Counselling in Harrow

Photo of Janice Dias, Psychotherapist in Harrow, England
Janice Dias
Psychotherapist, MBACP
Verified Verified
Harrow HA1
As a Counsellor I work in a client led approach empathically catering towards the clients needs and goals. My approach is Psychodynamic that means I can help clients deal with the unresolved issues of their past to possibly make sense with the present. Life can be confusing and scary at times making one feel stuck and lost, much like being in a storm .I can help clients find their way through the storm so that they can eventually achieve some sort of clarity and begin to cope with the challenges of every day life.
As a Counsellor I work in a client led approach empathically catering towards the clients needs and goals. My approach is Psychodynamic that means I can help clients deal with the unresolved issues of their past to possibly make sense with the present. Life can be confusing and scary at times making one feel stuck and lost, much like being in a storm .I can help clients find their way through the storm so that they can eventually achieve some sort of clarity and begin to cope with the challenges of every day life.
01895 545108 View 01895 545108
Photo of Dr Mariam Bhaila, Counsellor in Harrow, England
Dr Mariam Bhaila
Counsellor, MBACP
Verified Verified
Harrow HA3  (Online Only)
Hello there! I am a registered Bilingual culturally informed counsellor/psychotherapist with the BACP with experience of working in the NHS, voluntary sector, and private practice. Currently, I am working in the Secondary Care Service within the NHS as a Counselling Psychologist (in-Training). I am also in my final year of a Professional Doctorate in Counselling Psychology at the University of East London. I work with people experiencing a full range of emotional difficulties and life challenges, offering short and long-term psychological therapy interventions.
Hello there! I am a registered Bilingual culturally informed counsellor/psychotherapist with the BACP with experience of working in the NHS, voluntary sector, and private practice. Currently, I am working in the Secondary Care Service within the NHS as a Counselling Psychologist (in-Training). I am also in my final year of a Professional Doctorate in Counselling Psychology at the University of East London. I work with people experiencing a full range of emotional difficulties and life challenges, offering short and long-term psychological therapy interventions.
020 3322 6754 View 020 3322 6754
Photo of Jonathan Emeruwa, Counsellor in Harrow, England
Jonathan Emeruwa
Counsellor, MA, MBACP
Verified Verified
Harrow HA1
Are you experiencing feelings of loneliness, anxiety, depression or hopelessness? Going through relationship difficulties or missing your loved ones? Painful traumatic past memories? Struggling with an addiction? Life lost it's purpose and meaning? Are you feeling ready for change and to work through personal problems in order to develop greater self insight.
Are you experiencing feelings of loneliness, anxiety, depression or hopelessness? Going through relationship difficulties or missing your loved ones? Painful traumatic past memories? Struggling with an addiction? Life lost it's purpose and meaning? Are you feeling ready for change and to work through personal problems in order to develop greater self insight.
020 4538 3625 View 020 4538 3625
Photo of Ramesh Pattni, Counsellor in Harrow, England
Ramesh Pattni
Counsellor, BACP
Verified Verified
Harrow HA2
Not accepting new clients
Distress comes in many forms, many ways, and many times in life. Sometimes you will need help and support to reflect on the distress and seek not only an understanding of your distress but discover ways of adjusting and coping with it. In the long term, you will want to develop resilience to be able to cope with the distress as it inevitably arises.
Distress comes in many forms, many ways, and many times in life. Sometimes you will need help and support to reflect on the distress and seek not only an understanding of your distress but discover ways of adjusting and coping with it. In the long term, you will want to develop resilience to be able to cope with the distress as it inevitably arises.
020 4538 7436 View 020 4538 7436
Photo of Divina Vyas, Counsellor in Harrow, England
Divina Vyas
Counsellor, PNCPS Acc.
Verified Verified
Harrow HA1
Life can be challenging, hard and demanding at times and we could all use someone to talk to and explore our thoughts, feelings and ideas with. As an experienced, qualified and an accredited person-centred therapist, I can offer a safe, confidential and freeing space where I can support you and your needs in a non-judgemental, open and honest environment, which can enable genuine change to occur in your life. Having worked alongside clients who have presented with issues such as, abuse, depression, anxiety, loss, stress and more I can understand how scary seeking counselling can be - however my role is to support you through this.
