Counselling in Downpatrick

Photo of Vanessa Haynes, Counsellor in Downpatrick, Northern Ireland
Vanessa Haynes
Counsellor, MBACP
Verified Verified
Downpatrick BT30
Hello, thank you for reading. I am Vanessa and I am a person-centred, psycho-dynamic counsellor working with both short and long-term clients. We all experience difficulties in life and sometimes we need a bit of help from a trusted person outside of friends and family. Whether you are experiencing anxiety or depression or feeling a loss of purpose we can explore your challenges together. I work with adult survivors of childhood trauma, often described as adverse childhood experiences. I am also hearing-impairment aware. Hearing loss can come with feelings of shame and isolation – and can significantly impact our ability to connect.
Hello, thank you for reading. I am Vanessa and I am a person-centred, psycho-dynamic counsellor working with both short and long-term clients. We all experience difficulties in life and sometimes we need a bit of help from a trusted person outside of friends and family. Whether you are experiencing anxiety or depression or feeling a loss of purpose we can explore your challenges together. I work with adult survivors of childhood trauma, often described as adverse childhood experiences. I am also hearing-impairment aware. Hearing loss can come with feelings of shame and isolation – and can significantly impact our ability to connect.
028 9694 3202 View 028 9694 3202
Photo of Caitriona Mulligan / Mind Revitalise, Counsellor in Downpatrick, Northern Ireland
Caitriona Mulligan / Mind Revitalise
Counsellor, MBACP
Verified Verified
Downpatrick BT30
Hello, I’m Caitriona and I work with people experiencing many different issues and problems including anxiety, overthinking, and low self-esteem. Maybe you’re looking for help because you find yourself lying awake at night feeling worried and anxious. Perhaps you would like to make changes in your life, but you don’t know where to begin, or you’re afraid to get started because you don’t want to get it wrong. Or maybe it feels as if everything is just too much and your worries and concerns are affecting the way you live your life and your relationships.
Hello, I’m Caitriona and I work with people experiencing many different issues and problems including anxiety, overthinking, and low self-esteem. Maybe you’re looking for help because you find yourself lying awake at night feeling worried and anxious. Perhaps you would like to make changes in your life, but you don’t know where to begin, or you’re afraid to get started because you don’t want to get it wrong. Or maybe it feels as if everything is just too much and your worries and concerns are affecting the way you live your life and your relationships.
028 9694 3468 View 028 9694 3468
Photo of Melanie Louise Poland, Counsellor in Downpatrick, Northern Ireland
Melanie Louise Poland
Counsellor, MBACP
Verified Verified
Downpatrick BT30
“Hello and thanks for taking the time to look at my profile. I believe that we all experience difficulties in our lives and it can be difficult to speak to friends and family at times. Coming to counselling for the first time can be very challenging and it takes courage to open up and talk about how we feel. I believe that counselling can be a very liberating experience and can enhance our self-awareness and bring about positive changes in our lives as well as increasing our general well-being."
“Hello and thanks for taking the time to look at my profile. I believe that we all experience difficulties in our lives and it can be difficult to speak to friends and family at times. Coming to counselling for the first time can be very challenging and it takes courage to open up and talk about how we feel. I believe that counselling can be a very liberating experience and can enhance our self-awareness and bring about positive changes in our lives as well as increasing our general well-being."
028 9694 3262 View 028 9694 3262
Photo of Joe Carter, Counsellor in Downpatrick, Northern Ireland
Joe Carter
Counsellor, MBACP
Verified Verified
Downpatrick BT30  (Online Only)
Being human can be tricky. We can all get stuck. Stuck in our heads and our feelings, in relationships, work, obsessions and compulsions, stuck in unhelpful behaviours and unhelpful ways of seeing things. But, we can all get unstuck. Practicing since 2002, I would be seen as an integrative therapist and counsellor, integrating multiple therapeutic models and approaches. So, we have many ways to make better sense of life situations: 12-Step Recovery Programme, Internal Family Systems, Acceptance Commitment Therapy, Cognitive Behavioural Therapy, Humanistic, Person Centred and Psychodynamic approaches; Integrative Counselling.
Being human can be tricky. We can all get stuck. Stuck in our heads and our feelings, in relationships, work, obsessions and compulsions, stuck in unhelpful behaviours and unhelpful ways of seeing things. But, we can all get unstuck. Practicing since 2002, I would be seen as an integrative therapist and counsellor, integrating multiple therapeutic models and approaches. So, we have many ways to make better sense of life situations: 12-Step Recovery Programme, Internal Family Systems, Acceptance Commitment Therapy, Cognitive Behavioural Therapy, Humanistic, Person Centred and Psychodynamic approaches; Integrative Counselling.
028 9694 3391 View 028 9694 3391
Photo of Roisen Keaveney, Psychologist in Downpatrick, Northern Ireland
Roisen Keaveney
Psychologist, MSc
Verified Verified
Downpatrick BT30
If you are interested in counselling feel free to contact me for a free 20 min consultation. I am a Chartered Psychologist with The Psychological Society of Ireland. I am also accredited with the BACP. I have 25 years experience of working in a wide range of settings including the statutory, voluntary & private sector. My experience includes: 5 years specialising within the mental health field including acute psychiatry and community mental health, 6 years specialising in counselling survivors of abuse including clerical abuse, 5 years specialising in University counselling and 3 years specialising in post primary counselling.
If you are interested in counselling feel free to contact me for a free 20 min consultation. I am a Chartered Psychologist with The Psychological Society of Ireland. I am also accredited with the BACP. I have 25 years experience of working in a wide range of settings including the statutory, voluntary & private sector. My experience includes: 5 years specialising within the mental health field including acute psychiatry and community mental health, 6 years specialising in counselling survivors of abuse including clerical abuse, 5 years specialising in University counselling and 3 years specialising in post primary counselling.
07480 776315 View 07480 776315

