Counselling in Woodford Green

Photo of Jamil Ahmed, Psychotherapist, MA, MBACP
Jamil Ahmed
Psychotherapist, MA, MBACP
Online Only
As we are thrown into the thick of life, it is our response to these circumstances which reveal who we are and where we may want to go. As life is anything but a linear process - we may often stumble or get stuck along the way. We may even describe the stumbling blocks as anxiety, depression, numbness or even shame. Some of our work could involve examining those stumbling blocks and challenging your ideas, choices and reasoning processes. I encourage you to remain open to all aspects and stimulate you to consider ones often overlooked.
As we are thrown into the thick of life, it is our response to these circumstances which reveal who we are and where we may want to go. As life is anything but a linear process - we may often stumble or get stuck along the way. We may even describe the stumbling blocks as anxiety, depression, numbness or even shame. Some of our work could involve examining those stumbling blocks and challenging your ideas, choices and reasoning processes. I encourage you to remain open to all aspects and stimulate you to consider ones often overlooked.
020 4538 9011 View 020 4538 9011
Photo of Anthony Birbeck, Counsellor, MSc, MBACP
Anthony Birbeck
Counsellor, MSc, MBACP
I am an experienced Psychodynamic Counsellor offering affordable counselling to those who feel burdened by emotional problems in their lives. I understand that starting counselling is an important decision for you and can be a daunting prospect; choosing the right counsellor, wondering what will happen and if and how you can feel better. If this is how you feel, you are not alone.
I am an experienced Psychodynamic Counsellor offering affordable counselling to those who feel burdened by emotional problems in their lives. I understand that starting counselling is an important decision for you and can be a daunting prospect; choosing the right counsellor, wondering what will happen and if and how you can feel better. If this is how you feel, you are not alone.
07480 485661 View 07480 485661
Photo of Nancy Keeble, Counsellor, BACP
Nancy Keeble
Counsellor, BACP
I am a fully qualified counsellor, I have experience working with depression, anxiety, berevement ,eating disorder, trauma, and many more presenting issues. I work with you, along side you to help you explore, understand and accept what is going on at the core. I believe that a holistic approach to healing will have a profound effect on your mental and physical wellbeing. Every client brings a different energy into the room so a adapt my approach accordingly. I offer a professional, safe and non judgemental, confidential service. Helping you to go from surviving to thriving at your own pace.
I am a fully qualified counsellor, I have experience working with depression, anxiety, berevement ,eating disorder, trauma, and many more presenting issues. I work with you, along side you to help you explore, understand and accept what is going on at the core. I believe that a holistic approach to healing will have a profound effect on your mental and physical wellbeing. Every client brings a different energy into the room so a adapt my approach accordingly. I offer a professional, safe and non judgemental, confidential service. Helping you to go from surviving to thriving at your own pace.
020 4572 1218 View 020 4572 1218
Photo of Dr Vanessa Contreras-Negretti, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Vanessa Contreras-Negretti
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Online Only
My approach to psychological therapy integrates established and contemporary psychological theories into practical, evidence-based interventions. Throughout therapy, I work closely with you to understand your specific difficulties and explore underlying issues contributing to them. I take a collaborative, empathic, and supportive approach, creating a safe space where you can gain insight, build resilience, and make the changes needed to improve your wellbeing.
My approach to psychological therapy integrates established and contemporary psychological theories into practical, evidence-based interventions. Throughout therapy, I work closely with you to understand your specific difficulties and explore underlying issues contributing to them. I take a collaborative, empathic, and supportive approach, creating a safe space where you can gain insight, build resilience, and make the changes needed to improve your wellbeing.
View
Photo of Liane Rachel Griffin, Counsellor, BACP
Liane Rachel Griffin
Counsellor, BACP
Life can be hard at times. You might be feeling overwhelmed. Or you might have lost your sense of connection and purpose in life. I offer a supportive relationship where you can talk through your challenges. It could be a difficult life situation, or how you feel day to day. Counselling is a space for you, and we can explore what you need together. I’m a humanistic counsellor. My approach is collaborative. You would decide what to explore, I’d be alongside to help you make sense of your challenges. I work with openness and empathy, and hope to ease any anxieties about starting counselling.
