Photo of James Peacock, Counsellor, MBACP
James Peacock
Counsellor, MBACP
Aylesbury HP18
Waitlist for new clients
I work with adults and young people, offering a range of sessions including early mornings, evenings and weekends. I appreciate how busy life gets and therefore feel it is important to adopt a flexible approach. I offer face-to-face, online and telephone. I have over 30 years experience of working with older people and carers. My work has included care home and community care management in the private sector. I previously worked for Buckinghamshire Council for ten years in the Adult Social Care Team, more recently as a registered Social Worker.
I work with adults and young people, offering a range of sessions including early mornings, evenings and weekends. I appreciate how busy life gets and therefore feel it is important to adopt a flexible approach. I offer face-to-face, online and telephone. I have over 30 years experience of working with older people and carers. My work has included care home and community care management in the private sector. I previously worked for Buckinghamshire Council for ten years in the Adult Social Care Team, more recently as a registered Social Worker.
01296 254513 View 01296 254513
Photo of Dr Debby Moss, Counsellor, PhD, MBACP
Dr Debby Moss
Counsellor, PhD, MBACP
1 Endorsed
Aylesbury HP18
Seeking support when life feels hard can be overwhelming. But by reaching out, you have taken the first step. Counselling can help you better understand the changes happening in your life, explore what is important to you, and support you in better communicating your needs to those around you. It can enable you to explore how you can come to sense of acceptance and become more confident with your life choices.
Seeking support when life feels hard can be overwhelming. But by reaching out, you have taken the first step. Counselling can help you better understand the changes happening in your life, explore what is important to you, and support you in better communicating your needs to those around you. It can enable you to explore how you can come to sense of acceptance and become more confident with your life choices.
01296 929268 View 01296 929268
Photo of Helen Rachel Mclean, Counsellor, MBACP
Helen Rachel Mclean
Counsellor, MBACP
Aylesbury HP18
Living in a world that often isn’t built for how your brain works can be exhausting and challenging. Whether you’re autistic, ADHD or otherwise neurodivergent, diagnosed or undiagnosed, you might be constantly masking, second guessing yourself, or feeling misunderstood. That’s hard. You might be feeling like you're: - Too much or not enough - Too sensitive or intense - Too forgetful or disorganised - Not meeting others expectations - Utterly drained after social interactions, whether this is in a school setting, working environment or with relationships.
Living in a world that often isn’t built for how your brain works can be exhausting and challenging. Whether you’re autistic, ADHD or otherwise neurodivergent, diagnosed or undiagnosed, you might be constantly masking, second guessing yourself, or feeling misunderstood. That’s hard. You might be feeling like you're: - Too much or not enough - Too sensitive or intense - Too forgetful or disorganised - Not meeting others expectations - Utterly drained after social interactions, whether this is in a school setting, working environment or with relationships.
01844 395545 View 01844 395545
Photo of Marie Liddiard - Asense Therapy - Marie Liddiard, Psychotherapist, PNCPS Acc.
Asense Therapy - Marie Liddiard
Psychotherapist, PNCPS Acc.
Aylesbury HP18
I can support you with issues which are having a negative impact on your mental health, including, helping you to overcome trauma, manage anxiety and stress or relationship difficulties, change unhelpful or unwanted habits and gain increased confidence and self-esteem. I am motivated by a deep desire to empower you to overcome challenges, find purpose, make positive changes and achieve greater well-being.
I can support you with issues which are having a negative impact on your mental health, including, helping you to overcome trauma, manage anxiety and stress or relationship difficulties, change unhelpful or unwanted habits and gain increased confidence and self-esteem. I am motivated by a deep desire to empower you to overcome challenges, find purpose, make positive changes and achieve greater well-being.
0191 743 2036 View 0191 743 2036
Photo of Julie Arnold, Psychotherapist, DCounsPsych, BACP
Julie Arnold
Psychotherapist, DCounsPsych, BACP
1 Endorsed
Aylesbury HP18
I am a fully qualified Psychotherapist and counsellor. I work with a range of issues, including anxiety and depression. Being heard and accepted for being who you truly are, can feel incredibly empowering. When this is taken away, our thoughts can trigger unhelpful behaviours, increasing low mood. Which in turn can play havoc with our emotions. When we feel lonely and isolated, overwhelming feelings can flood our thoughts and fears. I can offer you a safe, warm, and confidential space to explore any issues that may contribute towards your anxiety and depression. I am here to listen to you in an non-judgmental way.