More Therapists Nearby

Photo of lindaelisabeth counselling, Counsellor in Downpatrick, Northern Ireland
lindaelisabeth counselling
Counsellor, MSc, MNCPS Acc.
Verified Verified
Ballynahinch BT24
Being human means there are complex, varying, and unbelievable situations and circumstances in life that need to be navigated and sometimes pushed through. It can be fun, and exciting but often it can be plain difficult and overwhelming.
Being human means there are complex, varying, and unbelievable situations and circumstances in life that need to be navigated and sometimes pushed through. It can be fun, and exciting but often it can be plain difficult and overwhelming.
028 9694 3494 View 028 9694 3494
Photo of Rachael Morrison, Counsellor in Downpatrick, Northern Ireland
Rachael Morrison
Counsellor, MSc, MBACP Accred
Verified Verified
Ballynahinch BT24
Adults, children and adolescents all need a space to explore and express their experiences, and for some this tends to be more difficult as they struggle to understand what they're feeling, never mind find the words to describe them to someone. People often find that when they voice their experiences, feelings, and worries, and confide in a professional who can offer support and help them make sense of these, they feel heard, understood, and often a little lighter from sharing the weight of these. I aim to help my clients to feel that little bit lighter.
Adults, children and adolescents all need a space to explore and express their experiences, and for some this tends to be more difficult as they struggle to understand what they're feeling, never mind find the words to describe them to someone. People often find that when they voice their experiences, feelings, and worries, and confide in a professional who can offer support and help them make sense of these, they feel heard, understood, and often a little lighter from sharing the weight of these. I aim to help my clients to feel that little bit lighter.
028 9694 3247 View 028 9694 3247
Photo of Shimna Therapy, Psychotherapist in Downpatrick, Northern Ireland
Shimna Therapy
Psychotherapist, BACP
Verified Verified
Castlewellan BT31
Are you struggling? Anxious? Challenged? Lonely? In despair? Lost confidence? Low self-esteem? In need of direction, new confidence, raised self-esteem ... ? At Shimna Therapy we have almost four decades of no nonsense, person-centred counselling to help guide and support you when times are challenging and you need to regain control, find new direction and feel more confident and assured with yourself, others and in managing situations. We focus on helping you find the best version of you so you can focus on living a full, happy and fulfilled life.
Are you struggling? Anxious? Challenged? Lonely? In despair? Lost confidence? Low self-esteem? In need of direction, new confidence, raised self-esteem ... ? At Shimna Therapy we have almost four decades of no nonsense, person-centred counselling to help guide and support you when times are challenging and you need to regain control, find new direction and feel more confident and assured with yourself, others and in managing situations. We focus on helping you find the best version of you so you can focus on living a full, happy and fulfilled life.
028 9694 3460 View 028 9694 3460
Photo of Catrina Mcevoy, Counsellor in Downpatrick, Northern Ireland
Catrina Mcevoy
Counsellor, MBACP Accred
Verified Verified
Saintfield BT24
I have been working as a Counsellor for ten years and I love my work. Supporting, encouraging, working together with client issues such as anxiety, depression, relationships, trauma, sexuality, self-harm; bringing awareness, understanding, strength, courage, hope by integrating techniques which respect the individual needs of the client, empowering the client to connect with their own strengths and values, helping to take back control of their lives.
I have been working as a Counsellor for ten years and I love my work. Supporting, encouraging, working together with client issues such as anxiety, depression, relationships, trauma, sexuality, self-harm; bringing awareness, understanding, strength, courage, hope by integrating techniques which respect the individual needs of the client, empowering the client to connect with their own strengths and values, helping to take back control of their lives.
028 9692 8881 View 028 9692 8881

