Counselling in NE45

Photo of Anna Kate Peter, Psychotherapist, MA, MBACP
Anna Kate Peter
Psychotherapist, MA, MBACP
Corbridge NE45
I offer a space where you can feel safe and free to talk about the issues that you are currently facing, knowing that what you say is confidential, and will not be judged. Are you suffering from problems that are hindering you from actively enjoying life? I work with you to find a deeper understanding of what may be causing these problems, working towards raising awareness of why you feel the way you do. This will enable you to make changes in your life and increase your sense of wellbeing.
I offer a space where you can feel safe and free to talk about the issues that you are currently facing, knowing that what you say is confidential, and will not be judged. Are you suffering from problems that are hindering you from actively enjoying life? I work with you to find a deeper understanding of what may be causing these problems, working towards raising awareness of why you feel the way you do. This will enable you to make changes in your life and increase your sense of wellbeing.
01434 629544 View 01434 629544
Photo of Loveday Elisabeth Koranteng, Psychotherapist, MUKCP
Loveday Elisabeth Koranteng
Psychotherapist, MUKCP
Corbridge NE45
Are you stressed, depressed, anxious, sad or just not feeling yourself? Then counselling might be something that can help you, whether it is a new concern or a long held one. Sometimes emotional pain or life events can temporarily cloud your ability to see possible solutions, leaving you feeling stuck, confused, unhappy, anxious, sad or even shut down. The process of talking about this can gradually make things seem clearer as you make sense of your feelings and your thoughts become more ordered. You can feel change taking place, sometimes to your own surprise and so start to find a way forward that feels right for you.
Are you stressed, depressed, anxious, sad or just not feeling yourself? Then counselling might be something that can help you, whether it is a new concern or a long held one. Sometimes emotional pain or life events can temporarily cloud your ability to see possible solutions, leaving you feeling stuck, confused, unhappy, anxious, sad or even shut down. The process of talking about this can gradually make things seem clearer as you make sense of your feelings and your thoughts become more ordered. You can feel change taking place, sometimes to your own surprise and so start to find a way forward that feels right for you.
01434 307992 View 01434 307992
Photo of Rose Wong, Counsellor, MBACP
Rose Wong
Counsellor, MBACP
2 Endorsed
Serves Area
You may feel overwhelmed, emotionally stuck, or confused by repeating patterns, despite being capable and thoughtful in many areas of life. You may be affected by stress, trauma, caring responsibilities, long-term health conditions, or concerns about identity, relationships, or self-esteem. As a counsellor, I offer a safe, reflective space to explore experiences, build insight, develop coping strategies, strengthen self-compassion, and support meaningful change at your own pace with empathy, consistency, collaboration, and respect throughout therapy.
You may feel overwhelmed, emotionally stuck, or confused by repeating patterns, despite being capable and thoughtful in many areas of life. You may be affected by stress, trauma, caring responsibilities, long-term health conditions, or concerns about identity, relationships, or self-esteem. As a counsellor, I offer a safe, reflective space to explore experiences, build insight, develop coping strategies, strengthen self-compassion, and support meaningful change at your own pace with empathy, consistency, collaboration, and respect throughout therapy.
0151 453 4944 View 0151 453 4944
Photo of Ruth Carr, Psychotherapist, MUKCP
Ruth Carr
Psychotherapist, MUKCP
Serves Area
My aim is to offer a warm, non-judgmental and dependable space where you can feel seen, heard and understood. Psychotherapy can help with issues such as anxiety, depression, trauma, grief and loss. It can also give you space to explore any issues you're having at work, in relationships and with family.
My aim is to offer a warm, non-judgmental and dependable space where you can feel seen, heard and understood. Psychotherapy can help with issues such as anxiety, depression, trauma, grief and loss. It can also give you space to explore any issues you're having at work, in relationships and with family.
01904 935744 View 01904 935744
Photo of Dr Danna van Niekerk, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Danna van Niekerk
Psychologist, PsychD, HCPC - Clin. Psych.
Serves Area
