Counselling in Isle of Man

View cities in Isle of Man
Photo of Thrive Psychotherapy & Wellbeing Services, Counsellor in Isle of Man
Thrive Psychotherapy & Wellbeing Services
Counsellor, MBACP
Verified Verified
Hi, I’m Gaynor, thanks so much for taking the time to visit my page and considering working with me. I understand that it is a big deal to decide to contact a counsellor/psychotherapist, especially if you have not received counselling previously. I would like to reassure you that by deciding to enter into a counselling relationship, then you have taken a brave and positive step forward. Rest assured that there are no expectations of you within the therapy room and this allows you to focus entirely on yourself and how you truly feel, without worrying about judgement.
Hi, I’m Gaynor, thanks so much for taking the time to visit my page and considering working with me. I understand that it is a big deal to decide to contact a counsellor/psychotherapist, especially if you have not received counselling previously. I would like to reassure you that by deciding to enter into a counselling relationship, then you have taken a brave and positive step forward. Rest assured that there are no expectations of you within the therapy room and this allows you to focus entirely on yourself and how you truly feel, without worrying about judgement.
07624 493566 View 07624 493566
Photo of Paul Parks, Psychotherapist in Isle of Man
Paul Parks
Psychotherapist, MA
Verified Verified
My name is Paul and I am a Level 6 Psychotraumatologist & Psychotherapist and Member of the National Council of Integrative Psychotherapists. More importantly, I am a survivor! I was diagnosed with C-PTSD (Complex PTSD) due to adverse childhood experiences and PTSD from my career in the military. Having undergone trauma therapy myself and experienced first-hand the immense benefits that it can bring, I decided to study to become a qualified therapist and Retreat to Advance was born. Why the name 'Retreat to Advance'? Often, we need to go back over past traumas, issues and difficulties in order then to go forward and thrive.
My name is Paul and I am a Level 6 Psychotraumatologist & Psychotherapist and Member of the National Council of Integrative Psychotherapists. More importantly, I am a survivor! I was diagnosed with C-PTSD (Complex PTSD) due to adverse childhood experiences and PTSD from my career in the military. Having undergone trauma therapy myself and experienced first-hand the immense benefits that it can bring, I decided to study to become a qualified therapist and Retreat to Advance was born. Why the name 'Retreat to Advance'? Often, we need to go back over past traumas, issues and difficulties in order then to go forward and thrive.
01255 448836 View 01255 448836
Photo of Helen Morrisson Psychotherapy, Counsellor in Isle of Man
Helen Morrisson Psychotherapy
Counsellor, MSc, BACP
Verified Verified
Searching for support can feel very overwhelming and can evoke a lot of difficult emotions. However, the willingness to face yourself is one of the bravest challenges you can undertake. As a counsellor, I believe it is fundamental to create a compassionate, warm, and safe space for you to explore yourself and your problems. My aim is to help you leave sessions feeling heard, understood, accepted, and with greater clarity. I endeavour to create an honest, individual, and meaningful therapeutic relationship with you. Our sessions will always be centred around your needs, interests, and preferences.
Searching for support can feel very overwhelming and can evoke a lot of difficult emotions. However, the willingness to face yourself is one of the bravest challenges you can undertake. As a counsellor, I believe it is fundamental to create a compassionate, warm, and safe space for you to explore yourself and your problems. My aim is to help you leave sessions feeling heard, understood, accepted, and with greater clarity. I endeavour to create an honest, individual, and meaningful therapeutic relationship with you. Our sessions will always be centred around your needs, interests, and preferences.
01255 444231 View 01255 444231
Photo of Donna Murphy, Counsellor in Isle of Man
Donna Murphy
Counsellor, MA, MBACP
Verified Verified
I work with children and young people up to aged 18. My clients typically have had an event in their life that they have experienced as traumatic. This then leads to difficulties with their behaviour or in certain situations, that they need help recovering from. Although sessions are confidential to the child, I work closely with the family to ensure that the child is well supported whilst they work their way through any difficult memories, thoughts and feelings.