Online Therapists

Photo of Stanley Blain, Counsellor in Downpatrick, Northern Ireland
Stanley Blain
Counsellor, MNCPS Acc.
Verified Verified
Dromore BT25
Hello and thanks for visiting my profile, I am a Qualified Psychotherapeutic Counsellor and Clinical Hypnotherapist with experience working with adults. I have an integrative approach which means I can use different counselling approaches such as CBT, Person Centred and Psychodynamic which allows me to provide therapy best suited to your needs. I have a range of experience working with issues such as Anxiety, Depression, Low Self Esteem and Bereavement.
Hello and thanks for visiting my profile, I am a Qualified Psychotherapeutic Counsellor and Clinical Hypnotherapist with experience working with adults. I have an integrative approach which means I can use different counselling approaches such as CBT, Person Centred and Psychodynamic which allows me to provide therapy best suited to your needs. I have a range of experience working with issues such as Anxiety, Depression, Low Self Esteem and Bereavement.
07588 667443 View 07588 667443
Photo of Dr Amanda Gleeson, Psychologist in Downpatrick, Northern Ireland
Dr Amanda Gleeson
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Belfast BT8  (Online Only)
I am an experienced Clinical Psychologist who has worked with adults and young people with a variety of different mental health difficulties. I am fully registered and offer a variety of evidence-based psychological therapies for a range of difficulties. I specialise in supporting individuals with psychological difficulties as a result of their experience of trauma and I have published research in this area. I also work with anxiety, stress/overwhelm, OCD, panic and relationship difficulties. I currently offer online appointments only, with both evening and weekend availability.
I am an experienced Clinical Psychologist who has worked with adults and young people with a variety of different mental health difficulties. I am fully registered and offer a variety of evidence-based psychological therapies for a range of difficulties. I specialise in supporting individuals with psychological difficulties as a result of their experience of trauma and I have published research in this area. I also work with anxiety, stress/overwhelm, OCD, panic and relationship difficulties. I currently offer online appointments only, with both evening and weekend availability.
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Photo of Tim Laubscher, Counsellor in Downpatrick, Northern Ireland
Tim Laubscher
Counsellor, MNCPS Acc.
Verified Verified
Belfast BT12  (Online Only)
I would like to work with any clients that have all kinds of issues and difficulties. I am here to help you discover, explore your issue, discover your goals and find a new way foward for you. Please do not hesitate to contact me Thursdays are the best time to call me but you can email any day of the week and I will endeavour to reply within 24 hours of your contact.
I would like to work with any clients that have all kinds of issues and difficulties. I am here to help you discover, explore your issue, discover your goals and find a new way foward for you. Please do not hesitate to contact me Thursdays are the best time to call me but you can email any day of the week and I will endeavour to reply within 24 hours of your contact.
028 9692 8958 View 028 9692 8958
Photo of Joseph Coney, Psychotherapist in Downpatrick, Northern Ireland
Joseph Coney
Psychotherapist, MSc, MBACP Snr. Accred
Verified Verified
Dungannon BT71
As a senior member of the British Association for Counselling & Psychotherapy and a Fellow of the National Counselling Society my primary aim is to ensure my clients feel safe. Trained to Masters level in Counselling & Psychotherapy for over 20 years, clients can be sure of a professional confidential and ethical service. At any one time, I provide counselling training to approximately 50 counsellors training to degree level, therefore drawing on a wide array of experience. My main areas of expertise are suicide, trauma, and addiction, with particular interest and vast experience in working with couples with relationship problems.
