Photo of Lisa Michelle Green - Green Therapy, BACP, Psychotherapist
Green Therapy
Psychotherapist, BACP
Verified Verified
If you would like someone to listen to you and help you find ways to manage your emotional issues such as depression, anxiety, bereavement, trauma or difficult life events then counselling can help. I work with young people and adults in private practise situated in Aylesbury and Thame. I offer a confidential non-judgemental safe and comfortable environment, allowing my client's to express and explore themselves, their feelings, thoughts and concerns.
If you would like someone to listen to you and help you find ways to manage your emotional issues such as depression, anxiety, bereavement, trauma or difficult life events then counselling can help. I work with young people and adults in private practise situated in Aylesbury and Thame. I offer a confidential non-judgemental safe and comfortable environment, allowing my client's to express and explore themselves, their feelings, thoughts and concerns.
07723 456080 View 07723 456080
Photo of Kelly Morris - Therapy with KellyM, MBACP, Counsellor
Therapy with KellyM
Counsellor, MBACP
Verified Verified
If you're recovering from the emotional turmoil of harmful and abusive relationships, you might feel overwhelmed by trust issues, anxiety, and low self-esteem. These feelings can be deeply isolating, leaving you yearning for understanding and relief. As you search for a way forward, know that acknowledging your pain is a courageous step and an important part of your journey toward well-being and growth.
If you're recovering from the emotional turmoil of harmful and abusive relationships, you might feel overwhelmed by trust issues, anxiety, and low self-esteem. These feelings can be deeply isolating, leaving you yearning for understanding and relief. As you search for a way forward, know that acknowledging your pain is a courageous step and an important part of your journey toward well-being and growth.
01442 501252 View 01442 501252
Photo of Paul Doble, MA, MNCPS Acc., Psychotherapist
Paul Doble
Psychotherapist, MA, MNCPS Acc.
Verified Verified
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 Hannah Prince, MBACP, Counsellor
Hannah Prince
Counsellor, MBACP
Verified Verified
Hello, my name is Hannah and I’m a qualified counsellor. I know that taking the first steps to seeking support can be daunting, but I’m here to make those steps a little bit easier by offering a safe, compassionate and non-judgemental space to help you explore your thoughts and feelings around the things that are happening in your life. I work with adults and have experience of working with depression, anxiety, panic disorder, relationship breakdowns, feeling overwhelmed, confidence and self-esteem. I also have experience of working with adult carers and understand the complexities of the feelings that being in this role can bring.
Hello, my name is Hannah and I’m a qualified counsellor. I know that taking the first steps to seeking support can be daunting, but I’m here to make those steps a little bit easier by offering a safe, compassionate and non-judgemental space to help you explore your thoughts and feelings around the things that are happening in your life. I work with adults and have experience of working with depression, anxiety, panic disorder, relationship breakdowns, feeling overwhelmed, confidence and self-esteem. I also have experience of working with adult carers and understand the complexities of the feelings that being in this role can bring.
01442 979573 View 01442 979573
Photo of Kimberley Bolton, MBACP, Counsellor
Kimberley Bolton
Counsellor, MBACP
Verified Verified
At some point in our lives, we all encounter difficulties. We each have unique experiences of these struggles and at times they can feel overwhelming. You may seek therapy if you feel stressed, anxious or struggle with low mood. You might find yourself affected by current or past experiences. Difficulties related to your relationships, work, or homelife. It may be that you long for a calm, confidential space to be heard and understood. Counselling and psychotherapy can help wherever you are in your life.
At some point in our lives, we all encounter difficulties. We each have unique experiences of these struggles and at times they can feel overwhelming. You may seek therapy if you feel stressed, anxious or struggle with low mood. You might find yourself affected by current or past experiences. Difficulties related to your relationships, work, or homelife. It may be that you long for a calm, confidential space to be heard and understood. Counselling and psychotherapy can help wherever you are in your life.
01296 327584 View 01296 327584
Photo of Chryso Johnstone, MNCPS Acc., Counsellor
Chryso Johnstone
Counsellor, MNCPS Acc.
Verified Verified
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, MBACP, Counsellor
Healing Hearts Aylesbury
Counsellor, MBACP
Verified Verified
1 Endorsed
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 Sally Davies - Chiltern Therapy, MBACP, Counsellor
Chiltern Therapy
Counsellor, MBACP
Verified Verified