Life can be challenging, hard and demanding at times and we could all use someone to talk to and explore our thoughts, feelings and ideas with. As an experienced, qualified and an accredited person-centred therapist, I can offer a safe, confidential and freeing space where I can support you and your needs in a non-judgemental, open and honest environment, which can enable genuine change to occur in your life. Having worked alongside clients who have presented with issues such as, abuse, depression, anxiety, loss, stress and more I can understand how scary seeking counselling can be - however my role is to support you through this.
01895 547516 View 01895 547516
Photo of Kulsum Khalfan- Couples Counsellor, Counsellor in Harrow, England
Kulsum Khalfan- Couples Counsellor
Counsellor, MSc, MBACP
Verified Verified
1 Endorsed
Harrow HA2
Does your current relationship feel difficult, complicated and stressful? Even though relationships are the cornerstone of our lives, they aren't always easy and can sometimes feel like an endless cycle of misunderstanding, blame and resentment. If your relationship leaves you feeling stressed, lonely and emotionally exhausted, then relationship counselling can be helpful. It can give you a safe space where you can explore couple dynamics and build an intentional relationship that is meaningful and rewarding.
Does your current relationship feel difficult, complicated and stressful? Even though relationships are the cornerstone of our lives, they aren't always easy and can sometimes feel like an endless cycle of misunderstanding, blame and resentment. If your relationship leaves you feeling stressed, lonely and emotionally exhausted, then relationship counselling can be helpful. It can give you a safe space where you can explore couple dynamics and build an intentional relationship that is meaningful and rewarding.
01895 547603 View 01895 547603
Photo of Khaled Helmy, Psychiatrist in Harrow, England
Khaled Helmy
Psychiatrist, PhD
Verified Verified
Harrow HA3
An overly caring private psychiatrist with more than 20 years of experience in mental health disorders and drug misuse. Dr Helmy completed his Medical training in 1998, MSc and MD in psychiatry and substance misuse in 2009 and joined Royal College of Psychiatrists since 2013. During his medical practice, he was the medical director of inpatient and community services for mental health and drug misuse disorders. Dr Helmy is an International Fellow of the American Psychiatric Association, an appointed fellow of the International Society of Addiction Medicine and a member of EMDR Association UK & Ireland.
An overly caring private psychiatrist with more than 20 years of experience in mental health disorders and drug misuse. Dr Helmy completed his Medical training in 1998, MSc and MD in psychiatry and substance misuse in 2009 and joined Royal College of Psychiatrists since 2013. During his medical practice, he was the medical director of inpatient and community services for mental health and drug misuse disorders. Dr Helmy is an International Fellow of the American Psychiatric Association, an appointed fellow of the International Society of Addiction Medicine and a member of EMDR Association UK & Ireland.
020 8154 5507 View 020 8154 5507
Photo of Dr Suzanne Turkish, Counsellor in Harrow, England
Dr Suzanne Turkish
Counsellor, PhD, MBACP
Verified Verified
1 Endorsed
Harrow HA1
Welcome, my name is Suzanne. I am a straight- talking, open minded and warm person who will carefully listen to you and look at issues from your perspective. I use an Integrative approach to counselling. So how can I help you? Well, together we can explore what is happening for you and strengthen your self awareness and ability to cope. For our therapy to work, our relationship, me as a person and my years of experience are the key factors enabling me to help you. My counselling service is confidential, flexible and designed to be tailored to your unique situation. We can work together for you to talk openly and to feel heard.
Welcome, my name is Suzanne. I am a straight- talking, open minded and warm person who will carefully listen to you and look at issues from your perspective. I use an Integrative approach to counselling. So how can I help you? Well, together we can explore what is happening for you and strengthen your self awareness and ability to cope. For our therapy to work, our relationship, me as a person and my years of experience are the key factors enabling me to help you. My counselling service is confidential, flexible and designed to be tailored to your unique situation. We can work together for you to talk openly and to feel heard.
020 3909 9596 View 020 3909 9596
Photo of Saima Rehman, Counsellor in Harrow, England
Saima Rehman
Counsellor, MSc, MBACP
Verified Verified
1 Endorsed
Harrow HA2
Emotional connection, along with psychological and physical wellbeing, relies on being understood, listened to, heard, loved, valued, and respected. However, there are instances when we find ourselves trapped in unsatisfying work or intimate relationships with no idea how to break free. It feels like our life is crumbling around us. The old patterns no longer serve us, causing confusion, fear, anxiety or depression. By working together in a safe and supportive space, we can delve into self-discovery, gain confidence and resilience, and strive for a positive change in your life. 50 minute sessions are confidential and by appointment.