Hello, I am Danna and I am a Consultant Clinical Psychologist with over 25 years of experience working in NHS mental health services, with adults experiencing recent onset and more longstanding or recurrent mental health difficulties. My aim is to support you in enhancing your wellbeing by creating a safe and compassionate space in which you can pause and take time to connect with your deepest needs and hopes. Working together we seek to understand the challenges you are facing and how they developed. We then identify what helps and work on the goals that are most meaningful for you so that you can live the life you would like.
Hello, I am Danna and I am a Consultant Clinical Psychologist with over 25 years of experience working in NHS mental health services, with adults experiencing recent onset and more longstanding or recurrent mental health difficulties. My aim is to support you in enhancing your wellbeing by creating a safe and compassionate space in which you can pause and take time to connect with your deepest needs and hopes. Working together we seek to understand the challenges you are facing and how they developed. We then identify what helps and work on the goals that are most meaningful for you so that you can live the life you would like.
07988 113826 View 07988 113826
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
Serves Area
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
Photo of Katie Fielding, Counsellor, MBACP
Katie Fielding
Counsellor, MBACP
3 Endorsed
Serves Area
I specialise in working with children, teens, students and young professionals. There are many pressures and expectations that come with this time in life. I'd like to help unpick what is going on for you and guide you in letting go of the things that are holding you back. We will work at your pace, with no pressure to do anything you’re not comfortable with. I aim to be a collaborator in getting you to where you want to be. I’m open and approachable, and I have 5 years worth of experience working in schools, the NHS, CAMHS and Barnardo's. No concern is too big or small. I've worked with many issues, including:
I specialise in working with children, teens, students and young professionals. There are many pressures and expectations that come with this time in life. I'd like to help unpick what is going on for you and guide you in letting go of the things that are holding you back. We will work at your pace, with no pressure to do anything you’re not comfortable with. I aim to be a collaborator in getting you to where you want to be. I’m open and approachable, and I have 5 years worth of experience working in schools, the NHS, CAMHS and Barnardo's. No concern is too big or small. I've worked with many issues, including:
0191 743 7650 View 0191 743 7650
Photo of Sarah Smith, Counsellor, MBACP
Sarah Smith
Counsellor, MBACP
1 Endorsed
Serves Area
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 Jacqueline Elizabeth Smikle, Psychotherapist, MBACP Accred
Jacqueline Elizabeth Smikle
Psychotherapist, MBACP Accred
Serves Area
A qualified Counsellor/Psychotherapist registered with the British Association of Counselling and Psychotherapy (BACP). I Provide a non-judgmental counselling space for people to talk through challenging feelings and emotions, life experiences and relationships. I help people to think about how they can best facilitate their emotions and recover.
A qualified Counsellor/Psychotherapist registered with the British Association of Counselling and Psychotherapy (BACP). I Provide a non-judgmental counselling space for people to talk through challenging feelings and emotions, life experiences and relationships. I help people to think about how they can best facilitate their emotions and recover.
020 3835 3791 View 020 3835 3791
Photo of Dr Petra Carlsson Mitchell, Psychologist, HCPC - Clin. Psych.
Dr Petra Carlsson Mitchell
Psychologist, HCPC - Clin. Psych.
Serves Area
Waitlist for new clients
Do you feel that despite efforts to improve your life, the way you are feeling continues to have a negative impact on your mood, motivation, relationships and how you cope with everyday life? Perhaps you are experiencing a sense of hopelessness that things may never improve as a result of having felt this way for a long time? These could be signs that your mental health needs are enduring and deep-rooted. I am Petra Carlsson-Mitchell, a Clinical Psychologist and through my practice INPSYCHOLOGY, I specialise in psychological treatments for mental health concerns at the moderate to complex end of the mental health continuum.
Do you feel that despite efforts to improve your life, the way you are feeling continues to have a negative impact on your mood, motivation, relationships and how you cope with everyday life? Perhaps you are experiencing a sense of hopelessness that things may never improve as a result of having felt this way for a long time? These could be signs that your mental health needs are enduring and deep-rooted. I am Petra Carlsson-Mitchell, a Clinical Psychologist and through my practice INPSYCHOLOGY, I specialise in psychological treatments for mental health concerns at the moderate to complex end of the mental health continuum.
01434 408847 View 01434 408847

