Counselling in Manchester

View neighbourhoods in Manchester
Photo of Gemma Greenhalgh, Counsellor in Manchester, England
Gemma Greenhalgh
Counsellor, MBACP
Verified Verified
Manchester M38
So many of us feel the need to wear a mask day to day, unable to express our true feelings or show who we really are. I understand how difficult it can be to make the first step in asking for support, with this in mind I can provide a safe, confidential and non-judgemental environment in which you can be fully open and honest.
So many of us feel the need to wear a mask day to day, unable to express our true feelings or show who we really are. I understand how difficult it can be to make the first step in asking for support, with this in mind I can provide a safe, confidential and non-judgemental environment in which you can be fully open and honest.
01204 326218 View 01204 326218
Photo of Danielle Alexandra McCabe, Counsellor in Manchester, England
Danielle Alexandra McCabe
Counsellor, MBACP
Verified Verified
Manchester M3
You’ve landed on this page for a reason. Maybe you’re tired from always putting others first but feel selfish for caring about yourself. Maybe you’re feeling too anxious to even be around other people and are spending a lot of time with your thoughts. Maybe you want to escape or block out your thoughts altogether because they feel too scary to be with.  Whatever the reason is, you know that something doesn’t feel right and you can’t carry on doing it alone.
You’ve landed on this page for a reason. Maybe you’re tired from always putting others first but feel selfish for caring about yourself. Maybe you’re feeling too anxious to even be around other people and are spending a lot of time with your thoughts. Maybe you want to escape or block out your thoughts altogether because they feel too scary to be with.  Whatever the reason is, you know that something doesn’t feel right and you can’t carry on doing it alone.
0161 524 7450 View 0161 524 7450
Photo of Gisela Ramirez, Psychotherapist in Manchester, England
Gisela Ramirez
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Manchester M25
Are you struggling with fear, intrusive distressing thoughts, avoidance and generally not living the life that you want? Or are you low, hopeless, self critical and isolating yourself? I can help with these and other mental health difficulties through challenging your thoughts and making some changes to your current behaviours. CBT can also help with improving self-esteem and with overcoming phobias and past trauma. EMDR therapy is a powerful intervention for PTSD and trauma, new studies have also shown its effectiveness with anxiety disorders &grief
Are you struggling with fear, intrusive distressing thoughts, avoidance and generally not living the life that you want? Or are you low, hopeless, self critical and isolating yourself? I can help with these and other mental health difficulties through challenging your thoughts and making some changes to your current behaviours. CBT can also help with improving self-esteem and with overcoming phobias and past trauma. EMDR therapy is a powerful intervention for PTSD and trauma, new studies have also shown its effectiveness with anxiety disorders &grief
0161 850 5871 View 0161 850 5871
Photo of Katie Craven, Counsellor in Manchester, England
Katie Craven
Counsellor, MBACP
Verified Verified
2 Endorsed
Manchester M4
Are you struggling with your mental health? Do you want to talk openly about a situation in your life without judgement? Is the past or the present holding you back from moving forward? My name is Katie Craven and I am person centred counsellor who is passionate about personal development and growth in a safe and warm space. I can support and empower you in a journey of self discovery and help you heal and grow towards your full potential. I offer face to face, video, telephone and email therapy. If you would like to know a bit more about any of these options, please feel free to email me and I'd be happy to answer any questions.
Are you struggling with your mental health? Do you want to talk openly about a situation in your life without judgement? Is the past or the present holding you back from moving forward? My name is Katie Craven and I am person centred counsellor who is passionate about personal development and growth in a safe and warm space. I can support and empower you in a journey of self discovery and help you heal and grow towards your full potential. I offer face to face, video, telephone and email therapy. If you would like to know a bit more about any of these options, please feel free to email me and I'd be happy to answer any questions.
View
Photo of Rizwan Rashid, Counsellor in Manchester, England
Rizwan Rashid
Counsellor, MBACP
Verified Verified
Manchester M20
