Photo of Dr Matthew Perkins, Psychologist in EX2, England
Dr Matthew Perkins
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Exeter EX2  (Online Only)
Are you struggling with the demands of life or maybe something that has happened that has had an impact on you? Taking the first step to getting help can be both a difficult and scary experience. Together, we can make sense of the difficulties that you are experiencing and think together about what you'd like to change and with my guidance we can think about how you can achieve this.
Are you struggling with the demands of life or maybe something that has happened that has had an impact on you? Taking the first step to getting help can be both a difficult and scary experience. Together, we can make sense of the difficulties that you are experiencing and think together about what you'd like to change and with my guidance we can think about how you can achieve this.
01392 321771 View 01392 321771
Photo of Dr Rebecca Evans, Psychologist in EX2, England
Dr Rebecca Evans
Psychologist, PsychD, HCPC - Health Psych.
Verified Verified
Hello, I am Becky a HCPC registered Applied Health Psychologist. I am trained in person-centred care, CBT, CFT, ACT, DBT, systemic and narrative therapy. I have supported people with chronic pain, neurodiversity, weight management, trauma, relationship difficulties and memory difficulties. I am an integrative psychologist, thus I use a range of different models and skills to meet the needs of each individual. I have worked with young children up to older adults. I have seen people individually, in couples or as a family. I have helped clients explore their struggles with anxiety, self-esteem, low-mood, bullying, bereavement, & loss.
Hello, I am Becky a HCPC registered Applied Health Psychologist. I am trained in person-centred care, CBT, CFT, ACT, DBT, systemic and narrative therapy. I have supported people with chronic pain, neurodiversity, weight management, trauma, relationship difficulties and memory difficulties. I am an integrative psychologist, thus I use a range of different models and skills to meet the needs of each individual. I have worked with young children up to older adults. I have seen people individually, in couples or as a family. I have helped clients explore their struggles with anxiety, self-esteem, low-mood, bullying, bereavement, & loss.
01392 321410 View 01392 321410
Photo of James Vincent Cullen, Counsellor in EX2, England
James Vincent Cullen
Counsellor, MA, MBACP
Verified Verified
Hello. I am James. I am a highly trained, qualified, and BACP registered therapist. If you are on this page it is probably because you are looking for support to make changes in your experience of life. Maybe you want to stop feeling depressed or anxious, overcome trauma, gain confidence, and grow. Whatever changes you are hoping for, I can support you in your process. Choosing a therapist can be really difficult. There are so many to choose from. I hope this page will give you a sense of me and how I work. I offer a free initial trial session as a way for you to get a feel for whether I am the right therapist for you.
Hello. I am James. I am a highly trained, qualified, and BACP registered therapist. If you are on this page it is probably because you are looking for support to make changes in your experience of life. Maybe you want to stop feeling depressed or anxious, overcome trauma, gain confidence, and grow. Whatever changes you are hoping for, I can support you in your process. Choosing a therapist can be really difficult. There are so many to choose from. I hope this page will give you a sense of me and how I work. I offer a free initial trial session as a way for you to get a feel for whether I am the right therapist for you.
01647 403936 View 01647 403936
Photo of Two's-Talking Counselling & Supervision Service, Counsellor in EX2, England
Two's-Talking Counselling & Supervision Service
Counsellor, MBACP
Verified Verified
1 Endorsed
My name is Debbie and I am a registered therapist with BACP and NCS. I offer counselling face to face, online or via a telephone service. I work with person/s over the age of eight years old. I can help you with stress, anxiety/depression, anger, bereavement, relationships, abuse and couple's therapy. I understand you want to see a therapist as soon as you make that decision to do so. I will validate your feelings and i will acknowledge how distressing you are experiencing your life right now. I want to help you and I aim to see you within 7 working days. My goal is to get you to where you want to be.
My name is Debbie and I am a registered therapist with BACP and NCS. I offer counselling face to face, online or via a telephone service. I work with person/s over the age of eight years old. I can help you with stress, anxiety/depression, anger, bereavement, relationships, abuse and couple's therapy. I understand you want to see a therapist as soon as you make that decision to do so. I will validate your feelings and i will acknowledge how distressing you are experiencing your life right now. I want to help you and I aim to see you within 7 working days. My goal is to get you to where you want to be.