More Therapists Nearby

Photo of Aimee Wakenshaw, Psychotherapist, MBABCP
Aimee Wakenshaw
Psychotherapist, MBABCP
I’m a Human first (obviously), BABCP accredited CBT therapist, Nurse, Mother and ADHDer among many other labels depending on who you ask. My work focuses on helping clients to make sense of thoughts-feelings-behaviours that no longer serve them, while respecting their Neurotype rather than trying to “fix”. I offer support for a wide range of difficulties such as Depression, Anxiety Disorders, Self Criticism, PTSD/CPTSD, emotional regulation issues, ADHD related problems, stress/burnout and Specific Phobia.
I’m a Human first (obviously), BABCP accredited CBT therapist, Nurse, Mother and ADHDer among many other labels depending on who you ask. My work focuses on helping clients to make sense of thoughts-feelings-behaviours that no longer serve them, while respecting their Neurotype rather than trying to “fix”. I offer support for a wide range of difficulties such as Depression, Anxiety Disorders, Self Criticism, PTSD/CPTSD, emotional regulation issues, ADHD related problems, stress/burnout and Specific Phobia.
View
Photo of Gabrielle Landric - Gabrielle Landric Psychotherapeutic Counselling, Counsellor, PNCPS Acc.
Do you feel weighed down by depression, anxiety, emptiness, or a loss of meaning? Do relationships leave you lonely, unfulfilled, or stuck in patterns of people-pleasing? Are you troubled by traumatic or painful memories? As a relationally trained therapist, I help people build self-esteem, overcome anxiety, form more satisfying connections, and rediscover purpose. You may feel you’ve never truly belonged, or carry the wounds of childhood abuse, neglect, or bullying. You may live with an inner voice that’s often critical or unkind. Perhaps a sudden trauma, betrayal, or loss has shaken your life and left you questioning everything.
Do you feel weighed down by depression, anxiety, emptiness, or a loss of meaning? Do relationships leave you lonely, unfulfilled, or stuck in patterns of people-pleasing? Are you troubled by traumatic or painful memories? As a relationally trained therapist, I help people build self-esteem, overcome anxiety, form more satisfying connections, and rediscover purpose. You may feel you’ve never truly belonged, or carry the wounds of childhood abuse, neglect, or bullying. You may live with an inner voice that’s often critical or unkind. Perhaps a sudden trauma, betrayal, or loss has shaken your life and left you questioning everything.
0191 580 1451 View 0191 580 1451
Photo of Nicola Gauld, Counsellor, MNCPS Acc.
Nicola Gauld
Counsellor, MNCPS Acc.
1 Endorsed
Would you like to learn more about yourself and explore what you need to live a life where you can truly be you? Is the pressure of meeting everyone else’s expectations weighing you down? Would you like to find ways of managing anxiety or make sense of difficult experiences? Maybe you have experienced grief and loss after bereavement, a life transition or life loss? Perhaps you have experienced a relationship breakdown and would like some support? Maybe you would like to learn more about coping with overwhelming feelings or work on self-worth, setting boundaries and moving forwards embracing change.
Would you like to learn more about yourself and explore what you need to live a life where you can truly be you? Is the pressure of meeting everyone else’s expectations weighing you down? Would you like to find ways of managing anxiety or make sense of difficult experiences? Maybe you have experienced grief and loss after bereavement, a life transition or life loss? Perhaps you have experienced a relationship breakdown and would like some support? Maybe you would like to learn more about coping with overwhelming feelings or work on self-worth, setting boundaries and moving forwards embracing change.
View
Photo of Karen Barr - Solace Psychology, Psychologist, HCPC - Clin. Psych.
Solace Psychology
Psychologist, HCPC - Clin. Psych.
Is low mood making it difficult for you to connect with the people and activities that matter to you? Are you struggling at school, university or work? Perhaps anxiety or stress is making life more challenging? If you want to understand your difficulties and learn how to help yourself I can offer a psychological therapy service that aims to empower you with the tools, skills and insight to improve your wellbeing and move you towards your goals for living a more meaningful and satisfying life.
