Photo of Marcin Jacek Zielonka, Psychotherapist, MA, HCPC-Drama Therap.
Marcin Jacek Zielonka
Psychotherapist, MA, HCPC-Drama Therap.
Dealing with anxiety and depression can be overwhelming, and starting therapy is a significant step toward healing. While talking can be helpful, it isn’t always enough—sometimes it’s difficult to put our thoughts and feelings into words, or we may simply feel exhausted from trying. Arts Psychotherapies, like Dramatherapy, offer an alternative way to explore and express emotions that words can’t fully capture.
Dealing with anxiety and depression can be overwhelming, and starting therapy is a significant step toward healing. While talking can be helpful, it isn’t always enough—sometimes it’s difficult to put our thoughts and feelings into words, or we may simply feel exhausted from trying. Arts Psychotherapies, like Dramatherapy, offer an alternative way to explore and express emotions that words can’t fully capture.
01670 332582 View 01670 332582
Photo of Sian Barnard Masters Is Cbt - Sian Barnard Psychotherapist , MSc
I offer a safe and non-judgemental enviroment where I help people solve the problems that they are dealing with. I want my clients to walk away from our time together with the tools to maintain the changes they have worked for and a new found or rediscovered confidence in themselves and life. My therapy is practical, straight forward and it works. Cognitive behaviour therapy was designed for anxiety related issues from panic to OCD. It is perfect for depression or anger issues. As a qualified hypnotherapist I also teach relaxation and mindfillness meditation to those who want that extra dimension to their therapy.
I offer a safe and non-judgemental enviroment where I help people solve the problems that they are dealing with. I want my clients to walk away from our time together with the tools to maintain the changes they have worked for and a new found or rediscovered confidence in themselves and life. My therapy is practical, straight forward and it works. Cognitive behaviour therapy was designed for anxiety related issues from panic to OCD. It is perfect for depression or anger issues. As a qualified hypnotherapist I also teach relaxation and mindfillness meditation to those who want that extra dimension to their therapy.
0191 743 0131 View 0191 743 0131