01392 690620 View 01392 690620
Photo of Kate Morrish Transform Exeter, Counsellor in EX2, England
Kate Morrish Transform Exeter
Counsellor, MBACP
Verified Verified
1 Endorsed
I treat every client as the unique individual they are & I embrace diversity and inclusion, so no matter your background or issues I welcome enquiries from all individuals. Relational depth is at the core of everything I do. We will develop this so you feel respected, accepted, comfortable, safe and secure to share knowing that I will always hold you & have your best interests at the heart of everything we do. You will not be judged & we will build trust which will allow you to explore your difficulties in a confidential and supportive setting. Therapy will be specifically tailored to suit you, paying attention to the mind & body.
I treat every client as the unique individual they are & I embrace diversity and inclusion, so no matter your background or issues I welcome enquiries from all individuals. Relational depth is at the core of everything I do. We will develop this so you feel respected, accepted, comfortable, safe and secure to share knowing that I will always hold you & have your best interests at the heart of everything we do. You will not be judged & we will build trust which will allow you to explore your difficulties in a confidential and supportive setting. Therapy will be specifically tailored to suit you, paying attention to the mind & body.
01392 321340 View 01392 321340
Photo of Rea Pearson, Psychotherapist in EX2, England
Rea Pearson
Psychotherapist, MBACP Accred
Verified Verified
Experienced & BACP Accredited, sex-positive Gender, Sexuality & Relationship Diversity (GSRD) therapist working with LGBTQIA+ people. Knowledgable about gender, sexuality, transitioning, polyamory, consensual & ethical non-monogamy (CNM/ENM), open relationships, kink, BDSM, D/s, fetishes, sexual Issues, sex workers, swinging, munches, and sex parties. All genders and sexualities welcome. I support people with opening up relationships, or who are into, or experimenting with, kinks or power play. I also see a lot of trans and non-binary clients. I am a fully qualified sex therapist so can help with most sexual issues.
Experienced & BACP Accredited, sex-positive Gender, Sexuality & Relationship Diversity (GSRD) therapist working with LGBTQIA+ people. Knowledgable about gender, sexuality, transitioning, polyamory, consensual & ethical non-monogamy (CNM/ENM), open relationships, kink, BDSM, D/s, fetishes, sexual Issues, sex workers, swinging, munches, and sex parties. All genders and sexualities welcome. I support people with opening up relationships, or who are into, or experimenting with, kinks or power play. I also see a lot of trans and non-binary clients. I am a fully qualified sex therapist so can help with most sexual issues.
01392 531579 View 01392 531579
Photo of Bridget Beresford, Counsellor in EX2, England
Bridget Beresford
Counsellor, MA, MBACP
Verified Verified
Exeter EX2  (Online Only)
I am a counsellor working with clients via an online platform. I work compassionately, supportively, empathetically, and professionally. I firmly believe that above all else, a quality alliance is the foundation for all therapeutic work. I warmly welcome you and will hold a safe, non-judgemental space for you to be curious, and to explore those areas which are important to you.
I am a counsellor working with clients via an online platform. I work compassionately, supportively, empathetically, and professionally. I firmly believe that above all else, a quality alliance is the foundation for all therapeutic work. I warmly welcome you and will hold a safe, non-judgemental space for you to be curious, and to explore those areas which are important to you.
01392 321532 View 01392 321532
Photo of Paul Brennan, Counsellor in EX2, England
Paul Brennan
Counsellor, MBACP
Verified Verified
I offer both in person and online support for people experiencing grief, loss or struggling with change. This can be bereavement, loss of a job, end of a relationship or simply feeling a bit lost in life itself. I also work with men's issues as well as LGBT concerns. I offer a safe, confidential and non-judgemental space to unpack issues, explore your feelings and better understand what is going on for you. You may be feeling lost, anxious, uncertain or scared. That's understandable. That's okay. Considering counselling is a brave step. Well done for coming this far. Let's work together to try and find a way forward for you.
I offer both in person and online support for people experiencing grief, loss or struggling with change. This can be bereavement, loss of a job, end of a relationship or simply feeling a bit lost in life itself. I also work with men's issues as well as LGBT concerns. I offer a safe, confidential and non-judgemental space to unpack issues, explore your feelings and better understand what is going on for you. You may be feeling lost, anxious, uncertain or scared. That's understandable. That's okay. Considering counselling is a brave step. Well done for coming this far. Let's work together to try and find a way forward for you.
