Counselling in GU20

Photo of Karen Gubb, Psychologist, PhD, CPsychol
Karen Gubb
Psychologist, PhD, CPsychol
I am a Clinical Psychologist with more than 20 years of experience. I work with adults who are struggling with a wide range of difficulties including depression, anxiety, personality disorders, bipolar disorder, trauma, bereavement and relationship struggles. I also enjoy working with individuals who might not be presented with a psychiatric difficulty but want to look at the patterns in their lives in the interest of making some profound changes.
I am a Clinical Psychologist with more than 20 years of experience. I work with adults who are struggling with a wide range of difficulties including depression, anxiety, personality disorders, bipolar disorder, trauma, bereavement and relationship struggles. I also enjoy working with individuals who might not be presented with a psychiatric difficulty but want to look at the patterns in their lives in the interest of making some profound changes.
01344 964136 View 01344 964136
Photo of Lisa Prentice - By Your Side Therapy, Counsellor, MBACP
By Your Side Therapy
Counsellor, MBACP
Serves Area
Life can offer wonderful experiences, but it can also present challenges that can be difficult to manage. Similarly, the people in our lives can bring us joy but relationships can be stressful and can leave us feeling overwhelmed. Navigating life's journey isn't always straightforward, and discovering our own path can be difficult. Sometimes we may need help in order to make sense of it all, this is where I can support you.
Life can offer wonderful experiences, but it can also present challenges that can be difficult to manage. Similarly, the people in our lives can bring us joy but relationships can be stressful and can leave us feeling overwhelmed. Navigating life's journey isn't always straightforward, and discovering our own path can be difficult. Sometimes we may need help in order to make sense of it all, this is where I can support you.
01344 959679 View 01344 959679
Photo of Emma Irwin, Counsellor, MBACP
Emma Irwin
Counsellor, MBACP
1 Endorsed
Serves Area
It can feel dauting looking for the right counsellor but I’m passionate about helping you achieve your end goal. I’ll listen to you with understanding and kindness – which can be hard to give to ourselves - in confidence; with no judgement. You can tell me as much – or as little – as you like at your pace. Together, we can work through whatever's troubling you and find the right resolution for you. Whatever you want, the relationship between us is key so I offer a FREE initial 15-minute telephone consultation. I provide affordable counselling; your mental health is important to me, so that your life can become more fulfilled.
It can feel dauting looking for the right counsellor but I’m passionate about helping you achieve your end goal. I’ll listen to you with understanding and kindness – which can be hard to give to ourselves - in confidence; with no judgement. You can tell me as much – or as little – as you like at your pace. Together, we can work through whatever's troubling you and find the right resolution for you. Whatever you want, the relationship between us is key so I offer a FREE initial 15-minute telephone consultation. I provide affordable counselling; your mental health is important to me, so that your life can become more fulfilled.
01252 412605 View 01252 412605
Photo of Gordon Michael Skone - Gordon Michael Counselling, Counsellor, MBACP
Gordon Michael Counselling
Counsellor, MBACP
1 Endorsed
Serves Area
I work with adults who feel overwhelmed by life, work, or past experiences. You may be struggling with anxiety or depression, feeling burnt out, grieving, or stuck in patterns that no longer make sense. Often people I work with appear to be coping on the outside, while inside they feel exhausted, anxious, low, or disconnected from themselves. I offer a calm, safe, and supportive space where you can slow down and feel truly heard. Therapy with me is not about instant solutions or being told what to do. It is about understanding your feelings, gaining clarity, and creating meaningful and lasting change at your own pace.
I work with adults who feel overwhelmed by life, work, or past experiences. You may be struggling with anxiety or depression, feeling burnt out, grieving, or stuck in patterns that no longer make sense. Often people I work with appear to be coping on the outside, while inside they feel exhausted, anxious, low, or disconnected from themselves. I offer a calm, safe, and supportive space where you can slow down and feel truly heard. Therapy with me is not about instant solutions or being told what to do. It is about understanding your feelings, gaining clarity, and creating meaningful and lasting change at your own pace.
07777 101373 View 07777 101373
Photo of Colleen Shelswell, Psychotherapist, DCounsPsych, MBACP Accred
Colleen Shelswell
Psychotherapist, DCounsPsych, MBACP Accred
1 Endorsed
Serves Area
