Counselling in M6

Photo of Gordon Wax, Psychotherapist, MBACP
Gordon Wax
Psychotherapist, MBACP
Hi, my name is Gordon. Welcome! I am a full qualified therapist working online and in person from my consulting room in Manchester zone one. Personal therapy helped me to untangle my relationship with myself and my emotions from others. The world alone is a chaotic place to manage our own unknowns, anxieties, and traumas. I understand that everyone experiences the world in different ways, so unique problems require bespoke responses. Our lives are constantly changing, so it’s natural to feel emotions strongly, think differently and respond atypically. I help clients explore all spheres of their life to help build hope and cope
Hi, my name is Gordon. Welcome! I am a full qualified therapist working online and in person from my consulting room in Manchester zone one. Personal therapy helped me to untangle my relationship with myself and my emotions from others. The world alone is a chaotic place to manage our own unknowns, anxieties, and traumas. I understand that everyone experiences the world in different ways, so unique problems require bespoke responses. Our lives are constantly changing, so it’s natural to feel emotions strongly, think differently and respond atypically. I help clients explore all spheres of their life to help build hope and cope
020 3871 8210 View 020 3871 8210
Photo of Natalie Rossiter, Counsellor, MBACP Accred
Natalie Rossiter
Counsellor, MBACP Accred
1 Endorsed
Life can be overwhelming and difficult at times; whilst it's totally normal to struggle you don't have to stay stuck in old patterns or suffer unnecessarily. If you're feeling anxious, unsure of yourself and your future or lost and lonely then seeking counselling is a brave and positive step forwards. I'm not a 'smile and nod' counsellor - whilst listening to you is obviously important, my aim is to help you understand yourself better, learn, heal and grow. The work I do is all about positive change; helping you to help yourself live authentically, mindfully and as well as possible.
Life can be overwhelming and difficult at times; whilst it's totally normal to struggle you don't have to stay stuck in old patterns or suffer unnecessarily. If you're feeling anxious, unsure of yourself and your future or lost and lonely then seeking counselling is a brave and positive step forwards. I'm not a 'smile and nod' counsellor - whilst listening to you is obviously important, my aim is to help you understand yourself better, learn, heal and grow. The work I do is all about positive change; helping you to help yourself live authentically, mindfully and as well as possible.
0161 570 1665 View 0161 570 1665
Photo of Chantelle Walker - Chantelle Walker - Sex & Relationship Therapist, Counsellor, COSRT General
Chantelle Walker - Sex & Relationship Therapist
Counsellor, COSRT General
1 Endorsed
I am a Psychosexual and Relationship Therapist working with individuals, couples, and people in diverse relationship structures. I work with relational and sexual difficulties as catalysts for deeper understanding, connection, and growth, with sexual wellbeing central to my practice.
I am a Psychosexual and Relationship Therapist working with individuals, couples, and people in diverse relationship structures. I work with relational and sexual difficulties as catalysts for deeper understanding, connection, and growth, with sexual wellbeing central to my practice.
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Photo of Matthew James Nichols, Psychotherapist, MA, MBACP
Matthew James Nichols
Psychotherapist, MA, MBACP
Wanting to live a happy, purposeful and fulfilled life shouldn't feel like an impossible goal. You have a right to all these things. Even getting this far might have been difficult, but you've taken the first step to trying to make changes, feel better or have a better understanding of the world around you. Working together with you, I can help with all of these things. Everyday life can heap pressures on people and we can find ourselves anxious, worried, depressed or maybe just a niggling feeling that something isn't right. You might feel like this, and that there isn't a way forward, but there is.
Wanting to live a happy, purposeful and fulfilled life shouldn't feel like an impossible goal. You have a right to all these things. Even getting this far might have been difficult, but you've taken the first step to trying to make changes, feel better or have a better understanding of the world around you. Working together with you, I can help with all of these things. Everyday life can heap pressures on people and we can find ourselves anxious, worried, depressed or maybe just a niggling feeling that something isn't right. You might feel like this, and that there isn't a way forward, but there is.