I work with children and young people up to aged 18. My clients typically have had an event in their life that they have experienced as traumatic. This then leads to difficulties with their behaviour or in certain situations, that they need help recovering from. Although sessions are confidential to the child, I work closely with the family to ensure that the child is well supported whilst they work their way through any difficult memories, thoughts and feelings.
07480 485688 View 07480 485688
Photo of Livia Tedaldi, Psychologist in Isle of Man
Livia Tedaldi
Psychologist, PhD, HCPC - Couns. Psych.
Verified Verified
You as a human being, you have a choice. And you can choose. You can choose to gain victory over yourself—or you can choose to try to pursue, for the rest of your life, trying to gain victory over your problems. In one, you will never win—in one you’ve got a fair shot. Prem Rawat
You as a human being, you have a choice. And you can choose. You can choose to gain victory over yourself—or you can choose to try to pursue, for the rest of your life, trying to gain victory over your problems. In one, you will never win—in one you’ve got a fair shot. Prem Rawat
07723 010645 View 07723 010645
Photo of Nina Jensen, Counsellor in Isle of Man
Nina Jensen
Counsellor, MBACP
Verified Verified
I focus on the individual and their immediate needs. I will take time to find out about you and what has brought you to Counselling. I aim to provide a safe and comfortable space for you to talk about whatever it is that is troubling you. I will follow your pace whilst listening, offering support and providing insights and challenges to your way of thinking. I trained to be a Counsellor because I have experienced the benefits of it myself, and it inspired me to help others.
I focus on the individual and their immediate needs. I will take time to find out about you and what has brought you to Counselling. I aim to provide a safe and comfortable space for you to talk about whatever it is that is troubling you. I will follow your pace whilst listening, offering support and providing insights and challenges to your way of thinking. I trained to be a Counsellor because I have experienced the benefits of it myself, and it inspired me to help others.
01255 446067 View 01255 446067
Photo of Emmanuelle Caballero, Psychologist in Isle of Man
Emmanuelle Caballero
Psychologist, CPsychol
Verified Verified
Welcome! I'm glad you're here, ready to embark on your journey towards healing and self-discovery. Congratulations on taking this important step! Together, we can explore your inner world and cultivate deep self-understanding. In my practice, I provide a safe, supportive space where we can understand your thoughts, feelings, and experiences. My aim is to create a confidential environment that empowers and nurtures you. If you're ready to begin this journey with me, I'm here to support you.
Welcome! I'm glad you're here, ready to embark on your journey towards healing and self-discovery. Congratulations on taking this important step! Together, we can explore your inner world and cultivate deep self-understanding. In my practice, I provide a safe, supportive space where we can understand your thoughts, feelings, and experiences. My aim is to create a confidential environment that empowers and nurtures you. If you're ready to begin this journey with me, I'm here to support you.
01255 449300 View 01255 449300
Photo of Holly Hird | Positive Pathways, Psychotherapist in Isle of Man
Holly Hird | Positive Pathways
Psychotherapist, MBACP
Verified Verified
1 Endorsed
Hello, I’m Holly- a warm welcome to my profile! Reaching out for help can quite often be daunting, so thank you for taking the time to visit my profile and for considering working with me. Whatever difficulties you might be experiencing in your life right now, there is always a possibility for positive change and healing. I believe that you are the expert of your story and I can help you discover your inner strengths that will assist you in overcoming your challenges. I can offer you a safe and supportive space to explore your thoughts, feelings and experiences, and empower you to discover your full potential.
