Counselling in L6

Photo of Natasha Snow, Counsellor, MBACP
Natasha Snow
Counsellor, MBACP
Are you struggling with anxiety or depression, life’s changes and challenges, loss and bereavement? I’m Natasha, I am a Qualified Integrative Counsellor and I am here to support you in a non-judgemental, empathic and confidential space to help you explore your issues and feelings at your own pace. I offer a compassionate client centred approach, using a variety of methods including person centred, CBT and psychodynamic processes to meet your individual needs. I offer telephone, video calls and face to face sessions. Book in for a free 15-minute call to see if I am the right counsellor for you.
Are you struggling with anxiety or depression, life’s changes and challenges, loss and bereavement? I’m Natasha, I am a Qualified Integrative Counsellor and I am here to support you in a non-judgemental, empathic and confidential space to help you explore your issues and feelings at your own pace. I offer a compassionate client centred approach, using a variety of methods including person centred, CBT and psychodynamic processes to meet your individual needs. I offer telephone, video calls and face to face sessions. Book in for a free 15-minute call to see if I am the right counsellor for you.
01777 801733 View 01777 801733
Photo of Oscar Hewitt, Counsellor, MSc, MBACP
Oscar Hewitt
Counsellor, MSc, MBACP
Online Only
You may feel anxious, low, or stuck, struggling with self-confidence, relationships, or the impact of past experiences. You might be navigating life as a neurodivergent person or trying to make sense of difficult emotions. What I aim to create is a safe, non-judgmental space to feel heard and understood to help you to feel more grounded, build resilience, and create a life that feels balanced, authentic, and true to who they are.
You may feel anxious, low, or stuck, struggling with self-confidence, relationships, or the impact of past experiences. You might be navigating life as a neurodivergent person or trying to make sense of difficult emotions. What I aim to create is a safe, non-judgmental space to feel heard and understood to help you to feel more grounded, build resilience, and create a life that feels balanced, authentic, and true to who they are.
01777 801677 View 01777 801677
Photo of Dr Miguel Montenegro, Psychologist, HCPC - Clin. Psych.
Dr Miguel Montenegro
Psychologist, HCPC - Clin. Psych.
2 Endorsed
Serves Area
Not accepting new clients
I am a Chartered and Registered Clinical Psychologist, Neuropsychologist and Psychotherapist based in Liverpool City Centre. I am Dual Axis Neurodivergent (both ADHD and ASD). I see clients face-to-face and online. Going to clients is possible but only when appointments are funded by NHS, local authorities, and accident claims cases. I carry assessments for Autism, ADHD, Dyslexia, Memory issues, Executive functioning problems, and much more. I provide therapy too. Appointments in English and Portuguese languages.
I am a Chartered and Registered Clinical Psychologist, Neuropsychologist and Psychotherapist based in Liverpool City Centre. I am Dual Axis Neurodivergent (both ADHD and ASD). I see clients face-to-face and online. Going to clients is possible but only when appointments are funded by NHS, local authorities, and accident claims cases. I carry assessments for Autism, ADHD, Dyslexia, Memory issues, Executive functioning problems, and much more. I provide therapy too. Appointments in English and Portuguese languages.
0151 318 0559 View 0151 318 0559

