Counselling in Nottingham

View neighbourhoods in Nottingham
Photo of Karen Martin Counselling and psychotherapy service, Counsellor in Nottingham, England
Karen Martin Counselling and psychotherapy service
Counsellor, MNCPS Acc.
Verified Verified
Nottingham NG3
Are you feeling lost or out of sorts? Life can be hard and this is where counselling can play a pivotal role in turning your life around. No one should be dealing with issues alone. Standing beside you, developing a trusting relationship where you feel at ease and able to share in a place of safety without judgements or demands is an important starting point. People don’t need to be in crisis or at breaking point to have therapy. It is about empowerment for you to lead the life you want. The outcome being that you have a strong mental platform and resources to facilitate growth.
Are you feeling lost or out of sorts? Life can be hard and this is where counselling can play a pivotal role in turning your life around. No one should be dealing with issues alone. Standing beside you, developing a trusting relationship where you feel at ease and able to share in a place of safety without judgements or demands is an important starting point. People don’t need to be in crisis or at breaking point to have therapy. It is about empowerment for you to lead the life you want. The outcome being that you have a strong mental platform and resources to facilitate growth.
0115 647 1038 View 0115 647 1038
Photo of Gemma Thorley, Psychotherapist in Nottingham, England
Gemma Thorley
Psychotherapist, MA, MBABCP
Verified Verified
Nottingham NG15
With 1 in 4 people experiencing mental health difficulties such as depression and anxiety there is more and more need for people to find support and help when they need it. I believe that therapy is journey that we will travel together, working as a team to overcome your difficulties.
With 1 in 4 people experiencing mental health difficulties such as depression and anxiety there is more and more need for people to find support and help when they need it. I believe that therapy is journey that we will travel together, working as a team to overcome your difficulties.
01623 392895 View 01623 392895
Photo of Dr Catrin Williams, Psychologist in Nottingham, England
Dr Catrin Williams
Psychologist, PsychD, HCPC - Forensic Psych.
Verified Verified
1 Endorsed
Nottingham NG8
Welcome to my profile - My name is Cat and I'm an expert in developmental trauma and personality difficulties. These can lead to a range of mental health needs that I can support you with (like anxiety, anger, risky behaviours, psychosis...) and also unhelpful coping behaviours, such as self-harm and suicidal thoughts, substance use, relationship struggles, and on. My approach is to understand the 'why', to get the root cause of difficult experiences so that we know how to improve it. We will work on identifying unhelpful coping strategies and replace these with healthy ones so we can work on developing the life that you want.
Welcome to my profile - My name is Cat and I'm an expert in developmental trauma and personality difficulties. These can lead to a range of mental health needs that I can support you with (like anxiety, anger, risky behaviours, psychosis...) and also unhelpful coping behaviours, such as self-harm and suicidal thoughts, substance use, relationship struggles, and on. My approach is to understand the 'why', to get the root cause of difficult experiences so that we know how to improve it. We will work on identifying unhelpful coping strategies and replace these with healthy ones so we can work on developing the life that you want.
01829 708150 View 01829 708150
Photo of Leigh Manning, Psychotherapist in Nottingham, England
Leigh Manning
Psychotherapist, MA, BACP
Verified Verified
Nottingham NG5
I am an experienced, fully qualified person-centered psychotherapist, educated to MA level. I have experience working with a range of issues including abandonment, addiction, anxiety, bereavement, depression, complex trauma, PTSD, relationship problems, and victims/perpetrators of abuse. I am a registered member of the British Association for Counselling & Psychotherapy (MBACP).
I am an experienced, fully qualified person-centered psychotherapist, educated to MA level. I have experience working with a range of issues including abandonment, addiction, anxiety, bereavement, depression, complex trauma, PTSD, relationship problems, and victims/perpetrators of abuse. I am a registered member of the British Association for Counselling & Psychotherapy (MBACP).
0115 838 9018 View 0115 838 9018
Photo of Lisa Reilly, Counsellor in Nottingham, England
Lisa Reilly
Counsellor, UKCP Trainee
Verified Verified
Nottingham NG2