Emotional connection, along with psychological and physical wellbeing, relies on being understood, listened to, heard, loved, valued, and respected. However, there are instances when we find ourselves trapped in unsatisfying work or intimate relationships with no idea how to break free. It feels like our life is crumbling around us. The old patterns no longer serve us, causing confusion, fear, anxiety or depression. By working together in a safe and supportive space, we can delve into self-discovery, gain confidence and resilience, and strive for a positive change in your life. 50 minute sessions are confidential and by appointment.
020 3835 4525 View 020 3835 4525
Photo of Sarah Mordaunt, Counsellor in Harrow, England
Sarah Mordaunt
Counsellor, MBACP
Verified Verified
Harrow HA2
The path of life is filled with difficulties and struggles, making us question how and why, bringing up feelings of being anxious, insecure, unable to relax or sleep and feeling fearful? Acknowledging our need to talk is the first positive step and counselling is the safest place. Next is finding a counselling professional we can connect with, who is understanding, non-judgemental and supportive. The final step is to trust, in the therapy process and the relationship. To trust means being real and available to be seen and heard by the counsellor and their help in providing a clearer understanding of our issues.
The path of life is filled with difficulties and struggles, making us question how and why, bringing up feelings of being anxious, insecure, unable to relax or sleep and feeling fearful? Acknowledging our need to talk is the first positive step and counselling is the safest place. Next is finding a counselling professional we can connect with, who is understanding, non-judgemental and supportive. The final step is to trust, in the therapy process and the relationship. To trust means being real and available to be seen and heard by the counsellor and their help in providing a clearer understanding of our issues.
07432 211449 View 07432 211449
Photo of Life Change Consult Limited, Counsellor in Harrow, England
Life Change Consult Limited
Counsellor, MBACP
Verified Verified
Harrow HA1
Creator of the personal development app called SayNow.app. While navigating these challenges, the ideal client may also express a desire for goal clarity, seeking assistance in defining and pursuing both short-term and long-term objectives. They aim to develop practical coping mechanisms to overcome current issues and build resilience for future challenges. Additionally, some clients may be motivated by a broader pursuit of personal growth and self-discovery, using counselling as a tool to gain a deeper understanding of themselves and their aspirations.
Creator of the personal development app called SayNow.app. While navigating these challenges, the ideal client may also express a desire for goal clarity, seeking assistance in defining and pursuing both short-term and long-term objectives. They aim to develop practical coping mechanisms to overcome current issues and build resilience for future challenges. Additionally, some clients may be motivated by a broader pursuit of personal growth and self-discovery, using counselling as a tool to gain a deeper understanding of themselves and their aspirations.
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Photo of Payal Pandya - Counselling & Coaching, Counsellor in Harrow, England
Payal Pandya - Counselling & Coaching
Counsellor, MBACP
Verified Verified
Harrow HA1
Are you feeling depressed or anxious? Do you feel overwhelmed with negative thoughts? Do events from your past make it difficult to move forward? Would you like to learn how to manage negative emotions, heal yourself to move forward? What goals would you would like to achieve so that you can create a more fulfilling life? I would love to help you on your journey. I am a qualified experienced integrative counsellor, coach and NLP practitioner. My core training in Counselling Psychology allows me to use person-centred, CBT and psychodynamic theories in my clinical practice. This means I can tailor my approach to your specific needs.
Are you feeling depressed or anxious? Do you feel overwhelmed with negative thoughts? Do events from your past make it difficult to move forward? Would you like to learn how to manage negative emotions, heal yourself to move forward? What goals would you would like to achieve so that you can create a more fulfilling life? I would love to help you on your journey. I am a qualified experienced integrative counsellor, coach and NLP practitioner. My core training in Counselling Psychology allows me to use person-centred, CBT and psychodynamic theories in my clinical practice. This means I can tailor my approach to your specific needs.
01895 547541 View 01895 547541
Photo of Joanna Kerasidou, Counsellor in Harrow, England
Joanna Kerasidou
Counsellor, MSc, MBACP
Verified Verified
Harrow HA2