07710 299651 View 07710 299651
Photo of Jo Daley, Counsellor in EX2, England
Jo Daley
Counsellor, MBACP
Verified Verified
With over ten years experience, I work with people to navigate a wide range of life issues, developing long lasting coping mechanisms for overcoming challenging times. I specialise in relationship issues, family conflict, domestic abuse, childhood trauma, childhood sexual abuse and adult sexual abuse. I incorporate mindfulness, guided meditation, and inner child work to support the exploration, understanding and release of deep-rooted emotions and patterns. My practice is socially conscious, and I am experienced working within diversity.
With over ten years experience, I work with people to navigate a wide range of life issues, developing long lasting coping mechanisms for overcoming challenging times. I specialise in relationship issues, family conflict, domestic abuse, childhood trauma, childhood sexual abuse and adult sexual abuse. I incorporate mindfulness, guided meditation, and inner child work to support the exploration, understanding and release of deep-rooted emotions and patterns. My practice is socially conscious, and I am experienced working within diversity.
01647 401643 View 01647 401643
Photo of James Pegg, Counsellor in EX2, England
James Pegg
Counsellor, DCounsPsych, MNCPS Acc.
Verified Verified
1 Endorsed
Do you struggle with anxiety, depression, low mood or are feeling stressed or overwhelmed, call for a free initial session. I am an experienced counsellor with proven success in helping people navigate these issues and get to a better place. My name is James and I am a male counsellor based in Exeter. I am here to support you with a whole range of issues that you may be dealing with, such as stress, anxiety, depression, grief and/or relationships to name but a few. I also have extensive experience working with LGBTQ+ clients.
Do you struggle with anxiety, depression, low mood or are feeling stressed or overwhelmed, call for a free initial session. I am an experienced counsellor with proven success in helping people navigate these issues and get to a better place. My name is James and I am a male counsellor based in Exeter. I am here to support you with a whole range of issues that you may be dealing with, such as stress, anxiety, depression, grief and/or relationships to name but a few. I also have extensive experience working with LGBTQ+ clients.
01392 321369 View 01392 321369
Photo of Cliodhna O Leary, Psychologist in EX2, England
Cliodhna O Leary
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Exeter EX2  (Online Only)
I am a qualified clinical psychologist with 9 years experience supporting people with mental health difficulties in the NHS. My aim when supporting someone is to hear their story & help build an understanding of who they are & what they would like to work on. My hope is to provide a safe space for people to explore their difficulties and move towards their goals. If you would like to learn more about yourself, your experiences and why you think and feel the way you do, I would like to support you on this journey.
I am a qualified clinical psychologist with 9 years experience supporting people with mental health difficulties in the NHS. My aim when supporting someone is to hear their story & help build an understanding of who they are & what they would like to work on. My hope is to provide a safe space for people to explore their difficulties and move towards their goals. If you would like to learn more about yourself, your experiences and why you think and feel the way you do, I would like to support you on this journey.
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Photo of Darline Joseph Marianathan, Psychotherapist in EX2, England
Darline Joseph Marianathan
Psychotherapist, MUKCP
Verified Verified
Life can be a rough ride. Keeping the balance and moving forward can be a challenge. It can involve stress, anxiety, depression and much more. But I believe through psychological therapies we can learn and, in some cases even master, the art of managing life successfully. To achieve this, I practise an integrative approach that draws strength from various therapies in the field. I am a qualified Psychotherapist at a Doctoral level and I feel confident to deal with complexity . My natural inclination is to help people in need. My recent training and qualifications do enhance my inclination especially to those psychologically unwell.
Life can be a rough ride. Keeping the balance and moving forward can be a challenge. It can involve stress, anxiety, depression and much more. But I believe through psychological therapies we can learn and, in some cases even master, the art of managing life successfully. To achieve this, I practise an integrative approach that draws strength from various therapies in the field. I am a qualified Psychotherapist at a Doctoral level and I feel confident to deal with complexity . My natural inclination is to help people in need. My recent training and qualifications do enhance my inclination especially to those psychologically unwell.