Life can be hard at times. You might be feeling overwhelmed. Or you might have lost your sense of connection and purpose in life. I offer a supportive relationship where you can talk through your challenges. It could be a difficult life situation, or how you feel day to day. Counselling is a space for you, and we can explore what you need together. I’m a humanistic counsellor. My approach is collaborative. You would decide what to explore, I’d be alongside to help you make sense of your challenges. I work with openness and empathy, and hope to ease any anxieties about starting counselling.
020 7870 2724 View 020 7870 2724
Photo of Saff Mitten - Saff Mitten Counselling and Psychotherapy, Psychotherapist, MA, MBACP
Saff Mitten Counselling and Psychotherapy
Psychotherapist, MA, MBACP
Online Only
I’m an experienced counsellor and psychotherapist who specialises in supporting women with: infertility, relationships, and life transitions. I support women with all aspects of infertility/fertility challenges, including IVF, miscarriage, relationship issues, stress, anxiety, pregnancy after loss, impact on identity, and the deep grief that can accompany infertility. I help single women who are struggling to find the kind of relationship they truly want for a variety of reasons. And I support women facing life transitions such as career change, becoming a mum, loss of a loved one, perimenopause, and ending a relationship.
I’m an experienced counsellor and psychotherapist who specialises in supporting women with: infertility, relationships, and life transitions. I support women with all aspects of infertility/fertility challenges, including IVF, miscarriage, relationship issues, stress, anxiety, pregnancy after loss, impact on identity, and the deep grief that can accompany infertility. I help single women who are struggling to find the kind of relationship they truly want for a variety of reasons. And I support women facing life transitions such as career change, becoming a mum, loss of a loved one, perimenopause, and ending a relationship.
020 4634 5597 View 020 4634 5597
Photo of Sara Anne Pearson, Counsellor, MSc, MBACP
Sara Anne Pearson
Counsellor, MSc, MBACP
I work as an integrative therapist, adapting the way I work to met the particular and unique needs of each of my clients. I seek to build strong and trusting bonds with my clients so that they feel secure and supported in exploring the difficult thoughts and feelings that are impacting on their wellbeing and happiness. I offer both short and long term counselling for my clients depending on the needs of my client . Short term work can support people who are looking for a solution focused approach to a difficulty they may be struggling with, whereas longer term can support people seeking to understand more about the pain they carry,
I work as an integrative therapist, adapting the way I work to met the particular and unique needs of each of my clients. I seek to build strong and trusting bonds with my clients so that they feel secure and supported in exploring the difficult thoughts and feelings that are impacting on their wellbeing and happiness. I offer both short and long term counselling for my clients depending on the needs of my client . Short term work can support people who are looking for a solution focused approach to a difficulty they may be struggling with, whereas longer term can support people seeking to understand more about the pain they carry,
020 4538 9549 View 020 4538 9549
Photo of Niamh Moriarty, Psychologist, PsychD, HCPC - Couns. Psych.
Niamh Moriarty
Psychologist, PsychD, HCPC - Couns. Psych.
1 Endorsed
Online Only
I am an approachable, warm and compassionate therapist who treats people as unique individuals. We will work together to move you towards your goals, and past any obstacles that may have blocked you in the past.
I am an approachable, warm and compassionate therapist who treats people as unique individuals. We will work together to move you towards your goals, and past any obstacles that may have blocked you in the past.
View
Photo of Cathy Wilson, Psychotherapist, MA, MBACP
Cathy Wilson
Psychotherapist, MA, MBACP
Whether you are navigating a difficult life transition, coping with emotional distress, or seeking personal growth, therapy can be a powerful step toward healing and clarity. Starting therapy can feel daunting. Facing a specific challenge or sensing a need for deeper self-understanding often brings uncertainty, you might wonder where to begin, what to expect, or how to find someone you can truly connect with. I understand how vulnerable this process can be, Together, we can create a space where you feel heard, supported, and able to explore whatever is coming up for you.
Whether you are navigating a difficult life transition, coping with emotional distress, or seeking personal growth, therapy can be a powerful step toward healing and clarity. Starting therapy can feel daunting. Facing a specific challenge or sensing a need for deeper self-understanding often brings uncertainty, you might wonder where to begin, what to expect, or how to find someone you can truly connect with. I understand how vulnerable this process can be, Together, we can create a space where you feel heard, supported, and able to explore whatever is coming up for you.