I am a fully qualified Psychotherapist and counsellor. I work with a range of issues, including anxiety and depression. Being heard and accepted for being who you truly are, can feel incredibly empowering. When this is taken away, our thoughts can trigger unhelpful behaviours, increasing low mood. Which in turn can play havoc with our emotions. When we feel lonely and isolated, overwhelming feelings can flood our thoughts and fears. I can offer you a safe, warm, and confidential space to explore any issues that may contribute towards your anxiety and depression. I am here to listen to you in an non-judgmental way.
01442 501237 View 01442 501237
Photo of Daniel Robinson, Counsellor, MA, MBACP
Daniel Robinson
Counsellor, MA, MBACP
Aylesbury HP18
I am an integrative counsellor and counselling tutor trained in psychodynamic, person-centred and CBT approaches. I offer both short and long-term counselling to adults in the form of face to face, online, phone and ‘walk & talk' sessions. Using an integrative approach enables me, with my knowledge and experience, to adapt my therapeutic model to suit my client's needs, enabling change in the most beneficial way possible. Underpinning all my therapeutic work is the knowledge that it is ultimately the quality of the relationship between client and therapist - that's you and me - that heals.
I am an integrative counsellor and counselling tutor trained in psychodynamic, person-centred and CBT approaches. I offer both short and long-term counselling to adults in the form of face to face, online, phone and ‘walk & talk' sessions. Using an integrative approach enables me, with my knowledge and experience, to adapt my therapeutic model to suit my client's needs, enabling change in the most beneficial way possible. Underpinning all my therapeutic work is the knowledge that it is ultimately the quality of the relationship between client and therapist - that's you and me - that heals.
01296 321190 View 01296 321190
Photo of Samantha Cox, Counsellor, MNCPS Acc.
Samantha Cox
Counsellor, MNCPS Acc.
2 Endorsed
Serves Area
Life can throw some really difficult situations at us and when this happens, it can be difficult to stay positive and cope with everyday life. I believe that counselling can provide you with an opportunity to explore any personal difficulties in a confidential, supportive, and non-judgmental environment. I am an integrative counsellor with a relational approach. My aim is to provide, a counselling space that is a supportive environment in which you will be given the time and space to explore, understand and gain insight into your unique situation. I have several years of experience working with young people from 11 years old.
Life can throw some really difficult situations at us and when this happens, it can be difficult to stay positive and cope with everyday life. I believe that counselling can provide you with an opportunity to explore any personal difficulties in a confidential, supportive, and non-judgmental environment. I am an integrative counsellor with a relational approach. My aim is to provide, a counselling space that is a supportive environment in which you will be given the time and space to explore, understand and gain insight into your unique situation. I have several years of experience working with young people from 11 years old.
01296 323422 View 01296 323422
Photo of Nicola M. Richter, Psychotherapist, MSc, MUKCP
Nicola M. Richter
Psychotherapist, MSc, MUKCP
Serves Area
Life might bring inner and outer challenges - I wish you that you can grow from it and find inner peace - I am happy to assist you in this. I am here for you to talk about your emotional, psychological & spiritual/transpersonal and mindfulness issues. I taught at Universities and present at international conferences. My practice is open for in person & video sessions. With 30+ years of practice I offer you a confidential space to explore your feelings and thoughts e.g. about anxiety, depression, suicide, relationships, death and dying, spiritual journey, meaning in life. I am here for you for any other issue you wish to explore.
Life might bring inner and outer challenges - I wish you that you can grow from it and find inner peace - I am happy to assist you in this. I am here for you to talk about your emotional, psychological & spiritual/transpersonal and mindfulness issues. I taught at Universities and present at international conferences. My practice is open for in person & video sessions. With 30+ years of practice I offer you a confidential space to explore your feelings and thoughts e.g. about anxiety, depression, suicide, relationships, death and dying, spiritual journey, meaning in life. I am here for you for any other issue you wish to explore.
01727 750088 View 01727 750088
Photo of Kelly Stallwood, Psychotherapist, DCounsPsych, MNCPS Acc.
Kelly Stallwood
Psychotherapist, DCounsPsych, MNCPS Acc.
Serves Area
