Counselling in Worcestershire

View cities in Worcestershire
Photo of Marlena Kosinska, Counsellor, MSc, MBACP
Marlena Kosinska
Counsellor, MSc, MBACP
Online Only
You may already feel clear about what you need—if so, you’ll find more information below about how I work, my experience, and my values. If you’re unsure whether counselling is right for you, that’s completely understandable. Reaching out when you’re not feeling okay—or when you don’t fully understand what’s going on—can feel difficult. If something here resonates with you, it may be a sign that you’re ready to take that first step toward support. You may feel confused about what is happening, or not quite like yourself. You may be noticing changes you don’t understand, or you may know what you need, but find it difficult to move on
You may already feel clear about what you need—if so, you’ll find more information below about how I work, my experience, and my values. If you’re unsure whether counselling is right for you, that’s completely understandable. Reaching out when you’re not feeling okay—or when you don’t fully understand what’s going on—can feel difficult. If something here resonates with you, it may be a sign that you’re ready to take that first step toward support. You may feel confused about what is happening, or not quite like yourself. You may be noticing changes you don’t understand, or you may know what you need, but find it difficult to move on
01905 975335 View 01905 975335
Photo of Jenny Brown, Counsellor, MBACP Accred
Jenny Brown
Counsellor, MBACP Accred
I am a specialist in loss and grief- which will often link with issues such as Anxiety and Depression. Grief is a natural response to loss. It is the emotional suffering you feel when something or someone you love is taken away. Most people associate grief with the death of a loved one but any loss can cause grief. I provide a confidential and therapeutic space whereby you can talk and make sense of whatever is causing you distress. To facilitate this I ensure clients feel safe and listened to without fear of being judged or unheard.
I am a specialist in loss and grief- which will often link with issues such as Anxiety and Depression. Grief is a natural response to loss. It is the emotional suffering you feel when something or someone you love is taken away. Most people associate grief with the death of a loved one but any loss can cause grief. I provide a confidential and therapeutic space whereby you can talk and make sense of whatever is causing you distress. To facilitate this I ensure clients feel safe and listened to without fear of being judged or unheard.
01299 661489 View 01299 661489
Photo of Dr Tanya Carpenter, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Tanya Carpenter
Psychologist, DCounsPsych, HCPC - Couns. Psych.
My approach is focused on wellbeing rather than illness and I feel really passionate about helping people to gain insight into themselves and their lives. This can be useful for enhancing wellbeing and realising potential. As a psychologist I am trained to be able to help with a wide variety of issues including but not limited to depression, anxiety, OCD, issues related to neurodiversity, interpersonal, relationship, attachment and family issues, self esteem and confidence.
My approach is focused on wellbeing rather than illness and I feel really passionate about helping people to gain insight into themselves and their lives. This can be useful for enhancing wellbeing and realising potential. As a psychologist I am trained to be able to help with a wide variety of issues including but not limited to depression, anxiety, OCD, issues related to neurodiversity, interpersonal, relationship, attachment and family issues, self esteem and confidence.
01905 675625 View 01905 675625
Photo of Felicity Tutton, Psychotherapist, MSc, MUKCP
Felicity Tutton
Psychotherapist, MSc, MUKCP
Malvern WR14
Welcome. I offer warm, relational support to adults, teenagers and couples bringing issues including: depression, anxiety, stress, low self-esteem and confidence, marital or family relationship difficulties, bereavement, spirituality and faith matters. I have special interest, training and experience in working with attachment issues trauma and abuse, including post traumatic stress disorder (PTSD), dissociation, personality adaptations, somatic and embodied processes. Early on, we will explore your hopes, fears and goals for therapy. I use a confidential, creatively equipped indoor room with access to private outdoor natural space
Welcome. I offer warm, relational support to adults, teenagers and couples bringing issues including: depression, anxiety, stress, low self-esteem and confidence, marital or family relationship difficulties, bereavement, spirituality and faith matters. I have special interest, training and experience in working with attachment issues trauma and abuse, including post traumatic stress disorder (PTSD), dissociation, personality adaptations, somatic and embodied processes. Early on, we will explore your hopes, fears and goals for therapy. I use a confidential, creatively equipped indoor room with access to private outdoor natural space