020 8016 2726 View 020 8016 2726
Photo of Julia Ellingham, Counsellor, BACP
Julia Ellingham
Counsellor, BACP
Serves Area
We hear so much about the benefits of looking after our physical health but often forget our mental health is just as important. In the fast paced, stressful world we live in today, we face many struggles and often find our emotions can start to feel overwhelming. Counselling provides a safe space to talk through whatever you may be going through to help improve your wellbeing. I am a fully qualified Counsellor with a Professional Diploma in Therapeutic Counselling and I have experience of working with both adults, young people and children.
We hear so much about the benefits of looking after our physical health but often forget our mental health is just as important. In the fast paced, stressful world we live in today, we face many struggles and often find our emotions can start to feel overwhelming. Counselling provides a safe space to talk through whatever you may be going through to help improve your wellbeing. I am a fully qualified Counsellor with a Professional Diploma in Therapeutic Counselling and I have experience of working with both adults, young people and children.
07411 293719 View 07411 293719
Photo of Danielle Westcarr-Jourdan, Counsellor, MBACP
Danielle Westcarr-Jourdan
Counsellor, MBACP
Serves Area
I am passionate about supporting individuals with their psychological health and well-being. As a MBACP Integrative Counsellor & Therapist, I have experience of working with children, young people and adults in both educational and medical settings. I engage with individuals in a client-led way, face to face and through telephone communications, developing 1:1 relationships of trust and genuineness. Having experience of providing both short and long-term therapy, I offer a therapeutic space for self-discovery and growth, helping with the facilitation of individuals reconnecting with themselves, family members and society.
I am passionate about supporting individuals with their psychological health and well-being. As a MBACP Integrative Counsellor & Therapist, I have experience of working with children, young people and adults in both educational and medical settings. I engage with individuals in a client-led way, face to face and through telephone communications, developing 1:1 relationships of trust and genuineness. Having experience of providing both short and long-term therapy, I offer a therapeutic space for self-discovery and growth, helping with the facilitation of individuals reconnecting with themselves, family members and society.
020 4538 9452 View 020 4538 9452
Photo of Joanne Hayley Selby - At a loss counselling, Counsellor, MBACP
At a loss counselling
Counsellor, MBACP
1 Endorsed
Serves Area
Hi, I'm Joanne, a specialist bereavement counsellor, having worked at a hospice for over 7 years supporting families. If you are caring for another family member or friend or have lost someone close to you, I would love to be able to support you. My natural way of being, together with my own life experiences enable me to work with sensitivity, deep compassion and empathy. I can help you to explore the overwhelming, mixed emotions that you may be experiencing and can help you to manage better. Sessions with me can often bring a mix of emotions; sometimes compassion, anger, reflection, sadness, guilt and resolve.
Hi, I'm Joanne, a specialist bereavement counsellor, having worked at a hospice for over 7 years supporting families. If you are caring for another family member or friend or have lost someone close to you, I would love to be able to support you. My natural way of being, together with my own life experiences enable me to work with sensitivity, deep compassion and empathy. I can help you to explore the overwhelming, mixed emotions that you may be experiencing and can help you to manage better. Sessions with me can often bring a mix of emotions; sometimes compassion, anger, reflection, sadness, guilt and resolve.
020 3960 5143 View 020 3960 5143
Photo of Katherine Coates, Counsellor, BACP
Katherine Coates
Counsellor, BACP
Serves Area
Hello and welcome. My name is Katherine Coates and I am a qualified Person Centred therapist. My journey to become a qualified counsellor started after I entered therapy myself so am well aware of how terrifying taking the first steps in asking for help can be. Therefore, I aim to offer a safe space where you feel accepted and valued enough that you can reveal your vulnerabilities without fear of judgement.
Hello and welcome. My name is Katherine Coates and I am a qualified Person Centred therapist. My journey to become a qualified counsellor started after I entered therapy myself so am well aware of how terrifying taking the first steps in asking for help can be. Therefore, I aim to offer a safe space where you feel accepted and valued enough that you can reveal your vulnerabilities without fear of judgement.