Our past and present are intimately linked by our memories. Our memories are heavily influenced and based on feelings we had surrounding an event or experience. These experiences may be impacting your life right now, even the ones that might seem irrelevant or insignificant. If we don't become aware of this connection it will keep affecting our future, which over time can cause us stress. Prolonged stress can manifest itself in physical forms, including illness, lack of energy, problems with sleep, headaches, depression and anxiety. When you are mentally healthy you are able to handle life's challenges.
Our past and present are intimately linked by our memories. Our memories are heavily influenced and based on feelings we had surrounding an event or experience. These experiences may be impacting your life right now, even the ones that might seem irrelevant or insignificant. If we don't become aware of this connection it will keep affecting our future, which over time can cause us stress. Prolonged stress can manifest itself in physical forms, including illness, lack of energy, problems with sleep, headaches, depression and anxiety. When you are mentally healthy you are able to handle life's challenges.
0161 696 8396 View 0161 696 8396
Photo of Esther Calek, Counsellor in Manchester, England
Esther Calek
Counsellor, MSc, MBACP
Verified Verified
Manchester M25
Hi, if you are reading this, congratulations on taking the first step on reaching out for help. I imagine you are going through a rocky period, or maybe have come through a tough time and would like to reflect and feel emotionally stable again. Or perhaps you are simply interested in doing some work on resilience. Whatever your goal is I am here to support you in an empathic, supportive and confidential environment.
Hi, if you are reading this, congratulations on taking the first step on reaching out for help. I imagine you are going through a rocky period, or maybe have come through a tough time and would like to reflect and feel emotionally stable again. Or perhaps you are simply interested in doing some work on resilience. Whatever your goal is I am here to support you in an empathic, supportive and confidential environment.
0161 524 4057 View 0161 524 4057
Photo of Amanda Lloyd, Counsellor in Manchester, England
Amanda Lloyd
Counsellor, MBACP
Verified Verified
Manchester M25
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 Michelle Holdsworth, Psychotherapist in Manchester, England
Michelle Holdsworth
Psychotherapist, MBABCP
Verified Verified
2 Endorsed
Manchester M24  (Online Only)
Hi, I'm Michelle, a Children's CBT & EMDR therapist. I specialise in working with children between the ages of 5 & 18 suffering with PTSD, trauma/distress. I also work with adults. I treat various forms of anxiety (social, health, school, separation, worry, phobias, panic, perfectionism) depression, self esteem, OCD. I help with emotions such as stress, sadness & anger, symptoms of self harm & suicidal thoughts. If you or your child is struggling with: school/work, friendships, nightmares, flashbacks, intrusive thoughts then I am 100% able to help. I've many years experience helping children & adults get their happiness back!
Hi, I'm Michelle, a Children's CBT & EMDR therapist. I specialise in working with children between the ages of 5 & 18 suffering with PTSD, trauma/distress. I also work with adults. I treat various forms of anxiety (social, health, school, separation, worry, phobias, panic, perfectionism) depression, self esteem, OCD. I help with emotions such as stress, sadness & anger, symptoms of self harm & suicidal thoughts. If you or your child is struggling with: school/work, friendships, nightmares, flashbacks, intrusive thoughts then I am 100% able to help. I've many years experience helping children & adults get their happiness back!
View
Photo of Joanne Crook, Counsellor in Manchester, England
Joanne Crook
Counsellor, MBACP Snr. Accred
Verified Verified
1 Endorsed
Manchester M28  (Online Only)
No avail.For over 26 years, in the NHS, I worked in a psychological therapies department as a Senior Psychological Counsellor, and as a Clinical Supervisor. Therapy with me will offer time in a reflective space away from family, friends and work, with a skilled therapist. As well as healing, therapy offers a place in which to understand yourself and your place in the world and the opportunity to find a new, more comfortable way of being. I have been a Senior Accredited member of the BACP for 20 years. I now work as an integrative psychological therapist, an EMDR Practitioner and a Clinical Supervisor, based in Worsley, Manchester.
No avail.For over 26 years, in the NHS, I worked in a psychological therapies department as a Senior Psychological Counsellor, and as a Clinical Supervisor. Therapy with me will offer time in a reflective space away from family, friends and work, with a skilled therapist. As well as healing, therapy offers a place in which to understand yourself and your place in the world and the opportunity to find a new, more comfortable way of being. I have been a Senior Accredited member of the BACP for 20 years. I now work as an integrative psychological therapist, an EMDR Practitioner and a Clinical Supervisor, based in Worsley, Manchester.