01684 215938 View 01684 215938
Photo of Sarah Maries, Counsellor, MBACP
Sarah Maries
Counsellor, MBACP
My name is Sarah and I am a qualified person centred counsellor. I have a favourite phrase; "Life isn't about waiting for the storm to pass. Its about learning to dance in the rain". Life is better when you can share it, learn from it and accept it. Some people rarely have the opportunity to experience a warm, trusting, empathic relationship, one in which they are not judged and one where they are heard. I offer my clients a safe environment to explore any issues that they feel are holding them back. I am committed to supporting my clients in finding the right path for them without being rejected or judged for their decisions.
My name is Sarah and I am a qualified person centred counsellor. I have a favourite phrase; "Life isn't about waiting for the storm to pass. Its about learning to dance in the rain". Life is better when you can share it, learn from it and accept it. Some people rarely have the opportunity to experience a warm, trusting, empathic relationship, one in which they are not judged and one where they are heard. I offer my clients a safe environment to explore any issues that they feel are holding them back. I am committed to supporting my clients in finding the right path for them without being rejected or judged for their decisions.
01527 368907 View 01527 368907
Photo of Rachel Rutherford, Psychotherapist, MBABCP
Rachel Rutherford
Psychotherapist, MBABCP
Whether you're struggling with executive dysfunction, low self esteem, low mood, anxiety disorders, orsimply feeling stuck, I can help by offering practical strategies to help you move forward, as well as giving you the space and time to fully explore your experiences. My role is to support and empower you to build confidence, motivation, and clarity in life. I am a registered CBT therapist with an occupational therapy background. I have been supporting people in social care and mental health roles since 2008. My approach is warm, down-to-earth, and focused on real change.
Whether you're struggling with executive dysfunction, low self esteem, low mood, anxiety disorders, orsimply feeling stuck, I can help by offering practical strategies to help you move forward, as well as giving you the space and time to fully explore your experiences. My role is to support and empower you to build confidence, motivation, and clarity in life. I am a registered CBT therapist with an occupational therapy background. I have been supporting people in social care and mental health roles since 2008. My approach is warm, down-to-earth, and focused on real change.
01527 741439 View 01527 741439
Photo of Alex Newman, Counsellor, MBACP
Alex Newman
Counsellor, MBACP
Are you finding life has quietly become overwhelming. Are you noticing anxiety, anger, or difficult emotions building up, and is this starting to affect your day-to-day life. For some people, this shows up in patterns like addiction, feeling disconnected, or coping in ways that no longer feel helpful. You don’t have to face this on your own. As a qualified counsellor and psychotherapist with both professional and lived experience, I offer a compassionate, down-to-earth space where you can begin to make sense of what’s going on.
Are you finding life has quietly become overwhelming. Are you noticing anxiety, anger, or difficult emotions building up, and is this starting to affect your day-to-day life. For some people, this shows up in patterns like addiction, feeling disconnected, or coping in ways that no longer feel helpful. You don’t have to face this on your own. As a qualified counsellor and psychotherapist with both professional and lived experience, I offer a compassionate, down-to-earth space where you can begin to make sense of what’s going on.
01527 911220 View 01527 911220
Photo of Caitlin Evans, Counsellor, MBACP
Caitlin Evans
Counsellor, MBACP
1 Endorsed
I provide therapy in Worcester and online to help you build self-trust, ease overwhelm, and feel confident to live life on your terms. Whether you're dealing with anxiety, low self-worth, people-pleasing, or you simply feel lost and like you don't know who you are, I'm here to listen to you, accept you, and work with you to create the life you want.
I provide therapy in Worcester and online to help you build self-trust, ease overwhelm, and feel confident to live life on your terms. Whether you're dealing with anxiety, low self-worth, people-pleasing, or you simply feel lost and like you don't know who you are, I'm here to listen to you, accept you, and work with you to create the life you want.
01905 674726 View 01905 674726
Photo of Lianne Crofts - Magenta Owl, Psychotherapist, MBACP
Magenta Owl
Psychotherapist, MBACP