More Therapists Nearby

Photo of Holly Driver Dos Santos, Psychotherapist, MSc, MBABCP
Holly Driver Dos Santos
Psychotherapist, MSc, MBABCP
Wirral CH60
I can treat panic, generalised anxiety, social anxiety, phobias, OCD, PTSD, depression and anxiety and low mood associated to low self esteem. I will always offer a psychological assessment as the first CBT session, so can advise at the end of the first session of a provisional diagnosis and whether CBT is likely to help. The therapy is goal- focused, evidence-based, and involves making changes with my support to overcome your difficulties. It can be extremely difficult to know what your goals are when highly anxious or depressed, so I can help you to work out what you are aiming to change. I can help you if aged 16 or above.
I can treat panic, generalised anxiety, social anxiety, phobias, OCD, PTSD, depression and anxiety and low mood associated to low self esteem. I will always offer a psychological assessment as the first CBT session, so can advise at the end of the first session of a provisional diagnosis and whether CBT is likely to help. The therapy is goal- focused, evidence-based, and involves making changes with my support to overcome your difficulties. It can be extremely difficult to know what your goals are when highly anxious or depressed, so I can help you to work out what you are aiming to change. I can help you if aged 16 or above.
0151 453 4586 View 0151 453 4586
Photo of Anne-Marie Alger, Psychotherapist, MA, MBACP
Anne-Marie Alger
Psychotherapist, MA, MBACP
Bolton BL1
I am an experienced psychotherapist working with adults, couples, children and young people. If you are feeling overwhelmed, anxious, low in mood, having difficulty coping, having relationship issues, not knowing who you are anymore, then help is available. Anxiety and depression are common, but talking about it, building coping strategies and dealing with the underlying problems will make a huge difference to the way that you feel. I can help you to rebuild, make changes in how you think, feel and react to situations for a more positive future.
I am an experienced psychotherapist working with adults, couples, children and young people. If you are feeling overwhelmed, anxious, low in mood, having difficulty coping, having relationship issues, not knowing who you are anymore, then help is available. Anxiety and depression are common, but talking about it, building coping strategies and dealing with the underlying problems will make a huge difference to the way that you feel. I can help you to rebuild, make changes in how you think, feel and react to situations for a more positive future.
01453 701731 View 01453 701731
Photo of Anna Niewiadomska, Psychotherapist, MA, MBACP
Anna Niewiadomska
Psychotherapist, MA, MBACP
Wondering how your thoughts and emotions shape your life? It can be confusing at times, leaving you feeling lost, misunderstood, or stuck in cycles you can't break. Hi, I'm Anna and I am an Integrative Psychotherapist. I offer a space for you to slow down and make sense of what’s truly going on beneath the surface. At the heart of my practice is the belief that meaningful change happens through connection- when we feel truly seen and heard. Rather than offering advice or quick fixes, I work collaboratively with you to create a respectful, empowering therapeutic relationship where you feel safe to explore your current worries.
Wondering how your thoughts and emotions shape your life? It can be confusing at times, leaving you feeling lost, misunderstood, or stuck in cycles you can't break. Hi, I'm Anna and I am an Integrative Psychotherapist. I offer a space for you to slow down and make sense of what’s truly going on beneath the surface. At the heart of my practice is the belief that meaningful change happens through connection- when we feel truly seen and heard. Rather than offering advice or quick fixes, I work collaboratively with you to create a respectful, empowering therapeutic relationship where you feel safe to explore your current worries.
01923 932570 View 01923 932570
Photo of Sarah Katherine Leckie, Counsellor, MBACP
Sarah Katherine Leckie
Counsellor, MBACP
1 Endorsed
Hi! Do you need someone you can be totally open and honest with? Talk about things you can’t discuss with family and friends? Someone to really hear you? I can help. Do you have questions about possible neurodiversity? Maybe you are living with its effects either personally or as a family member/friend. Or are you at a point in your life where you are reassessing your path? Approaching a certain age and wondering ‘what next?’
Hi! Do you need someone you can be totally open and honest with? Talk about things you can’t discuss with family and friends? Someone to really hear you? I can help. Do you have questions about possible neurodiversity? Maybe you are living with its effects either personally or as a family member/friend. Or are you at a point in your life where you are reassessing your path? Approaching a certain age and wondering ‘what next?’
01767 660943 View 01767 660943
Photo of Mandy Burvill, Counsellor, MA, MBACP
Mandy Burvill
Counsellor, MA, MBACP
Through our lives we experience challenges, big and small. Talking through these challenges in a supportive environment can lead to greater understanding, increased self-awareness and clarity about possible ways forward. I have worked with people of all ages from a wide range of backgrounds – all are welcome.