020 8106 2420 View 020 8106 2420
Photo of Mohaia Amin, Psychotherapist, MSc, MBABCP
Mohaia Amin
Psychotherapist, MSc, MBABCP
1 Endorsed
Serves Area
I am a fully qualified Cognitive Behavioural Therapist with Rational Emotive Behavioural Therapy training. I have also trained in Compassion Focused Therapy and ACT. My extensive work using CBT has been with clients with major psychological problems and I have until recently been working at The Priory. I have worked in outpatient and inpatient settings and have worked with clients from varied cultures and backgrounds. As a therapist I have worked with clients struggling with anxiety disorder, obsessive compulsive disorder (OCD), health anxiety, anger management, generalised anxiety, depression and bereavement and have supported
I am a fully qualified Cognitive Behavioural Therapist with Rational Emotive Behavioural Therapy training. I have also trained in Compassion Focused Therapy and ACT. My extensive work using CBT has been with clients with major psychological problems and I have until recently been working at The Priory. I have worked in outpatient and inpatient settings and have worked with clients from varied cultures and backgrounds. As a therapist I have worked with clients struggling with anxiety disorder, obsessive compulsive disorder (OCD), health anxiety, anger management, generalised anxiety, depression and bereavement and have supported
020 8103 9071 View 020 8103 9071
Photo of Sarah Trenam, Counsellor, MSc, MBACP Accred
Sarah Trenam
Counsellor, MSc, MBACP Accred
1 Endorsed
Serves Area
Are you noticing your mood has changes and you are feeling overwhelmed, stressed, sad or anxious? I am able to support you and will be along side you to explore your thoughts and feelings. I offer flexible therapy that works around you. This can be face to face, online, or phone counselling There maybe other aspects of your life that you may want support with, such as; relationship difficulties, grief, self esteem, the pressure of modern day life, work challenges, becoming a new parent. I am experienced in offering support with more complex issues such as addiction, dual diagnosis, supporting prenatal and postnatal women.
Are you noticing your mood has changes and you are feeling overwhelmed, stressed, sad or anxious? I am able to support you and will be along side you to explore your thoughts and feelings. I offer flexible therapy that works around you. This can be face to face, online, or phone counselling There maybe other aspects of your life that you may want support with, such as; relationship difficulties, grief, self esteem, the pressure of modern day life, work challenges, becoming a new parent. I am experienced in offering support with more complex issues such as addiction, dual diagnosis, supporting prenatal and postnatal women.
07723 431750 View 07723 431750
Photo of Dr Jasbir Dhillon, Psychologist, HCPC - Clin. Psych.
Dr Jasbir Dhillon
Psychologist, HCPC - Clin. Psych.
Serves Area
I'm Jas, a senior clinical psychologist experienced in working with adults, children, adolescents, families, and organisations. I work with people from diverse walks of life, all of whom are looking to improve how they feel and live. My clients require trauma-informed and person-centred support, or someone experienced in working with the nuances that come with cultural diversity and neurodivergence (e.g. ADHD, ASD, ID). I offer a compassionate space that moves at your pace, to help you towards meaningful change. I offer online and in person therapy (in the North East London area).
I'm Jas, a senior clinical psychologist experienced in working with adults, children, adolescents, families, and organisations. I work with people from diverse walks of life, all of whom are looking to improve how they feel and live. My clients require trauma-informed and person-centred support, or someone experienced in working with the nuances that come with cultural diversity and neurodivergence (e.g. ADHD, ASD, ID). I offer a compassionate space that moves at your pace, to help you towards meaningful change. I offer online and in person therapy (in the North East London area).
020 3835 2859 View 020 3835 2859
Photo of Dr Shireen Sultana, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Shireen Sultana
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Serves Area
I am a Psychologist and CBT Therapist with over 17 years of experience working in mental health services within NHS. I have been currently working as a Highly Specialist Therapist within an NHS service, which involves providing supervision to other clinicians and providing specialist assessment and treatment to individuals experiencing depression and anxiety disorders, including PTSD, OCD & Long-term term health conditions. Although my primary modality of training is CBT, I am also trained in EMDR and IPT (Interpersonal Psychotherapy). I work with individual aged over 16.
