Counselling in Sheffield
Steel City Counselling and Psychotherapy
Psychotherapist, MSc, MBACP
Verified Verified
Sheffield S6
My training is in person-centred and experiential psychotherapy and counselling. In addition to this, I have 28 years experience as a Registered Mental Nurse, working primarily with people who have substance use problems. I completed an MSc in Person Centred and Experiential Psychotherapy in 2017 and have worked in an NHS staff support service as a counsellor since then, alongside my private practice. My approach is based on offering a compassionate, non judgmental approach within a safe environment in the hope that this will allow clarity, reinforce current coping mechanisms and foster future growth. I charge on a sliding scale.
My training is in person-centred and experiential psychotherapy and counselling. In addition to this, I have 28 years experience as a Registered Mental Nurse, working primarily with people who have substance use problems. I completed an MSc in Person Centred and Experiential Psychotherapy in 2017 and have worked in an NHS staff support service as a counsellor since then, alongside my private practice. My approach is based on offering a compassionate, non judgmental approach within a safe environment in the hope that this will allow clarity, reinforce current coping mechanisms and foster future growth. I charge on a sliding scale.
Carolyn Hart
Psychotherapist, MA, ACP
Verified Verified
Sheffield S10
I am a consultant child and adolescent psychotherapist with over 25 years of experience in the NHS and NSPCC, treating clients with difficulties including, autism, anxiety, developmental delay, trauma and attachment difficulties. I work with parent-infant pairs, young children, adolescents and young adults. I aim to create a safe, non-judgemental, accepting and nurturing environment. For young children and those who find it difficult to speak, I work through play and the arts. To get a better understanding of how this works, please look at the videos on my website.
I am a consultant child and adolescent psychotherapist with over 25 years of experience in the NHS and NSPCC, treating clients with difficulties including, autism, anxiety, developmental delay, trauma and attachment difficulties. I work with parent-infant pairs, young children, adolescents and young adults. I aim to create a safe, non-judgemental, accepting and nurturing environment. For young children and those who find it difficult to speak, I work through play and the arts. To get a better understanding of how this works, please look at the videos on my website.
Julia Slek Counselling
Counsellor, MBACP
Verified Verified
Sheffield S5
Welcome! Are you looking for someone to listen and support you as you navigate through your feelings and challenges? I'm here to help. My name is Julia, and I am a qualified counsellor with a special focus on bereavement counselling. I have spent many years helping clients and their families cope with loss, palliative care, and life-limiting illness. I am also trained to work with clients who are struggling with anxiety, depression, and other challenges.
Welcome! Are you looking for someone to listen and support you as you navigate through your feelings and challenges? I'm here to help. My name is Julia, and I am a qualified counsellor with a special focus on bereavement counselling. I have spent many years helping clients and their families cope with loss, palliative care, and life-limiting illness. I am also trained to work with clients who are struggling with anxiety, depression, and other challenges.
Dr Adam Hill
Psychologist, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Sheffield S8 (Online Only)
Do you find that despite your very best efforts to cope with difficult thoughts and feelings such as anxiety, depression and/or anger, your difficulties are still holding you back? Do you find that your ways of coping can make things worse in the long-term? You may be finding that your relationships with others are suffering as a result, and you might be finding it difficult to talk to friends and family about your difficulties. Are you struggling to find a way to move forward? Do you feel like you’ve lost touch with what’s important to you, and lost your sense of direction in life?
Do you find that despite your very best efforts to cope with difficult thoughts and feelings such as anxiety, depression and/or anger, your difficulties are still holding you back? Do you find that your ways of coping can make things worse in the long-term? You may be finding that your relationships with others are suffering as a result, and you might be finding it difficult to talk to friends and family about your difficulties. Are you struggling to find a way to move forward? Do you feel like you’ve lost touch with what’s important to you, and lost your sense of direction in life?
Philippa Moorhead
Counsellor, MA, MNCPS Acc.