Through our lives we experience challenges, big and small. Talking through these challenges in a supportive environment can lead to greater understanding, increased self-awareness and clarity about possible ways forward. I have worked with people of all ages from a wide range of backgrounds – all are welcome.
07956 856206 View 07956 856206
Photo of Hannah Lloyd, Psychotherapist, MSc, MBABCP
Hannah Lloyd
Psychotherapist, MSc, MBABCP
Hi, I’m Hannah. I have worked in mental health services for over 18 years. I enjoy working with clients to help them understand the development and maintenance of their current difficulties, so that it is possible to make meaningful changes using evidence based CBT strategies or EMDR. I incorporate mindfulness and compassionate approaches into my clinical work. I aim to provide a compassionate, non judgmental, therapeutic environment to clients and understand how difficult it can be to reach out for support. I will do my best to help you feel comfortable and at ease whilst helping you to achieve your goals.
Hi, I’m Hannah. I have worked in mental health services for over 18 years. I enjoy working with clients to help them understand the development and maintenance of their current difficulties, so that it is possible to make meaningful changes using evidence based CBT strategies or EMDR. I incorporate mindfulness and compassionate approaches into my clinical work. I aim to provide a compassionate, non judgmental, therapeutic environment to clients and understand how difficult it can be to reach out for support. I will do my best to help you feel comfortable and at ease whilst helping you to achieve your goals.
01925 730123 View 01925 730123
Photo of Alessandra Ravalli, Counsellor, MBACP
Alessandra Ravalli
Counsellor, MBACP
1 Endorsed
Loss changes us. It can turn our world upside down, whether it comes through the death of a loved one, the loss of a cherished pet, the end of a relationship, loss of identity, or a major life change. Each of these losses carries its own weight, and no two experiences are ever the same. These experiences often bring a range of valid emotions such as anxiety, sadness, anger, exhaustion, overwhelm, feeling lost, or a sense of being disconnected from oneself. I specialise in supporting clients navigating this difficult times, and I draw from my extensive training, working at Macmillan Cancer Support, and my own personal experience.
Loss changes us. It can turn our world upside down, whether it comes through the death of a loved one, the loss of a cherished pet, the end of a relationship, loss of identity, or a major life change. Each of these losses carries its own weight, and no two experiences are ever the same. These experiences often bring a range of valid emotions such as anxiety, sadness, anger, exhaustion, overwhelm, feeling lost, or a sense of being disconnected from oneself. I specialise in supporting clients navigating this difficult times, and I draw from my extensive training, working at Macmillan Cancer Support, and my own personal experience.
01538 711496 View 01538 711496
Photo of Nina Watson - Nina Watson: IFS, EMDR, Trauma and Somatic Therapy, Psychotherapist, MSc, MBACP Accred
Nina Watson: IFS, EMDR, Trauma and Somatic Therapy
Psychotherapist, MSc, MBACP Accred
1 Endorsed
I work as an integrative psychotherapist and clinical supervisor in the centre of Liverpool and worldwide online. Previous roles included working for the NHS as a psychotherapist (four years) and running a private counselling and psychotherapist service of which I was the founder and also lead psychotherapist (ten years). I provide a warm, non-judgemental, safe and professional space. As I am not part of a service like the NHS, I can guarantee absolute confidentiality.
I work as an integrative psychotherapist and clinical supervisor in the centre of Liverpool and worldwide online. Previous roles included working for the NHS as a psychotherapist (four years) and running a private counselling and psychotherapist service of which I was the founder and also lead psychotherapist (ten years). I provide a warm, non-judgemental, safe and professional space. As I am not part of a service like the NHS, I can guarantee absolute confidentiality.
07842 902511 View 07842 902511
Photo of Monique Thomas, Psychotherapist, MA, MBACP
Monique Thomas
Psychotherapist, MA, MBACP
1 Endorsed
Many of the people I work with describe feeling stuck, exhausted, or unsure how to move forward. They may be navigating changes in relationships, career transitions, or identity, or trying to rebuild after a season of loss or disappointment. You might be here because you’re feeling anxious, low, or burnt out, or perhaps something from the past keeps resurfacing. Whatever you’re facing, therapy offers a calm and supportive space to slow down, make sense of what’s happening, heal and grow through life.
Many of the people I work with describe feeling stuck, exhausted, or unsure how to move forward. They may be navigating changes in relationships, career transitions, or identity, or trying to rebuild after a season of loss or disappointment. You might be here because you’re feeling anxious, low, or burnt out, or perhaps something from the past keeps resurfacing. Whatever you’re facing, therapy offers a calm and supportive space to slow down, make sense of what’s happening, heal and grow through life.
