Counselling in HR6

Photo of Susan Jones, Counsellor, MBACP
Susan Jones
Counsellor, MBACP
1 Endorsed
I am a Person-Centred counsellor, committed to helping clients access their own inner resources, to cope with depression, anxiety or relationship issues, as well as many other life challenges. I believe that dedicated counselling can help to unravel complex and confusing thoughts, building towards positivity and an enhanced understanding of self. If you are struggling or feeling overwhelmed, reaching out to someone who understands is the first step. I value you.
I am a Person-Centred counsellor, committed to helping clients access their own inner resources, to cope with depression, anxiety or relationship issues, as well as many other life challenges. I believe that dedicated counselling can help to unravel complex and confusing thoughts, building towards positivity and an enhanced understanding of self. If you are struggling or feeling overwhelmed, reaching out to someone who understands is the first step. I value you.
01544 304301 View 01544 304301
Photo of Debbie Andrews, Counsellor, MBACP
Debbie Andrews
Counsellor, MBACP
2 Endorsed
Hello and welcome, I’m Debbie Andrews – a warm, down-to-earth counsellor based in Leominster, Herefordshire. I have rooms at The Body Clinic, Leominster and The Fred Bulmer Centre, Hereford. Life can be overwhelming at times and it's just good to talk about what's going on. I like to work with you to find your own answers, to understand what is going on for you. We don't always know what we are thinking or feeling until we say it out loud. In order to do that you need to be able to trust who you are talking to. Nobody likes feeling judged or being told what to do!
Hello and welcome, I’m Debbie Andrews – a warm, down-to-earth counsellor based in Leominster, Herefordshire. I have rooms at The Body Clinic, Leominster and The Fred Bulmer Centre, Hereford. Life can be overwhelming at times and it's just good to talk about what's going on. I like to work with you to find your own answers, to understand what is going on for you. We don't always know what we are thinking or feeling until we say it out loud. In order to do that you need to be able to trust who you are talking to. Nobody likes feeling judged or being told what to do!
0121 816 0586 View 0121 816 0586
Photo of Bethan Collier, Counsellor, BACP
Bethan Collier
Counsellor, BACP
1 Endorsed
My name is Bethan, I am a qualified Person-Centred Counsellor and founder of Herefordshire Counselling. I am passionate about helping individuals wanting to explore feelings and experiences associated with, but not limited to; Stress, Anxiety, Depression, Chronic Illness, Sexuality, Addiction, Sexual Violence, Trauma, PTSD, Grief, Loss, Neurodiversity, Relationship difficulties and Work related stress.
My name is Bethan, I am a qualified Person-Centred Counsellor and founder of Herefordshire Counselling. I am passionate about helping individuals wanting to explore feelings and experiences associated with, but not limited to; Stress, Anxiety, Depression, Chronic Illness, Sexuality, Addiction, Sexual Violence, Trauma, PTSD, Grief, Loss, Neurodiversity, Relationship difficulties and Work related stress.
01568 605202 View 01568 605202
Photo of Pippa Haverly, Counsellor, MBACP
Pippa Haverly
Counsellor, MBACP
Serves Area
Life can be complex and often overwhelming, leaving us at times feeling isolated and alone even when we are surrounded by people. As such there might be many different reasons why people come into counselling. Sometimes the issues we experience have clear causes and explanations and at other times it might feel less obvious and harder therefore to identify. What I would hope to offer you is a place that feels safe, supportive and confidential where you are able to explore whatever it is for you personally that you want to address without fear of judgement and criticism.
Life can be complex and often overwhelming, leaving us at times feeling isolated and alone even when we are surrounded by people. As such there might be many different reasons why people come into counselling. Sometimes the issues we experience have clear causes and explanations and at other times it might feel less obvious and harder therefore to identify. What I would hope to offer you is a place that feels safe, supportive and confidential where you are able to explore whatever it is for you personally that you want to address without fear of judgement and criticism.
01432 808278 View 01432 808278
Photo of Dr Maria Love, Psychologist, HCPC - Clin. Psych.
Dr Maria Love
Psychologist, HCPC - Clin. Psych.
Serves Area