Hello and welcome. I'm a qualified counsellor that is passionate about mental health and well-being and I'm committed to making a difference to my clients' lives. Suffering from emotional or psychological difficulties can feel overwhelming and is often debilitating. Life can be complicated and cruel and we can often feel hopeless, confused and out of control. There are times when life can just become too much and the smallest things can get to you. I understand the prospect of counselling can seem daunting, however talking to a counsellor is the first step towards change. You don't have to struggle alone.
Hello and welcome. I'm a qualified counsellor that is passionate about mental health and well-being and I'm committed to making a difference to my clients' lives. Suffering from emotional or psychological difficulties can feel overwhelming and is often debilitating. Life can be complicated and cruel and we can often feel hopeless, confused and out of control. There are times when life can just become too much and the smallest things can get to you. I understand the prospect of counselling can seem daunting, however talking to a counsellor is the first step towards change. You don't have to struggle alone.
07480 487491 View 07480 487491
Photo of Samantha Cox, MBACP, Counsellor
Samantha Cox
Counsellor, MBACP
Verified Verified
2 Endorsed
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 should 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 should 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 Annie Kissane, MSc, MBACP Snr. Accred, Psychotherapist
Annie Kissane
Psychotherapist, MSc, MBACP Snr. Accred
Verified Verified
Not accepting new clients
Exploring the possibility of counselling/psychotherapy is a courageous step, one which can enable you to become more fully yourself. Therapy should be a place where you can feel safe and accepted, where you find it easier to share things that are concerning you. It can be a place where you come to find out more about yourself, to challenge yourself and make choices and decisions that lead towards a more positive and hopeful future. Sometimes there is something from our past, an event or an aspect of ourselves, that seems to be holding us back, and therapy can support us in addressing those things too. Be in touch for more info...
Exploring the possibility of counselling/psychotherapy is a courageous step, one which can enable you to become more fully yourself. Therapy should be a place where you can feel safe and accepted, where you find it easier to share things that are concerning you. It can be a place where you come to find out more about yourself, to challenge yourself and make choices and decisions that lead towards a more positive and hopeful future. Sometimes there is something from our past, an event or an aspect of ourselves, that seems to be holding us back, and therapy can support us in addressing those things too. Be in touch for more info...
01296 340612 View 01296 340612
Photo of Louisa Woodford, DCounsPsych, MBACP, Psychotherapist
Louisa Woodford
Psychotherapist, DCounsPsych, MBACP
Verified Verified
2 Endorsed
Waitlist for new clients
Feeling anxious, unsettled or sad can feel like a lonely place to be in our lives. I work with anxiety and depression and have further experience in working with addiction and abuse. Whether it's a challenging life event, relationship, job or a sense of ongoing unhappiness that feels hard to pin-point, I offer a calm and friendly space in which we can talk through your issues at your pace to explore what you might need. Rather than advise, I gently support you to find the way forward that feels right for you.
Feeling anxious, unsettled or sad can feel like a lonely place to be in our lives. I work with anxiety and depression and have further experience in working with addiction and abuse. Whether it's a challenging life event, relationship, job or a sense of ongoing unhappiness that feels hard to pin-point, I offer a calm and friendly space in which we can talk through your issues at your pace to explore what you might need. Rather than advise, I gently support you to find the way forward that feels right for you.
01296 329372 View 01296 329372
Photo of Nicola Salisbury, MBACP, Counsellor
Nicola Salisbury
Counsellor, MBACP
Verified Verified
Hello I'm Nicola, a qualified counsellor working with both adults and teenagers from all walks of life. My integrative training allows me to tailor my therapeutic approach to suit your needs at the time of contacting me, whether that be to listen to your story and sit with you in your pain or work with you to make positive changes to your life... or something in between. I can offer you a safe and confidential space for you to be heard without judgement or expectation. Your presenting issues might be anxiety, depression, a relationship breakdown, a bereavement, low self-esteem, difficulty coping with change and uncertainty or more.
Hello I'm Nicola, a qualified counsellor working with both adults and teenagers from all walks of life. My integrative training allows me to tailor my therapeutic approach to suit your needs at the time of contacting me, whether that be to listen to your story and sit with you in your pain or work with you to make positive changes to your life... or something in between. I can offer you a safe and confidential space for you to be heard without judgement or expectation. Your presenting issues might be anxiety, depression, a relationship breakdown, a bereavement, low self-esteem, difficulty coping with change and uncertainty or more.
01442 979679 View 01442 979679
Photo of Jenny Edwards, MBACP, Counsellor
Jenny Edwards
Counsellor, MBACP
