Counselling in N11

Photo of Annemarie Lewis Thomas, Counsellor in N11, England
Annemarie Lewis Thomas
Counsellor
Verified
London N11  (Online Only)
Working exclusively via video call ensuring that clients feel relaxed in familiar surroundings, I work with my clients to help them to find a route through their struggles, helping them to unhook themselves from unhelpful thinking styles and strategies. From the outset my clients understand that counselling requires them to put into practice the things that we identify during our sessions - just like homework. The solutions don't come from our sessions, they come from the work that my clients put in between our sessions.
Working exclusively via video call ensuring that clients feel relaxed in familiar surroundings, I work with my clients to help them to find a route through their struggles, helping them to unhook themselves from unhelpful thinking styles and strategies. From the outset my clients understand that counselling requires them to put into practice the things that we identify during our sessions - just like homework. The solutions don't come from our sessions, they come from the work that my clients put in between our sessions.
020 3910 8261 View 020 3910 8261
Photo of Chris Low, Psychotherapist in N11, England
Chris Low
Psychotherapist, MSc, MBACP
Verified
London N11  (Online Only)
Hello, I’m Chris, a qualified and experienced, registered BACP psychotherapist and counsellor. I understand how daunting it can be to reach out and make contact, which is why I offer a space that is non-judgemental, interactive, and confidential. It’s a space for you to discuss whatever is on you mind. I am trained in Psychodynamic Psychotherapy, which underpins my theoretical framework. Together, we will explore your thoughts and feelings, looking at behaviour patterns and creating links between your present difficulties and past experiences.
Hello, I’m Chris, a qualified and experienced, registered BACP psychotherapist and counsellor. I understand how daunting it can be to reach out and make contact, which is why I offer a space that is non-judgemental, interactive, and confidential. It’s a space for you to discuss whatever is on you mind. I am trained in Psychodynamic Psychotherapy, which underpins my theoretical framework. Together, we will explore your thoughts and feelings, looking at behaviour patterns and creating links between your present difficulties and past experiences.
020 3835 3361 View 020 3835 3361
Photo of Jacqueline England, Psychotherapist in N11, England
Jacqueline England
Psychotherapist, MSc, MBABCP
Verified
I am an experienced, BABCP-accred cognitive & behavioural psychotherapist and a BANT- accred nutritionist. Clients have CBT for a variety or reasons: it could be to help a specific mental health problem such as anxiety, OCD, depression, trauma, an eating disorder or addiction. Others are going through major life events such as divorce or bereavement, and may be suffering from stress, insomnia and guilt. Perhaps you are not coping with relationship issues, or are finding your life is badly effected by anger issues, perfectionism or low self-esteem. CBT is evidence-based, effective and the therapy of choice for the NHS, NICE and WHO.
I am an experienced, BABCP-accred cognitive & behavioural psychotherapist and a BANT- accred nutritionist. Clients have CBT for a variety or reasons: it could be to help a specific mental health problem such as anxiety, OCD, depression, trauma, an eating disorder or addiction. Others are going through major life events such as divorce or bereavement, and may be suffering from stress, insomnia and guilt. Perhaps you are not coping with relationship issues, or are finding your life is badly effected by anger issues, perfectionism or low self-esteem. CBT is evidence-based, effective and the therapy of choice for the NHS, NICE and WHO.
020 3095 2952 View 020 3095 2952
Photo of Sylvia Anim UK Based psycho(sexual) Therapist , Psychotherapist in N11, England
Sylvia Anim UK Based psycho(sexual) Therapist
Psychotherapist, COSRT Accred
Verified
London N11  (Online Only)
My goal is to give my clients the safe space to express their sexual concerns, to feel empowered and to see themselves as the star and director in their own show, with self compassion and autonomy at the forefront of every interaction. I take a pluralistic approach that necessitates collaborating with my clients to help them achieve their goals in an open, non judgmental and empathetic safe space. I predominantly work with people of all genders and sexualities and relationship constellations from the black community, LGBTQIA and other minority ethnic groups with a wide range of relationship and intimacy concerns.