Welcome, you may have arrived here feeling somewhat overwhelmed as you look for the support you need. Specialist psychological therapy may offer you helpful and meaningful ways of understanding your difficulties as well as resources and ways of coping to support you to move towards your valued direction for your mental health and wellbeing. Many people experience trauma reactions following highly stressful and distressing experiences in their life. You may be struggling to make sense of and cope with what has happened to you and the ways that this affects how you think, feel, behave and your relationships.
Welcome, you may have arrived here feeling somewhat overwhelmed as you look for the support you need. Specialist psychological therapy may offer you helpful and meaningful ways of understanding your difficulties as well as resources and ways of coping to support you to move towards your valued direction for your mental health and wellbeing. Many people experience trauma reactions following highly stressful and distressing experiences in their life. You may be struggling to make sense of and cope with what has happened to you and the ways that this affects how you think, feel, behave and your relationships.
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Photo of Tom Magal, Counsellor, MBACP
Tom Magal
Counsellor, MBACP
Serves Area
I am a fully qualified integrative therapist, experienced in working with couples and individuals of all ages, and from all walks of life. I'm not your everyday counsellor, I truly believe that we all have it within us to be our best selves, happy and content, but that comes from understanding ourselves better. I often see clients in the middle of a crisis who need more immediate help, and I also work with people who are otherwise happy but want help moving forwards in their life. I see couples who may have got into bad habits, and may want help building an environment which will enable the relationship to flourish once again.
I am a fully qualified integrative therapist, experienced in working with couples and individuals of all ages, and from all walks of life. I'm not your everyday counsellor, I truly believe that we all have it within us to be our best selves, happy and content, but that comes from understanding ourselves better. I often see clients in the middle of a crisis who need more immediate help, and I also work with people who are otherwise happy but want help moving forwards in their life. I see couples who may have got into bad habits, and may want help building an environment which will enable the relationship to flourish once again.
01432 805983 View 01432 805983
Photo of Julie Bartlett, Psychotherapist, MBACP Accred
Julie Bartlett
Psychotherapist, MBACP Accred
Online Only
We live in challenging times and it's easy to feel overwhelmed and in need of a little help. I am a very experienced counsellor, professionally accredited by the British Association of Counsellors and Psychotherapists for more than fifteen years. It has been my privilege to work with clients between 8 and 81 years of age in numerous settings including GP surgeries, schools, counselling agencies and my own longstanding private practice.
We live in challenging times and it's easy to feel overwhelmed and in need of a little help. I am a very experienced counsellor, professionally accredited by the British Association of Counsellors and Psychotherapists for more than fifteen years. It has been my privilege to work with clients between 8 and 81 years of age in numerous settings including GP surgeries, schools, counselling agencies and my own longstanding private practice.
07481 342508 View 07481 342508
Photo of Alison Lee Pritchard - alp counselling (Alison Pritchard), Counsellor, MBACP
alp counselling (Alison Pritchard)
Counsellor, MBACP
Serves Area
Deciding to come for counselling can be a big step; it may be something you've been wondering about for some time. Life throws up many situations unexpectedly and we can end up somewhere we never imagined being, unsure what to do next or lacking confidence in ourselves. We may feel our relationships are not working the way we had hoped. Counselling can help with specific issues or with a general sense of having lost yourself through life; not being sure of what you want or struggling with what has happened. The most important factor for successful counselling is finding a counsellor who you feel able to talk to.