Verified Verified
Sheffield S10
Life feeling difficult? Discouraged at how hard everything feels? I've been there. I can help you find the confidence to decide you want to be in life. Do you get an anxious knot in your stomach on Sunday evening, thinking about the week ahead? Yet you can't ever seem to work hard enough or achieve enough to calm that feeling. Does this spill over into your relationships at home or work and you find yourself unaccountably irritated or angry with others, or withdrawing from them? Do you want to make changes but you have no idea what, never mind where, to start? I can help you find your path.
Life feeling difficult? Discouraged at how hard everything feels? I've been there. I can help you find the confidence to decide you want to be in life. Do you get an anxious knot in your stomach on Sunday evening, thinking about the week ahead? Yet you can't ever seem to work hard enough or achieve enough to calm that feeling. Does this spill over into your relationships at home or work and you find yourself unaccountably irritated or angry with others, or withdrawing from them? Do you want to make changes but you have no idea what, never mind where, to start? I can help you find your path.
Mick Dixon
Counsellor, DCounsPsych, BACP
Verified Verified
Sheffield S8
Hello, my name is Mick Dixon. I am a person-centred psychotherapist. I’m drawn to those concerns that we have regarding our meaning and purpose in the world that can touch us in unique and distinct ways: as melancholy, anxiety, loneliness, unnamed trauma, illness, inertia or as anger, self-criticism or feelings of powerlessness. I am also interested in the the correlation between the body and mental wellbeing and how our environments social, political, biological, physical, impact on us both bodily and psychologically.
Hello, my name is Mick Dixon. I am a person-centred psychotherapist. I’m drawn to those concerns that we have regarding our meaning and purpose in the world that can touch us in unique and distinct ways: as melancholy, anxiety, loneliness, unnamed trauma, illness, inertia or as anger, self-criticism or feelings of powerlessness. I am also interested in the the correlation between the body and mental wellbeing and how our environments social, political, biological, physical, impact on us both bodily and psychologically.
Claire Wood Counselling in Sheffield
Counsellor, PNCPS Acc.
Verified Verified
Sheffield S6
Hello my name is Claire, I am a Counsellor based in Sheffield. My aim is to help you to work through what you feel is holding you back, this may be a life event, relationship difficulties, or a sense of feeling that you are battling with yourself. I will support you to help find ways out of difficulties, or ways of managing at your own pace. This may be to reduce the struggle you have with your emotions or explore unhelpful patterns you notice in your life. You may be seeking to make a change or to work out what is preventing you from moving forward.
Hello my name is Claire, I am a Counsellor based in Sheffield. My aim is to help you to work through what you feel is holding you back, this may be a life event, relationship difficulties, or a sense of feeling that you are battling with yourself. I will support you to help find ways out of difficulties, or ways of managing at your own pace. This may be to reduce the struggle you have with your emotions or explore unhelpful patterns you notice in your life. You may be seeking to make a change or to work out what is preventing you from moving forward.
Prabha Krishnan
Psychotherapist, MBACP
Verified Verified
Sheffield S10 (Online Only)
People seek therapy for various reasons and I know how difficult that first step can feel. I also feel convinced that healing and recovery from even extreme forms of suffering is possible, in a fundamentally safe space with boundaries and willingness to treat the person as equal; with dignity, respect and acceptance. My key motivation as a counsellor is to see people flourish and live life to the full. I have cherished the experience of working with people from diverse populations & spiritual backgrounds. I aim to step into the shoes of my client, understand their feelings & perspectives and use the knowledge to guide our actions.
People seek therapy for various reasons and I know how difficult that first step can feel. I also feel convinced that healing and recovery from even extreme forms of suffering is possible, in a fundamentally safe space with boundaries and willingness to treat the person as equal; with dignity, respect and acceptance. My key motivation as a counsellor is to see people flourish and live life to the full. I have cherished the experience of working with people from diverse populations & spiritual backgrounds. I aim to step into the shoes of my client, understand their feelings & perspectives and use the knowledge to guide our actions.
Juliett Barrott
Counsellor, MSc, ACC-AC
Verified Verified
Sheffield S11
Hi my work with children and young people has enabled me to adopt a common sense approach. I practise Integrative Counselling, that means I use CBT, Person Centred, Pyschodynamic, etc, concepts. Which are the building blocks of thoughts and beliefs which affect how we feel. I understand the first step in seeking counselling is hard, if you have sought support, you may not know how to effect change it’s at this point we explore choices.