More Therapists Nearby

Photo of Sarah Smith, Counsellor, MBACP
Sarah Smith
Counsellor, MBACP
1 Endorsed
Hexham NE46
Struggling with anxiety, low mood, or life changes? I offer down-to-earth therapy tailored to your needs. Let’s work together to help you feel more like you again. In Newcastle, Hexham and online. In today's world, it’s easy to feel stretched thin, whether in your health, work, relationships, or sense of self. I offer a non-judgemental space where you can pause, reflect, and explore what’s going on for you. Whether you're seeking confidence, connection, or clarity, I am here to support you. My aim is to help you move from just getting through the days to feeling more grounded and fully alive in them.
Struggling with anxiety, low mood, or life changes? I offer down-to-earth therapy tailored to your needs. Let’s work together to help you feel more like you again. In Newcastle, Hexham and online. In today's world, it’s easy to feel stretched thin, whether in your health, work, relationships, or sense of self. I offer a non-judgemental space where you can pause, reflect, and explore what’s going on for you. Whether you're seeking confidence, connection, or clarity, I am here to support you. My aim is to help you move from just getting through the days to feeling more grounded and fully alive in them.
01434 303162 View 01434 303162
Photo of Deborah Cowell, Counsellor, DCounsPsych, MNCPS Acc.
Deborah Cowell
Counsellor, DCounsPsych, MNCPS Acc.
Offices based in Chester le Street. Are you experiencing life changes that are causing you stress, low moods and anxiety? Are you struggling with your mental health? Are you struggling with past trauma? Perhaps your using substances or alcohol to cope with life’s pressures that are spiralling out of control? Do you feel ready to talk, explore and work through your issues in a safe and confidential space? I can help you address your concerns without any judgement and at your own pace while building a trusting authentic therapeutic relationship.
Offices based in Chester le Street. Are you experiencing life changes that are causing you stress, low moods and anxiety? Are you struggling with your mental health? Are you struggling with past trauma? Perhaps your using substances or alcohol to cope with life’s pressures that are spiralling out of control? Do you feel ready to talk, explore and work through your issues in a safe and confidential space? I can help you address your concerns without any judgement and at your own pace while building a trusting authentic therapeutic relationship.
0191 743 6562 View 0191 743 6562
Photo of Dr Lucy Garwood - Psychology Connections On The Coast, Psychologist, PsychD, HCPC - Clin. Psych.
Psychology Connections On The Coast
Psychologist, PsychD, HCPC - Clin. Psych.
Many of us can be our own harshest critic...never feeling good enough, never feeling as if we are "enough", not wanted or unloveable...these thoughts understandably have a big impact on our wellbeing and day to day functioning. It's not just you that feels this way - many of us struggle with these thoughts and feelings at times, but particularly if we've experienced adversity or trauma, this may have become the "norm" in the way we think about ourselves. But this can change. And when we start to think about ourselves and relate differently to ourselves, the world feels like a much better place!
Many of us can be our own harshest critic...never feeling good enough, never feeling as if we are "enough", not wanted or unloveable...these thoughts understandably have a big impact on our wellbeing and day to day functioning. It's not just you that feels this way - many of us struggle with these thoughts and feelings at times, but particularly if we've experienced adversity or trauma, this may have become the "norm" in the way we think about ourselves. But this can change. And when we start to think about ourselves and relate differently to ourselves, the world feels like a much better place!
0191 743 9400 View 0191 743 9400
Photo of Jack Kirton, Psychotherapist, PNCPS Acc.
Jack Kirton
Psychotherapist, PNCPS Acc.
2 Endorsed
Online Only
Every day men fall into stress, burnout, and self-sabotage. Just one bad day or poor decision can threaten your health, relationships, and work – or destroy your reputation, peace, and sanity. To outclass your competition, restrain your own ego, and build and protect sound mental health and long-term performance, facing the man in the mirror is no longer optional. My work is to make this as easy as possible. I specialise in male psychology, men's issues, and intersexual dynamics, and have delivered over 5K sessions tackling a broad range of challenges, offering a proven and results-focused approach for those ready to do the work.
Every day men fall into stress, burnout, and self-sabotage. Just one bad day or poor decision can threaten your health, relationships, and work – or destroy your reputation, peace, and sanity. To outclass your competition, restrain your own ego, and build and protect sound mental health and long-term performance, facing the man in the mirror is no longer optional. My work is to make this as easy as possible. I specialise in male psychology, men's issues, and intersexual dynamics, and have delivered over 5K sessions tackling a broad range of challenges, offering a proven and results-focused approach for those ready to do the work.
01427 800739 View 01427 800739
Photo of Aron Simpson, Counsellor, UKCP Trainee
Aron Simpson
Counsellor, UKCP Trainee
Serves Area