Deciding to come for counselling can be a big step; it may be something you've been wondering about for some time. Life throws up many situations unexpectedly and we can end up somewhere we never imagined being, unsure what to do next or lacking confidence in ourselves. We may feel our relationships are not working the way we had hoped. Counselling can help with specific issues or with a general sense of having lost yourself through life; not being sure of what you want or struggling with what has happened. The most important factor for successful counselling is finding a counsellor who you feel able to talk to.
01432 802835 View 01432 802835
Photo of Wendy Harvey, Psychotherapist, MBACP Accred
Wendy Harvey
Psychotherapist, MBACP Accred
1 Endorsed
Serves Area
I specialise in working with couples and individuals from a holistic/mindfulness perspective. I have over 25 years of experience of accompanying people of all ages with every kind of issue on their journeys of self-exploration. My original training was with Relate and I have since trained in Mindfulness-based Stress Reduction, Somatic Trauma Work, Whole Body Focusing and Craniosacral Therapy. I have an interest in working with family relationship issues with Family Systems, Family Constellations and Non-Violent Communication approaches. I have a longstanding meditation and spiritual practice which is the foundation for my work.
I specialise in working with couples and individuals from a holistic/mindfulness perspective. I have over 25 years of experience of accompanying people of all ages with every kind of issue on their journeys of self-exploration. My original training was with Relate and I have since trained in Mindfulness-based Stress Reduction, Somatic Trauma Work, Whole Body Focusing and Craniosacral Therapy. I have an interest in working with family relationship issues with Family Systems, Family Constellations and Non-Violent Communication approaches. I have a longstanding meditation and spiritual practice which is the foundation for my work.
01432 808374 View 01432 808374
Photo of Bernadette Bustin, Psychologist, CPsychol
Bernadette Bustin
Psychologist, CPsychol
Serves Area
Are you fed up or despairing to find yourself in the same old cycle of addictive or compulsive behaviour yet again? I help people who are stuck in these patterns to feel hopeful, optimistic and confident about regaining control of their lives. Addictions and compulsive behaviours can begin as our way of coping. Whether that is alcohol, drugs and gambling or shopping, over-eating and pornography ........or any other repetitive behaviour - they seem to ‘steal our lives’ and still leave us with our original problem. Perhaps we don't even know why our compulsive behaviour started - we only know that we need to make a change.
Are you fed up or despairing to find yourself in the same old cycle of addictive or compulsive behaviour yet again? I help people who are stuck in these patterns to feel hopeful, optimistic and confident about regaining control of their lives. Addictions and compulsive behaviours can begin as our way of coping. Whether that is alcohol, drugs and gambling or shopping, over-eating and pornography ........or any other repetitive behaviour - they seem to ‘steal our lives’ and still leave us with our original problem. Perhaps we don't even know why our compulsive behaviour started - we only know that we need to make a change.
01982 510303 View 01982 510303
Photo of Sally Eastwood, Psychotherapist, MSc, UKCP Trainee
Sally Eastwood
Psychotherapist, MSc, UKCP Trainee
3 Endorsed
Serves Area
Therapy can help if you're experiencing feelings of loss, loneliness, anxiety, or depression: either for reasons you know, or reasons you maybe don’t yet know. Life transitions such as bereavement, a new job, retirement, divorce, or becoming a parent, can sometimes trigger feelings of worry and self-doubt. Or maybe something just doesn’t feel right: a sense of wondering who you are in the present moment, and what to do next. Being able to explore feelings and emotions in a safe space can give you a greater understanding of what’s happening in your life, and how to become clearer about what you want and need moving forward.
Therapy can help if you're experiencing feelings of loss, loneliness, anxiety, or depression: either for reasons you know, or reasons you maybe don’t yet know. Life transitions such as bereavement, a new job, retirement, divorce, or becoming a parent, can sometimes trigger feelings of worry and self-doubt. Or maybe something just doesn’t feel right: a sense of wondering who you are in the present moment, and what to do next. Being able to explore feelings and emotions in a safe space can give you a greater understanding of what’s happening in your life, and how to become clearer about what you want and need moving forward.
01743 296214 View 01743 296214