My goal is to give my clients the safe space to express their sexual concerns, to feel empowered and to see themselves as the star and director in their own show, with self compassion and autonomy at the forefront of every interaction. I take a pluralistic approach that necessitates collaborating with my clients to help them achieve their goals in an open, non judgmental and empathetic safe space. I predominantly work with people of all genders and sexualities and relationship constellations from the black community, LGBTQIA and other minority ethnic groups with a wide range of relationship and intimacy concerns.
020 3838 0929 View 020 3838 0929
Photo of Helen Bright-Gerrie, Psychotherapist in N11, England
Helen Bright-Gerrie
Psychotherapist, COSRT General
Verified
I am a qualified Psychosexual and Relationship Therapist and Pelvic Floor Health Fitness Instructor. I have been working with human sexuality since 2012. I work with men, women and couples who have sexual function and relationship problems. I help my clients to restore their sexual health and wellbeing and get back to normal life without medical invasion. I specialise in erectile function problems, painful sex, low libido issues, absence of orgasm, sexual traumas and many more.
I am a qualified Psychosexual and Relationship Therapist and Pelvic Floor Health Fitness Instructor. I have been working with human sexuality since 2012. I work with men, women and couples who have sexual function and relationship problems. I help my clients to restore their sexual health and wellbeing and get back to normal life without medical invasion. I specialise in erectile function problems, painful sex, low libido issues, absence of orgasm, sexual traumas and many more.
View
Photo of Dr Kathie Burke, Psychologist in N11, England
Dr Kathie Burke
Psychologist, PsychD, AFBPSsS
Verified
Not sure I have an 'ideal' client, but a person who is aware that they could be living a better life, is unhappy for not entirely logical reasons but realises that they have the potential to improve by reflecting and thinking about how they feel, what their values and goals might be, well, they're plenty good enough for me to look forward to seeing.
Not sure I have an 'ideal' client, but a person who is aware that they could be living a better life, is unhappy for not entirely logical reasons but realises that they have the potential to improve by reflecting and thinking about how they feel, what their values and goals might be, well, they're plenty good enough for me to look forward to seeing.
020 3994 2171 View 020 3994 2171
Photo of Simon Ziff, Psychotherapist in N11, England
Simon Ziff
Psychotherapist, MBACP
Verified
I am a qualified and experienced therapist. I specialise in helping my clients who are experiencing problems relating to drug addiction, alcohol dependency, anxiety, depression, relationship issues and childhood trauma and other addictions. I offer a warm and empathetic approach in a comfortable and intimate environment. Life can bring its struggles which, for many can lead to the above issues. The impact of our behaviour and anxiety often tips from being manageable to suddenly interfering with daily life, affecting you, your work and the people around you. If you can relate to any of these situations, then let me help.
I am a qualified and experienced therapist. I specialise in helping my clients who are experiencing problems relating to drug addiction, alcohol dependency, anxiety, depression, relationship issues and childhood trauma and other addictions. I offer a warm and empathetic approach in a comfortable and intimate environment. Life can bring its struggles which, for many can lead to the above issues. The impact of our behaviour and anxiety often tips from being manageable to suddenly interfering with daily life, affecting you, your work and the people around you. If you can relate to any of these situations, then let me help.
07793 816181 View 07793 816181
Photo of Elaine Cunnea, Psychotherapist in N11, England
Elaine Cunnea
Psychotherapist, MBACP
Verified
I am a Qualified Person-Centred Therapist, a registered member of the BACP. (MBACP). My practice has centred on, working with the BAME community, Trauma, FGM, Bereavement, Depression and Anxiety, people living with Sexual Health issues. My work also encompasses; Schools, Further Education Colleges, Sexual Health Clinics, Faith Communities and the LGBTQi+ community I use a client centred approach as a collaborative process to bring about holistic change for positive life outcomes.
I am a Qualified Person-Centred Therapist, a registered member of the BACP. (MBACP). My practice has centred on, working with the BAME community, Trauma, FGM, Bereavement, Depression and Anxiety, people living with Sexual Health issues. My work also encompasses; Schools, Further Education Colleges, Sexual Health Clinics, Faith Communities and the LGBTQi+ community I use a client centred approach as a collaborative process to bring about holistic change for positive life outcomes.
020 3917 4583 View 020 3917 4583
Photo of Vanessa Neuling, Psychotherapist in N11, England
Vanessa Neuling
Psychotherapist, MBACP
Verified