Life often throws many ups and downs our way. Sometimes we cope and sometimes it feels just too much. Therapy can help you regain your equilibrium, providing a safe space for you to share your concerns with somebody who will really listen. I know it can be difficult to ask for help, “I have no right to feel like this because ...” is a common sentiment - but you do have that right. Counselling can help you to understand yourself and build your own resilience and long term mental well-being. Whether you wish to tackle a particular dilemma or explore underlying issues, it is important you allow yourself the time and space you need.
Life often throws many ups and downs our way. Sometimes we cope and sometimes it feels just too much. Therapy can help you regain your equilibrium, providing a safe space for you to share your concerns with somebody who will really listen. I know it can be difficult to ask for help, “I have no right to feel like this because ...” is a common sentiment - but you do have that right. Counselling can help you to understand yourself and build your own resilience and long term mental well-being. Whether you wish to tackle a particular dilemma or explore underlying issues, it is important you allow yourself the time and space you need.
01777 801632 View 01777 801632
Photo of Simi K Sihota, Psychotherapist in Nottingham, England
Simi K Sihota
Psychotherapist, MBACP
Verified Verified
2 Endorsed
Nottingham NG1
Choosing the right counsellor or psychotherapist can be difficult. You may not even know where to start or how you feel. These difficulties and challenges can become overwhelming. Perhaps you feel stuck, helpless, anxious, confused or unfulfilled? Are the challenges you’re faced with impacting your self-esteem, relationships and general health?
Choosing the right counsellor or psychotherapist can be difficult. You may not even know where to start or how you feel. These difficulties and challenges can become overwhelming. Perhaps you feel stuck, helpless, anxious, confused or unfulfilled? Are the challenges you’re faced with impacting your self-esteem, relationships and general health?
01777 801300 View 01777 801300
Photo of Louise Parr, Psychotherapist in Nottingham, England
Louise Parr
Psychotherapist, MBACP
Verified Verified
1 Endorsed
Nottingham NG5
My aim as a therapist is to focus on finding a flexible way for everyone to access therapy. Having previously worked shifts I am aware of the difficulties of having a busy life that does not fit into the average 9-5 template and how this can make accessing weekly appointments difficult. I struggled to find my therapist when I was working shifts and I would like to offer my clients a different way of working, booking sessions week by week. This takes away the commitment of attending at the same time and date.
My aim as a therapist is to focus on finding a flexible way for everyone to access therapy. Having previously worked shifts I am aware of the difficulties of having a busy life that does not fit into the average 9-5 template and how this can make accessing weekly appointments difficult. I struggled to find my therapist when I was working shifts and I would like to offer my clients a different way of working, booking sessions week by week. This takes away the commitment of attending at the same time and date.
0115 647 4335 View 0115 647 4335
Photo of Linda McConnachie, Psychotherapist in Nottingham, England
Linda McConnachie
Psychotherapist, MBACP Accred
Verified Verified
Nottingham NG9
I am a qualified Supervisor, . Counsellor and Therapist with experience working with adults, couples and young people in schools. If you’re facing distressing or traumatic experiences, I can support you explore your thoughts and feelings to make sense of what's going on and consider how things can change. I work on a short or longer term basis. I know that, sometimes, talking can be difficult; our unconscious thoughts get in the way of change and I’m able to offer body or creative therapeutic solutions as well.
I am a qualified Supervisor, . Counsellor and Therapist with experience working with adults, couples and young people in schools. If you’re facing distressing or traumatic experiences, I can support you explore your thoughts and feelings to make sense of what's going on and consider how things can change. I work on a short or longer term basis. I know that, sometimes, talking can be difficult; our unconscious thoughts get in the way of change and I’m able to offer body or creative therapeutic solutions as well.
0115 697 1078 View 0115 697 1078
Photo of Gayle Straw, Psychotherapist in Nottingham, England
Gayle Straw
Psychotherapist, MSc, MBABCP
Verified Verified
Nottingham NG2
Hi, I'm Gayle and I am an experienced CBT & EMDR therapist. I have worked with adults and young people (16+) for over 10 years in both NHS and private services. I work with a wide variety of common mental health problems, such as anxiety, depression, trauma, OCD, social anxiety, phobias, health anxiety, and low self-esteem. I achieve excellent recovery rates for my clients because I strongly believe that therapy is not 'one size fits all' and I am passionate about using only highly proven, evidence-based treatment. My approach is to really listen to you and then work in partnership with you to ensure you achieve the change you want.