I am a Psychologist and CBT Therapist with over 17 years of experience working in mental health services within NHS. I have been currently working as a Highly Specialist Therapist within an NHS service, which involves providing supervision to other clinicians and providing specialist assessment and treatment to individuals experiencing depression and anxiety disorders, including PTSD, OCD & Long-term term health conditions. Although my primary modality of training is CBT, I am also trained in EMDR and IPT (Interpersonal Psychotherapy). I work with individual aged over 16.
07588 683393 View 07588 683393
Photo of Joanna Dreher, Counsellor, MSc, MBACP
Joanna Dreher
Counsellor, MSc, MBACP
1 Endorsed
Serves Area
Hello I’m Joanna I am trained as a therapist and coach and I combine the two to offer a solution focused approach. My specialities are working with anxiety and confidence but I also work with workplace coaching, stress reduction, childhood trauma and relationship issues. I offer online and face to face sessions in W1. A lot of my clients are from the creative industry and I also have a wealth of experience with ADHD/ASD clients. If what I offer sounds beneficial to you, contact me for a free 30 minute consultation that will give you a chance to ask questions and see if I am the right fit for you.
Hello I’m Joanna I am trained as a therapist and coach and I combine the two to offer a solution focused approach. My specialities are working with anxiety and confidence but I also work with workplace coaching, stress reduction, childhood trauma and relationship issues. I offer online and face to face sessions in W1. A lot of my clients are from the creative industry and I also have a wealth of experience with ADHD/ASD clients. If what I offer sounds beneficial to you, contact me for a free 30 minute consultation that will give you a chance to ask questions and see if I am the right fit for you.
020 3840 3922 View 020 3840 3922
Photo of Lynda Dobrin, Counsellor, BACP
Lynda Dobrin
Counsellor, BACP
Serves Area
Do you find yourself struggling with feelings of disconnection and anxiety, uncertain about the reasons behind your emotions? Are you exhausted with overthinking, constant self-criticism, difficulty relaxing, and never feeling good enough. Are you a new mum, a seasoned mum, or an empty nest mum? Life's transitions can leave us questioning our identity, purpose, and feeling lost in the whirlwind of emotions. Or you are experiencing the loss of a loved one? One of the most life-changing events. I provide a confidential and safe place for you to explore your thoughts and feelings.
Do you find yourself struggling with feelings of disconnection and anxiety, uncertain about the reasons behind your emotions? Are you exhausted with overthinking, constant self-criticism, difficulty relaxing, and never feeling good enough. Are you a new mum, a seasoned mum, or an empty nest mum? Life's transitions can leave us questioning our identity, purpose, and feeling lost in the whirlwind of emotions. Or you are experiencing the loss of a loved one? One of the most life-changing events. I provide a confidential and safe place for you to explore your thoughts and feelings.
07790 374026 View 07790 374026
Photo of Catherine van Maanen, Counsellor, MBACP
Catherine van Maanen
Counsellor, MBACP
1 Endorsed
Serves Area
Are you donor conceived and struggling with how you feel about your experiences? Do you have a complex relationship with food and eating and want to address it in a holistic way? Perhaps you feel limited by your past mistakes, fear and guilt? If you feel chronically misunderstood, alone or struggle with fears of judgement, then I might be the right choice for you. I provide therapy face-to-face as well as online for those who need that additional accessibility. Therapy should be a place where you can be your unique uncensored self, and feel heard and seen in telling your story. I provide a space in safe, calm and creative locations.
Are you donor conceived and struggling with how you feel about your experiences? Do you have a complex relationship with food and eating and want to address it in a holistic way? Perhaps you feel limited by your past mistakes, fear and guilt? If you feel chronically misunderstood, alone or struggle with fears of judgement, then I might be the right choice for you. I provide therapy face-to-face as well as online for those who need that additional accessibility. Therapy should be a place where you can be your unique uncensored self, and feel heard and seen in telling your story. I provide a space in safe, calm and creative locations.
020 3948 9508 View 020 3948 9508

How does your Counsellor compare?

Number of Counsellors in Woodford Green

30+

Average cost per session

£70

Counsellors in Woodford Green who prioritize treating:

94% Anxiety
88% Self Esteem
84% Depression
78% Stress
75% Bereavement
72% Relationship Issues
59% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

100% Aviva
100% AXA PPP
83% Bupa

How Counsellors in Woodford Green see their clients

84% In Person and Online
16% Online Only

Gender breakdown

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

How can I find a therapist in Woodford Green?

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.