I aim to provide a confidential, compassionate, and welcoming space where you feel safe to explore your thoughts & emotions without fear of judgment. I believe everyone can grow and change when offered the right support, and I see it as a privilege to be alongside you on your journey. I understand that choosing to come to therapy requires a great deal of courage, and I value that by offering you a warm, safe and therapeutic space where you will feel seen and heard.
I aim to provide a confidential, compassionate, and welcoming space where you feel safe to explore your thoughts & emotions without fear of judgment. I believe everyone can grow and change when offered the right support, and I see it as a privilege to be alongside you on your journey. I understand that choosing to come to therapy requires a great deal of courage, and I value that by offering you a warm, safe and therapeutic space where you will feel seen and heard.
01325 796726 View 01325 796726
Photo of Gemma M Paterson, Psychotherapist, MBABCP
Gemma M Paterson
Psychotherapist, MBABCP
Online Only
Hi, I'm Gemma, I specialise in the treatment of complex trauma (childhood/adulthood). You may notice that you're a people pleaser, or a perfectionist and you might have a strong sense that you're an impostor and don't deserve to have what you have achieved. Perhaps you and the people around you notice that you can react to situations in an exaggerated way. Perhaps you're struggling with trusting others and therefore have difficulty sustaining relationships or perhaps there are ongoing disputes. You may also struggle to sleep and difficult dreams or remembering difficult moments, places and people from the past.
Hi, I'm Gemma, I specialise in the treatment of complex trauma (childhood/adulthood). You may notice that you're a people pleaser, or a perfectionist and you might have a strong sense that you're an impostor and don't deserve to have what you have achieved. Perhaps you and the people around you notice that you can react to situations in an exaggerated way. Perhaps you're struggling with trusting others and therefore have difficulty sustaining relationships or perhaps there are ongoing disputes. You may also struggle to sleep and difficult dreams or remembering difficult moments, places and people from the past.
0191 743 1398 View 0191 743 1398
Photo of Roisin Nicholson, Counsellor, MA, MBACP Accred
Roisin Nicholson
Counsellor, MA, MBACP Accred
Serves Area
Listen, I get it. Whether you're drowning in grief after losing your baby or pregnant again and terrified, this is hard! Maybe you're both—grieving while growing a new life. People keep saying stupid things like "at least you're pregnant again" or "everything happens for a reason" (seriously?!). You're stuck bouncing between overwhelming sadness and paralysing anxiety. Dreading every scan. Feeling guilty when you smile. Wondering if you'll ever feel "normal" again. Some days you can barely breathe. Your babyloss matters, whether it was yesterday or years ago and if you're pregnant after loss? That constant fear? It's real!
Listen, I get it. Whether you're drowning in grief after losing your baby or pregnant again and terrified, this is hard! Maybe you're both—grieving while growing a new life. People keep saying stupid things like "at least you're pregnant again" or "everything happens for a reason" (seriously?!). You're stuck bouncing between overwhelming sadness and paralysing anxiety. Dreading every scan. Feeling guilty when you smile. Wondering if you'll ever feel "normal" again. Some days you can barely breathe. Your babyloss matters, whether it was yesterday or years ago and if you're pregnant after loss? That constant fear? It's real!
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Photo of Dr Christine Price, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Christine Price
Psychologist, PsychD, HCPC - Clin. Psych.
With over 25 years of qualified experience as a Clinical Psychologist, I have treated a wide range of difficulties. Whether you're dealing with professional burn out or mental health issues, my career has been about helping people with all kinds of challenges. These include anxiety and panic; depression; health anxiety; intrusive thoughts, obsessive compulsive disorder; work stress/burn out; personal stress; adjustment to life transitions; coping with chronic illness; relationship issues; bereavement and loss; emotional regulation, self-esteem issues as well as others.
With over 25 years of qualified experience as a Clinical Psychologist, I have treated a wide range of difficulties. Whether you're dealing with professional burn out or mental health issues, my career has been about helping people with all kinds of challenges. These include anxiety and panic; depression; health anxiety; intrusive thoughts, obsessive compulsive disorder; work stress/burn out; personal stress; adjustment to life transitions; coping with chronic illness; relationship issues; bereavement and loss; emotional regulation, self-esteem issues as well as others.
0191 917 4404 View 0191 917 4404
Photo of Armele Philpotts, Psychotherapist, MA, MBACP Accred
Armele Philpotts
Psychotherapist, MA, MBACP Accred
2 Endorsed
When you're going through a challenging time working with someone who has supported others in similar situations is a great way to move forward. I can support you to take some time out of the same old experiences, to invest in yourself so you can be happier and enjoy what life has to offer. It's possible to work with me one to one or in your couple.
When you're going through a challenging time working with someone who has supported others in similar situations is a great way to move forward. I can support you to take some time out of the same old experiences, to invest in yourself so you can be happier and enjoy what life has to offer. It's possible to work with me one to one or in your couple.