Hi, I'm Gayle and I am an experienced CBT & EMDR therapist. I have worked with adults and young people (16+) for over 10 years in both NHS and private services. I work with a wide variety of common mental health problems, such as anxiety, depression, trauma, OCD, social anxiety, phobias, health anxiety, and low self-esteem. I achieve excellent recovery rates for my clients because I strongly believe that therapy is not 'one size fits all' and I am passionate about using only highly proven, evidence-based treatment. My approach is to really listen to you and then work in partnership with you to ensure you achieve the change you want.
01777 809684 View 01777 809684
Photo of A2BTherapy , Counsellor in Nottingham, England
A2BTherapy
Counsellor, MBACP
Verified Verified
Nottingham NG5
Hi I’m Anthony I have wanted to help others my whole life and now I’m in a position to do so. I am easy to talk to and very passionate and caring I’ve been told I’m a safe pair of hands which has stayed with me throughout my journey. I’m non judgmental with and very laid back I have dealt with many issues and able to manage anything that comes my way. I have dealt with -trauma,sexual abuse, domestic abuse childhood trauma, sexual identity,behavioural issues,complex needs,mental health issues . just to name a few
Hi I’m Anthony I have wanted to help others my whole life and now I’m in a position to do so. I am easy to talk to and very passionate and caring I’ve been told I’m a safe pair of hands which has stayed with me throughout my journey. I’m non judgmental with and very laid back I have dealt with many issues and able to manage anything that comes my way. I have dealt with -trauma,sexual abuse, domestic abuse childhood trauma, sexual identity,behavioural issues,complex needs,mental health issues . just to name a few
0115 647 7377 View 0115 647 7377
Photo of Gerard J Dodd, Psychotherapist in Nottingham, England
Gerard J Dodd
Psychotherapist, MSc, MUKCP
Verified Verified
Nottingham NG1
I am a UKCP registered Counsellor and Psychotherapist, currently offering therapy via online and telephone contact, available weekdays and evenings, (face to face work in Nottingham expected to resume in September 2020).
I am a UKCP registered Counsellor and Psychotherapist, currently offering therapy via online and telephone contact, available weekdays and evenings, (face to face work in Nottingham expected to resume in September 2020).
01245 209618 View 01245 209618
Photo of Spiritwell Counselling, Counsellor in Nottingham, England
Spiritwell Counselling
Counsellor, BACP
Verified Verified
Nottingham NG17
Welcome To Spiritwell Counselling. My name is Maddy and I am a fully qualified, therapeutic counsellor, offering both short and long term counselling to adults. I am based in Kirkby in Ashfield, Nottinghamshire and offer reasonably priced appointments either face to face, over the phone or via video chat. I also offer an optional, free, 30 minute telephone introduction.
Welcome To Spiritwell Counselling. My name is Maddy and I am a fully qualified, therapeutic counsellor, offering both short and long term counselling to adults. I am based in Kirkby in Ashfield, Nottinghamshire and offer reasonably priced appointments either face to face, over the phone or via video chat. I also offer an optional, free, 30 minute telephone introduction.
01623 701272 View 01623 701272
Photo of Kymm Stroud- Child Adult And Fertility Counsellor, Counsellor in Nottingham, England
Kymm Stroud- Child Adult And Fertility Counsellor
Counsellor, MBACP
Verified Verified
Nottingham NG1
I am a counsellor based in Nottingham, and I work with adults, children and young people, from ages 5 and upwards. I am one of the first counsellors in the UK to hold the Advanced Specialist Fertility Counselling Diploma and I am a member of the British Infertility Counselling Association. Clients seek me out for all sorts of reasons. Your issue might feel like a ball of wool - a jumble - you're not sure where the start is, or the end, or how it even got that way. Counselling is about feeling safe enough to express your feelings.
I am a counsellor based in Nottingham, and I work with adults, children and young people, from ages 5 and upwards. I am one of the first counsellors in the UK to hold the Advanced Specialist Fertility Counselling Diploma and I am a member of the British Infertility Counselling Association. Clients seek me out for all sorts of reasons. Your issue might feel like a ball of wool - a jumble - you're not sure where the start is, or the end, or how it even got that way. Counselling is about feeling safe enough to express your feelings.
0115 697 2040 View 0115 697 2040