Welcome. Are you feeling overwhelmed, lost, worried, or less like yourself than you'd like to be? I work primarily with women at various life stages and during periods of transition such as identity shifts. These could include relationship changes and separation, pregnancy and parenting, issues or questions about sexuality and relationships, or navigating grief and loss. I can offer support with anxiety, depression and low self-esteem. Life can be noisy, and therapy can offer a space for you to hear your own voice more clearly.
Welcome. Are you feeling overwhelmed, lost, worried, or less like yourself than you'd like to be? I work primarily with women at various life stages and during periods of transition such as identity shifts. These could include relationship changes and separation, pregnancy and parenting, issues or questions about sexuality and relationships, or navigating grief and loss. I can offer support with anxiety, depression and low self-esteem. Life can be noisy, and therapy can offer a space for you to hear your own voice more clearly.
020 3959 7391 View 020 3959 7391
Photo of Nicola Wilkins, Counsellor in N11, England
Nicola Wilkins
Counsellor, MBACP
Verified
1 Endorsed
Hello my name is Nicola, thank you for taking the time to read my profile. In our busy lives it is often difficult to allocate time solely for ourselves, to gift to ourselves the opportunity to explore what may be hurting or limiting us. In essence what may be stopping us from living full and enjoyable lives. Choosing to enter therapy, to allow yourself the time to be listened to and heard without judgement is to choose a powerful and rewarding gift. Working together in a way that is comfortable for you, I offer a safe, compassionate and non judgmental space, that allows you to give yourself the permission to explore your feelings.
Hello my name is Nicola, thank you for taking the time to read my profile. In our busy lives it is often difficult to allocate time solely for ourselves, to gift to ourselves the opportunity to explore what may be hurting or limiting us. In essence what may be stopping us from living full and enjoyable lives. Choosing to enter therapy, to allow yourself the time to be listened to and heard without judgement is to choose a powerful and rewarding gift. Working together in a way that is comfortable for you, I offer a safe, compassionate and non judgmental space, that allows you to give yourself the permission to explore your feelings.
07492 885469 View 07492 885469
Photo of The Meyer Therapy Practice, Psychotherapist in N11, England
The Meyer Therapy Practice
Psychotherapist, MBABCP
Verified
I am one of the Clinical Directors of the Meyer Therapy Practice. We are a specialist CBT therapy practice providing CBT-based approaches for ages from 8 years old to adult. We offer online CBT therapy and face to face sessions in north London and Wimbledon. We offer a free, no obligation phone consultation with one of the clinical directors to help us understand what you are struggling with so we can match you up with a suitable therapist.
I am one of the Clinical Directors of the Meyer Therapy Practice. We are a specialist CBT therapy practice providing CBT-based approaches for ages from 8 years old to adult. We offer online CBT therapy and face to face sessions in north London and Wimbledon. We offer a free, no obligation phone consultation with one of the clinical directors to help us understand what you are struggling with so we can match you up with a suitable therapist.
020 4538 8604 View 020 4538 8604
Photo of Clare Payne, Counsellor in N11, England
Clare Payne
Counsellor, MA, MBACP
Verified
London N11  (Online Only)
If you feel you have reached a point in your life that you can't get beyond, and it feels like perhaps there is more you could experience, feel or be then it could be time to talk and share your story and explore the idea of what next. If you feel ready to work on yourself and have thoughts about your life you want to share and explore then it could be the time to talk. I work with all topics that clients bring. Examples of this could be life transitions, relationship issues, self esteem, depression, anxiety and feeling numb. If you have a shelf of self help books and think what next?
If you feel you have reached a point in your life that you can't get beyond, and it feels like perhaps there is more you could experience, feel or be then it could be time to talk and share your story and explore the idea of what next. If you feel ready to work on yourself and have thoughts about your life you want to share and explore then it could be the time to talk. I work with all topics that clients bring. Examples of this could be life transitions, relationship issues, self esteem, depression, anxiety and feeling numb. If you have a shelf of self help books and think what next?
020 3910 6075 View 020 3910 6075
Photo of Dr Galya Smith, Psychologist in N11, England
Dr Galya Smith
Psychologist, PsychD, HCPC - Clin. Psych.
Verified
1 Endorsed
London N11  (Online Only)