0161 524 4403 View 0161 524 4403
Photo of Martin Lewis, Counsellor, MSc, MBACP
Martin Lewis
Counsellor, MSc, MBACP
Hi, welcome. I'm a humanistic therapist who can help you explore different issues such as anxiety, depression and ADHD, for example. Or you might be feeling 'stuck' and finding life/relationships difficult. Offering a safe and friendly environment, I will work collaboratively, not just to resolve difficulties but to encourage a sense of your potential. It's an opportunity just to be yourself, free of labels. My practise is LGBTQ+ affirming.
Hi, welcome. I'm a humanistic therapist who can help you explore different issues such as anxiety, depression and ADHD, for example. Or you might be feeling 'stuck' and finding life/relationships difficult. Offering a safe and friendly environment, I will work collaboratively, not just to resolve difficulties but to encourage a sense of your potential. It's an opportunity just to be yourself, free of labels. My practise is LGBTQ+ affirming.
0161 524 8436 View 0161 524 8436
Photo of Ben Dawson, Psychologist, HCPC - Clin. Psych.
Ben Dawson
Psychologist, HCPC - Clin. Psych.
Serves Area
Hi, my name is Ben and I am a Consult Clinical Psychologist and Clinical Neuropsychologist at Project Trauma. I set up Project Trauma to provide the kind of personalised, compassionate psychological support that people need following events in their life which they have struggled to cope with. Psychological distress can affect anyone and everyone will have a different reaction to traumatic events in their life. We all have different tolerance and ways of coping, but at some stage in our life we will all need help from somewhere.
Hi, my name is Ben and I am a Consult Clinical Psychologist and Clinical Neuropsychologist at Project Trauma. I set up Project Trauma to provide the kind of personalised, compassionate psychological support that people need following events in their life which they have struggled to cope with. Psychological distress can affect anyone and everyone will have a different reaction to traumatic events in their life. We all have different tolerance and ways of coping, but at some stage in our life we will all need help from somewhere.
0161 375 1612 View 0161 375 1612
Photo of Elpida Giousef, Counsellor, MBACP
Elpida Giousef
Counsellor, MBACP
2 Endorsed
Serves Area
If you are feeling overwhelmed, stuck, or unsure where to turn, you can reach out. Whether you are struggling with depression, anxiety, panic attacks, trauma and PTSD, painful relationships, or suicidal thoughts, you don’t have to face this alone. Get in touch, I offer a space for you to be heard, as a human to human. Together, we explore what hurts, understand what is happening inside you, and reconnect with your strength and hope, one step at a time.
If you are feeling overwhelmed, stuck, or unsure where to turn, you can reach out. Whether you are struggling with depression, anxiety, panic attacks, trauma and PTSD, painful relationships, or suicidal thoughts, you don’t have to face this alone. Get in touch, I offer a space for you to be heard, as a human to human. Together, we explore what hurts, understand what is happening inside you, and reconnect with your strength and hope, one step at a time.
0161 524 0965 View 0161 524 0965
Photo of Amanda Lloyd, Counsellor, MBACP
Amanda Lloyd
Counsellor, MBACP
Serves Area
I am a counsellor and registered general nurse specialising in occupational health, and my priorities have been about the physical and psychological care of my patients and clients. I use the biopsychosocial model to support clients' biological, psychological and social experiences and issues. I listen to why the client feels they need therapy, and we discuss the most appropriate way forward which may include, for example, CBT or solution-focussed therapy. I am welcoming and trustworthy and my approach to clients is irrespective of gender, sexual orientation, race or religious beliefs.
I am a counsellor and registered general nurse specialising in occupational health, and my priorities have been about the physical and psychological care of my patients and clients. I use the biopsychosocial model to support clients' biological, psychological and social experiences and issues. I listen to why the client feels they need therapy, and we discuss the most appropriate way forward which may include, for example, CBT or solution-focussed therapy. I am welcoming and trustworthy and my approach to clients is irrespective of gender, sexual orientation, race or religious beliefs.