I am a CPCAB qualified integrative counsellor and psychotherapist. I began my counselling training journey after working for the NHS, where I experienced first hand the challenges in relation to mental health awareness and support. I felt inspired to expand and deepen my knowledge about mental health and provide support to those who want to explore their difficulties and make a positive impact and change for themselves.
I am a CPCAB qualified integrative counsellor and psychotherapist. I began my counselling training journey after working for the NHS, where I experienced first hand the challenges in relation to mental health awareness and support. I felt inspired to expand and deepen my knowledge about mental health and provide support to those who want to explore their difficulties and make a positive impact and change for themselves.
01296 254443 View 01296 254443
Photo of Sarah L Wood - Green Gables Therapy, Psychotherapist, MBACP
Green Gables Therapy
Psychotherapist, MBACP
Serves Area
Do you want to feel happier? Do you struggle regulating your emotions, suffer with anxiety, depression, feeling sad or have low self esteem? Maybe you feel stuck and have lost yourself. Sometimes there is a specific reason and we know what is making us feel that way, other times it appears there is no reason at all. Counselling can help unpick whats going on, identify those thoughts and for it to feel less overwhelming and more manageable.
Do you want to feel happier? Do you struggle regulating your emotions, suffer with anxiety, depression, feeling sad or have low self esteem? Maybe you feel stuck and have lost yourself. Sometimes there is a specific reason and we know what is making us feel that way, other times it appears there is no reason at all. Counselling can help unpick whats going on, identify those thoughts and for it to feel less overwhelming and more manageable.
01296 327593 View 01296 327593
Photo of Hannah Gattrell, Counsellor, MBACP
Hannah Gattrell
Counsellor, MBACP
Serves Area
Do you often feel overwhelmed? Are you responding anxiously to the world but can’t find a starting point to get a handle on it? I would love to help. Together we can create a space where we can hold the complexity of your experience. I can help you develop the skills and awareness to find the difficult choices and conflicts and start to tackle them. I enjoy working with a neurodiverse clientele and am particularly interested in the intersections in our experience. Where life stages - maybe new parenthood, menopause or retirement - coincide with questions around neurodiversity or a changing understanding of traumas we have faced.
Do you often feel overwhelmed? Are you responding anxiously to the world but can’t find a starting point to get a handle on it? I would love to help. Together we can create a space where we can hold the complexity of your experience. I can help you develop the skills and awareness to find the difficult choices and conflicts and start to tackle them. I enjoy working with a neurodiverse clientele and am particularly interested in the intersections in our experience. Where life stages - maybe new parenthood, menopause or retirement - coincide with questions around neurodiversity or a changing understanding of traumas we have faced.
01295 239721 View 01295 239721
Photo of Kaz Hazelwood - Stepping Out Therapy, Counsellor, DCounsPsych, MNCPS Acc.
Stepping Out Therapy
Counsellor, DCounsPsych, MNCPS Acc.
Serves Area
Life can be challenging, and taking the first step to reach out for support is often the hardest. I offer both online therapy and walk-and-talk sessions in the beautiful Chilterns, providing a safe, non-judgemental space to explore whatever challenges you're facing. Whether it's anxiety, depression, grief, relationship struggles, career transitions, or neurodiversity, I work with adults from all walks of life. My approach is nurturing, collaborative, and tailored to your unique needs, helping you gain clarity and practical tools to improve your well-being.
Life can be challenging, and taking the first step to reach out for support is often the hardest. I offer both online therapy and walk-and-talk sessions in the beautiful Chilterns, providing a safe, non-judgemental space to explore whatever challenges you're facing. Whether it's anxiety, depression, grief, relationship struggles, career transitions, or neurodiversity, I work with adults from all walks of life. My approach is nurturing, collaborative, and tailored to your unique needs, helping you gain clarity and practical tools to improve your well-being.
01442 504640 View 01442 504640
Photo of Mirella Fox, Counsellor, GMBPsS
Mirella Fox
Counsellor, GMBPsS
Serves Area
Do you feel lost or overwhelmed sometimes? Feel like you have nobody to talk to? You may feel unloved, unheard and ignored. It may feel like you are not good enough. We all deserve somebody to talk to in these darker days and I can offer you a safe, confidential and nurturing space to help you with this journey. Together we can explore any challenges you may be facing, allowing you to make positive changes in your life. Check out testimonials on my website to see how I have helped others and how I may be able to help you too. I have helped clients to work on their grief, anxiety, depression or just to listen to them.