Both in and out of sessions, I encourage self-care and self-compassion. Having diagnoses of both Autism and ADHD, I focus on neurodivergence and how it can impact wellbeing and self-esteem. I also work with adult daughters who have destabilising or unhealthy relationships with their mothers... moving toward greater self-respect and autonomy here is vital for your own growth. We will agree on "homework" tasks; utilising boundary-setting, CBT and NLP for optimal outcomes. If you are committed to deepening self-understanding, contact me to talk about how we might work together towards your better, bolder, more liberated future.
Both in and out of sessions, I encourage self-care and self-compassion. Having diagnoses of both Autism and ADHD, I focus on neurodivergence and how it can impact wellbeing and self-esteem. I also work with adult daughters who have destabilising or unhealthy relationships with their mothers... moving toward greater self-respect and autonomy here is vital for your own growth. We will agree on "homework" tasks; utilising boundary-setting, CBT and NLP for optimal outcomes. If you are committed to deepening self-understanding, contact me to talk about how we might work together towards your better, bolder, more liberated future.
01527 962131 View 01527 962131
Photo of Sabine Spires, Counsellor, MBACP
Sabine Spires
Counsellor, MBACP
1 Endorsed
Malvern WR14
Do you feel anxious...overwhelmed… exhausted… stuck… wanting to run… scared… angry… or numb? I would like to provide you with the space to make sense of what is going on for you, make sense of how you are feeling, acting and relating. I would like to support you to find out what you need and what is best for you, aiming to find better ways of coping and relating to yourself and others.
Do you feel anxious...overwhelmed… exhausted… stuck… wanting to run… scared… angry… or numb? I would like to provide you with the space to make sense of what is going on for you, make sense of how you are feeling, acting and relating. I would like to support you to find out what you need and what is best for you, aiming to find better ways of coping and relating to yourself and others.
01684 219805 View 01684 219805
Photo of Miranda Peel, Counsellor, UKCP Trainee
Miranda Peel
Counsellor, UKCP Trainee
3 Endorsed
You don’t need to be in crisis to come to therapy. Many of the people I work with are functioning day-to-day, but something doesn’t quite sit right — overthinking, feeling stuck, low mood, or a sense of disconnection. They’re often thoughtful, self-aware people who have tried to figure things out on their own, but keep going round in circles. Therapy offers a space to slow things down, make sense of what’s happening, and begin to move forward in a way that feels more grounded and real.
You don’t need to be in crisis to come to therapy. Many of the people I work with are functioning day-to-day, but something doesn’t quite sit right — overthinking, feeling stuck, low mood, or a sense of disconnection. They’re often thoughtful, self-aware people who have tried to figure things out on their own, but keep going round in circles. Therapy offers a space to slow things down, make sense of what’s happening, and begin to move forward in a way that feels more grounded and real.
01905 975271 View 01905 975271
Photo of Lynn Casey-Baker, Counsellor, MSc, MBACP Accred
Lynn Casey-Baker
Counsellor, MSc, MBACP Accred
I offer counselling to individual adults and couples for a range of difficulties. For example depression, anxiety, panic attacks, relationship issues, bereavement loss, work related problems, obsessive compulsive disorder, addictions, eating disorders, post traumatic stress disorder, post-natal depression, childhood issues, and much more. Sessions are tailored to meet the needs of each individual. Some people may require short term counselling, such as 6 sessions, others will require more longer term counselling. A plan of work will be made together, to suit you and what you would like to address in our sessions together.
I offer counselling to individual adults and couples for a range of difficulties. For example depression, anxiety, panic attacks, relationship issues, bereavement loss, work related problems, obsessive compulsive disorder, addictions, eating disorders, post traumatic stress disorder, post-natal depression, childhood issues, and much more. Sessions are tailored to meet the needs of each individual. Some people may require short term counselling, such as 6 sessions, others will require more longer term counselling. A plan of work will be made together, to suit you and what you would like to address in our sessions together.
07858 728562 View 07858 728562
Photo of Chloe Randles, Counsellor, MSc, MBACP
Chloe Randles
Counsellor, MSc, MBACP
My practice is centred around acceptance of you as an individual. You will be provided with a safe space to be heard and validated without judgment, pressure, or expectation. I feel that my genuine approach and kind, warm nature positively impacts my relationships with clients which is essential for therapeutic success. Together, we will work to explore and understand what is happening beneath the surface, identify patterns, and make links between the past and the present. I believe that this is the key to building self-awareness and self-love.