0161 850 5181 View 0161 850 5181
Photo of Laura Fenn, Psychotherapist, MSc, MBACP
Laura Fenn
Psychotherapist, MSc, MBACP
Serves Area
Starting therapy can be a difficult decision- you may feel desperate and alone but reaching out for help is the most important step on the road to recovery. I am a qualified integrative therapist who advocates for celebrating our uniqueness. The base of my sessions is always Person-Centred; to listen, offering compassion and warmth. I also offer stress, anxiety and mindfulness techniques and other therapeutic approaches were appropriate. I have worked extensively with clients suffering from a wide range of issues including trauma, anxiety, and bereavement, and have much experience of working with the LGBTQ+ community
Starting therapy can be a difficult decision- you may feel desperate and alone but reaching out for help is the most important step on the road to recovery. I am a qualified integrative therapist who advocates for celebrating our uniqueness. The base of my sessions is always Person-Centred; to listen, offering compassion and warmth. I also offer stress, anxiety and mindfulness techniques and other therapeutic approaches were appropriate. I have worked extensively with clients suffering from a wide range of issues including trauma, anxiety, and bereavement, and have much experience of working with the LGBTQ+ community
0161 524 0498 View 0161 524 0498
Photo of James Donaldson - James Donaldson Therapy, Psychotherapist, MSc, MBACP
James Donaldson Therapy
Psychotherapist, MSc, MBACP
1 Endorsed
Serves Area
Thanks to you for visiting my my profile. Having delivered therapy to the Armed Forces community, NHS, and privately over the past 23 years I've been privileged to support a broad range of people and their difficulties. Whether struggling with the impacts of trauma, or with the stuck feeling of stress, anxiety, loss, and depression, finding acceptance is often the key to the door of your healing. I believe that we sometimes forget the inherent goodness that lies within, which once reconnected with, can mean we live a more meaningful and rewarding life. Feel free to get in touch if you have any questions or to arrange a consultation.
Thanks to you for visiting my my profile. Having delivered therapy to the Armed Forces community, NHS, and privately over the past 23 years I've been privileged to support a broad range of people and their difficulties. Whether struggling with the impacts of trauma, or with the stuck feeling of stress, anxiety, loss, and depression, finding acceptance is often the key to the door of your healing. I believe that we sometimes forget the inherent goodness that lies within, which once reconnected with, can mean we live a more meaningful and rewarding life. Feel free to get in touch if you have any questions or to arrange a consultation.
01492 554991 View 01492 554991
Photo of Dr Gregory Warwick, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Gregory Warwick
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Serves Area
Winner of "Counselling Service of the Year 2020". Providing a range of evidence based treatments, but a warm, safe and comforting way of doing so. This allows me to help you reach your goals faster and feel better for doing so.
Winner of "Counselling Service of the Year 2020". Providing a range of evidence based treatments, but a warm, safe and comforting way of doing so. This allows me to help you reach your goals faster and feel better for doing so.
0161 519 0328 View 0161 519 0328
Photo of Anneliese Ashworth-Lord, Psychotherapist, MSc, MBABCP
Anneliese Ashworth-Lord
Psychotherapist, MSc, MBABCP
Serves Area
Do you ever experience feelings of hopelessness, being self critical, or having limiting beliefs and thoughts? Do you experience reduced energy or motivation? Do your worries and panic hold you back or cause crippling spiralling thoughts about the future? Maybe you have a specific phobia or fear, restrictive and controlling patterns of eating, obsessive behaviours or urges you feel compelled to complete? Maybe you have a diagnosed neurodevelopmental condition such as Autism, ADHD, learning needs etc and struggling with the impact of this? These are just some things I can help with and adopt a trauma informed approach to all my work.
Do you ever experience feelings of hopelessness, being self critical, or having limiting beliefs and thoughts? Do you experience reduced energy or motivation? Do your worries and panic hold you back or cause crippling spiralling thoughts about the future? Maybe you have a specific phobia or fear, restrictive and controlling patterns of eating, obsessive behaviours or urges you feel compelled to complete? Maybe you have a diagnosed neurodevelopmental condition such as Autism, ADHD, learning needs etc and struggling with the impact of this? These are just some things I can help with and adopt a trauma informed approach to all my work.
