Photo of Billy Smith, Counsellor, MA, BACP
Billy Smith
Counsellor, MA, BACP
Verified Verified
Bedford MK40
We all need to talk, we all need support, and we don’t need to face life’s challenges alone.   Hi, I am Billy, and I am experienced therapist that believes we all deserve to feel free. I believe living a life attuned and connected to our true self is our birth right. I also believe it is a genuine possibility to achieve this. Over the years I have worked with a diverse range of clients, clients battling chronic pain, Addiction, Anxiety, ADHD, OCD, Chronic Fatigue, Burnout, Depression, Eating disorders, major life transitions, Self esteem, Trauma, as well as challenges relating to meaning, purpose, identity and spirituality.
We all need to talk, we all need support, and we don’t need to face life’s challenges alone.   Hi, I am Billy, and I am experienced therapist that believes we all deserve to feel free. I believe living a life attuned and connected to our true self is our birth right. I also believe it is a genuine possibility to achieve this. Over the years I have worked with a diverse range of clients, clients battling chronic pain, Addiction, Anxiety, ADHD, OCD, Chronic Fatigue, Burnout, Depression, Eating disorders, major life transitions, Self esteem, Trauma, as well as challenges relating to meaning, purpose, identity and spirituality.
01234 864790 View 01234 864790
Photo of Samantha Roach, Counsellor, ACC Reg
Samantha Roach
Counsellor, ACC Reg
Verified Verified
Bedford MK40
I am a integrative counsellor (based in Bedfordshire, UK). This means I adapt to you and deliver the best suited therapy for your needs such as Cognitive Behavioural Therapy (CBT), Person Centred Therapy , Psychodynamic Therapy and Creative Intervention. I will never enforce a particular way of working with my clients as I believe every individual’s situation is different. I decided to become a counsellor because I am passionate about working alongside people to help them go through their therapeutic process, helping them to achieve their best.
I am a integrative counsellor (based in Bedfordshire, UK). This means I adapt to you and deliver the best suited therapy for your needs such as Cognitive Behavioural Therapy (CBT), Person Centred Therapy , Psychodynamic Therapy and Creative Intervention. I will never enforce a particular way of working with my clients as I believe every individual’s situation is different. I decided to become a counsellor because I am passionate about working alongside people to help them go through their therapeutic process, helping them to achieve their best.
01234 860693 View 01234 860693
Photo of Meera Nishma Shah - Dr Meera Shah, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Meera Shah
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Bedford MK40
Life can throw us challenges at times where perhaps an outside perspective can help. I'm an experienced Clinical Psychologist and CAT therapist working with adults. I also work in the NHS. I specialise in physical health conditions (e.g. oncology, palliative care, pain, digestive diseases), alongside issues such as anxiety, depression, stress, relationship/interpersonal difficulties, loss, adjustment, trauma, life crisis, body image and identity. I'm also interested in issues of diversity and cultural conflict. I work in a collaborative and integrative way to help understand your difficulties and to move towards the change you seek.
Life can throw us challenges at times where perhaps an outside perspective can help. I'm an experienced Clinical Psychologist and CAT therapist working with adults. I also work in the NHS. I specialise in physical health conditions (e.g. oncology, palliative care, pain, digestive diseases), alongside issues such as anxiety, depression, stress, relationship/interpersonal difficulties, loss, adjustment, trauma, life crisis, body image and identity. I'm also interested in issues of diversity and cultural conflict. I work in a collaborative and integrative way to help understand your difficulties and to move towards the change you seek.
01234 868543 View 01234 868543
Photo of Rachel Cathan - Rachel Cathan Counselling, Psychotherapist, MBACP Accred
Rachel Cathan Counselling
Psychotherapist, MBACP Accred
Verified Verified
Bedford MK40
I specialise in working with adults and young people experiencing anxiety (including general, social and health anxiety), as well as people facing the challenges of bereavement, infertility, relationship breakdown and other forms of life crisis.
I specialise in working with adults and young people experiencing anxiety (including general, social and health anxiety), as well as people facing the challenges of bereavement, infertility, relationship breakdown and other forms of life crisis.
01234 860936 View 01234 860936
Photo of Rachel Purvis, Psychotherapist, MBACP Accred
Rachel Purvis
Psychotherapist, MBACP Accred
Verified Verified
Bedford MK40