Hello, my name is Colleen. I am an EMDR Trauma therapist. Are you experiencing Trauma? Anxiety or self-esteem, work & life stresses or attachment issues? Trauma from, sexual abuse, or childhood. Irrespective or age, diversity or differing cultural backgrounds. My calm & professional style of working will help you to discover & understand what unconscious habits need to change & how you can change them. Empowering you to move away from some behaviours, and find a more positive way of making sense of your thoughts & what you may be feeling. Get in touch today and allow me to help you to get back in control of a happier future.
Hello, my name is Colleen. I am an EMDR Trauma therapist. Are you experiencing Trauma? Anxiety or self-esteem, work & life stresses or attachment issues? Trauma from, sexual abuse, or childhood. Irrespective or age, diversity or differing cultural backgrounds. My calm & professional style of working will help you to discover & understand what unconscious habits need to change & how you can change them. Empowering you to move away from some behaviours, and find a more positive way of making sense of your thoughts & what you may be feeling. Get in touch today and allow me to help you to get back in control of a happier future.
01276 740123 View 01276 740123
Photo of Angela Browne, Psychotherapist, DCounsPsych, MUKCP
Angela Browne
Psychotherapist, DCounsPsych, MUKCP
1 Endorsed
Serves Area
Transform your life and navigate life's challenges with the support of a caring ally who is committed to your well-being. MindfulTransformation. Together we can create a space to explore your needs in a way that feels right for you. Therapy allows us to make sense of our feelings, behaviours and daily challenges, so we can overcome them with confidence and understanding. Anxiety, depression, self-esteem, relationship issues with partners, friends, our careers and most importantly with ourselves, are all important challenges we face in our lives. Navigating them is not always easy. I can help you with this and more.
Transform your life and navigate life's challenges with the support of a caring ally who is committed to your well-being. MindfulTransformation. Together we can create a space to explore your needs in a way that feels right for you. Therapy allows us to make sense of our feelings, behaviours and daily challenges, so we can overcome them with confidence and understanding. Anxiety, depression, self-esteem, relationship issues with partners, friends, our careers and most importantly with ourselves, are all important challenges we face in our lives. Navigating them is not always easy. I can help you with this and more.
01372 233780 View 01372 233780
Photo of Helen Heath, Counsellor, MNCPS Acc.
Helen Heath
Counsellor, MNCPS Acc.
Serves Area
Are you finding it difficult to cope right now? It could be that your lifestyle is stressful, with work and/or family pressures. Have you suffered trauma or loss in your life that you are struggling to work through? Finding a counsellor isn't difficult, but finding the right counsellor and asking for help isn't always so easy. Trust your instinct and choose someone whose words you connect with. If you are struggling with stress (inc Work Stress), anxiety (inc. social anxiety), self esteem, domestic abuse (emotional, physical and sexual) or grief, contact me to book a free 20/30 min consultation to see if I can help.
Are you finding it difficult to cope right now? It could be that your lifestyle is stressful, with work and/or family pressures. Have you suffered trauma or loss in your life that you are struggling to work through? Finding a counsellor isn't difficult, but finding the right counsellor and asking for help isn't always so easy. Trust your instinct and choose someone whose words you connect with. If you are struggling with stress (inc Work Stress), anxiety (inc. social anxiety), self esteem, domestic abuse (emotional, physical and sexual) or grief, contact me to book a free 20/30 min consultation to see if I can help.
01276 543770 View 01276 543770
Photo of Donna Arnold-Jones - Donna Arnold-Jones Counselling & Supervision, Counsellor, MBACP Accred
Donna Arnold-Jones Counselling & Supervision
Counsellor, MBACP Accred
Serves Area
A cuppa and chat with friends can often provide exactly what we need when facing difficulties in life… But what if friends’ well-intended advice just isn’t working this time? Maybe it's time for you to see if counselling can help. Hello, my name is Donna and I’m a qualified, experienced Counsellor; I offer you a compassionate, common-sense and theoretically based approach to help you explore what is troubling you. I provide short and long-term therapy, tailored to your needs. I look forward to working with you.
A cuppa and chat with friends can often provide exactly what we need when facing difficulties in life… But what if friends’ well-intended advice just isn’t working this time? Maybe it's time for you to see if counselling can help. Hello, my name is Donna and I’m a qualified, experienced Counsellor; I offer you a compassionate, common-sense and theoretically based approach to help you explore what is troubling you. I provide short and long-term therapy, tailored to your needs. I look forward to working with you.
01483 937772 View 01483 937772