01942 946538 View 01942 946538
Photo of Ayanda Dlamini-Wolff, Counsellor, MBACP
Ayanda Dlamini-Wolff
Counsellor, MBACP
Serves Area
Hello! My name is Ayanda, and I am a counsellor working online and in person primarily with adults of colour in the UK and Europe. How are you? The answer to this question may be the reason you are here. Maybe you're feeling low, anxious or overwhelmed because you have too much on your plate. Perhaps you're the 'strong one' in your life, silently struggling whilst continuing to help those around you. You may even have past experiences which may be troubling you and limiting the way you want to life. You might even be questioning who you are and what you want from your life. If this sounds like you, I may be able to help you.
Hello! My name is Ayanda, and I am a counsellor working online and in person primarily with adults of colour in the UK and Europe. How are you? The answer to this question may be the reason you are here. Maybe you're feeling low, anxious or overwhelmed because you have too much on your plate. Perhaps you're the 'strong one' in your life, silently struggling whilst continuing to help those around you. You may even have past experiences which may be troubling you and limiting the way you want to life. You might even be questioning who you are and what you want from your life. If this sounds like you, I may be able to help you.
020 3910 6530 View 020 3910 6530
Photo of Tracy Jenkinson, Counsellor, MBACP
Tracy Jenkinson
Counsellor, MBACP
1 Endorsed
I’m Tracy, a trauma‑informed counsellor with a psychology degree and years of experience supporting children in care, adults in crisis, and parents navigating challenges. My own lived experience of trauma, loss, and feeling “not enough” has shaped the empathy and understanding I bring to my work.  I support adults, parents, and young people (18+) who are tired of just coping and want to feel safe, seen, and worthy—ready to reach their full potential.
I’m Tracy, a trauma‑informed counsellor with a psychology degree and years of experience supporting children in care, adults in crisis, and parents navigating challenges. My own lived experience of trauma, loss, and feeling “not enough” has shaped the empathy and understanding I bring to my work.  I support adults, parents, and young people (18+) who are tired of just coping and want to feel safe, seen, and worthy—ready to reach their full potential.
01204 961944 View 01204 961944
Photo of Lisa Marie Wastney - Therapy with Lisa Wastney, Counsellor, MBACP
Therapy with Lisa Wastney
Counsellor, MBACP
Serves Area
You may feel overwhelmed, stuck, or quietly aching beneath the surface. Perhaps you’re navigating anxiety, low mood, shame, guilt, loss, or relational strain — often while holding things together for others. I’m Lisa, an accredited counsellor offering therapy online across the UK and face-to-face from my home in Grimsby. You may want to feel heard, understood, and supported without pressure to perform or explain. Even if your goals feel unclear, something in you knows it’s time to pause, reflect, and reconnect with yourself. You don’t need to have it all figured out — just a willingness to begin.
You may feel overwhelmed, stuck, or quietly aching beneath the surface. Perhaps you’re navigating anxiety, low mood, shame, guilt, loss, or relational strain — often while holding things together for others. I’m Lisa, an accredited counsellor offering therapy online across the UK and face-to-face from my home in Grimsby. You may want to feel heard, understood, and supported without pressure to perform or explain. Even if your goals feel unclear, something in you knows it’s time to pause, reflect, and reconnect with yourself. You don’t need to have it all figured out — just a willingness to begin.
01472 404410 View 01472 404410
Photo of Danielle Curtis, Psychotherapist, MBABCP
Danielle Curtis
Psychotherapist, MBABCP
1 Endorsed
Wirral CH61
A highly experienced dual qualified BABCP Accredited Cognitive Behavioural and Interpersonal Psychotherapist (IPT) with 18 years clinical experience and a background in Forensic, Perinatal and Liaison Psychiatry. I feel passionate about providing high quality, effective and individualized psychotherapy to help you to overcome the challenges that have brought you to therapy by using evidence based approaches and drawing upon your strengths. Together we can help with adjusting to major life changes, self-esteem, anxiety, relationships, coping with stress and supporting you to maximize your potential and move towards a recovery.
A highly experienced dual qualified BABCP Accredited Cognitive Behavioural and Interpersonal Psychotherapist (IPT) with 18 years clinical experience and a background in Forensic, Perinatal and Liaison Psychiatry. I feel passionate about providing high quality, effective and individualized psychotherapy to help you to overcome the challenges that have brought you to therapy by using evidence based approaches and drawing upon your strengths. Together we can help with adjusting to major life changes, self-esteem, anxiety, relationships, coping with stress and supporting you to maximize your potential and move towards a recovery.