01706 619826 View 01706 619826
Photo of Judit Szilagyi, Psychologist, MA, HCPC - Couns. Psych.
Judit Szilagyi
Psychologist, MA, HCPC - Couns. Psych.
Serves Area
As an EMDR & CBT & DBT practitioner I can help you with PTSD, complex PTSD, anxiety disorder, OCD, and addictions. Do not shy away if you have been diagnosed with Borderline Personality Disorder. I offer online sessions on Mondays and in-person appointments on odd Fridays in Lancaster, near M6&A6.
As an EMDR & CBT & DBT practitioner I can help you with PTSD, complex PTSD, anxiety disorder, OCD, and addictions. Do not shy away if you have been diagnosed with Borderline Personality Disorder. I offer online sessions on Mondays and in-person appointments on odd Fridays in Lancaster, near M6&A6.
01524 938728 View 01524 938728
Photo of Temi Ajayi, Psychotherapist, MSc, MBABCP
Temi Ajayi
Psychotherapist, MSc, MBABCP
Online Only
I am Temi, a qualified therapist with over 10 years of experience dedicated to supporting individuals through life’s challenges. Specialising in Cognitive Behavioral Therapy (CBT), Acceptance Commitment Therapy and mindfulness-based approaches, I focus on empowering clients to navigate Anxiety disorders, depression, trauma, and low self-esteem. In our sessions, I create a safe, confidential environment where we can explore your experiences and goals. Together, we will develop personalised strategies to enhance your mental well-being and resilience.
I am Temi, a qualified therapist with over 10 years of experience dedicated to supporting individuals through life’s challenges. Specialising in Cognitive Behavioral Therapy (CBT), Acceptance Commitment Therapy and mindfulness-based approaches, I focus on empowering clients to navigate Anxiety disorders, depression, trauma, and low self-esteem. In our sessions, I create a safe, confidential environment where we can explore your experiences and goals. Together, we will develop personalised strategies to enhance your mental well-being and resilience.
0161 524 2807 View 0161 524 2807
Photo of Dr Dany Just, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Dany Just
Psychologist, PsychD, HCPC - Clin. Psych.
Online Only
Hi, I'm Dany, a HCPC registered Clinical Psychologist based in the North-West. I am dedicated to help you improve your quality of life. I embrace a rich tapestry of therapeutic approaches – CBT, DBT, CFT, ACT, relational etc. – to tailor sessions to honour your unique experiences. Your journey of self-discovery and growth is nurtured in a sensitive space, where I am committed to fostering understanding and wellbeing. Take a step towards celebrating the strength and uniqueness within you, with me as your compassionate companion.
Hi, I'm Dany, a HCPC registered Clinical Psychologist based in the North-West. I am dedicated to help you improve your quality of life. I embrace a rich tapestry of therapeutic approaches – CBT, DBT, CFT, ACT, relational etc. – to tailor sessions to honour your unique experiences. Your journey of self-discovery and growth is nurtured in a sensitive space, where I am committed to fostering understanding and wellbeing. Take a step towards celebrating the strength and uniqueness within you, with me as your compassionate companion.
Photo of Joanne Crook, Counsellor, MBACP Snr. Accred
Joanne Crook
Counsellor, MBACP Snr. Accred
1 Endorsed
Online Only
For over 25 years, in the NHS, I worked in a psychological therapies department as a Senior Psychological Counsellor, and Clinical Supervisor. I have been a Senior Accredited member of the BACP for over 20 years. I now work as an integrative psychological therapist, an EMDR Practitioner and Clinical Supervisor in private practice based in Worsley, Manchester. Our time together offers a place in which to explore and understand yourself and your place in the world, and the opportunity to find a new, more comfortable way of being.
For over 25 years, in the NHS, I worked in a psychological therapies department as a Senior Psychological Counsellor, and Clinical Supervisor. I have been a Senior Accredited member of the BACP for over 20 years. I now work as an integrative psychological therapist, an EMDR Practitioner and Clinical Supervisor in private practice based in Worsley, Manchester. Our time together offers a place in which to explore and understand yourself and your place in the world, and the opportunity to find a new, more comfortable way of being.
01890 545510 View 01890 545510