01837 512340 View 01837 512340
Photo of This Is Me Psychology, Psychologist in EX2, England
This Is Me Psychology
Psychologist, HCPC - Clin. Psych.
Verified Verified
This Is Me Psychology supports people to recognise, understand and embrace their Autistic identity to help them to thrive. We aim to bridge the gap between Neurodivergent people and those who are Neurotypical by helping them to gain the best possible understanding of each other’s perspectives. We use a neuro-affirming approach to support people with their own individual goals based on their specific needs and aspirations. We work holistically with people of all ages, including key family members and/or professionals as part of the work where useful.
This Is Me Psychology supports people to recognise, understand and embrace their Autistic identity to help them to thrive. We aim to bridge the gap between Neurodivergent people and those who are Neurotypical by helping them to gain the best possible understanding of each other’s perspectives. We use a neuro-affirming approach to support people with their own individual goals based on their specific needs and aspirations. We work holistically with people of all ages, including key family members and/or professionals as part of the work where useful.
01626 247644 View 01626 247644
Photo of Philippa Joy Goddard, Counsellor in EX2, England
Philippa Joy Goddard
Counsellor, MBACP
Verified Verified
I believe that life is a gift; yet, at times, it can feel quite the opposite. Sometimes, we can feel overwhelmed by our difficulties. ​Often, a trained, non-judgmental and objective ear can help order one's thoughts, challenge ingrained patterns of behaviour, and manage emotions. 
I believe that life is a gift; yet, at times, it can feel quite the opposite. Sometimes, we can feel overwhelmed by our difficulties. ​Often, a trained, non-judgmental and objective ear can help order one's thoughts, challenge ingrained patterns of behaviour, and manage emotions. 
01572 498987 View 01572 498987
Photo of Anne-Marie Lorenzo, Counsellor in EX2, England
Anne-Marie Lorenzo
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Hi, thank you for visiting my profile. Approaching counselling can feel scary & overwhelming, like opening a can of worms. As part of my training, I too had to open that can with great trepidation. However, a counsellor can help you safely sift through rather than spill them all out in one chaotic, squirming mess. You are in control of your story. I see my job as helping you to "unpack" and explore your past and present. I have a wealth of lived experiences that have brought me to where I am today, and I am passionate about the empowerment, healing and personal growth that the counselling relationship can bring - human or canine!
Hi, thank you for visiting my profile. Approaching counselling can feel scary & overwhelming, like opening a can of worms. As part of my training, I too had to open that can with great trepidation. However, a counsellor can help you safely sift through rather than spill them all out in one chaotic, squirming mess. You are in control of your story. I see my job as helping you to "unpack" and explore your past and present. I have a wealth of lived experiences that have brought me to where I am today, and I am passionate about the empowerment, healing and personal growth that the counselling relationship can bring - human or canine!
01392 321719 View 01392 321719
Photo of Catherine C Davies, Psychotherapist in EX2, England
Catherine C Davies
Psychotherapist, MBACP Accred
Verified Verified
Exeter EX2  (Online Only)
Not accepting new clients
I specialise in the field of unresolved grief, loss, overwhelm and trauma. I offer EMDR therapy to clients who seek to fulfil their potential away from painful life events, overwhelming and challenging personal and professional stressors. I have experience in treating single or complex traumas alongside supporting the emotional wellbeing of any individuals at high risk of stress, anxiety and chronic career pressures. Over the last sixteen years as an integrative psychotherapist, supervisor and clinical lead in a busy NHS environment, I have also experienced a broad spectrum of clients' concerns and struggles.
I specialise in the field of unresolved grief, loss, overwhelm and trauma. I offer EMDR therapy to clients who seek to fulfil their potential away from painful life events, overwhelming and challenging personal and professional stressors. I have experience in treating single or complex traumas alongside supporting the emotional wellbeing of any individuals at high risk of stress, anxiety and chronic career pressures. Over the last sixteen years as an integrative psychotherapist, supervisor and clinical lead in a busy NHS environment, I have also experienced a broad spectrum of clients' concerns and struggles.
01392 573808 View 01392 573808
Photo of Heather Beveridge, Counsellor in EX2, England
Heather Beveridge
Counsellor, MSc, MNCPS Acc.
Verified Verified