I have over 20 years of experience helping adults to make lasting change. Building a trusting relationship with a therapist who makes you feel understood is the most important basis for any work towards change and growth. There is a lot of self-help material out there, and most people will work very hard to try things on their own to feel better. But doing all this alone can sometimes feel lonely and overwhelming or rather stuck if nothing seems to be working. If that is the case for you, I hope that you will reach out and we can work together to make sense of things and empower you to be able to make the changes you seek.
I have over 20 years of experience helping adults to make lasting change. Building a trusting relationship with a therapist who makes you feel understood is the most important basis for any work towards change and growth. There is a lot of self-help material out there, and most people will work very hard to try things on their own to feel better. But doing all this alone can sometimes feel lonely and overwhelming or rather stuck if nothing seems to be working. If that is the case for you, I hope that you will reach out and we can work together to make sense of things and empower you to be able to make the changes you seek.
View
Photo of Luisa Diaz, Counsellor in N11, England
Luisa Diaz
Counsellor, MBACP
Verified
Are you struggling to cope? Perhaps you’re feeling overwhelmed by difficult emotions due to recent losses and changes or maybe from the past? Together we can navigate a way through your challenges, from within a safe, confidential and non-judgemental space. Working at a pace that’s right for you, we will explore your current difficulties and uncover their relationship to past experiences. My aim is to help you to gain a deeper understanding of your self, your relationships and to strengthen your inner resources, so that you can live your life more fully.
Are you struggling to cope? Perhaps you’re feeling overwhelmed by difficult emotions due to recent losses and changes or maybe from the past? Together we can navigate a way through your challenges, from within a safe, confidential and non-judgemental space. Working at a pace that’s right for you, we will explore your current difficulties and uncover their relationship to past experiences. My aim is to help you to gain a deeper understanding of your self, your relationships and to strengthen your inner resources, so that you can live your life more fully.
020 3960 5333 View 020 3960 5333
Photo of Ozge Ozcan, Psychologist in N11, England
Ozge Ozcan
Psychologist, MA, CPsychol
Verified
Çocuk, ergen ve ailelere yüz yüze/online psikanalitik yaklaşımlı bireysel danışmanlık/psikoterapi hizmeti sunuyorum. Ayrıca dünyanın her yerinden Birleşik Krallık'a göç eden bireylerin, kendilerini anlamalarını derinleştirmek için bir terapi çerçevesi oluşturuyorum. Aynı zamanda çocuklarının sorunları ile nasıl baş edeceklerini bilemeyen ailelerin ne hissettiklerini önemsiyorum. Onları psikolojik olarak desteklerken, çocukları ile içinde bulundukları karmaşık ilişkileri birlikte düşünmeye davet ediyorum.
Çocuk, ergen ve ailelere yüz yüze/online psikanalitik yaklaşımlı bireysel danışmanlık/psikoterapi hizmeti sunuyorum. Ayrıca dünyanın her yerinden Birleşik Krallık'a göç eden bireylerin, kendilerini anlamalarını derinleştirmek için bir terapi çerçevesi oluşturuyorum. Aynı zamanda çocuklarının sorunları ile nasıl baş edeceklerini bilemeyen ailelerin ne hissettiklerini önemsiyorum. Onları psikolojik olarak desteklerken, çocukları ile içinde bulundukları karmaşık ilişkileri birlikte düşünmeye davet ediyorum.
020 3835 6217 View 020 3835 6217
Photo of Julia Garden, Psychotherapist in N11, England
Julia Garden
Psychotherapist, MNCPS Acc.
Verified
If you are feeling anxious or depressed or generally feeling stuck in your life or struggling with unhelpful thoughts and feelings I can teach you a practical strategy that will result in a more rational and balanced way of thinking which you can apply to many issues. This will achieve long lasting change and teach you how to be your own therapist.
If you are feeling anxious or depressed or generally feeling stuck in your life or struggling with unhelpful thoughts and feelings I can teach you a practical strategy that will result in a more rational and balanced way of thinking which you can apply to many issues. This will achieve long lasting change and teach you how to be your own therapist.
020 8629 1519 View 020 8629 1519
Photo of Monica Videira, Psychotherapist in N11, England
Monica Videira
Psychotherapist, MBACP
Verified
People seek therapy and counselling for all kinds of reasons: to solve problems, improve wellbeing, making sense of their past or build more meaningul futures. I've worked with people from many backgrounds and ages, all with varied life experiences, values, and goals. With years of experience in the NHS and private practice, I can help with Depression, Anxiety (including OCD and GAD) and psychosis. I have a special interest in complex emotional difficulties, personality disorder, identity, addiction and sexuality.