Hi my work with children and young people has enabled me to adopt a common sense approach. I practise Integrative Counselling, that means I use CBT, Person Centred, Pyschodynamic, etc, concepts. Which are the building blocks of thoughts and beliefs which affect how we feel. I understand the first step in seeking counselling is hard, if you have sought support, you may not know how to effect change it’s at this point we explore choices.
Dr Kim Campbell
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Sheffield S10
I run a small private practice alongside my NHS work, offering longer term weekly psychotherapy. There is no specific list of difficulties people come with. Distress can express itself in our lives many ways, through our bodies, minds, feelings, relationships (or lack of) or in illness. I work with people who feel they would benefit from developing a better understanding of their patterns of relating to themselves and others.
I run a small private practice alongside my NHS work, offering longer term weekly psychotherapy. There is no specific list of difficulties people come with. Distress can express itself in our lives many ways, through our bodies, minds, feelings, relationships (or lack of) or in illness. I work with people who feel they would benefit from developing a better understanding of their patterns of relating to themselves and others.
Robbie Thompson
Counsellor, MNCPS Acc.
Verified Verified
Sheffield S3
Hi, I’m Robbie - I’m an Integrative Counsellor/Psychotherapist with a particular interest in existential thinking and creativity in helping us navigate life's challenges, losses and contradictions. I think that having a dedicated space to reflect upon and explore our experiences - perhaps more freely than we might feel able to ordinarily - can engender new perspective, self-knowledge, and change. I see a trustworthy therapeutic relationship as being fundamental to this and aim always to be a genuine, collaborative, and human presence.
Hi, I’m Robbie - I’m an Integrative Counsellor/Psychotherapist with a particular interest in existential thinking and creativity in helping us navigate life's challenges, losses and contradictions. I think that having a dedicated space to reflect upon and explore our experiences - perhaps more freely than we might feel able to ordinarily - can engender new perspective, self-knowledge, and change. I see a trustworthy therapeutic relationship as being fundamental to this and aim always to be a genuine, collaborative, and human presence.
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Heather @ Lantern Psychotherapy
Psychotherapist, MBABCP
Verified Verified
3 Endorsed
Sheffield S8
My name is Heather, and I am a BABCP accredited Cognitive Behavioural Therapist (CBT) at Lantern Psychotherapy. I work alongside a small group of professional, experienced therapists providing high quality therapy. I provide therapy online and in person enabling you to access your therapy at a time and place convenient to you. CBT is a widely used, evidence-based, recommended therapy, suitable for a range of mental health problems. CBT is most effective when working together with a therapist towards your personal therapy goals. We will focus your sessions therefore, on the aspects of your difficulties most important to you.
My name is Heather, and I am a BABCP accredited Cognitive Behavioural Therapist (CBT) at Lantern Psychotherapy. I work alongside a small group of professional, experienced therapists providing high quality therapy. I provide therapy online and in person enabling you to access your therapy at a time and place convenient to you. CBT is a widely used, evidence-based, recommended therapy, suitable for a range of mental health problems. CBT is most effective when working together with a therapist towards your personal therapy goals. We will focus your sessions therefore, on the aspects of your difficulties most important to you.
MindScope Counselling
Counsellor, MNCPS Acc.
Verified Verified
Sheffield S26
Does anxiety control your life? Is everything just too overwhelming? Do you, or your child struggle to 'fit 'in? Have you lost your sense of direction or purpose?, or maybe you just don't feel 'good enough'. As a Person centred counsellor I will listen without judgement, empower and support you. 'You' are the expert, this is your life, your thoughts, feelings, emotions, and behaviours are all important and extremely valid. Maybe your haunted by trauma, PTSD, phobias, bullying, nightmares or anxiety. By using Rewind therapy, together we can reframe the trauma and the fear offering you a happier, better quality of life.