0151 453 2313 View 0151 453 2313
Photo of Nicola Basger - Space Therapies, Psychotherapist, MSc, MBACP
Space Therapies
Psychotherapist, MSc, MBACP
1 Endorsed
“My therapy is designed to give you the tools and guidance to change the way you think, and help you see things more clearly, so you can be in control of your own progress. I always work at your pace, and my goal is for you to feel as comfortable as possible when opening up. We’re in this together!”
“My therapy is designed to give you the tools and guidance to change the way you think, and help you see things more clearly, so you can be in control of your own progress. I always work at your pace, and my goal is for you to feel as comfortable as possible when opening up. We’re in this together!”
0161 524 3080 View 0161 524 3080
Photo of Richard Hall, Psychotherapist, MBACP
Richard Hall
Psychotherapist, MBACP
1 Endorsed
I am a Counsellor and Psychotherapist offering both online and in person sessions. You may be struggling with a specific issue or pattern of behaviour and know already what you would like to talk about. Alternatively, you may simply be feeling down and low and need support with processing your feelings and emotions. Counselling may be able to offer a fresh perspective, or support you to make changes needed to get you to a better place. I work with people from all backgrounds, in a range of areas. I  have worked closely with male issues and have experience working with gender diversity and LGBT+ issues.
I am a Counsellor and Psychotherapist offering both online and in person sessions. You may be struggling with a specific issue or pattern of behaviour and know already what you would like to talk about. Alternatively, you may simply be feeling down and low and need support with processing your feelings and emotions. Counselling may be able to offer a fresh perspective, or support you to make changes needed to get you to a better place. I work with people from all backgrounds, in a range of areas. I  have worked closely with male issues and have experience working with gender diversity and LGBT+ issues.
0161 524 5158 View 0161 524 5158
Photo of Louise Bol, Counsellor, MBACP
Louise Bol
Counsellor, MBACP
Are you you feeling anxious a lot of the time? Or waking up most mornings feeling low, thinking 'what's the point'? It's as if no one really understands what you are going through. I have 'been there, done that, bought the T-shirt' myself, before becoming a counsellor, so know from personal experience that getting the right professional support can make all the difference. I am a warm, caring and experienced CBT Therapist/Counsellor who helps people overcome anxiety, depression, low self-esteem, etc, I work with you find a way forward to deal with whatever is troubling you. Contact me for free 20 min apt to discuss how I can help.
Are you you feeling anxious a lot of the time? Or waking up most mornings feeling low, thinking 'what's the point'? It's as if no one really understands what you are going through. I have 'been there, done that, bought the T-shirt' myself, before becoming a counsellor, so know from personal experience that getting the right professional support can make all the difference. I am a warm, caring and experienced CBT Therapist/Counsellor who helps people overcome anxiety, depression, low self-esteem, etc, I work with you find a way forward to deal with whatever is troubling you. Contact me for free 20 min apt to discuss how I can help.
01704 335752 View 01704 335752
Photo of Claire Frances Shaw - Young Peoples Counselling Claire Shaw Counselling, Counsellor, MBACP
I am a fully qualified BACP Accredited counsellor and I have 19years experience counselling children and young people in secondary schools and sixth form college. I provide a safe and confidential space in which a young person can safely and freely explore their feelings surrounding any issue(s) they may have. I will gently help them to talk about what is on their mind, and in doing this they will hopefully be able to come to a better understanding of themselves and their feelings and behaviours. My aim is that through counselling, a young person can start to feel calmer, happier and more confident in themselves.
I am a fully qualified BACP Accredited counsellor and I have 19years experience counselling children and young people in secondary schools and sixth form college. I provide a safe and confidential space in which a young person can safely and freely explore their feelings surrounding any issue(s) they may have. I will gently help them to talk about what is on their mind, and in doing this they will hopefully be able to come to a better understanding of themselves and their feelings and behaviours. My aim is that through counselling, a young person can start to feel calmer, happier and more confident in themselves.
0161 524 7019 View 0161 524 7019

How does your Counsellor compare?

Number of Counsellors in L6

< 10

Counsellors in L6 who prioritize treating:

67% Bereavement
67% Other
33% Depression
33% Anxiety
33% ADHD
33% Obsessive-Compulsive (OCD)
33% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Other

How Counsellors in L6 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

67% Male
33% Female
FAQs - About Therapy and Counselling

How can I find a therapist in L6?

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.