Is low mood making it difficult for you to connect with the people and activities that matter to you? Are you struggling at school, university or work? Perhaps anxiety or stress is making life more challenging? If you want to understand your difficulties and learn how to help yourself I can offer a psychological therapy service that aims to empower you with the tools, skills and insight to improve your wellbeing and move you towards your goals for living a more meaningful and satisfying life.
0191 743 4970 View 0191 743 4970
Photo of Laura Crossley, Counsellor, MBACP
Laura Crossley
Counsellor, MBACP
Serves Area
Whether in-person or online; I offer a warm, friendly and professional space to talk which I hope will provide you with a feeling of safety to be able to be honest and free from judgement. Whatever is troubling you, whether you are aware of what that is or not, I will walk with you through your journey of discovery. You may be feeling sad, anxious or depressed and need someone to help you feel truly heard: I am here for you. Reaching out is the first step, I'm aware of how hard that may be. Let's talk and see how we can reach your goals together.
Whether in-person or online; I offer a warm, friendly and professional space to talk which I hope will provide you with a feeling of safety to be able to be honest and free from judgement. Whatever is troubling you, whether you are aware of what that is or not, I will walk with you through your journey of discovery. You may be feeling sad, anxious or depressed and need someone to help you feel truly heard: I am here for you. Reaching out is the first step, I'm aware of how hard that may be. Let's talk and see how we can reach your goals together.
01252 282724 View 01252 282724
Photo of Tracey Helen Underwood - Tracey Underwood Talking Therapies, Psychotherapist, MBABCP
Tracey Underwood Talking Therapies
Psychotherapist, MBABCP
1 Endorsed
Serves Area
Thank you for taking the time to look at my profile. Choosing a therapist can be a daunting process so it's important to know a little about me and how therapy can help. I have worked for the NHS for 27 years, firstly as a Registered Mental Health Nurse then extending my training to talking therapies. My aim is to provide a safe and welcoming environment for you to explore your difficulties, to feel heard and learn new ways to relate to yourself and others. I strongly believe that every person has the capacity to cultivate their own inner strength and resilience with the right guidance and support.
Thank you for taking the time to look at my profile. Choosing a therapist can be a daunting process so it's important to know a little about me and how therapy can help. I have worked for the NHS for 27 years, firstly as a Registered Mental Health Nurse then extending my training to talking therapies. My aim is to provide a safe and welcoming environment for you to explore your difficulties, to feel heard and learn new ways to relate to yourself and others. I strongly believe that every person has the capacity to cultivate their own inner strength and resilience with the right guidance and support.
01642 065515 View 01642 065515
Photo of Danielle Waite - Blue Talking Therapies, Psychotherapist, MBABCP
Blue Talking Therapies
Psychotherapist, MBABCP
We are a close team of highly experienced and fully accredited psychotherapists and counsellors. We're here to help you overcome and recover from common mental health issues such as depression, panic, worry, social anxiety, obsessive compulsive disorder (OCD), health anxiety, post traumatic stress disorder (PTSD), phobias, stress and some long term health conditions.
We are a close team of highly experienced and fully accredited psychotherapists and counsellors. We're here to help you overcome and recover from common mental health issues such as depression, panic, worry, social anxiety, obsessive compulsive disorder (OCD), health anxiety, post traumatic stress disorder (PTSD), phobias, stress and some long term health conditions.
0191 814 7118 View 0191 814 7118
Photo of Alison Eldridge, Psychotherapist, MUKCP