Photo of Dr Danila D'Errico, Psychologist in Nottingham, England
Dr Danila D'Errico
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Nottingham NG9  (Online Only)
I am a qualified Clinical Psychologist currently working in the NHS in a Community Mental Health Team for Adults in Working Age. I love my job and I believe it is a privilege to be able to step into someone’s life and become, even for a short amount of time, part of their life story, their narrative. My aim is to ensure you feel heard, supported, and ultimately empowered. In the past, I have helped people to process past traumatic experiences that were having a major impact on their lives and to understand patterns of relating to self and others which might have left them feeling stuck, anxious, sad, guilty, and/or ashamed.
I am a qualified Clinical Psychologist currently working in the NHS in a Community Mental Health Team for Adults in Working Age. I love my job and I believe it is a privilege to be able to step into someone’s life and become, even for a short amount of time, part of their life story, their narrative. My aim is to ensure you feel heard, supported, and ultimately empowered. In the past, I have helped people to process past traumatic experiences that were having a major impact on their lives and to understand patterns of relating to self and others which might have left them feeling stuck, anxious, sad, guilty, and/or ashamed.
0115 647 1253 View 0115 647 1253
Photo of Dr Harry (Henry) Ager, Psychologist in Nottingham, England
Dr Harry (Henry) Ager
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Nottingham NG5
I am a Clinical Psychologist. I have a Doctorate in Clinical Psychology (DClinPsy), an MSc in Forensic Psychology and a BSc in Psychology with Criminology. I am highly experienced in working with individuals with complex clinical presentations across the lifespan. I have largely worked for the NHS in adult mental health, forensic and rehabilitation settings. Along with common mental health difficulties, I particularly specialise in personality disorders, substance misuse and psychosis. I also have a keen interest in physical exercise, nutrition and maintaining a healthy lifestyle by promoting positive health behaviour change.
I am a Clinical Psychologist. I have a Doctorate in Clinical Psychology (DClinPsy), an MSc in Forensic Psychology and a BSc in Psychology with Criminology. I am highly experienced in working with individuals with complex clinical presentations across the lifespan. I have largely worked for the NHS in adult mental health, forensic and rehabilitation settings. Along with common mental health difficulties, I particularly specialise in personality disorders, substance misuse and psychosis. I also have a keen interest in physical exercise, nutrition and maintaining a healthy lifestyle by promoting positive health behaviour change.
07703 721278 View 07703 721278
Anna Haynes Counselling and Coaching
Counsellor, DCounsPsych, MBACP
Verified Verified
Nottingham NG2
If you're feeling overwhelmed, confused, or anxious, know that you're not alone. It's understandable to feel scared, depressed, or sad, and it can be difficult to know where to start on the path towards healing. That's why I offer a warm and supportive therapeutic space where you can feel heard, seen, and understood. I believe in the power of compassion and non-judgmental listening. You don't have to face your struggles alone - I'm here to walk alongside you on your journey, offering unconditional positive regard and helping you make sense of your overwhelming emotions. I am fully insured and a member of Industry regulating bodies.
If you're feeling overwhelmed, confused, or anxious, know that you're not alone. It's understandable to feel scared, depressed, or sad, and it can be difficult to know where to start on the path towards healing. That's why I offer a warm and supportive therapeutic space where you can feel heard, seen, and understood. I believe in the power of compassion and non-judgmental listening. You don't have to face your struggles alone - I'm here to walk alongside you on your journey, offering unconditional positive regard and helping you make sense of your overwhelming emotions. I am fully insured and a member of Industry regulating bodies.
01777 809692 View 01777 809692
Photo of Sarah Jane Lewin, Psychotherapist in Nottingham, England
Sarah Jane Lewin
Psychotherapist, MBACP
Verified Verified
Nottingham NG5
I help adult children of emotionally immature and narcissistic parents and others in or recovering from narcissistic relationships to find their freedom, reconnect with themselves and enjoy the life they deserve, free from emotional abuse. I am here to support you to heal and grow. I have extensive training in treating trauma. You may be looking for relief from the symptoms which may include unhealthy behaviours, anxiety, depression, perfectionism and self-sabotage. I can help you to build your confidence, resilience and connection to self. To enable you to feel calm and happy, and to live the life you always hoped was possible.