Hello, I’m Holly- a warm welcome to my profile! Reaching out for help can quite often be daunting, so thank you for taking the time to visit my profile and for considering working with me. Whatever difficulties you might be experiencing in your life right now, there is always a possibility for positive change and healing. I believe that you are the expert of your story and I can help you discover your inner strengths that will assist you in overcoming your challenges. I can offer you a safe and supportive space to explore your thoughts, feelings and experiences, and empower you to discover your full potential.
01255 441069 View 01255 441069
Photo of Jessica Mackie, Counsellor in Isle of Man
Jessica Mackie
Counsellor, MBACP
Verified Verified
1 Endorsed
Waitlist for new clients
Thank you for taking the time to look at my profile. In searching for a counsellor you've already taken a significant step towards improved self-awareness and personal growth. You may be feeling overwhelmed or upset by current difficulties or be concerned that you're not feeling what you "should" be about something or someone. You may be trying to make sense of past experiences or be wondering about how you'd like your future to be. I can provide a safe, confidential space in which we can explore what's going on for you. I will support you to understand and accept yourself and/ or identify and implement change in your life.
Thank you for taking the time to look at my profile. In searching for a counsellor you've already taken a significant step towards improved self-awareness and personal growth. You may be feeling overwhelmed or upset by current difficulties or be concerned that you're not feeling what you "should" be about something or someone. You may be trying to make sense of past experiences or be wondering about how you'd like your future to be. I can provide a safe, confidential space in which we can explore what's going on for you. I will support you to understand and accept yourself and/ or identify and implement change in your life.
01255 444110 View 01255 444110
Photo of Kind Mind IOM | Erika Kelly in Isle of Man
Kind Mind IOM | Erika Kelly
Verified Verified
2 Endorsed
Douglas IM2  (Online Only)
As a dedicated CBT therapist, I am committed to providing compassionate and effective support in the field of mental health. As a member of the BABCP (British Association for Behavioural and Cognitive Psychotherapies) I have a sincere passion for helping others and am eager to work collaboratively with clients of all ages (16+) and backgrounds. Within sessions, I utilise a variety of modalities to create a nurturing and empowering therapeutic environment.
As a dedicated CBT therapist, I am committed to providing compassionate and effective support in the field of mental health. As a member of the BABCP (British Association for Behavioural and Cognitive Psychotherapies) I have a sincere passion for helping others and am eager to work collaboratively with clients of all ages (16+) and backgrounds. Within sessions, I utilise a variety of modalities to create a nurturing and empowering therapeutic environment.
01255 444142 View 01255 444142
Photo of Danielle Harris, Psychotherapist in Isle of Man
Danielle Harris
Psychotherapist, MSc, MUKCP
Verified Verified
Castletown IM9  (Online Only)
I work with people from all walks of life. I provide an online counselling service that meets you where you’re at, both physically and emotionally. I have experience working with a wide range of issues including, abuse, anxiety, stress, depression, eating difficulties, loneliness, relationship problems, health concerns, bereavement, self-esteem, sexual orientation, sexual abuse, discrimination, and many more difficulties that are faced in life. Working online, I often meet expats and digital nomads, however, online counselling can also be suitable to everyone, including people living and working in their home country.
I work with people from all walks of life. I provide an online counselling service that meets you where you’re at, both physically and emotionally. I have experience working with a wide range of issues including, abuse, anxiety, stress, depression, eating difficulties, loneliness, relationship problems, health concerns, bereavement, self-esteem, sexual orientation, sexual abuse, discrimination, and many more difficulties that are faced in life. Working online, I often meet expats and digital nomads, however, online counselling can also be suitable to everyone, including people living and working in their home country.
01793 540771 View 01793 540771