Alison Eldridge
Psychotherapist, MUKCP
1 Endorsed
Durham DH1
Alison is a qualified and experienced Mental Health Practitioner, Adult Trained Psychotherapist and Child Psychotherapist. She offers a range of approaches to help support your emotional journey. Alison is trained to use the Arts, to help children and adults who find words difficult. She has extensive experience working with mental health conditions, is trauma trained to help both children and adults who have been affected by life events, offering a range of approaches to help you make changes in your life and relationships Alison is trained to offer Dyadic Psychotherapy, working with the child and parents together.
Alison is a qualified and experienced Mental Health Practitioner, Adult Trained Psychotherapist and Child Psychotherapist. She offers a range of approaches to help support your emotional journey. Alison is trained to use the Arts, to help children and adults who find words difficult. She has extensive experience working with mental health conditions, is trauma trained to help both children and adults who have been affected by life events, offering a range of approaches to help you make changes in your life and relationships Alison is trained to offer Dyadic Psychotherapy, working with the child and parents together.
0191 743 7805 View 0191 743 7805
Photo of Ashling Doherty - Dr Ashling Doherty, Psychologist, PsychD, HCPC - Couns. Psych.
Dr Ashling Doherty
Psychologist, PsychD, HCPC - Couns. Psych.
Hello and thank you for visiting the information about my private counselling psychological practice in Newcastle Upon Tyne. I am passionate and curious about people's behaviour, mind, feelings and spirit in relation to the here and now as well as external influences. Your past experience can be important as it may shape your present in how you relate within relationships and the world around you, maybe affecting the current challenge you are experiencing. The key element of all life interactions is relationships. We as humans require connection with ourselves as well as others.
Hello and thank you for visiting the information about my private counselling psychological practice in Newcastle Upon Tyne. I am passionate and curious about people's behaviour, mind, feelings and spirit in relation to the here and now as well as external influences. Your past experience can be important as it may shape your present in how you relate within relationships and the world around you, maybe affecting the current challenge you are experiencing. The key element of all life interactions is relationships. We as humans require connection with ourselves as well as others.
0191 743 9262 View 0191 743 9262
Photo of JAMES P POOLE, Counsellor, MBACP
JAMES P POOLE
Counsellor, MBACP
Many of my clients feel overwhelmed–by anxiety, stress, low self-esteem, grief, identity challenges or a sense of not belonging. They may be exhausted from holding everything together or struggling to understand why they feel the way they do. My ideal client wants a space where they can slow down, explore their emotions safely, and make sense of their experiences. They’re looking for clarity, relief, and a more grounded way of living—and they want to feel genuinely seen, heard, and understood.
Many of my clients feel overwhelmed–by anxiety, stress, low self-esteem, grief, identity challenges or a sense of not belonging. They may be exhausted from holding everything together or struggling to understand why they feel the way they do. My ideal client wants a space where they can slow down, explore their emotions safely, and make sense of their experiences. They’re looking for clarity, relief, and a more grounded way of living—and they want to feel genuinely seen, heard, and understood.
0191 743 7178 View 0191 743 7178

How does your Counsellor compare?

Number of Counsellors in NE45

10+

Average cost per session

£60

Counsellors in NE45 who prioritize treating:

90% Depression
90% Anxiety
80% Relationship Issues
80% Self Esteem
80% Stress
80% Life Transitions
70% Bereavement

Average years in practice

14 Years

Top 3 insurances accepted

75% Aviva
75% AXA PPP
75% Vitality

How Counsellors in NE45 see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in NE45?

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.