I help adult children of emotionally immature and narcissistic parents and others in or recovering from narcissistic relationships to find their freedom, reconnect with themselves and enjoy the life they deserve, free from emotional abuse. I am here to support you to heal and grow. I have extensive training in treating trauma. You may be looking for relief from the symptoms which may include unhealthy behaviours, anxiety, depression, perfectionism and self-sabotage. I can help you to build your confidence, resilience and connection to self. To enable you to feel calm and happy, and to live the life you always hoped was possible.
View
Photo of Nicci Speirs, Psychotherapist in Nottingham, England
Nicci Speirs
Psychotherapist, MBABCP
Verified Verified
Nottingham NG3
Waitlist for new clients
I am a qualified Cognitive Behavioural Psychotherapist and EMDR Therapist and I am a registered member of the British Association for Behavioural and Cognitive Psychotherapies. I work with those affected by anxiety disorders and depression. I can offer a safe and confidential space to work through your difficulties, using goals that are meaningful for you which we can work together to achieve.
I am a qualified Cognitive Behavioural Psychotherapist and EMDR Therapist and I am a registered member of the British Association for Behavioural and Cognitive Psychotherapies. I work with those affected by anxiety disorders and depression. I can offer a safe and confidential space to work through your difficulties, using goals that are meaningful for you which we can work together to achieve.
0115 824 4946 View 0115 824 4946
Photo of Robert Hewes, Counsellor in Nottingham, England
Robert Hewes
Counsellor, MBACP Snr. Accred
Verified Verified
Nottingham NG5
Award winning BACP Senior Accredited Counsellor / Psychotherapist. Hi, thank you for choosing to read my profile. My name is Rob Hewes and I provide appropriate therapy or coaching that you need and in a confidential, warm and safe environment. I have now spent nearly 20 years in intense training and development as have experience working with clients in a variety of settings. I am an integrative therapist, drawing skills and experience from various therapeutic approaches. I provide: Psychotherapeutic Counselling. Therapeutic Counselling Supervision. Cognitive Behavioural Therapy (CBT). Clinical Hypnotherapy. NLP Coaching.
Award winning BACP Senior Accredited Counsellor / Psychotherapist. Hi, thank you for choosing to read my profile. My name is Rob Hewes and I provide appropriate therapy or coaching that you need and in a confidential, warm and safe environment. I have now spent nearly 20 years in intense training and development as have experience working with clients in a variety of settings. I am an integrative therapist, drawing skills and experience from various therapeutic approaches. I provide: Psychotherapeutic Counselling. Therapeutic Counselling Supervision. Cognitive Behavioural Therapy (CBT). Clinical Hypnotherapy. NLP Coaching.
0115 697 1698 View 0115 697 1698
Photo of Leena Alkhabaz, Psychotherapist in Nottingham, England
Leena Alkhabaz
Psychotherapist, MSc, MBACP
Verified Verified
Nottingham NG11  (Online Only)
Embarking on the transformative journey of therapy is a courageous step, and I am here to guide and support you with empathy, expertise, and a commitment to your well-being. My own profound healing journey ignited a passion for therapy, revealing the power of introspection and reflection in navigating life's challenges. I understand the importance of a safe, judgment-free space, and I am dedicated to fostering a therapeutic relationship that empowers positive change in your life.
Embarking on the transformative journey of therapy is a courageous step, and I am here to guide and support you with empathy, expertise, and a commitment to your well-being. My own profound healing journey ignited a passion for therapy, revealing the power of introspection and reflection in navigating life's challenges. I understand the importance of a safe, judgment-free space, and I am dedicated to fostering a therapeutic relationship that empowers positive change in your life.
0115 647 4842 View 0115 647 4842

See more therapy options for Nottingham

How does your Counsellor compare?

Number of Counsellors in Nottingham

300+

Average cost per session

£55

Counsellors in Nottingham who prioritize treating:

93% Anxiety
91% Depression
83% Self Esteem
80% Stress
78% Trauma and PTSD
77% Relationship Issues
67% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

62% AXA PPP
52% Aviva
43% Bupa

How Counsellors in Nottingham see their clients

75% In Person and Online
25% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Nottingham?

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.