More Therapists Nearby

Photo of Samantha Pyser, Counsellor, MBACP
Samantha Pyser
Counsellor, MBACP
London N3
I am a qualified Psychodynamic Integrative Therapist with extensive experience enhanced by my work at Mind, where I provide support for various mental health challenges. My areas of expertise include anxiety, depression, trauma, bereavement, relationship concerns, and other emotional difficulties that may be affecting your well-being.
I am a qualified Psychodynamic Integrative Therapist with extensive experience enhanced by my work at Mind, where I provide support for various mental health challenges. My areas of expertise include anxiety, depression, trauma, bereavement, relationship concerns, and other emotional difficulties that may be affecting your well-being.
020 4538 8489 View 020 4538 8489
Photo of Kei Lawford, Counsellor, DCounsPsych, MBACP
Kei Lawford
Counsellor, DCounsPsych, MBACP
1 Endorsed
London SW6
Sometimes the way we feel and respond to events in our lives doesn't fit with how we see ourselves and how we ought to behave. What can seem like a never-ending battle to be better, do more, think more positively and ultimately be happier can leave us more isolated and exhausted. My space is dedicated to helping you give voice to what is happening in your life safely and confidentially. As self-exploration can bring up unexpected feelings, I'm here to support you in that process.
Sometimes the way we feel and respond to events in our lives doesn't fit with how we see ourselves and how we ought to behave. What can seem like a never-ending battle to be better, do more, think more positively and ultimately be happier can leave us more isolated and exhausted. My space is dedicated to helping you give voice to what is happening in your life safely and confidentially. As self-exploration can bring up unexpected feelings, I'm here to support you in that process.
020 3872 5254 View 020 3872 5254
Photo of Denise Bevan, Psychologist, HCPC - Clin. Psych.
Denise Bevan
Psychologist, HCPC - Clin. Psych.
London W1G
We all experience challenges to our emotional wellbeing at times, it may be in response to work stress, becoming a parent, developing a long-term heath condition, entering perimenopause, or a multitude of other life experiences. This can be hugely destabilising, and it can feel hard to get support as it can often look to the external world that we are coping or that we have it all. I create a space to explore these experiences, help clients feel grounded, and working together we navigate the path towards their future self.
We all experience challenges to our emotional wellbeing at times, it may be in response to work stress, becoming a parent, developing a long-term heath condition, entering perimenopause, or a multitude of other life experiences. This can be hugely destabilising, and it can feel hard to get support as it can often look to the external world that we are coping or that we have it all. I create a space to explore these experiences, help clients feel grounded, and working together we navigate the path towards their future self.
01702 655424 View 01702 655424
Photo of Bhavna Jaiswal, Psychologist, PhD, CPsychol
Bhavna Jaiswal
Psychologist, PhD, CPsychol
I am a Chartered Psychologist with over 20 years of counselling experience, supporting children, couples, young adults, and older people. I have worked with thousands of individuals from diverse cultural, religious, and socio-economic backgrounds facing challenges such as stress, motivation, and relationship issues. My integrative approach means I adapt therapy to your unique needs—because no single method suits all. Together we will explore every aspect of your well-being to create a personalised path that helps you regain clarity, resilience, and balance.
I am a Chartered Psychologist with over 20 years of counselling experience, supporting children, couples, young adults, and older people. I have worked with thousands of individuals from diverse cultural, religious, and socio-economic backgrounds facing challenges such as stress, motivation, and relationship issues. My integrative approach means I adapt therapy to your unique needs—because no single method suits all. Together we will explore every aspect of your well-being to create a personalised path that helps you regain clarity, resilience, and balance.
020 8106 5208 View 020 8106 5208
Photo of Mirek Polanowski - Attachment Trauma Therapy Clinic, Psychotherapist, MA, MBACP Accred
Attachment Trauma Therapy Clinic
Psychotherapist, MA, MBACP Accred
London SE1
Hi. I’m Mirek. Some people seek help because they experience a variety of emotional challenges (e.g. depression, anxiety, addictive tendencies, issues within relationships, unhelpful patterns of relating, and they want to feel better. Counselling and psychotherapy can help with it, but most importantly it can help with changing internal landscapes so that we then better understand how we function and have an idea where our troubles come from. Knowing that it is then easier to manage ourselves with anything that live throws at us. There is nothing better than a sense of freedom from old unhealthy patterns of relating!