More Therapists Nearby

Photo of Nicola Harper, Counsellor, MBACP
Nicola Harper
Counsellor, MBACP
Online Only
Whether you're feeling sad, overwhelmed, anxious, depressed, or simply need someone to talk to, I'm here to help. Sessions are available by phone, or online to fit around your schedule and commitments. Working online or by telephone in my experience is as effective as meeting face to face. I’m here to listen with compassion and without judgment, helping you make sense of your thoughts and feelings. Together, we’ll set realistic goals to support you. I have also received training from RABI and have experience supporting people from rural communities.
Whether you're feeling sad, overwhelmed, anxious, depressed, or simply need someone to talk to, I'm here to help. Sessions are available by phone, or online to fit around your schedule and commitments. Working online or by telephone in my experience is as effective as meeting face to face. I’m here to listen with compassion and without judgment, helping you make sense of your thoughts and feelings. Together, we’ll set realistic goals to support you. I have also received training from RABI and have experience supporting people from rural communities.
01905 975377 View 01905 975377
Photo of Hannya Melrose, Psychotherapist, MA, MUKCP
Hannya Melrose
Psychotherapist, MA, MUKCP
Serves Area
I have worked for over 15 years as a body-oriented psychotherapist, specialising in prenatal & birth/ attachment issues, sexual trauma, life transitions & crisis. I am also a TRE (Tension Releasing Exercises) provider, to support the release of stress from the body/ mind. More recently I have trained to work with women of all ages & life stages around menstrual cycle awareness, the menopause passage & after & I am currently training as a women's transformational coach & facilitator. I feel passionately about supporting women to step into greater self-love, empowerment & fulfillment in all areas of their life.
I have worked for over 15 years as a body-oriented psychotherapist, specialising in prenatal & birth/ attachment issues, sexual trauma, life transitions & crisis. I am also a TRE (Tension Releasing Exercises) provider, to support the release of stress from the body/ mind. More recently I have trained to work with women of all ages & life stages around menstrual cycle awareness, the menopause passage & after & I am currently training as a women's transformational coach & facilitator. I feel passionately about supporting women to step into greater self-love, empowerment & fulfillment in all areas of their life.
01453 708236 View 01453 708236
Photo of Colin Winston-Fletcher, Psychotherapist, MUKCP
Colin Winston-Fletcher
Psychotherapist, MUKCP
I am a fully accredited, experienced psychotherapist and counsellor working in Central London and Hereford. I provide a confidential, non-judgemental and accepting space for you to explore your emotional issues and difficulties. The therapy I offer is for You. It is your time to explore within a safe therapeutic relationship the aspects of your life that are leaving you feeling lost, sad, lonely, confused, angry, anxious, depressed or desperate, Together we can find the lightness in the dark.
I am a fully accredited, experienced psychotherapist and counsellor working in Central London and Hereford. I provide a confidential, non-judgemental and accepting space for you to explore your emotional issues and difficulties. The therapy I offer is for You. It is your time to explore within a safe therapeutic relationship the aspects of your life that are leaving you feeling lost, sad, lonely, confused, angry, anxious, depressed or desperate, Together we can find the lightness in the dark.
01432 806094 View 01432 806094
Photo of Roz Mills, Counsellor, MNCPS Acc.
Roz Mills
Counsellor, MNCPS Acc.
Hello, I’m Roz, a warm, compassionate, and qualified counsellor offering support for children, young people, and adults. I offer face-to-face sessions from my welcoming counselling room in Ross-on-Wye, as well as online and telephone counselling, ensuring flexibility to suit your needs and lifestyle.
Hello, I’m Roz, a warm, compassionate, and qualified counsellor offering support for children, young people, and adults. I offer face-to-face sessions from my welcoming counselling room in Ross-on-Wye, as well as online and telephone counselling, ensuring flexibility to suit your needs and lifestyle.
028 9694 3804 View 028 9694 3804
Photo of Claire Swaffield - Talk Therapy Service- Counselling & Psychotherapy , Counsellor, MA, MNCPS Acc.
I use an integrative approach working holistically with clients often incorporating the psychological, physiological, spiritual and emotional aspects of the challenges experienced in being human. Encouraging greater self-awareness and facilitation of the release of tension caused by life’s struggles. Working together, we can explore where you are now and where you would like to get to. Providing a safe and confidential space either in person in Worcester, online or by phone. To help you I offer a free 15 minute, no obligation phone call by appointment.
I use an integrative approach working holistically with clients often incorporating the psychological, physiological, spiritual and emotional aspects of the challenges experienced in being human. Encouraging greater self-awareness and facilitation of the release of tension caused by life’s struggles. Working together, we can explore where you are now and where you would like to get to. Providing a safe and confidential space either in person in Worcester, online or by phone. To help you I offer a free 15 minute, no obligation phone call by appointment.
01905 975340 View 01905 975340
Photo of Liz Saunders, Psychotherapist, MSc, MBABCP