01890 545510 View 01890 545510
Photo of Charlie Macfie, Counsellor in Manchester, England
Charlie Macfie
Counsellor, MSc, MBACP
Verified Verified
1 Endorsed
Manchester M19  (Online Only)
I have a keen interest in working with issues relating to self-esteem and shame. Overthinking, constantly comparing yourself to others, people-pleasing, and holding high expectations for yourself that are impossible to achieve (perfectionism), to name a few, can all be symptoms of low self-esteem. These beliefs and behaviours can cause difficulties in your relationship with others and most importantly, yourself. It can feel impossible to break the cycle or know how to move forward. I can support you to make sense of your experiences so that you might develop self-worth and find a way through that works for you.
I have a keen interest in working with issues relating to self-esteem and shame. Overthinking, constantly comparing yourself to others, people-pleasing, and holding high expectations for yourself that are impossible to achieve (perfectionism), to name a few, can all be symptoms of low self-esteem. These beliefs and behaviours can cause difficulties in your relationship with others and most importantly, yourself. It can feel impossible to break the cycle or know how to move forward. I can support you to make sense of your experiences so that you might develop self-worth and find a way through that works for you.
View
Photo of Adam Laidler, Psychotherapist in Manchester, England
Adam Laidler
Psychotherapist, MBACP
Verified Verified
Manchester M2
Expecting to have some enjoyment and a sense of fulfilment in life is not a pipe dream – it’s your purpose and your right. If you’re like 99% of others, then you can’t quit your job and travel the world because a quote on social media told you that’s how to be happy. Life is tough, and things often get thrown our way that knock us sideways. You might even be waking up more than you’d care to asking: “what is the point in all this?”. Or maybe you feel stuck in a cycle, struggling to make changes in your life? You're not alone, and you don't have to feel this way.
Expecting to have some enjoyment and a sense of fulfilment in life is not a pipe dream – it’s your purpose and your right. If you’re like 99% of others, then you can’t quit your job and travel the world because a quote on social media told you that’s how to be happy. Life is tough, and things often get thrown our way that knock us sideways. You might even be waking up more than you’d care to asking: “what is the point in all this?”. Or maybe you feel stuck in a cycle, struggling to make changes in your life? You're not alone, and you don't have to feel this way.
0161 694 6338 View 0161 694 6338
Photo of Anna Faff, Psychotherapist in Manchester, England
Anna Faff
Psychotherapist, MSc, GMBPsS
Verified Verified
Manchester M24
I am a psychotherapist on the spectrum with ADHD. I have been late diagnosed so I can relate to NT and ND. I understand how life-changing could be for anyone to be diagnosed with Autism. I am helping people who are experiencing detachment, unexplained pain, and lack of stability. Along with high levels of emotional distress, mood difficulties, shame, guilt, difficulties with self-esteem and difficulties in life in general. I offer a non-judgemental, welcoming space where you can find your own solutions and paths that would lead you to growth and building resilience.
I am a psychotherapist on the spectrum with ADHD. I have been late diagnosed so I can relate to NT and ND. I understand how life-changing could be for anyone to be diagnosed with Autism. I am helping people who are experiencing detachment, unexplained pain, and lack of stability. Along with high levels of emotional distress, mood difficulties, shame, guilt, difficulties with self-esteem and difficulties in life in general. I offer a non-judgemental, welcoming space where you can find your own solutions and paths that would lead you to growth and building resilience.
0161 524 0507 View 0161 524 0507
Photo of Dov Benyaacov-Kurtzman, Psychotherapist in Manchester, England
Dov Benyaacov-Kurtzman
Psychotherapist
Not Verified Not Verified
Manchester M25  (Online Only)
“I feel like quite a different person! Dov has taught me to learn from myself what's important in life, who's important in life, and that I'm actually one of the most important people in life. I would say that the work has been tremendous! His time, the way in which he helps you to open up and really evaluate what's going on and also his so many years of his own experience passes over to you. So it oozes confidence for you to then feel that "I can also be like that myself", which has been really, really helpful for me. Amanda Marks, London