Counselling is a journey of self-exploration, healing and empowerment. Not an easy one but possibly one of the most meaningful and life-changing you will ever embark yourself on. The first step might be the hardest, yet the most rewarding. No matter how challenging what you are going through is, I am here to guide and accompany you through your own personal journey adapting at your own pace and unique needs. ​ Counselling is not a quick fix; however, it can help you gain a better insight into yourself and enable you to live a more meaningful life.
Counselling is a journey of self-exploration, healing and empowerment. Not an easy one but possibly one of the most meaningful and life-changing you will ever embark yourself on. The first step might be the hardest, yet the most rewarding. No matter how challenging what you are going through is, I am here to guide and accompany you through your own personal journey adapting at your own pace and unique needs. ​ Counselling is not a quick fix; however, it can help you gain a better insight into yourself and enable you to live a more meaningful life.
020 4538 9639 View 020 4538 9639
Photo of Lucy Davies, Counsellor in Harrow, England
Lucy Davies
Counsellor, MBACP
Verified Verified
Harrow HA1
Do you feel the need to be listened to without judgement? Do you need a safe place to talk through your thoughts and feelings? I work with all aspects of emotional well being and truly believe that a person has the potential for growth and change given the space, time and acceptance. In turn, finding your own answers and finding a way of moving towards an emotionally healthier way of living . I work with a wide range of issues including anger, anxiety disorders, depression, low self esteem, relationships, suicide, loss and bereavement and domestic abuse.
Do you feel the need to be listened to without judgement? Do you need a safe place to talk through your thoughts and feelings? I work with all aspects of emotional well being and truly believe that a person has the potential for growth and change given the space, time and acceptance. In turn, finding your own answers and finding a way of moving towards an emotionally healthier way of living . I work with a wide range of issues including anger, anxiety disorders, depression, low self esteem, relationships, suicide, loss and bereavement and domestic abuse.
01895 547557 View 01895 547557
Photo of Ann Dunkley, Psychotherapist in Harrow, England
Ann Dunkley
Psychotherapist, MSc, MBACP
Verified Verified
Harrow HA1
I aim to establish a safe, non-judgemental space with clients where difficult issues and problems can be explored, free from the demands of the outside world. I have a psychodynamic approach which means I help clients work through the underlying causes at the root of problems to enable them to gain more self-awareness and a different perspective on their life. Also, with a background as a Samaritan volunteer for many years, I have offered emotional support to people from many walks of life suffering from distress caused by a wide range of difficult issues.
I aim to establish a safe, non-judgemental space with clients where difficult issues and problems can be explored, free from the demands of the outside world. I have a psychodynamic approach which means I help clients work through the underlying causes at the root of problems to enable them to gain more self-awareness and a different perspective on their life. Also, with a background as a Samaritan volunteer for many years, I have offered emotional support to people from many walks of life suffering from distress caused by a wide range of difficult issues.
01895 547539 View 01895 547539
Photo of Sukhi Virdee, Psychologist in Harrow, England
Sukhi Virdee
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Harrow HA1  (Online Only)
Making the decision to engage in therapy can be daunting. However it is the first step in helping you gain a better understanding of yourself and creating a better relationship with yourself. It is easy to put self-care and your own needs second in our busy lives. Therapy is about self-care, whether you want to develop a deeper awareness of yourself, improve relationships, learn coping skills to manage stress, low mood or anxiety or be more confident, taking the first step is always the most difficult. My personal philosophy is to work collaboratively with you, listening to what you want and identify goals that are important to you.
Making the decision to engage in therapy can be daunting. However it is the first step in helping you gain a better understanding of yourself and creating a better relationship with yourself. It is easy to put self-care and your own needs second in our busy lives. Therapy is about self-care, whether you want to develop a deeper awareness of yourself, improve relationships, learn coping skills to manage stress, low mood or anxiety or be more confident, taking the first step is always the most difficult. My personal philosophy is to work collaboratively with you, listening to what you want and identify goals that are important to you.
01895 547632 View 01895 547632
Photo of Leigh-Catherine Inglis, Counsellor in Harrow, England