Hi. I’m Mirek. Some people seek help because they experience a variety of emotional challenges (e.g. depression, anxiety, addictive tendencies, issues within relationships, unhelpful patterns of relating, and they want to feel better. Counselling and psychotherapy can help with it, but most importantly it can help with changing internal landscapes so that we then better understand how we function and have an idea where our troubles come from. Knowing that it is then easier to manage ourselves with anything that live throws at us. There is nothing better than a sense of freedom from old unhealthy patterns of relating!
020 3974 2015 View 020 3974 2015
Photo of Silvia Pellanda, Psychotherapist, MUKCP
Silvia Pellanda
Psychotherapist, MUKCP
1 Endorsed
London SW1W
Hello, and welcome to my page. I am a Transactional Analysis psychotherapist. I work in a relational framework, both short and long-term. Occasionally, we need extra support for this to happen, and this is where our work will start. It all sounds easy, yet having the courage to begin therapy might be one of the most challenging steps you will take. In my practice, I offer a safe, non-judgmental space where you can explore the issues that make you feel anxious and distressed.
Hello, and welcome to my page. I am a Transactional Analysis psychotherapist. I work in a relational framework, both short and long-term. Occasionally, we need extra support for this to happen, and this is where our work will start. It all sounds easy, yet having the courage to begin therapy might be one of the most challenging steps you will take. In my practice, I offer a safe, non-judgmental space where you can explore the issues that make you feel anxious and distressed.
020 7101 2692 View 020 7101 2692
Photo of Nicole Holland - Heard Therapy, Psychotherapist, DCounsPsych, MNCPS Acc.
Heard Therapy
Psychotherapist, DCounsPsych, MNCPS Acc.
Horley RH6
Are you struggling with symptoms of perimenopause or menopause? I specialise in supporting women through perimenopause and menopause, helping clients navigate mood changes, anxiety, sleep issues, and life transitions related to hormonal shifts. My approach is compassionate, collaborative, and evidence-based, offering a space where your experiences are understood and taken seriously. Therapy is offered in a way to suit you - online, face-to-face or walking therapy
Are you struggling with symptoms of perimenopause or menopause? I specialise in supporting women through perimenopause and menopause, helping clients navigate mood changes, anxiety, sleep issues, and life transitions related to hormonal shifts. My approach is compassionate, collaborative, and evidence-based, offering a space where your experiences are understood and taken seriously. Therapy is offered in a way to suit you - online, face-to-face or walking therapy
01737 924921 View 01737 924921
Photo of Bradley Reback, Counsellor, MBACP
Bradley Reback
Counsellor, MBACP
Welcome. Life can feel heavy or confusing, especially when you are carrying more than others realise. If you feel lost or stuck, therapy can offer space to slow down and reconnect with your true self. Reaching out takes courage, and even searching for the right therapist is already an act of self-care. As a BACP registered and highly trained therapist I offer in person or online sessions, whatever works best for you. This is a confidential and fully accepting space to feel understood and move towards something lighter.
Welcome. Life can feel heavy or confusing, especially when you are carrying more than others realise. If you feel lost or stuck, therapy can offer space to slow down and reconnect with your true self. Reaching out takes courage, and even searching for the right therapist is already an act of self-care. As a BACP registered and highly trained therapist I offer in person or online sessions, whatever works best for you. This is a confidential and fully accepting space to feel understood and move towards something lighter.
020 4634 3085 View 020 4634 3085
Photo of Mark Bailey, Psychotherapist, MUKCP
Mark Bailey
Psychotherapist, MUKCP
London W1B
I am a UKCP Registered Clinical Psychotherapist and have been in Clinical Practice since 2003. I am down to earth, friendly and believe therapy is a collaborative process - my job is to help you find in a way that works for you not somebody else. No one type of therapy suits everyone so I deliberately integrate a number of approaches into my work to suit each individual's needs. I know life can be tough and sometimes overwhelming so offer a place where we can talk about what is most difficult so we can make sense of it for you. I offer in person and online therapy (using Zoom or Teams).