Does anxiety control your life? Is everything just too overwhelming? Do you, or your child struggle to 'fit 'in? Have you lost your sense of direction or purpose?, or maybe you just don't feel 'good enough'. As a Person centred counsellor I will listen without judgement, empower and support you. 'You' are the expert, this is your life, your thoughts, feelings, emotions, and behaviours are all important and extremely valid. Maybe your haunted by trauma, PTSD, phobias, bullying, nightmares or anxiety. By using Rewind therapy, together we can reframe the trauma and the fear offering you a happier, better quality of life.
John Christopher Psychotherapy
Psychotherapist
Verified Verified
1 Endorsed
Sheffield S10
I offer Face-to-Face sessions from The Practice Rooms (Sheffield S10, in the UK). I'm also able to offer Online Sessions, and sessions over the Phone. The main modality of psychotherapy that I practice is CBT, but my training also includes some Freudian theory, which I draw from in practice. I specialise in sleep interventions, and working with people who are/have been in abusive relationships. As well as these specialities, I also work with many other mental health issues. My clinical approach is goal focussed, and is tailor made for each client. I also use neurological and biological theories to inform my practice.
I offer Face-to-Face sessions from The Practice Rooms (Sheffield S10, in the UK). I'm also able to offer Online Sessions, and sessions over the Phone. The main modality of psychotherapy that I practice is CBT, but my training also includes some Freudian theory, which I draw from in practice. I specialise in sleep interventions, and working with people who are/have been in abusive relationships. As well as these specialities, I also work with many other mental health issues. My clinical approach is goal focussed, and is tailor made for each client. I also use neurological and biological theories to inform my practice.
Ali Hayward
Psychotherapist, MA, MBACP
Verified Verified
1 Endorsed
Sheffield S1
Hello, I’m Ali (she/her). I’m a fully qualified Integrative Psychotherapist and Counsellor living in Sheffield. I offer a warm, welcoming, compassionate environment, whether online, on the phone or in person, where you can explore your feelings without feeling judged, criticised or labelled. The main approach I use is Person-Centred therapy, supporting you as you explore your personal challenges, emotions, beliefs, behaviours, and worldview. Through this you gain more awareness of your choices, working towards freedom from anything that may hinder your progress and achieving the self-empowerment you desire.
Hello, I’m Ali (she/her). I’m a fully qualified Integrative Psychotherapist and Counsellor living in Sheffield. I offer a warm, welcoming, compassionate environment, whether online, on the phone or in person, where you can explore your feelings without feeling judged, criticised or labelled. The main approach I use is Person-Centred therapy, supporting you as you explore your personal challenges, emotions, beliefs, behaviours, and worldview. Through this you gain more awareness of your choices, working towards freedom from anything that may hinder your progress and achieving the self-empowerment you desire.
Sara Bartlett Brown
Counsellor, MBACP
Verified Verified
Sheffield S4 (Online Only)
I work online with adult autistic Individuals and with Couples in the UK. I provide an accessible & compassionate service that reduces distress & enables people to address what is difficult. If we have not been understood and accepted we may develop ways of being and doing that do not support our well being. We keep our true selves hidden from others and whilst this protects us, it can cause much pain and limit us. With an understanding therapist we can trust, we begin to make sense of who we are, how we are and what has happened to us in our lives. We can be truer to ourselves and live with more confidence, ease and acceptance.
I work online with adult autistic Individuals and with Couples in the UK. I provide an accessible & compassionate service that reduces distress & enables people to address what is difficult. If we have not been understood and accepted we may develop ways of being and doing that do not support our well being. We keep our true selves hidden from others and whilst this protects us, it can cause much pain and limit us. With an understanding therapist we can trust, we begin to make sense of who we are, how we are and what has happened to us in our lives. We can be truer to ourselves and live with more confidence, ease and acceptance.
Stephanie Money
Psychologist, HCPC - Forensic Psych.
Verified Verified
Sheffield S10 (Online Only)
As a Registered Psychologist, I offer online psychological assessment and therapy tailored to adults navigating a range of mental health challenges. Within a confidential and supportive setting, we work together to explore your difficulties and facilitate the learning of new coping strategies. My therapeutic approach encompasses various models, such as CBT (Cognitive Behavioral Therapy), EMDR (Eye Movement Desensitization Reprocessing), and Acceptance and Commitment Therapy (ACT). These interventions are tailored to your individual needs and are designed to empower you and foster independent progress.