Online Therapists

Photo of Alexander Leon Nite, Psychotherapist in Isle of Man
Alexander Leon Nite
Psychotherapist, MSc, GMBPsS
Verified Verified
The weight of loss, betrayal, and rejection can be immense, often leaving us feeling overwhelmed and adrift. Yet, it's remarkable how swiftly we can reclaim control and redirect our lives towards a positive trajectory. Allow me to be your guide on this transformative journey. By cultivating self-acceptance, nurturing relationships, and fostering love and presence within ourselves, we can unlock the boundless potential for change and rebuild a fulfilling life.
The weight of loss, betrayal, and rejection can be immense, often leaving us feeling overwhelmed and adrift. Yet, it's remarkable how swiftly we can reclaim control and redirect our lives towards a positive trajectory. Allow me to be your guide on this transformative journey. By cultivating self-acceptance, nurturing relationships, and fostering love and presence within ourselves, we can unlock the boundless potential for change and rebuild a fulfilling life.
01382 933258 View 01382 933258
Photo of Michelle Hickmott, Psychotherapist in Isle of Man
Michelle Hickmott
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Hi, I’m Michelle and I am a Cognitive Behavioural Psychotherapist and Eye Movement Desensitisation Reprocessing Therapist. I have over 15 years of experience working with those who may be struggling with symptoms of low mood, anxiety, stress, trauma, low self esteem or social anxiety amongst others. I strive to ensure our therapeutic sessions feel a safe and protected space to hold not only the difficulties you are experiencing but also you as an individual. I consider myself to be a warm and friendly person who will treat you with compassion, encourage your growth and allow for humour along the way.
Hi, I’m Michelle and I am a Cognitive Behavioural Psychotherapist and Eye Movement Desensitisation Reprocessing Therapist. I have over 15 years of experience working with those who may be struggling with symptoms of low mood, anxiety, stress, trauma, low self esteem or social anxiety amongst others. I strive to ensure our therapeutic sessions feel a safe and protected space to hold not only the difficulties you are experiencing but also you as an individual. I consider myself to be a warm and friendly person who will treat you with compassion, encourage your growth and allow for humour along the way.
View
Photo of Claire Jones Counselling & Psychotherapy, Counsellor in Isle of Man
Claire Jones Counselling & Psychotherapy
Counsellor, MBACP
Verified Verified
When one of life’s problems becomes overwhelming, you may be feeling anxious or distraught, it can make a real difference prioritising your needs and talking to a counsellor who can listen to you with compassion and without judgement. Life can feel challenging at times, stressful and full of uncertainty; are you struggling to cope with work or family life? Has life set you back? Or are you looking for some peace and calm in your life? Whatever you are struggling with or want to focus on, then I am here to help you.
When one of life’s problems becomes overwhelming, you may be feeling anxious or distraught, it can make a real difference prioritising your needs and talking to a counsellor who can listen to you with compassion and without judgement. Life can feel challenging at times, stressful and full of uncertainty; are you struggling to cope with work or family life? Has life set you back? Or are you looking for some peace and calm in your life? Whatever you are struggling with or want to focus on, then I am here to help you.
01392 719735 View 01392 719735
Photo of Mobeen Akhtar, Psychotherapist in Isle of Man
Mobeen Akhtar
Psychotherapist, MSc, MBACP Accred
Verified Verified
10 Endorsed
Sale M33
‘There's no need to travel anywhere. Journey within yourself.’ - Rumi Hello, welcome to my profile. My name is Mobeen Akhtar, I am a registered member of the BACP (British Association for Counselling and Psychotherapy). If you are experiencing distress or troubles that you feel you cannot share with anyone, counselling is the right place for you. Counselling is described in different ways and in many words. What we find is that counselling is an individual experience.
‘There's no need to travel anywhere. Journey within yourself.’ - Rumi Hello, welcome to my profile. My name is Mobeen Akhtar, I am a registered member of the BACP (British Association for Counselling and Psychotherapy). If you are experiencing distress or troubles that you feel you cannot share with anyone, counselling is the right place for you. Counselling is described in different ways and in many words. What we find is that counselling is an individual experience.
0117 463 0997 View 0117 463 0997
Photo of Chris James, Psychologist in Isle of Man
Chris James
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Cardiff CF24  (Online Only)
Psychological support is about investing in you. Life can be chaotic, intense, confusing, and we can be left feeling disconnected from ourselves, our lives, and the people around us. Sometimes we just need some space to stop and think. Psychological support is also about developing a deeper understanding of yourself - who you are, what you need, what matters to you. For others, it's about building on existing skills - how to get more out of relationships, improving communication, being more assertive, boosting your sleep and performance, learning to be the best version of yourself.