I am a UKCP Registered Clinical Psychotherapist and have been in Clinical Practice since 2003. I am down to earth, friendly and believe therapy is a collaborative process - my job is to help you find in a way that works for you not somebody else. No one type of therapy suits everyone so I deliberately integrate a number of approaches into my work to suit each individual's needs. I know life can be tough and sometimes overwhelming so offer a place where we can talk about what is most difficult so we can make sense of it for you. I offer in person and online therapy (using Zoom or Teams).
020 7078 9450 View 020 7078 9450
Photo of Luke Perkins - Dr Luke Perkins, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Luke Perkins
Psychologist, PsychD, HCPC - Clin. Psych.
Bromley BR2
Hi, I'm Luke and I am a qualified Clinical Psychologist. Reaching out for support can sometimes require a lot of courage as society often teaches us that we should be able to deal with our own problems. The reality is that we, as humans, thrive when we are able to give care and support to others as well as receive this for ourselves. It is my belief that therapy shouldn't just be just for those who are at crisis point or struggling deeply with their mental wellbeing. Therapy is for anyone who needs a safe space to talk through any experiences in their lives and find ways to live alongside the pain and anxiety that this can create.
Hi, I'm Luke and I am a qualified Clinical Psychologist. Reaching out for support can sometimes require a lot of courage as society often teaches us that we should be able to deal with our own problems. The reality is that we, as humans, thrive when we are able to give care and support to others as well as receive this for ourselves. It is my belief that therapy shouldn't just be just for those who are at crisis point or struggling deeply with their mental wellbeing. Therapy is for anyone who needs a safe space to talk through any experiences in their lives and find ways to live alongside the pain and anxiety that this can create.
01689 661194 View 01689 661194
Photo of Sara Poss, Psychotherapist, MA, MUKCP
Sara Poss
Psychotherapist, MA, MUKCP
London NW5
You may feel stuck, overwhelmed, or uncertain about how to move forward, longing for change but unsure where to start. Perhaps you’re trapped in unhelpful patterns, dealing with anxiety or emotional strain, or feeling disconnected from yourself or others. Many of my clients come seeking clarity, relief, and a deeper understanding of what’s holding them back. Therapy provides a safe, supportive space to explore these challenges and begin meaningful change.
You may feel stuck, overwhelmed, or uncertain about how to move forward, longing for change but unsure where to start. Perhaps you’re trapped in unhelpful patterns, dealing with anxiety or emotional strain, or feeling disconnected from yourself or others. Many of my clients come seeking clarity, relief, and a deeper understanding of what’s holding them back. Therapy provides a safe, supportive space to explore these challenges and begin meaningful change.
020 3908 5066 View 020 3908 5066
Photo of Dr Rosanna Williamson, Psychologist, PsychD, HCPC - Couns. Psych.
Dr Rosanna Williamson
Psychologist, PsychD, HCPC - Couns. Psych.
Hi, my name is Rosanna and I'm an experienced Counselling Psychologist specialising in mental health and offering face to face and online psychological therapy to adults. I have over twelve years experience working with individuals experiencing a wide range of issues. I offer face to face therapy based in Kings Langley (Hertfordshire) or online or telephone sessions for UK wide clients. Alongside my private practice I am also employed as a Psychologist working for an NHS Adult community mental health team specialising in psychotherapy.
Hi, my name is Rosanna and I'm an experienced Counselling Psychologist specialising in mental health and offering face to face and online psychological therapy to adults. I have over twelve years experience working with individuals experiencing a wide range of issues. I offer face to face therapy based in Kings Langley (Hertfordshire) or online or telephone sessions for UK wide clients. Alongside my private practice I am also employed as a Psychologist working for an NHS Adult community mental health team specialising in psychotherapy.
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How does your Counsellor compare?

Number of Counsellors in GU20

< 10

Counsellors in GU20 who prioritize treating:

100% Anxiety
88% Bereavement
75% Relationship Issues
75% Trauma and PTSD
75% Divorce
75% Self Esteem
75% Stress

Average years in practice

14 Years

Top 3 insurances accepted

100% Bupa
100% AXA PPP
100% Healix

How Counsellors in GU20 see their clients

100% In Person and Online

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counselling

How can I find a therapist in GU20?

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.