As a senior member of the British Association for Counselling & Psychotherapy and a Fellow of the National Counselling Society my primary aim is to ensure my clients feel safe. Trained to Masters level in Counselling & Psychotherapy for over 20 years, clients can be sure of a professional confidential and ethical service. At any one time, I provide counselling training to approximately 50 counsellors training to degree level, therefore drawing on a wide array of experience. My main areas of expertise are suicide, trauma, and addiction, with particular interest and vast experience in working with couples with relationship problems.
028 9124 8302 View 028 9124 8302
Photo of Restore Counselling (NI), Counsellor in Downpatrick, Northern Ireland
Restore Counselling (NI)
Counsellor, MBACP Accred
Verified Verified
Coleraine BT52  (Online Only)
I’m an Internal Family Systems and Sensorimotor Psychotherapy Practitioner based on the north coast of Northern Ireland. I provide online therapy to clients across the world, helping people find harmony and balance.n our work together I will hold an open-hearted and compassionate space for you to explore the issues that concern you. By incorporating IFS along with somatic work I will guide you to gradually assimilate difficult past events into your understanding. As you do so you will experience an increasing sense of relief and freedom.
I’m an Internal Family Systems and Sensorimotor Psychotherapy Practitioner based on the north coast of Northern Ireland. I provide online therapy to clients across the world, helping people find harmony and balance.n our work together I will hold an open-hearted and compassionate space for you to explore the issues that concern you. By incorporating IFS along with somatic work I will guide you to gradually assimilate difficult past events into your understanding. As you do so you will experience an increasing sense of relief and freedom.
028 9694 3501 View 028 9694 3501
Photo of Harmony Counselling services, Counsellor in Downpatrick, Northern Ireland
Harmony Counselling services
Counsellor, MBACP
Verified Verified
Ayr KA7
Harmony counselling services is an Ayrshire based mental health and well being service based in the town of Ayr, South Ayrshire. My name is Annie and i am a BACP registered integrative counsellor and mental health practitioner. For many people struggling with their mental health, it can be difficult to cope with every day life, perhaps you have lost a loved one and feel stuck in your grief, you may have served in the army or experienced/witnessed a traumatising event that is leaving you feeling overwhelmed. Or perhaps you find it difficult to make sense of your emotions. If this sounds like you, give me a call or message to chat.
Harmony counselling services is an Ayrshire based mental health and well being service based in the town of Ayr, South Ayrshire. My name is Annie and i am a BACP registered integrative counsellor and mental health practitioner. For many people struggling with their mental health, it can be difficult to cope with every day life, perhaps you have lost a loved one and feel stuck in your grief, you may have served in the army or experienced/witnessed a traumatising event that is leaving you feeling overwhelmed. Or perhaps you find it difficult to make sense of your emotions. If this sounds like you, give me a call or message to chat.
01655 509961 View 01655 509961
Photo of Phyllis McPeake, Counsellor in Downpatrick, Northern Ireland
Phyllis McPeake
Counsellor, MBACP Accred
Verified Verified
Ballymena BT43
Waitlist for new clients
I appreciate you might be feeling anxious as you reach out for help and I assure you this is perfectly natural, especially if this is your first time seeking counselling.
I appreciate you might be feeling anxious as you reach out for help and I assure you this is perfectly natural, especially if this is your first time seeking counselling.
07480 534551 View 07480 534551
Photo of Malgorzata Korbal-Swiniarska, Psychologist in Downpatrick, Northern Ireland
Malgorzata Korbal-Swiniarska
Psychologist, DCounsPsych, AFBPSsS
Verified Verified
Portadown BT62
I am a psychologist and therapist under training to prepare for my MA of clinical psychology and quality of life psychology. I have completed postgraduate studies in psychotraumatology. I have extensive knowledge of working with clients with depression, bereavement, anxiety, suicidal ideation and self-harming behavior. I run an individual practice, adapting therapy methods to the client's needs. The age of the client isn't important to me, it's just a number, what matters is the interior of a person. My priority is to develop simple techniques that can be used in everyday life to improve your way of thinking and your lifestyle.