Is your life overwhelming? Is your mental health suffering?Do you feel that you need to offload and share whatever difficulties you may be facing? Are you are looking for a counsellor or psychotherapist that actively listens and understands? I am an experienced mental health practitioners and here to help. Sometimes children and young people get stuck and need a little help too. I also have a great deal of experience working with children and young people. When your child is struggling, trying to get help can feel an impossible task. I offer creative therapy without the stress of a long waiting list.
Is your life overwhelming? Is your mental health suffering?Do you feel that you need to offload and share whatever difficulties you may be facing? Are you are looking for a counsellor or psychotherapist that actively listens and understands? I am an experienced mental health practitioners and here to help. Sometimes children and young people get stuck and need a little help too. I also have a great deal of experience working with children and young people. When your child is struggling, trying to get help can feel an impossible task. I offer creative therapy without the stress of a long waiting list.
01392 321603 View 01392 321603
Photo of Jess Harrison, Counsellor in EX2, England
Jess Harrison
Counsellor, MBACP
Verified Verified
As well as online video apps, I work face to face with adults, young people (11+) and couples. Sometimes friends or family are unable to support you so an impartial professional can really help. Powerlessness, change, loneliness, grief and anxiety are just a few of the overwhelming feelings many are experiencing. There is no need to be alone in this. Call for a chat to see if, together, we can find a way forward.
As well as online video apps, I work face to face with adults, young people (11+) and couples. Sometimes friends or family are unable to support you so an impartial professional can really help. Powerlessness, change, loneliness, grief and anxiety are just a few of the overwhelming feelings many are experiencing. There is no need to be alone in this. Call for a chat to see if, together, we can find a way forward.
01392 549041 View 01392 549041
Photo of Lauren Elliott Vincent, Counsellor in EX2, England
Lauren Elliott Vincent
Counsellor, MBACP Accred
Verified Verified
2 Endorsed
I have a lot of life experience and understanding of the importance of life and the struggles we all face, through my own trials and professional workings. ​ ​I am an Integrative Counsellor, which means I'm able to draw on a variety of methods and techniques to best assist you maintaining very relaxed, patient led sessions giving you the opportunity to grow and develop as best you can, helping you to help yourself. I work in a variety of ways to help you feel comfortable and open up in a safe space. My approach is based on working in the here and now looking at whats going on for you whilst also paying attention to unfinished cycles
I have a lot of life experience and understanding of the importance of life and the struggles we all face, through my own trials and professional workings. ​ ​I am an Integrative Counsellor, which means I'm able to draw on a variety of methods and techniques to best assist you maintaining very relaxed, patient led sessions giving you the opportunity to grow and develop as best you can, helping you to help yourself. I work in a variety of ways to help you feel comfortable and open up in a safe space. My approach is based on working in the here and now looking at whats going on for you whilst also paying attention to unfinished cycles
01392 573768 View 01392 573768
Photo of Hayley Moll - Acorn to Oak Therapy , Psychotherapist in EX2, England
Hayley Moll - Acorn to Oak Therapy
Psychotherapist, MBACP
Verified Verified
I'm Hayley, an intuitive and compassionate Therapist. I specialise in any relationship/communication issues, self confidence & self esteem. When difficulties, loss and breakdowns happen in our relationships. It can affect our well-being and ability to function. I am a fully registered member of the BACP. I have a range of experience working for a local mental health charity and with the NHS.
I'm Hayley, an intuitive and compassionate Therapist. I specialise in any relationship/communication issues, self confidence & self esteem. When difficulties, loss and breakdowns happen in our relationships. It can affect our well-being and ability to function. I am a fully registered member of the BACP. I have a range of experience working for a local mental health charity and with the NHS.
01392 321916 View 01392 321916

See more therapy options for EX2

How does your Counsellor compare?

Number of Counsellors in EX2

50+

Average cost per session

£55

Counsellors in EX2 who prioritize treating:

92% Depression
91% Anxiety
89% Self Esteem
89% Stress
87% Relationship Issues
68% Family Conflict
66% Bereavement

Average years in practice

7 Years

Top 3 insurances accepted

44% Aviva
44% Vitality
33% Aetna

How Counsellors in EX2 see their clients

89% In Person and Online
11% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in EX2?

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.