“I feel like quite a different person! Dov has taught me to learn from myself what's important in life, who's important in life, and that I'm actually one of the most important people in life. I would say that the work has been tremendous! His time, the way in which he helps you to open up and really evaluate what's going on and also his so many years of his own experience passes over to you. So it oozes confidence for you to then feel that "I can also be like that myself", which has been really, really helpful for me. Amanda Marks, London
0161 509 6772 View 0161 509 6772
Photo of Chi Ko Psychosexual Relationship Therapist, Psychotherapist in Manchester, England
Chi Ko Psychosexual Relationship Therapist
Psychotherapist, MSc, COSRT Accred
Verified Verified
Manchester M3
Chi is a Sex and Relationship Psychotherapist, accredited by BACP and COSRT. He also works with people with sexual addictive behaviour and compulsivity. He has an excellent working knowledge on a range of psychiatric and mental health conditions.
Chi is a Sex and Relationship Psychotherapist, accredited by BACP and COSRT. He also works with people with sexual addictive behaviour and compulsivity. He has an excellent working knowledge on a range of psychiatric and mental health conditions.
0161 696 8319 View 0161 696 8319
Photo of Sana Gill, Psychologist in Manchester, England
Sana Gill
Psychologist, HCPC - Clin. Psych.
Verified Verified
Manchester M20  (Online Only)
I work with individuals who are wanting to understand their emotional health further and to make sustainable and meaningful change to reduce experiences of distress. We work together with curiosity to explore life experiences both past and present to understand how these may have shaped and guided life choices and emotional experiences. We work through specific concerns, beliefs and behaviours which may be causing or maintaining your distress and find ways to make helpful changes to improve emotional well-being.
I work with individuals who are wanting to understand their emotional health further and to make sustainable and meaningful change to reduce experiences of distress. We work together with curiosity to explore life experiences both past and present to understand how these may have shaped and guided life choices and emotional experiences. We work through specific concerns, beliefs and behaviours which may be causing or maintaining your distress and find ways to make helpful changes to improve emotional well-being.
0161 524 6440 View 0161 524 6440
Photo of Dr Karin Adamson, Psychologist in Manchester, England
Dr Karin Adamson
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Manchester M25
Hi, my name is Karin and I'm a qualified clinical psychologist with over 14 years experience of working with people with a range of different mental health problems. I can offer an integrated psychological approach as I qualified as a clinical psychologist and have since then also become professionally registered as an EMDR Consultant and a Cognitive Analytic Therapy (CAT) practitioner. I have also been trained in and use CBT. Alongside offering therapy, I also provide supervision to other therapists/psychologists. WEBSITE: www.adamsonpsychologicalservices.co.uk
Hi, my name is Karin and I'm a qualified clinical psychologist with over 14 years experience of working with people with a range of different mental health problems. I can offer an integrated psychological approach as I qualified as a clinical psychologist and have since then also become professionally registered as an EMDR Consultant and a Cognitive Analytic Therapy (CAT) practitioner. I have also been trained in and use CBT. Alongside offering therapy, I also provide supervision to other therapists/psychologists. WEBSITE: www.adamsonpsychologicalservices.co.uk
01890 545571 View 01890 545571
Photo of Mahabuba Fardousi, Counsellor in Manchester, England
Mahabuba Fardousi
Counsellor, MA, MBACP
Verified Verified
Manchester M11
We humans are influenced by our life events, and they drive our emotional reactions. These events often render us helpless, lonely, and terrified. Sometimes it becomes difficult to express our true feelings and/or needs. Life turns out to be persistently sad, complicated, and filled with negative thoughts. It can happen to anyone, and it is an illness that can be treated. All we need is professional compassionate help to start living again.
We humans are influenced by our life events, and they drive our emotional reactions. These events often render us helpless, lonely, and terrified. Sometimes it becomes difficult to express our true feelings and/or needs. Life turns out to be persistently sad, complicated, and filled with negative thoughts. It can happen to anyone, and it is an illness that can be treated. All we need is professional compassionate help to start living again.