I offer Psychodynamic Counselling and Psychoanalytic Psychotherapy in a safe space where people can think about troubling emotional problems. I will not judge or advise, but will listen to what you are saying, and perhaps what you are not saying, to understand the causes of present distress. We will work together, looking deeper into your problems and worries with the aim of bringing to the surface underlying issues and causes. These are often from the past, but continue to impact in the present. It is from identifying and thinking about these patterns and connections that you are likely to find some relief from your symptoms.
I offer Psychodynamic Counselling and Psychoanalytic Psychotherapy in a safe space where people can think about troubling emotional problems. I will not judge or advise, but will listen to what you are saying, and perhaps what you are not saying, to understand the causes of present distress. We will work together, looking deeper into your problems and worries with the aim of bringing to the surface underlying issues and causes. These are often from the past, but continue to impact in the present. It is from identifying and thinking about these patterns and connections that you are likely to find some relief from your symptoms.
01234 395412 View 01234 395412
Photo of Dr Jean S Penman, Psychotherapist, PhD, MBACP Snr. Accred
Dr Jean S Penman
Psychotherapist, PhD, MBACP Snr. Accred
Verified Verified
Bedford MK40
Are you feeling stressed and longing to enjoy life more? Is your body not working well enough? Would you like to develop further skills that make your relationships or work-life more rewarding? Do life events that reduced your sense of wellbeing and diminished physical performance still affect you? You may be ready now, to discover what may be blocking you from reaching your goals and what helps. With confidential, trusted and experienced support and through your own determination, together, we can begin to find a route through to greater appreciation of your skills and resilience.
Are you feeling stressed and longing to enjoy life more? Is your body not working well enough? Would you like to develop further skills that make your relationships or work-life more rewarding? Do life events that reduced your sense of wellbeing and diminished physical performance still affect you? You may be ready now, to discover what may be blocking you from reaching your goals and what helps. With confidential, trusted and experienced support and through your own determination, together, we can begin to find a route through to greater appreciation of your skills and resilience.
01234 860941 View 01234 860941
Photo of David Monks, Psychotherapist, MA, MBACP Accred
David Monks
Psychotherapist, MA, MBACP Accred
Verified Verified
Bedford MK40
Welcome to my therapy space where I am here to help you. There are many reasons why you have arrived here. Fundamentally you are seeking change ..something needs to be different. An issue or issues need airing and sharing to understand or transform. I may be overwhelmed by depression and/or anxiety and need a supportive space to work it out. Who am I you may be asking yourself....we can find out together therapy . I may be in relationships where there are some difficulties and challenges that need some understanding As a client in therapy I will bring openness and honesty at all times to my sessions.
Welcome to my therapy space where I am here to help you. There are many reasons why you have arrived here. Fundamentally you are seeking change ..something needs to be different. An issue or issues need airing and sharing to understand or transform. I may be overwhelmed by depression and/or anxiety and need a supportive space to work it out. Who am I you may be asking yourself....we can find out together therapy . I may be in relationships where there are some difficulties and challenges that need some understanding As a client in therapy I will bring openness and honesty at all times to my sessions.
01234 230983 View 01234 230983
Photo of Emma Vincent, Counsellor, MNCPS Acc.
Emma Vincent
Counsellor, MNCPS Acc.
Verified Verified
Bedford MK40
Hi, I'm Emma, a qualified counsellor and psychotherapist with a special interest in helping people to overcome anxiety, stress and low self-esteem. My experience ranges from working in schools, the charitable sector and as a private practitioner. The needs and goals of each client are placed at the forefront of every session, in a safe and non-judgmental space to allow a greater understanding of each unique situation and develop relevant coping strategies together.
Hi, I'm Emma, a qualified counsellor and psychotherapist with a special interest in helping people to overcome anxiety, stress and low self-esteem. My experience ranges from working in schools, the charitable sector and as a private practitioner. The needs and goals of each client are placed at the forefront of every session, in a safe and non-judgmental space to allow a greater understanding of each unique situation and develop relevant coping strategies together.
01234 395474 View 01234 395474
Photo of Adrian Herceg, Psychotherapist, MBACP
Adrian Herceg