Psychological support is about investing in you. Life can be chaotic, intense, confusing, and we can be left feeling disconnected from ourselves, our lives, and the people around us. Sometimes we just need some space to stop and think. Psychological support is also about developing a deeper understanding of yourself - who you are, what you need, what matters to you. For others, it's about building on existing skills - how to get more out of relationships, improving communication, being more assertive, boosting your sleep and performance, learning to be the best version of yourself.
029 2271 1631 View 029 2271 1631
Photo of Nikki Hayers, Psychotherapist in Isle of Man
Nikki Hayers
Psychotherapist, MA, MBABCP
Verified Verified
Are you experiencing anxiety and fear? Are you avoiding situations because of this? Is this stopping you from doing the things that are important to you? Do you feel stuck and unable to move forward? Are you getting caught in mental arguments with yourself? Is all this making you tired and feeling really low? If so, it is likely that you have been traumatized and felt unsupported…and this may have been in your childhood. You may be thinking “I haven’t experienced any trauma”. What you experience as trauma as a child, when you are developing a sense of who you are, can be very different to what you perceive as trauma as an adult.
Are you experiencing anxiety and fear? Are you avoiding situations because of this? Is this stopping you from doing the things that are important to you? Do you feel stuck and unable to move forward? Are you getting caught in mental arguments with yourself? Is all this making you tired and feeling really low? If so, it is likely that you have been traumatized and felt unsupported…and this may have been in your childhood. You may be thinking “I haven’t experienced any trauma”. What you experience as trauma as a child, when you are developing a sense of who you are, can be very different to what you perceive as trauma as an adult.
01243 973496 View 01243 973496
Photo of Wonder Within Art Therapies and Coaching, Psychotherapist in Isle of Man
Wonder Within Art Therapies and Coaching
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
Thank you for choosing to come to my page, it takes courage to reach out and seek support when you are facing difficulties in your life. Perhaps you are experiencing anxiety, depression or stress and unable to see a way to manage everything or maybe your feeling a deep loss or grieving a loved one and its too overwhelming. Are you looking for a supportive, empathic space in which to explore psychological or physical pain at a pace that is right for you or an encouraging, empowering space to go within, uncover your truth, take ownership of your story and live your life differently. Whatever you are experiencing all is welcome here.
Thank you for choosing to come to my page, it takes courage to reach out and seek support when you are facing difficulties in your life. Perhaps you are experiencing anxiety, depression or stress and unable to see a way to manage everything or maybe your feeling a deep loss or grieving a loved one and its too overwhelming. Are you looking for a supportive, empathic space in which to explore psychological or physical pain at a pace that is right for you or an encouraging, empowering space to go within, uncover your truth, take ownership of your story and live your life differently. Whatever you are experiencing all is welcome here.
0121 661 2704 View 0121 661 2704
Photo of Jackson Psychology Services - Dr Danielle Jackson, Psychologist in Isle of Man
Jackson Psychology Services - Dr Danielle Jackson
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Cranbrook TN18  (Online Only)
I have worked with people to help them manage a range of difficulties including depression, anxiety, OCD, panic and phobias as well as work-related stress, sleep problems, anger, low self-esteem, trauma, child sexual abuse, rape, relationship difficulties, Looked After Children and perinatal work. In most cases, I have been able to help them move towards recovery and improve their quality of life. I also offer adult ADHD assessments.
I have worked with people to help them manage a range of difficulties including depression, anxiety, OCD, panic and phobias as well as work-related stress, sleep problems, anger, low self-esteem, trauma, child sexual abuse, rape, relationship difficulties, Looked After Children and perinatal work. In most cases, I have been able to help them move towards recovery and improve their quality of life. I also offer adult ADHD assessments.
07588 281035 View 07588 281035
Alton Henry Daley
Counsellor, MBACP
Verified Verified
I am licensed in the UK with 4 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, anger management, trauma, relationships, motivation, self esteem, and confidence. Help you understand your thoughts, feelings, and behaviours, and develop strategies to cope with stress and overcome personal challenges. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
I am licensed in the UK with 4 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, anger management, trauma, relationships, motivation, self esteem, and confidence. Help you understand your thoughts, feelings, and behaviours, and develop strategies to cope with stress and overcome personal challenges. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
01274 085056 View 01274 085056

See more therapy options for Isle of Man

How does your Counsellor compare?

Average cost per session

£60

Counsellors in Isle of Man who prioritize treating:

100% Relationship Issues
100% Anxiety
100% Self Esteem
91% Depression
91% Stress
82% Bereavement
73% Emotional Disturbance

Average years in practice

7 Years

Top 3 insurances accepted

100% Any/Out-of-network Insurance
100% Aviva
100% AXA PPP

How Counsellors in Isle of Man see their clients

82% In Person and Online
18% Online Only

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Isle of Man?

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.