0191 743 3173 View 0191 743 3173
Photo of Kate Fitzgibbon, Counsellor, MA
Kate Fitzgibbon
Counsellor, MA
I have over 30 years experience, working privately, within the NHS, relate couples counselling, drug & alcohol services, refugee & disability agencies & as a coach. Confidentiality guaranteed. Free telephone consultation. I work face to face, video & telephone calls locally & internationally.
I have over 30 years experience, working privately, within the NHS, relate couples counselling, drug & alcohol services, refugee & disability agencies & as a coach. Confidentiality guaranteed. Free telephone consultation. I work face to face, video & telephone calls locally & internationally.
0191 743 2830 View 0191 743 2830
Photo of Joe Parkins, Psychotherapist, MBABCP
Joe Parkins
Psychotherapist, MBABCP
Hi there. My name is Joe, and I’m a Psychological Therapist based in Newcastle upon Tyne. After suffering through years of anxiety and depression throughout my teens and early twenties, I was able to work through these issues and make a full recovery. I knew then that if I could recover, I could help other people do the same. Following my recovery, I went on to gain a Bachelor of Arts Degree in Counselling from The University of Sunderland and a Post-Graduate Diploma in Cognitive Behavioural Therapy (IAPT) from Teesside University. I am an accredited member of The British Association for Cognitive & Behavioural Psychotherapies.
Hi there. My name is Joe, and I’m a Psychological Therapist based in Newcastle upon Tyne. After suffering through years of anxiety and depression throughout my teens and early twenties, I was able to work through these issues and make a full recovery. I knew then that if I could recover, I could help other people do the same. Following my recovery, I went on to gain a Bachelor of Arts Degree in Counselling from The University of Sunderland and a Post-Graduate Diploma in Cognitive Behavioural Therapy (IAPT) from Teesside University. I am an accredited member of The British Association for Cognitive & Behavioural Psychotherapies.
01661 521098 View 01661 521098
Photo of Faye Victoria Wood - Faye Wood - FVW Psychology, Psychologist, HCPC - Forensic Psych.
Faye Wood - FVW Psychology
Psychologist, HCPC - Forensic Psych.
Durham DH7
I am an HCPC registered Practitioner Psychologist and EMDR therapist offering one to one integrated EMDR therapy to adults. My belief is that the relationship between client and therapist is the most important part of therapy and I strive to build a connection based on trust, warmth, acceptance, and integrity. I have a naturally warm and empathic style which allows clients to feel comfortable and safe. My passion is helping people overcome the bad things that have happened to them in a compassionate, non-judgemental way.
I am an HCPC registered Practitioner Psychologist and EMDR therapist offering one to one integrated EMDR therapy to adults. My belief is that the relationship between client and therapist is the most important part of therapy and I strive to build a connection based on trust, warmth, acceptance, and integrity. I have a naturally warm and empathic style which allows clients to feel comfortable and safe. My passion is helping people overcome the bad things that have happened to them in a compassionate, non-judgemental way.
0191 743 2386 View 0191 743 2386
Photo of Val Adlparvar - Jesmond Therapy Centre, Counsellor, MA, MBACP Accred
Jesmond Therapy Centre
Counsellor, MA, MBACP Accred
We welcome you to a safe space....Coming for therapy can help you to identify what the issues are so that you can feel better about yourself, your relationships, your work and your life. All of our therapists are independent private practitioners with a great deal of experience of working with a vast range of issues in a variety of settings. We offer a wide range of daytime, late evening & Saturday appointments to fit around your busy schedule . If you're coming to us by car, we have free on-street parking and we are a few minutes walk from the nearest bus stop & metro stations.
We welcome you to a safe space....Coming for therapy can help you to identify what the issues are so that you can feel better about yourself, your relationships, your work and your life. All of our therapists are independent private practitioners with a great deal of experience of working with a vast range of issues in a variety of settings. We offer a wide range of daytime, late evening & Saturday appointments to fit around your busy schedule . If you're coming to us by car, we have free on-street parking and we are a few minutes walk from the nearest bus stop & metro stations.
0191 743 1447 View 0191 743 1447
Photo of Papi Christina Taieb - What Works CBT & EMDr, Psychotherapist, MSc, MBABCP
What Works CBT & EMDr
Psychotherapist, MSc, MBABCP
Durham DH7
Feeling stuck, struggling with depression, crippling anxiety, trauma history? You are not broken! Psychological suffering is part of our human condition. I am inviting you on a journey to recovery. Together we will make senses of your history, find and treat the roots of your mental health difficulties, to allow you to live a fulfilling life.
Feeling stuck, struggling with depression, crippling anxiety, trauma history? You are not broken! Psychological suffering is part of our human condition. I am inviting you on a journey to recovery. Together we will make senses of your history, find and treat the roots of your mental health difficulties, to allow you to live a fulfilling life.