Psychotherapist, MBACP
Verified Verified
Bedford MK40
I am an MBACP registered counsellor, based in Bedford offering support for anxiety, depression, addiction, trauma, and life transitions. I have worked in private addiction clinics as well as the NHS as a relational counsellor for depression. I help clients heal and grow in a safe, empathic space. My clients often seek relief from issues such as bereavement, sexual abuse, childhood trauma, relationship breakdowns, addiction, loneliness, stress, low moods, self-harm, PTSD, OCD, and ADHD/emotional regulation difficulties. I help to guide individuals toward lasting positive change, personal growth, acceptance and self empowerment.
I am an MBACP registered counsellor, based in Bedford offering support for anxiety, depression, addiction, trauma, and life transitions. I have worked in private addiction clinics as well as the NHS as a relational counsellor for depression. I help clients heal and grow in a safe, empathic space. My clients often seek relief from issues such as bereavement, sexual abuse, childhood trauma, relationship breakdowns, addiction, loneliness, stress, low moods, self-harm, PTSD, OCD, and ADHD/emotional regulation difficulties. I help to guide individuals toward lasting positive change, personal growth, acceptance and self empowerment.
01234 395471 View 01234 395471
Photo of Jo Moloney - Bedford Community Counselling, Psychotherapist, MBACP Accred
Bedford Community Counselling
Psychotherapist, MBACP Accred
Verified Verified
Bedford MK40
At Bedford Community Counselling, we offer low cost counselling, clinical supervision to professionals & placements to student counsellors. Run by senior Psychotherapists & Directors, Katja Fischer & Jo Moloney, BCC is a not for profit organisation. Since first opening in 2012 we have developed a reputation for excellence. We provide a fast response to enquiries & have a team of therapists which means we can usually offer session times quickly. We are an experienced general practice, able to work with individuals, couples & groups on a wide variety of issues, and also offer specialist trauma and DIT relational therapies.
At Bedford Community Counselling, we offer low cost counselling, clinical supervision to professionals & placements to student counsellors. Run by senior Psychotherapists & Directors, Katja Fischer & Jo Moloney, BCC is a not for profit organisation. Since first opening in 2012 we have developed a reputation for excellence. We provide a fast response to enquiries & have a team of therapists which means we can usually offer session times quickly. We are an experienced general practice, able to work with individuals, couples & groups on a wide variety of issues, and also offer specialist trauma and DIT relational therapies.
01234 675721 View 01234 675721
Photo of Adriana Cracknell, Counsellor, MBACP
Adriana Cracknell
Counsellor, MBACP
Verified Verified
Bedford MK40
Welcome to my profile, I am a highly experienced Counsellor of 25 years, which accounts for my knowledge and intuition. Specialising in Sexual Abuse/Assault, Trauma/PTSD, Couples Therapy, Family Therapy, LGBTQ+ & Young People - to reduce confusion, be heard and enable choice. I create a space where we connect as equals, and explore together at your pace. My belief is that therapy needs to be with someone you can feel comfortable and safe with. I look forward to hearing from you for a chat, to assess your needs and see how I can be of assistance to you.
Welcome to my profile, I am a highly experienced Counsellor of 25 years, which accounts for my knowledge and intuition. Specialising in Sexual Abuse/Assault, Trauma/PTSD, Couples Therapy, Family Therapy, LGBTQ+ & Young People - to reduce confusion, be heard and enable choice. I create a space where we connect as equals, and explore together at your pace. My belief is that therapy needs to be with someone you can feel comfortable and safe with. I look forward to hearing from you for a chat, to assess your needs and see how I can be of assistance to you.
01234 395407 View 01234 395407
Photo of Anne-Marie Cooper-Kilroy - Connect Counselling, Counsellor, MBACP
Connect Counselling
Counsellor, MBACP
Verified Verified
Bedford MK40
Hello, have you been wondering what it might be like to talk to a counsellor? To be really listened to? How might I help you? Everybody has problems, but for some working through them is more challenging than for others; perhaps because of an early childhood experience, trauma, a relationship problem, or a feeling of sadness that might feel too hard or frightening to unpack alone. I can help. It’s ok not to be ok, but you don’t have to be alone with your struggle. Counselling will help you make meaning of how and why you are feeling the way you do and enable you to move forward with resilience and confidence, please get in touch.