Verified Verified
1 Endorsed
Thank you for taking time to visit my profile, It is the first step towards change and takes courage. Maybe you're here because you have experienced a difficult past? Perhaps your childhood has left you feeling hurt? Do you feel excluded from others and when you are around other people do you feel like you don’t fit in and find yourself overcompensating to fit in, or question yourself and wonder what is wrong with you? Are you constantly worrying and find it hard to relax around others? Maybe this surfaces anger, jealousy or sadness?
Thank you for taking time to visit my profile, It is the first step towards change and takes courage. Maybe you're here because you have experienced a difficult past? Perhaps your childhood has left you feeling hurt? Do you feel excluded from others and when you are around other people do you feel like you don’t fit in and find yourself overcompensating to fit in, or question yourself and wonder what is wrong with you? Are you constantly worrying and find it hard to relax around others? Maybe this surfaces anger, jealousy or sadness?
01296 254515 View 01296 254515
Photo of Julie Arnold, DCounsPsych, BACP, Psychotherapist
Julie Arnold
Psychotherapist, DCounsPsych, BACP
Verified Verified
1 Endorsed
Hello, 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-judgemental way, and to support you with any changes you wish to make.
Hello, 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-judgemental way, and to support you with any changes you wish to make.
01442 501237 View 01442 501237
Photo of Sue Lemon - Sue Lemon Counselling, MBACP, Counsellor
Sue Lemon Counselling
Counsellor, MBACP
Verified Verified
Are you depressed or feel deep sadness? Do you suffer with anxiety, lay awake worrying, feeling hopeless and stuck? Or are you woken by nightmares and flashbacks of past experiences? Perhaps you are holding huge resentment and anger which is all to consuming. Alongside you, I can help you explore and understand whatever is taking over your life and worrying you. Counselling will help you feel and function better, make a difference to your self esteem and confidence, in your everyday life with friends and family as well as in your workplace.
Are you depressed or feel deep sadness? Do you suffer with anxiety, lay awake worrying, feeling hopeless and stuck? Or are you woken by nightmares and flashbacks of past experiences? Perhaps you are holding huge resentment and anger which is all to consuming. Alongside you, I can help you explore and understand whatever is taking over your life and worrying you. Counselling will help you feel and function better, make a difference to your self esteem and confidence, in your everyday life with friends and family as well as in your workplace.
07480 781173 View 07480 781173
Photo of Philippa Williams - Equine Enlightenment Psychological Services, GMBPsS, Psychologist
Equine Enlightenment Psychological Services
Psychologist, GMBPsS
Verified Verified
Online Only
Currently sessions are available online only. We are able to offer both short and long term therapy for a broad range of needs and goals. We can work together once weekly or more, for an hour or more, alternative weeks/ monthly and one off sessions. We tailor the therapy to your individual needs and goals, combining a structured professional approach that will feel comfortable and safe. As a team of psychologists, psychotherapists and counsellors, we can offer a range of psychological approaches and evidence based therapy to support your healing.
Currently sessions are available online only. We are able to offer both short and long term therapy for a broad range of needs and goals. We can work together once weekly or more, for an hour or more, alternative weeks/ monthly and one off sessions. We tailor the therapy to your individual needs and goals, combining a structured professional approach that will feel comfortable and safe. As a team of psychologists, psychotherapists and counsellors, we can offer a range of psychological approaches and evidence based therapy to support your healing.
07588 695348 View 07588 695348
Minds in Session
Psychologist, MSc, HCPC - Clin. Psych.
Verified Verified
We enjoy working with all things diversity from neurodiversity to cultural diversity. We work with organisations to ensure psychological safety but we also dedicate work to coach individuals to maximise their neurodiverse strengths for high performance in the workplace. We have developed a programme to treat racial trauma and a programme to help allies to support their colleagues, friends, family and peers. If you are worried about your mood, your relationships or your performance at work and you are neurodiverse or culturally diverse, we can help you....no we can work together.
We enjoy working with all things diversity from neurodiversity to cultural diversity. We work with organisations to ensure psychological safety but we also dedicate work to coach individuals to maximise their neurodiverse strengths for high performance in the workplace. We have developed a programme to treat racial trauma and a programme to help allies to support their colleagues, friends, family and peers. If you are worried about your mood, your relationships or your performance at work and you are neurodiverse or culturally diverse, we can help you....no we can work together.
020 3763 3993 View 020 3763 3993