Do you feel lost or overwhelmed sometimes? Feel like you have nobody to talk to? You may feel unloved, unheard and ignored. It may feel like you are not good enough. We all deserve somebody to talk to in these darker days and I can offer you a safe, confidential and nurturing space to help you with this journey. Together we can explore any challenges you may be facing, allowing you to make positive changes in your life. Check out testimonials on my website to see how I have helped others and how I may be able to help you too. I have helped clients to work on their grief, anxiety, depression or just to listen to them.
01844 393771 View 01844 393771
Photo of Paul Doble, Psychotherapist, MA, MNCPS Acc.
Paul Doble
Psychotherapist, MA, MNCPS Acc.
Serves Area
I am an experienced counsellor, psychotherapist & lecturer with availability to see private clients for therapy or clinical supervision. If you are facing a difficult time in your life I can help with a programme of therapy tailored to you & your needs. I aim to create for you a warm, safe, supportive space where you can explore areas of your life that feel difficult, problematic or painful. Here's a testimonial from CT (not their real name) "I met with Paul when I was struggling to cope in various areas of my life. It was such a positive decision, I learned so much about myself and how to cope with issues I was dealing with".
I am an experienced counsellor, psychotherapist & lecturer with availability to see private clients for therapy or clinical supervision. If you are facing a difficult time in your life I can help with a programme of therapy tailored to you & your needs. I aim to create for you a warm, safe, supportive space where you can explore areas of your life that feel difficult, problematic or painful. Here's a testimonial from CT (not their real name) "I met with Paul when I was struggling to cope in various areas of my life. It was such a positive decision, I learned so much about myself and how to cope with issues I was dealing with".
07446 954353 View 07446 954353
Photo of Dr Uzaina, Psychologist, HCPC - Couns. Psych.
Dr Uzaina Uzaina
Psychologist, HCPC - Couns. Psych.
Serves Area
I am Dr. Uzaina, a Practitioner Counselling Psychologist with over a decade of experience in evidence-based therapies, including CBT, trauma-informed care, and Autism assessments. I specialize in supporting individuals, families, and neurodiverse children. My ideal client seeks support for challenges like anxiety, trauma, or parenting a neurodiverse child. They want a safe space to explore struggles, gain tools, and build resilience. I empower clients to overcome obstacles, break unhelpful patterns, and achieve meaningful change in a supportive and collaborative environment. Let’s take the first step together.
I am Dr. Uzaina, a Practitioner Counselling Psychologist with over a decade of experience in evidence-based therapies, including CBT, trauma-informed care, and Autism assessments. I specialize in supporting individuals, families, and neurodiverse children. My ideal client seeks support for challenges like anxiety, trauma, or parenting a neurodiverse child. They want a safe space to explore struggles, gain tools, and build resilience. I empower clients to overcome obstacles, break unhelpful patterns, and achieve meaningful change in a supportive and collaborative environment. Let’s take the first step together.
01895 545107 View 01895 545107
Photo of Chryso Johnstone, Counsellor, MNCPS Acc.
Chryso Johnstone
Counsellor, MNCPS Acc.
Serves Area
There are a lot of reasons why you might be looking into therapy right now. It could be that you feel as though you have lost yourself or are confused about who you are. Maybe it's a sense of feeling lost in the world or you're feeling overwhelmed, weary or confused. Perhaps relationships are difficult or you're experiencing pressures in life and they are starting to feel out of control. Therapy is a space to explore experiences and find ways to live through them with the bonus of someone by your side being there for you during that time. Sometimes you may not be able to put a name to what it is you are experiencing and that's OK.
There are a lot of reasons why you might be looking into therapy right now. It could be that you feel as though you have lost yourself or are confused about who you are. Maybe it's a sense of feeling lost in the world or you're feeling overwhelmed, weary or confused. Perhaps relationships are difficult or you're experiencing pressures in life and they are starting to feel out of control. Therapy is a space to explore experiences and find ways to live through them with the bonus of someone by your side being there for you during that time. Sometimes you may not be able to put a name to what it is you are experiencing and that's OK.
01296 929229 View 01296 929229
Photo of Azrat Begum - Healing Hearts Aylesbury, Counsellor, MBACP
Healing Hearts Aylesbury
Counsellor, MBACP
Serves Area