My practice is centred around acceptance of you as an individual. You will be provided with a safe space to be heard and validated without judgment, pressure, or expectation. I feel that my genuine approach and kind, warm nature positively impacts my relationships with clients which is essential for therapeutic success. Together, we will work to explore and understand what is happening beneath the surface, identify patterns, and make links between the past and the present. I believe that this is the key to building self-awareness and self-love.
07550 020462 View 07550 020462
Photo of Mark Stefan Thresh, Counsellor, MBACP
Mark Stefan Thresh
Counsellor, MBACP
Hello there, I qualified to practice back in 2002, from here I worked full time as a Counsellor for an Alcohol service. I worked for ten years with clients where the presenting issue was alcohol misuse, however there were many other issues our clients struggled with, such as Depression, Anxiety, Low Self Esteem etc. I have extensive experience of successfully working with clients to make significant changes and to reach their goals. Since leaving this service, I have worked in a variety of therapeutic settings, gaining more and varied experience. I can help with most issues and usually without a need for long term therapy.
Hello there, I qualified to practice back in 2002, from here I worked full time as a Counsellor for an Alcohol service. I worked for ten years with clients where the presenting issue was alcohol misuse, however there were many other issues our clients struggled with, such as Depression, Anxiety, Low Self Esteem etc. I have extensive experience of successfully working with clients to make significant changes and to reach their goals. Since leaving this service, I have worked in a variety of therapeutic settings, gaining more and varied experience. I can help with most issues and usually without a need for long term therapy.
01299 667813 View 01299 667813
Photo of Simone Mellor-Clark, Psychotherapist, MSc, MUKCP
Simone Mellor-Clark
Psychotherapist, MSc, MUKCP
Malvern WR14
You might be navigating anxiety, burnout, low mood, relationship challenges, or past trauma. Perhaps you're struggling with boundaries or perfectionism. You could be questioning whether you're neurodivergent (Autistic, ADHD, or AuDHD), processing a late diagnosis, or exhausted from years of masking who you really are. Maybe you're feeling stuck in patterns that no longer serve you, or your nervous system feels constantly in survival mode. There might be shame around feeling "too much" or "not enough". Whatever has brought you here, you don't have to figure it out alone.
You might be navigating anxiety, burnout, low mood, relationship challenges, or past trauma. Perhaps you're struggling with boundaries or perfectionism. You could be questioning whether you're neurodivergent (Autistic, ADHD, or AuDHD), processing a late diagnosis, or exhausted from years of masking who you really are. Maybe you're feeling stuck in patterns that no longer serve you, or your nervous system feels constantly in survival mode. There might be shame around feeling "too much" or "not enough". Whatever has brought you here, you don't have to figure it out alone.
01684 211184 View 01684 211184
Photo of Sarah Hickman, Counsellor, MSc, MBACP
Sarah Hickman
Counsellor, MSc, MBACP
I am an individual counsellor and a Couples and Relationship counsellor. I support clients with anxiety, work-based stress, family issues and parenting. I am also experienced in supporting neurodiverse clients particularly those who have received an diagnosis in adulthood. I offer open-ended sessions, which will allow you to be in control of your own therapy. I would encourage us to regularly review and for you to share things that are working so that the therapy is constantly adapting and is progressing in the most helpful way.
I am an individual counsellor and a Couples and Relationship counsellor. I support clients with anxiety, work-based stress, family issues and parenting. I am also experienced in supporting neurodiverse clients particularly those who have received an diagnosis in adulthood. I offer open-ended sessions, which will allow you to be in control of your own therapy. I would encourage us to regularly review and for you to share things that are working so that the therapy is constantly adapting and is progressing in the most helpful way.
01299 661459 View 01299 661459
Photo of Patricia Ann Bridge, Counsellor, MBACP
Patricia Ann Bridge
Counsellor, MBACP
Do you feel overwhelmed, exhausted, burnout, struggling to concentrate, make decisions. Just a few of what can lead to a loss in confidence, trust issues, low self-esteemovide a safe, confidential, non-judgemental space where you can explore what is on your mind. I am here to support make sense of that and to make any changes you want to move forward. No-one I work with is 'timewaster', no problem is trivial'. If it's important to you, it's important to me. Yes, 'there are people worse off' there always has been, and there always will be, but this isn't about them, it's about you and only you.