More Therapists Nearby

Photo of Lois Powell, MNCPS Acc., Psychotherapist
Lois Powell
Psychotherapist, MNCPS Acc.
Verified Verified
Tring HP23
In life’s journey we experience many ups and downs with issues we find difficult to cope with. To have someone there who’s warm, supportive and non judgemental can help to make that journey a little easier. To be heard and understood can aid in the process of understanding our inner feelings and emotions and help us to find successful ways of managing the difficulties that life throws at us. I can offer a safe and confidential place for you to share, explore and work through those difficulties which may be causing you distress.
In life’s journey we experience many ups and downs with issues we find difficult to cope with. To have someone there who’s warm, supportive and non judgemental can help to make that journey a little easier. To be heard and understood can aid in the process of understanding our inner feelings and emotions and help us to find successful ways of managing the difficulties that life throws at us. I can offer a safe and confidential place for you to share, explore and work through those difficulties which may be causing you distress.
07447 981987 View 07447 981987
Photo of Agnieszka Marszewska, MA, MBACP Accred, Psychotherapist
Agnieszka Marszewska
Psychotherapist, MA, MBACP Accred
Verified Verified
1 Endorsed
Reaching out for help is a courageous act and can mean that you feel anxious, lost, burnout, ‘not enough’… Therapy could help to reframe the way you think, feel, or behave. I see therapeutic change as the process of exploring, understanding, and most importantly accepting different aspects of the self. This way life can be lived more authentically, meaningfully, and creatively. I provide an empathetic, non-discriminatory, and attentive environment for you to share whatever it is that's on your mind. I believe in healing power of being truly seen, heard, and understood and as a therapist I intend to facilitate it.
Reaching out for help is a courageous act and can mean that you feel anxious, lost, burnout, ‘not enough’… Therapy could help to reframe the way you think, feel, or behave. I see therapeutic change as the process of exploring, understanding, and most importantly accepting different aspects of the self. This way life can be lived more authentically, meaningfully, and creatively. I provide an empathetic, non-discriminatory, and attentive environment for you to share whatever it is that's on your mind. I believe in healing power of being truly seen, heard, and understood and as a therapist I intend to facilitate it.
020 7183 9873 View 020 7183 9873
Photo of Khaled Helmy, PhD, Psychiatrist
Khaled Helmy
Psychiatrist, PhD
Verified Verified
An overly caring private psychiatrist with more than 25 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 25 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

See more therapy options for HP20

How does your Counsellor compare?

Number of Counsellors in HP20

10+

Average cost per session

£60

Counsellors in HP20 who prioritize treating:

88% Anxiety
88% Self Esteem
82% Relationship Issues
82% Depression
82% Trauma and PTSD
82% Stress
76% Domestic Abuse

Average years in practice

8 Years

Top 3 insurances accepted

67% Bupa
33% AXA PPP
33% Vitality

How Counsellors in HP20 see their clients

95% In Person and Online
5% Online Only

Gender breakdown

89% Female
6% Male
5% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in HP20?

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.