Maybe you are struggling with anxiety, depression or bereavement or there's a change within your world like moving home or changing jobs. You may have experienced a loss and are finding yourself isolated, or maybe you need someone to share your thoughts to gain clarity.
Maybe you are struggling with anxiety, depression or bereavement or there's a change within your world like moving home or changing jobs. You may have experienced a loss and are finding yourself isolated, or maybe you need someone to share your thoughts to gain clarity.
01296 929658 View 01296 929658
Photo of Tom Coates - Cbt Therapist, Psychotherapist, MBABCP
Tom Coates - Cbt Therapist
Psychotherapist, MBABCP
5 Endorsed
Serves Area
Emotional difficulties can make us feel overwhelmed, isolated, and exhausted, affecting our daily lives and overall well-being. If this sounds like you, remember that help is available. I'm Tom, a BABCP accredited Cognitive Behavioural Therapist with over 12 years of experience in clinical practice. Although I work with a range of conditions, including Depression and Anxiety, I have a specialist interest in working with individuals struggling with Obsessive Compulsive Disorder (OCD). My personal battles with OCD and depression allow me to empathise deeply with my clients, enabling me to provide understanding and supportive care.
Emotional difficulties can make us feel overwhelmed, isolated, and exhausted, affecting our daily lives and overall well-being. If this sounds like you, remember that help is available. I'm Tom, a BABCP accredited Cognitive Behavioural Therapist with over 12 years of experience in clinical practice. Although I work with a range of conditions, including Depression and Anxiety, I have a specialist interest in working with individuals struggling with Obsessive Compulsive Disorder (OCD). My personal battles with OCD and depression allow me to empathise deeply with my clients, enabling me to provide understanding and supportive care.
01296 327562 View 01296 327562
Photo of Coral-Lee Laurence, Counsellor, MBACP
Coral-Lee Laurence
Counsellor, MBACP
Online Only
How many times have you questioned why you repeat the same actions, find yourself in the same relationships, similar conditions or even ruminating on the same thoughts. We often do things unknowingly and have a deep longing to know why. You long for insight on your past and your present and feel anxious about the future because of this. It is at your worst moments that you seek self introspection, yet you still feel stuck. Perhaps you have self doubt or have uncertainty about where you are or what you want in your life. You have a deep desire to attain the life you dream of but feel that you get in your own way.
How many times have you questioned why you repeat the same actions, find yourself in the same relationships, similar conditions or even ruminating on the same thoughts. We often do things unknowingly and have a deep longing to know why. You long for insight on your past and your present and feel anxious about the future because of this. It is at your worst moments that you seek self introspection, yet you still feel stuck. Perhaps you have self doubt or have uncertainty about where you are or what you want in your life. You have a deep desire to attain the life you dream of but feel that you get in your own way.
01525 664382 View 01525 664382
Photo of Mary Woods, Counsellor, MBACP
Mary Woods
Counsellor, MBACP
Serves Area
Are you feeling overwhelmed, anxious, unhappy, stuck or confused? Therapy can help. Whether you need short-term or long-term support, I can offer you the time and space to explore what’s going on and how your experiences are affecting you. Building a trusting relationship together, in which you can talk openly and honestly, can help deepen understanding about yourself, your emotions, your experiences and your relationships; develop your confidence and resilience and help you find more positive ways of dealing with your issues.
Are you feeling overwhelmed, anxious, unhappy, stuck or confused? Therapy can help. Whether you need short-term or long-term support, I can offer you the time and space to explore what’s going on and how your experiences are affecting you. Building a trusting relationship together, in which you can talk openly and honestly, can help deepen understanding about yourself, your emotions, your experiences and your relationships; develop your confidence and resilience and help you find more positive ways of dealing with your issues.
01844 394499 View 01844 394499
1

How does your Counsellor compare?

Number of Counsellors in HP18

20+

Average cost per session

£60

Counsellors in HP18 who prioritize treating:

86% Self Esteem
82% Anxiety
77% Relationship Issues
73% Depression
68% Trauma and PTSD
68% Stress
59% Bereavement

Average years in practice

7 Years

Top 3 insurances accepted

100% WPA
75% Cigna and Evernorth
75% AXA PPP

How Counsellors in HP18 see their clients

91% In Person and Online
9% Online Only

Gender breakdown

78% Female
18% Male
4% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in HP18?

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.