I am a psychologist and therapist under training to prepare for my MA of clinical psychology and quality of life psychology. I have completed postgraduate studies in psychotraumatology. I have extensive knowledge of working with clients with depression, bereavement, anxiety, suicidal ideation and self-harming behavior. I run an individual practice, adapting therapy methods to the client's needs. The age of the client isn't important to me, it's just a number, what matters is the interior of a person. My priority is to develop simple techniques that can be used in everyday life to improve your way of thinking and your lifestyle.
028 9694 3092 View 028 9694 3092
Photo of Emma Blackburne, Psychotherapist in Downpatrick, Northern Ireland
Emma Blackburne
Psychotherapist, COSRT General
Verified Verified
Belfast BT8  (Online Only)
Waitlist for new clients
I specialise in working with individuals and couples who are experiencing sexual difficulties, which are preventing them from achieving a fulfilling sex life. I provide individually tailored psychotherapeutic treatment for a wide range of presentations including, but not limited to, erectile issues, ejaculation issues, low or loss of desire, vaginismus and/ or sexual pain, anxiety or phobia around sex and orgasm difficulties. I understand that sexual difficulties can impact upon your relationship, your self esteem and mental wellbeing and therefore offer a holistic approach within my assessment and treatment approach.
I specialise in working with individuals and couples who are experiencing sexual difficulties, which are preventing them from achieving a fulfilling sex life. I provide individually tailored psychotherapeutic treatment for a wide range of presentations including, but not limited to, erectile issues, ejaculation issues, low or loss of desire, vaginismus and/ or sexual pain, anxiety or phobia around sex and orgasm difficulties. I understand that sexual difficulties can impact upon your relationship, your self esteem and mental wellbeing and therefore offer a holistic approach within my assessment and treatment approach.
028 9344 7214 View 028 9344 7214
Photo of Emmanuelle Caballero, Psychologist in Downpatrick, Northern Ireland
Emmanuelle Caballero
Psychologist, CPsychol
Verified Verified
Onchan IM3
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
Joan Cummings
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
Lisburn BT28
Life can throw many challenges and sometimes we can get a bit stuck and not sure what to do to change the situation. I understand that it can be difficult to ask for help but seeking some help is the first step to improving your situation.. Sometimes it is easier talking to someone out side your family circle or friendship group about an issue that is causing you or your family distress and instead to talk to a professional therapist I offer a free 15 minute consultation if you are unsure if talking therapy can help. Therapy can help build self esteem, reduce anxiety , improve relationships with family and peers .
Life can throw many challenges and sometimes we can get a bit stuck and not sure what to do to change the situation. I understand that it can be difficult to ask for help but seeking some help is the first step to improving your situation.. Sometimes it is easier talking to someone out side your family circle or friendship group about an issue that is causing you or your family distress and instead to talk to a professional therapist I offer a free 15 minute consultation if you are unsure if talking therapy can help. Therapy can help build self esteem, reduce anxiety , improve relationships with family and peers .
028 9124 3044 View 028 9124 3044

See more therapy options for Downpatrick

How does your Counsellor compare?

Number of Counsellors in Downpatrick

< 10

Counsellors in Downpatrick who prioritize treating:

100% Relationship Issues
100% Anxiety
100% Bereavement
100% Self Esteem
80% Depression
60% Addiction
60% Domestic Abuse

Average years in practice

22 Years

Gender breakdown

80% Female
20% Male

How Counsellors in Downpatrick see their clients

80% In Person and Online
20% Online Only
FAQs - About Therapy and Counselling

How can I find a therapist in Downpatrick?

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.