More Therapists Nearby

Photo of Paula Reid - Paula Reid Therapy Services, Psychotherapist, MBABCP
Paula Reid Therapy Services
Psychotherapist, MBABCP
3 Endorsed
Do your suffer with anxiety?, then I am able to help with this. Have you engaged in therapy before and nothing seems to work, then I can help you understand why. Do you struggle to regulate your emotions? and you do not understand why, then therapy can help you explore why you have unhelpful patterns of behaviour. This may relate to early life experiences of unmet childhood need and or possible trauma. Are you in a difficult relationship? and you don't understand the reasons why, I am here to hep you navigate this lack of understanding.
Do your suffer with anxiety?, then I am able to help with this. Have you engaged in therapy before and nothing seems to work, then I can help you understand why. Do you struggle to regulate your emotions? and you do not understand why, then therapy can help you explore why you have unhelpful patterns of behaviour. This may relate to early life experiences of unmet childhood need and or possible trauma. Are you in a difficult relationship? and you don't understand the reasons why, I am here to hep you navigate this lack of understanding.
0161 524 1327 View 0161 524 1327
Photo of Sandra Hurree, Psychotherapist, MBACP Accred
Sandra Hurree
Psychotherapist, MBACP Accred
I am a qualified BACP Accredited and experienced Person Centred Counsellor, and CPCAB qualified Therapeutic Counselling Supervisor following the Hawkins & Shohet's 7 Eyed Model of Supervision, and my aim is to help, support, guide and mentor individuals in overcoming their most difficult challenges, and empower clients to find their own path and facilitate positive change and personal growth. My aim is to commit to providing a safe and confidential space, offering a non-judgemental approach, believing in your ability to self-heal, whilst I walk alongside you as you explore your inner world and journey of self-exploration.
I am a qualified BACP Accredited and experienced Person Centred Counsellor, and CPCAB qualified Therapeutic Counselling Supervisor following the Hawkins & Shohet's 7 Eyed Model of Supervision, and my aim is to help, support, guide and mentor individuals in overcoming their most difficult challenges, and empower clients to find their own path and facilitate positive change and personal growth. My aim is to commit to providing a safe and confidential space, offering a non-judgemental approach, believing in your ability to self-heal, whilst I walk alongside you as you explore your inner world and journey of self-exploration.
01925 598664 View 01925 598664
Photo of Joanne Robertson, Psychotherapist, MBABCP
Joanne Robertson
Psychotherapist, MBABCP
Knutsford WA16
Hi, I'm Jo, with 18 years experience, I specialise in treating adults who are struggling with self-doubt, persistent anxiety, perfectionism, procrastination, people-pleasing and burn-out - not just from work but from juggling the demands of life. Therapy with me will help you gain: -Clarity- you will understand the patterns you find yourself stuck in and how to change them -Confidence- Tame your inner-critic and increase your self-trust and self-appreciation -Connectedness - Overcome feelings of insecurity and develop more fulfilling relationships -Peace of mind- Freedom from anxiety and fear to calm and contentment
Hi, I'm Jo, with 18 years experience, I specialise in treating adults who are struggling with self-doubt, persistent anxiety, perfectionism, procrastination, people-pleasing and burn-out - not just from work but from juggling the demands of life. Therapy with me will help you gain: -Clarity- you will understand the patterns you find yourself stuck in and how to change them -Confidence- Tame your inner-critic and increase your self-trust and self-appreciation -Connectedness - Overcome feelings of insecurity and develop more fulfilling relationships -Peace of mind- Freedom from anxiety and fear to calm and contentment
01565 743735 View 01565 743735
Photo of Damian Joseph Wilde - Wilde Psychology , Psychologist, PsychD, HCPC - Clin. Psych.
Wilde Psychology
Psychologist, PsychD, HCPC - Clin. Psych.
Serves Area
Hi, I'm Dr Damian Wilde, a Consultant Clinical Psychologist with several years experience of working with children and adults in the NHS and privately. I work with people who have unfortunately experienced trauma and other difficult life events. Adverse events often lead to psychological health problems, which can be very distressing and detrimental to a person.
Hi, I'm Dr Damian Wilde, a Consultant Clinical Psychologist with several years experience of working with children and adults in the NHS and privately. I work with people who have unfortunately experienced trauma and other difficult life events. Adverse events often lead to psychological health problems, which can be very distressing and detrimental to a person.
0151 453 2906 View 0151 453 2906

How does your Counsellor compare?

Number of Counsellors in M6

10+

Average cost per session

£80

Counsellors in M6 who prioritize treating:

81% Depression
81% Anxiety
81% Bereavement
81% Trauma and PTSD
81% Self Esteem
81% Complex PTSD
75% Stress

Average years in practice

13 Years

Top 3 insurances accepted

75% Aviva
75% AXA PPP
75% WPA

How Counsellors in M6 see their clients

81% In Person and Online
19% Online Only

Gender breakdown

63% Female
37% Male
FAQs - About Therapy and Counselling

How can I find a therapist in M6?

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.