Hello, have you been wondering what it might be like to talk to a counsellor? To be really listened to? How might I help you? Everybody has problems, but for some working through them is more challenging than for others; perhaps because of an early childhood experience, trauma, a relationship problem, or a feeling of sadness that might feel too hard or frightening to unpack alone. I can help. It’s ok not to be ok, but you don’t have to be alone with your struggle. Counselling will help you make meaning of how and why you are feeling the way you do and enable you to move forward with resilience and confidence, please get in touch.
01234 866315 View 01234 866315
Photo of Dr Owen Richardson, Psychologist, CPsychol
Dr Owen Richardson
Psychologist, CPsychol
Verified Verified
Bedford MK40
Waitlist for new clients
Throughout our lives, we are often confronted with experiences and/or difficulties that challenge us. Sometimes, these challenges can leave us struggling and in need of a space in which we we can safely explore, understand, and learn how to overcome these issues. ​ Through careful exploration, not only is it possible to learn how to overcome these challenges, we can also begin to understand how they can in fact offer us new opportunities to learn and grow. I take a open and collaborative approach to therapy and am keen to support you with any challenges you are facing
Throughout our lives, we are often confronted with experiences and/or difficulties that challenge us. Sometimes, these challenges can leave us struggling and in need of a space in which we we can safely explore, understand, and learn how to overcome these issues. ​ Through careful exploration, not only is it possible to learn how to overcome these challenges, we can also begin to understand how they can in fact offer us new opportunities to learn and grow. I take a open and collaborative approach to therapy and am keen to support you with any challenges you are facing
01234 676607 View 01234 676607
Photo of Abigail Drury, Counsellor, MBACP
Abigail Drury
Counsellor, MBACP
Verified Verified
1 Endorsed
Bedford MK40
Hello , I'm Abbie . I offer therapeutic counselling sessions both in-person and online. Life can throw some difficult and challenging experiences our way , leaving us feeling overwhelmed at times and doing our best to find ways of coping. These experiences can range from significant events in life to more day to day stresses . Are you struggling with anxiety or depression? trying to cope with loss or past trauma in your life? Perhaps you are trying to navigate complicated relationships or it might be that for no known reason you are just not feeling yourself and want to seek a better understanding -helping you to move forward.
Hello , I'm Abbie . I offer therapeutic counselling sessions both in-person and online. Life can throw some difficult and challenging experiences our way , leaving us feeling overwhelmed at times and doing our best to find ways of coping. These experiences can range from significant events in life to more day to day stresses . Are you struggling with anxiety or depression? trying to cope with loss or past trauma in your life? Perhaps you are trying to navigate complicated relationships or it might be that for no known reason you are just not feeling yourself and want to seek a better understanding -helping you to move forward.
01767 669711 View 01767 669711
Photo of Yvonne Walker, Psychotherapist, MSc, MBACP
Yvonne Walker
Psychotherapist, MSc, MBACP
Verified Verified
Bedford MK40
I am an experienced, BACP registered psychodynamic psychotherapist working with adults in Bedford and Milton Keynes and online. I help individuals explore unconscious thoughts, processes and feelings to work towards a greater understanding of themselves and their lives. I work with a wide range of issues, including anxiety, stress, codependency and relationship issues. Therapy provides a safe and confidential space to explore difficult emotions and feelings, resulting from past experiences or traumas.
I am an experienced, BACP registered psychodynamic psychotherapist working with adults in Bedford and Milton Keynes and online. I help individuals explore unconscious thoughts, processes and feelings to work towards a greater understanding of themselves and their lives. I work with a wide range of issues, including anxiety, stress, codependency and relationship issues. Therapy provides a safe and confidential space to explore difficult emotions and feelings, resulting from past experiences or traumas.
01234 230198 View 01234 230198
Photo of Emma Hirst, Counsellor, MA, MBACP
Emma Hirst
Counsellor, MA, MBACP
Verified Verified
Bedford MK40
Hello and welcome! I'm committed to providing a supportive, and confidential environment where you can explore your feelings and grow. My approach involves helping you understand yourself more clearly and deeply in order to then make the changes you want to see. I have experience working with clients with a wide range of challenges, including but not limited to:
Hello and welcome! I'm committed to providing a supportive, and confidential environment where you can explore your feelings and grow. My approach involves helping you understand yourself more clearly and deeply in order to then make the changes you want to see. I have experience working with clients with a wide range of challenges, including but not limited to:
01234 860685 View 01234 860685
Photo of Vicki Iliffe, Counsellor, DCounsPsych, MBACP
Vicki Iliffe
Counsellor, DCounsPsych, MBACP
Verified Verified
Bedford MK40
Hello, I’m Vicki, welcome to my profile. There may be many reasons why you are visiting my profile today, life might feel difficult or overwhelming right now. You might be looking for support through a painful time. Whether you are looking to find some peace, or to explore past or present events that are impacting your life; I will offer a warm, safe space for you to freely explore your thoughts, feelings and experiences. My aim is to help you to feel understood, accepted, and comfortable to be completely 'you'.
Hello, I’m Vicki, welcome to my profile. There may be many reasons why you are visiting my profile today, life might feel difficult or overwhelming right now. You might be looking for support through a painful time. Whether you are looking to find some peace, or to explore past or present events that are impacting your life; I will offer a warm, safe space for you to freely explore your thoughts, feelings and experiences. My aim is to help you to feel understood, accepted, and comfortable to be completely 'you'.
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Photo of Dr Jessica Blumsom, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Jessica Blumsom
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Online Only
Deciding to enter therapy can be daunting. I value building a sense of safety and trust, without judgement and with compassion. We can work at a pace that feels right for you to help you feel heard, seen and understood. I believe that our therapeutic relationship is the foundation for change. I have extensive experience across child, adolescent and adult services. Our work will be tailored to how you want your therapy experience to be and your goals. I value relational dynamics and getting in touch with emotion as a way to alleviate pain.
Deciding to enter therapy can be daunting. I value building a sense of safety and trust, without judgement and with compassion. We can work at a pace that feels right for you to help you feel heard, seen and understood. I believe that our therapeutic relationship is the foundation for change. I have extensive experience across child, adolescent and adult services. Our work will be tailored to how you want your therapy experience to be and your goals. I value relational dynamics and getting in touch with emotion as a way to alleviate pain.
01234 386601 View 01234 386601
Photo of John Garden, Counsellor, MBACP
John Garden
Counsellor, MBACP
Verified Verified
Bedford MK40
Counselling is about working together to reduce emotional suffering. You don’t have to face your challenges alone.
Counselling is about working together to reduce emotional suffering. You don’t have to face your challenges alone.
01234 988130 View 01234 988130
Photo of Savina Wachter - PairedPsychology, Psychologist, PsychD, HCPC - Clin. Psych.
PairedPsychology
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Bedford MK40
We provide comprehensive Autism Assessments that adhere to NICE guidelines. We will complete an in-depth report to support each assessment carried out, as well as provide detailed recommendations which can support the individual being assessed, their family, school, and employer. We provide free initial screening via completion of an in-depth questionnaire, and you will have the option of booking an initial consultation to discuss whether a full Autism assessment is indicated. For child assessments, in line with NICE guidelines, we complete assessments alongside our speech and language therapy colleagues.
We provide comprehensive Autism Assessments that adhere to NICE guidelines. We will complete an in-depth report to support each assessment carried out, as well as provide detailed recommendations which can support the individual being assessed, their family, school, and employer. We provide free initial screening via completion of an in-depth questionnaire, and you will have the option of booking an initial consultation to discuss whether a full Autism assessment is indicated. For child assessments, in line with NICE guidelines, we complete assessments alongside our speech and language therapy colleagues.
01234 386346 View 01234 386346
1

See more therapy options for MK40

How does your Counsellor compare?

Number of Counsellors in MK40

70+

Average cost per session

£65

Counsellors in MK40 who prioritize treating:

94% Anxiety
90% Depression
90% Self Esteem
86% Relationship Issues
79% Stress
70% Coping Skills
65% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

71% Aviva
71% Vitality
53% AXA PPP

How Counsellors in MK40 see their clients

85% In Person and Online
15% Online Only

Gender breakdown

75% Female
22% Male
3% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in MK40?

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.