People seek therapy and counselling for all kinds of reasons: to solve problems, improve wellbeing, making sense of their past or build more meaningul futures. I've worked with people from many backgrounds and ages, all with varied life experiences, values, and goals. With years of experience in the NHS and private practice, I can help with Depression, Anxiety (including OCD and GAD) and psychosis. I have a special interest in complex emotional difficulties, personality disorder, identity, addiction and sexuality.
View
Photo of John Garrow, Psychotherapist in N11, England
John Garrow
Psychotherapist, MA, MBACP
Verified
1 Endorsed
I work with a person-centered perspective, which means we talk about what is most important to you, offering a compassionate space that is confidential and free from judgement, where you can discuss what is troubling you. I am trained as an Integrative therapist, drawing upon a number of approaches, and we collaborate on working together in a way that is most useful to you. With your hopes regarding therapy in mind, we work at your pace and focus on your needs. In doing so we may explore past experiences, reflect on what affects you in the present, and together work on ways of thinking and behaving that you may wish were different.
I work with a person-centered perspective, which means we talk about what is most important to you, offering a compassionate space that is confidential and free from judgement, where you can discuss what is troubling you. I am trained as an Integrative therapist, drawing upon a number of approaches, and we collaborate on working together in a way that is most useful to you. With your hopes regarding therapy in mind, we work at your pace and focus on your needs. In doing so we may explore past experiences, reflect on what affects you in the present, and together work on ways of thinking and behaving that you may wish were different.
01992 927911 View 01992 927911
Photo of Ella Tekdag, Counsellor in N11, England
Ella Tekdag
Counsellor, MBACP
Verified
1 Endorsed
My name is Ella and I am a therapist based in London and Brighton. I offer a place to talk openly with no judgement or shame, a space to explore your experience together. I have experience in helping clients struggling with anxiety, social anxiety, stress, overwhelm, feelings of loneliness, significant loss and bereavement. I have helped clients find confidence, self-esteem and meaning in an increasingly demanding world. My current availability is: Wednesdays 1pm / 2pm (in-person in EC4), Thursdays 10am / 1pm (online).
My name is Ella and I am a therapist based in London and Brighton. I offer a place to talk openly with no judgement or shame, a space to explore your experience together. I have experience in helping clients struggling with anxiety, social anxiety, stress, overwhelm, feelings of loneliness, significant loss and bereavement. I have helped clients find confidence, self-esteem and meaning in an increasingly demanding world. My current availability is: Wednesdays 1pm / 2pm (in-person in EC4), Thursdays 10am / 1pm (online).
020 4538 2160 View 020 4538 2160
Photo of Liam Daniels, Counsellor in N11, England
Liam Daniels
Counsellor, MBACP
Verified
I have trained in existential psychotherapy, and I apply this in my work with clients. The starting point is the experience of the client, to provide the opportunity for them to examine their understanding of life, and the problems and dilemmas they face; to reassess their goals and desires. It provides an opportunity to consider how their choices have been constrained, perhaps by the views and expectations of others, but also by constraints rooted in our society. Understanding can lead to questioning, and growth, possibly in new directions.
I have trained in existential psychotherapy, and I apply this in my work with clients. The starting point is the experience of the client, to provide the opportunity for them to examine their understanding of life, and the problems and dilemmas they face; to reassess their goals and desires. It provides an opportunity to consider how their choices have been constrained, perhaps by the views and expectations of others, but also by constraints rooted in our society. Understanding can lead to questioning, and growth, possibly in new directions.
020 3856 3783 View 020 3856 3783

See more therapy options for N11

Nearby Searches for N11

How does your Counsellor compare?

Number of Counsellors in N11

40+

Average cost per session

£70

Counsellors in N11 who prioritize treating:

91% Relationship Issues
89% Anxiety
86% Depression
82% Self Esteem
77% Stress
66% Bereavement
64% Family Conflict

Average years in practice

12 Years

Top 3 insurances accepted

70% Aviva
60% AXA PPP
60% Bupa

How Counsellors in N11 see their clients

78% In Person and Online
22% Online Only

Gender breakdown

82% Female
18% Male

FAQs - About Therapy and Counselling

How can I find a therapist in N11?

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.