0161 524 1814 View 0161 524 1814
Photo of Emily Hall, Psychotherapist in Manchester, England
Emily Hall
Psychotherapist, MSc, MBACP
Verified Verified
Manchester M1  (Online Only)
Deciding to start therapy is a big step for many people and it is important to feel safe and in good hands. Acknowledging this, I have undergone several years of rigorous training at accredited institutes, and have spent over ten years working in clinical, charity and educational settings. Before opening this practice, a large portion of my work took place in schools, including managing several school based therapy services, and providing supervision to trained and trainee therapists. Most recently, I have worked in a specialist NHS service, supporting survivors of acute and historic sexual abuse.
Deciding to start therapy is a big step for many people and it is important to feel safe and in good hands. Acknowledging this, I have undergone several years of rigorous training at accredited institutes, and have spent over ten years working in clinical, charity and educational settings. Before opening this practice, a large portion of my work took place in schools, including managing several school based therapy services, and providing supervision to trained and trainee therapists. Most recently, I have worked in a specialist NHS service, supporting survivors of acute and historic sexual abuse.
View
Photo of Morag Borszcz, Counsellor in Manchester, England
Morag Borszcz
Counsellor, MBACP Accred
Verified Verified
Manchester M16
I am a warm, open, person centred counsellor. I work in a holistic and creative way. I aim to provide a non-judgmental and safe space for you to explore your issues and to develop understanding. This in turn leads to the possibility of deep and lasting change. Over the past eighteen years I have helped many clients develop greater self-awareness and kindness towards themselves, working with a variety of issues including: anxiety, attachment issues and trauma, depression, bereavement, relationship difficulties, work related issues, loneliness, sexual violence, trauma and peri-natal issues.
I am a warm, open, person centred counsellor. I work in a holistic and creative way. I aim to provide a non-judgmental and safe space for you to explore your issues and to develop understanding. This in turn leads to the possibility of deep and lasting change. Over the past eighteen years I have helped many clients develop greater self-awareness and kindness towards themselves, working with a variety of issues including: anxiety, attachment issues and trauma, depression, bereavement, relationship difficulties, work related issues, loneliness, sexual violence, trauma and peri-natal issues.
0161 524 5153 View 0161 524 5153
Photo of Mark Widdowson, Psychotherapist in Manchester, England
Mark Widdowson
Psychotherapist, PhD, MUKCP
Verified Verified
1 Endorsed
Manchester M1
Waitlist for new clients
I have almost 30 years experience as a psychotherapist and have worked with an extensive range of issues and in many different settings over that time. I am currently a senior lecturer in counselling and psychotherapy at the university of Salford,associate director at The Berne Institute and director of Manchester Psychotherapy Foundation. I teach psychotherapists around Europe. After initially training in counselling, I then completed Transactional Analysis psychotherapy training. I am a teaching and supervising Transactional analyst. I am also a an accredited EMDR therapist. I work in a time limited format of up to 20 sessions
I have almost 30 years experience as a psychotherapist and have worked with an extensive range of issues and in many different settings over that time. I am currently a senior lecturer in counselling and psychotherapy at the university of Salford,associate director at The Berne Institute and director of Manchester Psychotherapy Foundation. I teach psychotherapists around Europe. After initially training in counselling, I then completed Transactional Analysis psychotherapy training. I am a teaching and supervising Transactional analyst. I am also a an accredited EMDR therapist. I work in a time limited format of up to 20 sessions
07970 541816 View 07970 541816

See more therapy options for Manchester

How does your Counsellor compare?

Number of Counsellors in Manchester

800+

Average cost per session

£60

Counsellors in Manchester who prioritize treating:

91% Anxiety
87% Depression
85% Self Esteem
81% Stress
78% Relationship Issues
67% Trauma and PTSD
63% Bereavement

Average years in practice

9 Years

Top 3 insurances accepted

63% Aviva
59% AXA PPP
46% Vitality

How Counsellors in Manchester see their clients

64% In Person and Online
36% Online Only

Gender breakdown

71% Female
27% Male
2% Non-Binary

FAQs - About Therapy and Counselling

How can I find a therapist in Manchester?

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.