0191 743 7926 View 0191 743 7926
Photo of Zsofia Kaplar, Psychotherapist, MSc, MBACP
Zsofia Kaplar
Psychotherapist, MSc, MBACP
1 Endorsed
Online Only
Some days it can feel a bit too much. Do you exhaust yourself trying to cope with whatever life throws at you? Even when you feel worn out, close to boiling point or increasingly flat inside? You may feel a need to show yourself strong and capable even when you don’t feel like that. You might treat others a lot better than yourself. This is likely to place a huge toll on your mind and body; perhaps even on the very relationships you put so much into. You can learn to carry less of life's burdens by yourself and get more out of your precious time. What dreams have you given up on? What would you do if you could?
Some days it can feel a bit too much. Do you exhaust yourself trying to cope with whatever life throws at you? Even when you feel worn out, close to boiling point or increasingly flat inside? You may feel a need to show yourself strong and capable even when you don’t feel like that. You might treat others a lot better than yourself. This is likely to place a huge toll on your mind and body; perhaps even on the very relationships you put so much into. You can learn to carry less of life's burdens by yourself and get more out of your precious time. What dreams have you given up on? What would you do if you could?
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Photo of Gill Murray - Child Psychotherapy - Gill Murray, Psychotherapist, MSc, MUKCP
Child Psychotherapy - Gill Murray
Psychotherapist, MSc, MUKCP
Morpeth NE65
Often children’s emotions overwhelm them and they need a space & time to express them safely. Child Psychotherapy helps a child or young person explore & make sense of their reactions to a situation, event or internal struggle. This can be associated to worries about a range of difficulties including: family breakdown, transition, loss & bereavement, peer & sibling relationships, anxiety & depression.
Often children’s emotions overwhelm them and they need a space & time to express them safely. Child Psychotherapy helps a child or young person explore & make sense of their reactions to a situation, event or internal struggle. This can be associated to worries about a range of difficulties including: family breakdown, transition, loss & bereavement, peer & sibling relationships, anxiety & depression.
01670 331367 View 01670 331367
Photo of Helen Graham, Psychotherapist, MSc, MUKCP
Helen Graham
Psychotherapist, MSc, MUKCP
Durham DH1
IN-PERSON sessions in DURHAM. I’m a highly qualified and experienced psychotherapist who works with a diverse range of people and the whole of their issues. I understand that everyone can go through difficult times and can benefit from support in handling these challenges. I can help by offering you a relaxed, safe and confidential therapeutic space to explore issues troubling you in a caring, accepting and non-judgemental way. People I have worked with tell me their therapeutic experience with me has increased their confidence, self-awareness, personal growth and they have gained a deeper sense of meaning, purpose and contentment.
IN-PERSON sessions in DURHAM. I’m a highly qualified and experienced psychotherapist who works with a diverse range of people and the whole of their issues. I understand that everyone can go through difficult times and can benefit from support in handling these challenges. I can help by offering you a relaxed, safe and confidential therapeutic space to explore issues troubling you in a caring, accepting and non-judgemental way. People I have worked with tell me their therapeutic experience with me has increased their confidence, self-awareness, personal growth and they have gained a deeper sense of meaning, purpose and contentment.
07933 709399 View 07933 709399
Photo of Dr Kristina Askew Westcott - Dr Kristina Westcott - Psychologist Newcastle, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Kristina Westcott - Psychologist Newcastle
Psychologist, PsychD, HCPC - Clin. Psych.
2 Endorsed
Thank you for visiting my profile page. I am a Clinical Psychologist, Cognitive Analytic Therapy (CAT) and EMDR Practitioner with over 19 years experience working with adults with mental and physical health problems. I offer evidence based psychological assessment and therapy for a wide range of emotional, behavioural and psychological difficulties including anxiety, depression, low self esteem, relationship problems, trauma and post-traumatic stress and adjusting to medical conditions. I work with individuals age 16+.
Thank you for visiting my profile page. I am a Clinical Psychologist, Cognitive Analytic Therapy (CAT) and EMDR Practitioner with over 19 years experience working with adults with mental and physical health problems. I offer evidence based psychological assessment and therapy for a wide range of emotional, behavioural and psychological difficulties including anxiety, depression, low self esteem, relationship problems, trauma and post-traumatic stress and adjusting to medical conditions. I work with individuals age 16+.
07481 337259 View 07481 337259

How does your Counsellor compare?

Number of Counsellors in NE22

< 10

Counsellors in NE22 who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Child
100% Domestic Abuse
100% Bereavement
100% Trauma and PTSD

Average years in practice

13 Years

Gender breakdown

50% Female
50% Male

How Counsellors in NE22 see their clients

100% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in NE22?

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.