Do you feel overwhelmed, exhausted, burnout, struggling to concentrate, make decisions. Just a few of what can lead to a loss in confidence, trust issues, low self-esteemovide a safe, confidential, non-judgemental space where you can explore what is on your mind. I am here to support make sense of that and to make any changes you want to move forward. No-one I work with is 'timewaster', no problem is trivial'. If it's important to you, it's important to me. Yes, 'there are people worse off' there always has been, and there always will be, but this isn't about them, it's about you and only you.
01905 975323 View 01905 975323
Photo of Isabel dosSantos, Counsellor, MBACP
Isabel dosSantos
Counsellor, MBACP
You don’t have to cope with life—you can truly start living. Are you feeling: Overwhelmed? Emotionally depleted? Unable to switch off? With so many demands these days, it’s easy to lose sight of what truly matters. ​ Work, family pressures, and exposure to technology—including social media—can overwhelm our nervous system. ​ Over time, this constant strain makes us reactive and can lead to decisions we later regret. ​​​I can help you break free from this cycle. ​
You don’t have to cope with life—you can truly start living. Are you feeling: Overwhelmed? Emotionally depleted? Unable to switch off? With so many demands these days, it’s easy to lose sight of what truly matters. ​ Work, family pressures, and exposure to technology—including social media—can overwhelm our nervous system. ​ Over time, this constant strain makes us reactive and can lead to decisions we later regret. ​​​I can help you break free from this cycle. ​
01905 950167 View 01905 950167
Photo of Stacey Roberts, Counsellor, MBACP
Stacey Roberts
Counsellor, MBACP
Malvern WR14
Hi, my name is Stacey. I offer honest, down-to-earth counselling for people who want real support, not jargon or judgement. I work in a genuine, human way - showing up as myself and meeting you as you are. Sessions are a safe, relaxed space where you won't have to worry about having the right words or a clear plan, we can figure it out together. My focus is to truly understand what is going on for you, and work alongside you at your own pace, supporting you in a practical, real and compassionate way to get you to where you want to be. My counselling space is safe, comfortable, warm, and always welcoming.
Hi, my name is Stacey. I offer honest, down-to-earth counselling for people who want real support, not jargon or judgement. I work in a genuine, human way - showing up as myself and meeting you as you are. Sessions are a safe, relaxed space where you won't have to worry about having the right words or a clear plan, we can figure it out together. My focus is to truly understand what is going on for you, and work alongside you at your own pace, supporting you in a practical, real and compassionate way to get you to where you want to be. My counselling space is safe, comfortable, warm, and always welcoming.
01684 215955 View 01684 215955
Photo of Emma Tate, Counsellor, MBACP
Emma Tate
Counsellor, MBACP
Malvern WR14
Hello I'm Emma, an Integrative psychotherapeutic counsellor, offering online and face to face weekly sessions from a garden room. Experiencing myself how therapy supports the most difficult times in life, I come alongside you, and together we can take the steps which are most important to you. Whether it's the pain of grief, loss, trauma, anxiety, depression or you just feel lost or in a rut. Stuck in a cycle of unhealthy relationships, or patterns of behaviour that you want to change. I believe there are times we all need support to understand ourselves and look at how we perceive a changing world and where we fit into it.
Hello I'm Emma, an Integrative psychotherapeutic counsellor, offering online and face to face weekly sessions from a garden room. Experiencing myself how therapy supports the most difficult times in life, I come alongside you, and together we can take the steps which are most important to you. Whether it's the pain of grief, loss, trauma, anxiety, depression or you just feel lost or in a rut. Stuck in a cycle of unhealthy relationships, or patterns of behaviour that you want to change. I believe there are times we all need support to understand ourselves and look at how we perceive a changing world and where we fit into it.
01442 974597 View 01442 974597

See more therapy options for Worcestershire

How does your Counsellor compare?

Number of Counsellors in Worcestershire

200+

Average cost per session

£60

Counsellors in Worcestershire who prioritize treating:

94% Anxiety
90% Depression
83% Self Esteem
82% Stress
79% Relationship Issues
67% Bereavement
64% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

73% Aviva
67% Bupa
63% AXA PPP

How Counsellors in Worcestershire see their clients

87% In Person and Online
13% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Worcestershire?

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.