Leigh-Catherine Inglis
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Harrow HA1
I am a qualified UK and International counsellor providing psychotherapeutic support and guidance to anyone struggling with mental health or personal problems that may be impacting on their lives negatively and are serious about wanting to live more authentically by making the necessary changes within in order to do so.
I am a qualified UK and International counsellor providing psychotherapeutic support and guidance to anyone struggling with mental health or personal problems that may be impacting on their lives negatively and are serious about wanting to live more authentically by making the necessary changes within in order to do so.
01895 545101 View 01895 545101
Photo of Nandu Menon, Psychotherapist in Harrow, England
Nandu Menon
Psychotherapist, MA, MUKCP
Verified Verified
Harrow HA3
You may experience unexpected disruption, chronic conditions, major life upheaval, triggering of past experiences, bereavement, and any of these could create anxiety, trauma or depression. Understanding could fall away, your support system could become unhelpful, anti-depressants may not be effective and your coping mechanisms may not work. You may feel overpowered by your circumstances and perhaps seek support and reinforcement as you experience distress. You may want your complex issues to be contained and get some tools and techniques to cope. Perhaps you may just like to confide in someone and share your experience.
You may experience unexpected disruption, chronic conditions, major life upheaval, triggering of past experiences, bereavement, and any of these could create anxiety, trauma or depression. Understanding could fall away, your support system could become unhelpful, anti-depressants may not be effective and your coping mechanisms may not work. You may feel overpowered by your circumstances and perhaps seek support and reinforcement as you experience distress. You may want your complex issues to be contained and get some tools and techniques to cope. Perhaps you may just like to confide in someone and share your experience.
020 4538 4478 View 020 4538 4478
Photo of Laila Al-Attar, Psychotherapist in Harrow, England
Laila Al-Attar
Psychotherapist, MSc, MBACP Accred
Verified Verified
1 Endorsed
Harrow HA1
Sometimes life gets in the way and we need to pause and get a deeper understanding to be able to grow. Engaging with psychotherapy can help gain insight and clear one’s mind to make the appropriate decisions. Psychotherapy is a journey that can be hard at times but its long term benefits are worth the effort. I am a psychodynamic Counsellor psychotherapist, I work with issues such as anxiety, depression, cultural issues, and relationships. You can book a consultation to discuss your issues and current dilemmas. I provide open ended and time-limited therapy in a confidential environment.
Sometimes life gets in the way and we need to pause and get a deeper understanding to be able to grow. Engaging with psychotherapy can help gain insight and clear one’s mind to make the appropriate decisions. Psychotherapy is a journey that can be hard at times but its long term benefits are worth the effort. I am a psychodynamic Counsellor psychotherapist, I work with issues such as anxiety, depression, cultural issues, and relationships. You can book a consultation to discuss your issues and current dilemmas. I provide open ended and time-limited therapy in a confidential environment.
01895 590075 View 01895 590075
Photo of Deirdre Bolger, Counsellor in Harrow, England
Deirdre Bolger
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Harrow HA2
Sometimes life can seem overwhelming and we can be dealing with something painful. We all have times when we need emotional support. You do not have to struggle alone. Often it is only when we talk to someone unconnected with our lives that we begin to hear what we are really saying and feeling. I offer a safe, unjudgemental and confidential space for you to work through what is troubling you and will support you as you find new ways forward.
Sometimes life can seem overwhelming and we can be dealing with something painful. We all have times when we need emotional support. You do not have to struggle alone. Often it is only when we talk to someone unconnected with our lives that we begin to hear what we are really saying and feeling. I offer a safe, unjudgemental and confidential space for you to work through what is troubling you and will support you as you find new ways forward.
01895 547508 View 01895 547508

See more therapy options for Harrow

How does your Counsellor compare?

Number of Counsellors in Harrow

80+

Average cost per session

£70

Counsellors in Harrow who prioritize treating:

98% Anxiety
91% Depression
91% Self Esteem
91% Stress
90% Relationship Issues
73% Bereavement
70% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

80% AXA PPP
63% Aviva
53% Vitality

How Counsellors in Harrow see their clients

84% In Person and Online
16% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Harrow?

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.