As a Registered Psychologist, I offer online psychological assessment and therapy tailored to adults navigating a range of mental health challenges. Within a confidential and supportive setting, we work together to explore your difficulties and facilitate the learning of new coping strategies. My therapeutic approach encompasses various models, such as CBT (Cognitive Behavioral Therapy), EMDR (Eye Movement Desensitization Reprocessing), and Acceptance and Commitment Therapy (ACT). These interventions are tailored to your individual needs and are designed to empower you and foster independent progress.
Tony Henstock
Counsellor, MBACP
Verified Verified
Sheffield S10
Waitlist for new clients
I will offer you the time, privacy and support required to explore aspects of your life you may feel you need to understand better or areas in which you would like to grow. Somewhere impartial and unconnected with your everyday life and as someone with who you can share thoughts and feelings. I work in an Integrative Counselling approach which has the basic assumptions that we are naturally social beings with the ability and wish to relate externally to others and internally to ourselves. Due to the significance of relationships in this approach, the therapeutic relationship between us will be central to the process of Counselling.
I will offer you the time, privacy and support required to explore aspects of your life you may feel you need to understand better or areas in which you would like to grow. Somewhere impartial and unconnected with your everyday life and as someone with who you can share thoughts and feelings. I work in an Integrative Counselling approach which has the basic assumptions that we are naturally social beings with the ability and wish to relate externally to others and internally to ourselves. Due to the significance of relationships in this approach, the therapeutic relationship between us will be central to the process of Counselling.
Iris Marieke Winkel
Psychotherapist, MBACP Accred
Verified Verified
Sheffield S7
I offer people relief of PTSD symptoms as a result of a trauma incidents such as car accident, rape, sudden bereavement, medical malpractice etc. EMDR therapy is a quick way of processing such trauma's. Contact me if you want the trauma incident to stop being centre stage in your life.
I offer people relief of PTSD symptoms as a result of a trauma incidents such as car accident, rape, sudden bereavement, medical malpractice etc. EMDR therapy is a quick way of processing such trauma's. Contact me if you want the trauma incident to stop being centre stage in your life.
Well Minds PTS
Psychotherapist, MSc, MBABCP
Verified Verified
2 Endorsed
Sheffield S10
Well Minds PTS is run by Sally Willan and Leanne Alston. We are accredited Cognitive Behavioural Psychotherapists with additional clinical training in EMDR and Couples Therapy for Depression . Our aim is to support people to manage their mental health whilst encouraging an overall healthy and active lifestyle. We work with a range of problems related to mental health including Depression or feelings of low mood, sadness and lack of motivation, Generalised Anxiety Disorder or excessive worry, stress, panic attacks or Panic Disorder, Obsessive Compulsive Disorder, trauma and PTSD.
Well Minds PTS is run by Sally Willan and Leanne Alston. We are accredited Cognitive Behavioural Psychotherapists with additional clinical training in EMDR and Couples Therapy for Depression . Our aim is to support people to manage their mental health whilst encouraging an overall healthy and active lifestyle. We work with a range of problems related to mental health including Depression or feelings of low mood, sadness and lack of motivation, Generalised Anxiety Disorder or excessive worry, stress, panic attacks or Panic Disorder, Obsessive Compulsive Disorder, trauma and PTSD.
See more therapy options for Sheffield
How does your Counsellor compare?
Number of Counsellors in Sheffield
200+
Average cost per session
£55
Counsellors in Sheffield who prioritize treating:
88% | Anxiety |
85% | Self Esteem |
84% | Depression |
79% | Stress |
77% | Relationship Issues |
73% | Trauma and PTSD |
62% | Coping Skills |
Average years in practice
9 Years
Top 3 insurances accepted
60% | AXA PPP |
58% | Bupa |
56% | Aviva |
How Counsellors in Sheffield see their clients
75% | In Person and Online | |
25% | Online Only |
Gender breakdown
80% | Female | |
19% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in Sheffield?
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
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.
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.
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.