Liz Saunders
Psychotherapist, MSc, MBABCP
Serves Area
Hi and welcome to my profile! I am a fully accredited Cognitive Behavioural Therapist (CBT) with the BABCP. We can all experience difficult times in our lives that we may require help and support with.  When we experience distress we can often have negative feelings and thoughts which can influence how we react to a certain situation. We can often find ourselves stuck in a vicious cycle of negative thoughts and behaviours that can be hard to break.  CBT works on a 'here and now' basis, exploring your current difficulties and give you effective coping strategies to be able to make changes in your life and move forwards.
Hi and welcome to my profile! I am a fully accredited Cognitive Behavioural Therapist (CBT) with the BABCP. We can all experience difficult times in our lives that we may require help and support with.  When we experience distress we can often have negative feelings and thoughts which can influence how we react to a certain situation. We can often find ourselves stuck in a vicious cycle of negative thoughts and behaviours that can be hard to break.  CBT works on a 'here and now' basis, exploring your current difficulties and give you effective coping strategies to be able to make changes in your life and move forwards.
07588 663628 View 07588 663628
Photo of Dr Ali Khoshfetrat, Psychologist, PhD, HCPC - Clin. Psych.
Dr Ali Khoshfetrat
Psychologist, PhD, HCPC - Clin. Psych.
Being challenged is an inevitable part of life and everyone may experience difficult moments at times in day-to-day life. Our natural reactions to life challenges may involve experiencing unpleasant emotions such as anxiety, low mood, shame, humiliation, and guilt. These reactions, however, may become “sticky” and you may feel unable to get rid of them. This can significantly and negatively affect your personal and professional life. My therapy offers a safe space and an opportunity for you to go through and develop a new understanding about your unprocessed emotions that would help you begin formulating a new way forward.
Being challenged is an inevitable part of life and everyone may experience difficult moments at times in day-to-day life. Our natural reactions to life challenges may involve experiencing unpleasant emotions such as anxiety, low mood, shame, humiliation, and guilt. These reactions, however, may become “sticky” and you may feel unable to get rid of them. This can significantly and negatively affect your personal and professional life. My therapy offers a safe space and an opportunity for you to go through and develop a new understanding about your unprocessed emotions that would help you begin formulating a new way forward.
01905 917332 View 01905 917332
Photo of Munise Sabri, Psychotherapist, MA, MBACP
Munise Sabri
Psychotherapist, MA, MBACP
Serves Area
“The wound is the place where the Light enters you.” — Rumi Therapy is a tool to resolve the challenges in your life, to help you feel more confident and more in control, providing insight and showing you a path through the experiences that are part of being human. Life can put you in a lonely place, maybe too hard to cope with, complicated,challenging or confusing. I offer you the space for your story to be told, heard and understood in a confidential, non-judgmental safe space. There is nothing that cannot be "worked with and worked through".
“The wound is the place where the Light enters you.” — Rumi Therapy is a tool to resolve the challenges in your life, to help you feel more confident and more in control, providing insight and showing you a path through the experiences that are part of being human. Life can put you in a lonely place, maybe too hard to cope with, complicated,challenging or confusing. I offer you the space for your story to be told, heard and understood in a confidential, non-judgmental safe space. There is nothing that cannot be "worked with and worked through".
020 8103 8596 View 020 8103 8596
Photo of Julie Ingram, Psychotherapist, MA, MBACP
Julie Ingram
Psychotherapist, MA, MBACP
Serves Area
Waitlist for new clients
Hello, and welcome to my page. I have been qualified as a psychotherapist and supervisor for over 18 years, with previous experience in mental health and Social Work Management. I work with adults, children, adolescents and have expertise in working with family issues. I can help with a wide range of matters including: anxiety and depression, self esteem, family difficulties, relationship issues, Childhood abuse, Childhood neglect, Life threatening events, eating disorders, self harm, suicide and trauma.
Hello, and welcome to my page. I have been qualified as a psychotherapist and supervisor for over 18 years, with previous experience in mental health and Social Work Management. I work with adults, children, adolescents and have expertise in working with family issues. I can help with a wide range of matters including: anxiety and depression, self esteem, family difficulties, relationship issues, Childhood abuse, Childhood neglect, Life threatening events, eating disorders, self harm, suicide and trauma.
01981 200129 View 01981 200129

How does your Counsellor compare?

Number of Counsellors in HR6

10+

Average cost per session

£50

Counsellors in HR6 who prioritize treating:

82% Relationship Issues
82% Anxiety
73% Depression
64% Bereavement
64% Trauma and PTSD
64% Self Esteem
55% Family Conflict

Average years in practice

9 Years

Top 3 insurances accepted

33% Other
33% Bupa
33% Health Assured

How Counsellors in HR6 see their clients

91% In Person and Online
9% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counselling

How can I find a therapist in HR6?

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.