vella
Psychologist, PhD, HCPC - Couns. Psych.
01992 932025 View 01992 932025

More Therapists Nearby

Photo of Jamie Jarvis, Psychotherapist, MBABCP
Jamie Jarvis
Psychotherapist, MBABCP
Not accepting new clients
Embarking on a therapeutic journey can be daunting, but I offer a secure and confidential environment to assist individuals in exploring and comprehending their thoughts and their impact on behavior. Cognitive Behavioral Therapy (CBT) is a beneficial talking therapy for mental health conditions, particularly effective for issues like depression, anxiety, and obsessive-compulsive disorder. Additionally, I am a qualified EMDR Therapist, addressing a range of issues such as PTSD, Complex PTSD, OCD, low self-esteem, and anxiety disorders.
Embarking on a therapeutic journey can be daunting, but I offer a secure and confidential environment to assist individuals in exploring and comprehending their thoughts and their impact on behavior. Cognitive Behavioral Therapy (CBT) is a beneficial talking therapy for mental health conditions, particularly effective for issues like depression, anxiety, and obsessive-compulsive disorder. Additionally, I am a qualified EMDR Therapist, addressing a range of issues such as PTSD, Complex PTSD, OCD, low self-esteem, and anxiety disorders.
01245 945050 View 01245 945050
Photo of Cara Robin, Counsellor, MBACP
Cara Robin
Counsellor, MBACP
Serves Area
Sessions from £55. Are you feeling lost, stuck or overwhelmed? I am here to offer you the opportunity to explore your authentic self with non-judgemental, caring, support. You may have received black and white messages about who you are supposed to be, or how you are supposed to feel that just aren't quite right for you, but you aren't sure of the alternatives. Or perhaps, you find yourself at a crossroads or experiencing huge change. This may have left you feeling uncertain, overwhelmed or confused. I work with you to help you through these times, as well as providing tools and coping strategies to help you long term.
Sessions from £55. Are you feeling lost, stuck or overwhelmed? I am here to offer you the opportunity to explore your authentic self with non-judgemental, caring, support. You may have received black and white messages about who you are supposed to be, or how you are supposed to feel that just aren't quite right for you, but you aren't sure of the alternatives. Or perhaps, you find yourself at a crossroads or experiencing huge change. This may have left you feeling uncertain, overwhelmed or confused. I work with you to help you through these times, as well as providing tools and coping strategies to help you long term.
01905 917326 View 01905 917326
Photo of Marilyn Thomas, Psychotherapist, MBACP
Marilyn Thomas
Psychotherapist, MBACP
Online Only
Do you find yourself feeling overwhelmed, anxious, low in mood, or weighed down by your circumstances? Perhaps you’re struggling in your relationships or with intimacy & would like to talk to someone outside your circle. I am here to support you on your journey towards greater understanding & wellbeing. I am a qualified integrative psychotherapist & a registered member of both the BACP and COSRT, bound by their professional codes of ethics. I work with a diverse range of clients on a variety of issues, including relationship difficulties, intimacy & sexual concerns, communication challenges, anxiety, and low mood.
Do you find yourself feeling overwhelmed, anxious, low in mood, or weighed down by your circumstances? Perhaps you’re struggling in your relationships or with intimacy & would like to talk to someone outside your circle. I am here to support you on your journey towards greater understanding & wellbeing. I am a qualified integrative psychotherapist & a registered member of both the BACP and COSRT, bound by their professional codes of ethics. I work with a diverse range of clients on a variety of issues, including relationship difficulties, intimacy & sexual concerns, communication challenges, anxiety, and low mood.
020 8049 3059 View 020 8049 3059

How does your Counsellor compare?

Number of Counsellors in Waltham Cross

10+

Average cost per session

£60

Counsellors in Waltham Cross who prioritize treating:

94% Relationship Issues
94% Depression
94% Anxiety
94% Self Esteem
88% Stress
76% Bereavement
71% Anger Management

Average years in practice

11 Years

Top 3 insurances accepted

100% Vitality
75% Cigna and Evernorth
75% Bupa

How Counsellors in Waltham Cross see their clients

82% In Person and Online
18% Online Only

Gender breakdown

94% Female
6% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Waltham Cross?

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.