Photo of Steven Shears, MSc, MBACP Accred, Psychotherapist
Steven Shears
Psychotherapist, MSc, MBACP Accred
Verified Verified
I take the fact that you are looking at the possibility of entering therapy as a good sign. You may have struggled with your particular issue for years and found some temporary relief from it but now you are hoping that therapy could help you and have an open mind to possibilities to making some permanent changes and acquiring skills to deal with your difficulties going forwards and improving your relationships. If this sounds like your view of change then I have a wide range of experience with both individuals and couples to accompany you on your journey and have a encouraging and supportive approach.
I take the fact that you are looking at the possibility of entering therapy as a good sign. You may have struggled with your particular issue for years and found some temporary relief from it but now you are hoping that therapy could help you and have an open mind to possibilities to making some permanent changes and acquiring skills to deal with your difficulties going forwards and improving your relationships. If this sounds like your view of change then I have a wide range of experience with both individuals and couples to accompany you on your journey and have a encouraging and supportive approach.
01623 703997 View 01623 703997
Photo of Psychotherapy By Nadya, MBACP Accred, Counsellor
Psychotherapy By Nadya
Counsellor, MBACP Accred
Verified Verified
1 Endorsed
Hello and a very warm welcome to you! My name is Nadya, I'm a fully qualified and BACP Accredited counsellor /psychotherapist with experience of working in organisations like Women's Aid, NHS Staff Counselling, CASY, Employee Assistance Programmes and my private practice. I have helped my clients with anxiety, depression, grief, work related stress, relationship issues and many more. Whatever your issues, we can explore them in a safe space of a counselling room without judgement or prejudice. - I can help, together we can make things clearer, find coping strategies, find a way forward, build confidence and self-esteem.
Hello and a very warm welcome to you! My name is Nadya, I'm a fully qualified and BACP Accredited counsellor /psychotherapist with experience of working in organisations like Women's Aid, NHS Staff Counselling, CASY, Employee Assistance Programmes and my private practice. I have helped my clients with anxiety, depression, grief, work related stress, relationship issues and many more. Whatever your issues, we can explore them in a safe space of a counselling room without judgement or prejudice. - I can help, together we can make things clearer, find coping strategies, find a way forward, build confidence and self-esteem.
01623 392749 View 01623 392749
Photo of Stacey Fynn, MBACP, Psychotherapist
Stacey Fynn
Psychotherapist, MBACP
Verified Verified
Hello and welcome. It is normal to experience stages in life where it seems to make no sense, perhaps events feel overwhelming and life seems impossible to navigate. Alternatively relationships may be problematic or recurrent patterns of behaviour are negatively affecting everyday life. People find their way to therapy for many different reasons and it takes courage to make the decision. Coming from an Integrative approach means that I can draw from a range of therapeutic approaches. This enables me to engage with you in a way that will be most effective and tailored to best suit your individual needs.
Hello and welcome. It is normal to experience stages in life where it seems to make no sense, perhaps events feel overwhelming and life seems impossible to navigate. Alternatively relationships may be problematic or recurrent patterns of behaviour are negatively affecting everyday life. People find their way to therapy for many different reasons and it takes courage to make the decision. Coming from an Integrative approach means that I can draw from a range of therapeutic approaches. This enables me to engage with you in a way that will be most effective and tailored to best suit your individual needs.
07533 278423 View 07533 278423
Photo of Dr Carla Rainbow, PsychD, HCPC - Clin. Psych., Psychologist
Dr Carla Rainbow
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Online Only
I am Dr Carla Rainbow, and I am a Chartered Clinical Psychologist and a registered Counselling Psychotherapist (Dip TC, Dip SP&C, FD, BSc (Hons), PG Dip, MSc, DClinPsy, CPsychol, AFBPsS, Reg, MBACP, MSfDBT, EuroPsy). This means I am qualified to the very highest level, and experienced to be able to help you with even the most complex problems that you might be experiencing. On top of my experience (including in the NHS and prison services), and my qualifications, I work really hard at building effective working relationships, because research suggests that can be one of the most effective indicators for good therapeutic outcomes.
I am Dr Carla Rainbow, and I am a Chartered Clinical Psychologist and a registered Counselling Psychotherapist (Dip TC, Dip SP&C, FD, BSc (Hons), PG Dip, MSc, DClinPsy, CPsychol, AFBPsS, Reg, MBACP, MSfDBT, EuroPsy). This means I am qualified to the very highest level, and experienced to be able to help you with even the most complex problems that you might be experiencing. On top of my experience (including in the NHS and prison services), and my qualifications, I work really hard at building effective working relationships, because research suggests that can be one of the most effective indicators for good therapeutic outcomes.
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Photo of Lindsey Kind, MUKCP, Psychotherapist
Lindsey Kind
Psychotherapist, MUKCP
Verified Verified
1 Endorsed
Online Only
Waitlist for new clients
Feeling depressed or anxious signals that your needs are not being met & I'm widely experienced to support you in discovering them. As well as this, I specialise working with those who have had difficult family, childhood and/or relationship histories including; Challenging/Toxic Family Dynamics, Abuse (inc. Narcissistic) Bullying (child/work/adult), Domestic Violence/Stalking, Assaults & Trauma Life Events. Our history shapes us & can lead to Self-Doubt, People-Pleasing, Attracting Entitled People, Guilt, Poor Boundaries, Poor Self-Esteem, Fear of Relationships, Trauma Responses (PTSD) & feeling Powerless to make a Change.
Feeling depressed or anxious signals that your needs are not being met & I'm widely experienced to support you in discovering them. As well as this, I specialise working with those who have had difficult family, childhood and/or relationship histories including; Challenging/Toxic Family Dynamics, Abuse (inc. Narcissistic) Bullying (child/work/adult), Domestic Violence/Stalking, Assaults & Trauma Life Events. Our history shapes us & can lead to Self-Doubt, People-Pleasing, Attracting Entitled People, Guilt, Poor Boundaries, Poor Self-Esteem, Fear of Relationships, Trauma Responses (PTSD) & feeling Powerless to make a Change.
01623 392373 View 01623 392373
Photo of Carly Marie Stafford, MBACP, Counsellor
Carly Marie Stafford
Counsellor, MBACP
Verified Verified
Hi, my name is Carly, I am a fully qualified integrative humanistic psychotherapist. I know that life is difficult and people are struggling mentally and financially, this is why I will offer therapy at a discounted price. I have experience working with clients from 10 years and older, within my own business (aqua counselling) and various schools around Mansfield, I also hold certificates for depression and substance misuse counselling. My years of experience means that I have worked with a range of clients with different problems, outlooks and personalities.
Hi, my name is Carly, I am a fully qualified integrative humanistic psychotherapist. I know that life is difficult and people are struggling mentally and financially, this is why I will offer therapy at a discounted price. I have experience working with clients from 10 years and older, within my own business (aqua counselling) and various schools around Mansfield, I also hold certificates for depression and substance misuse counselling. My years of experience means that I have worked with a range of clients with different problems, outlooks and personalities.
01623 705534 View 01623 705534
Photo of Joe Roe
Joe Roe
Verified Verified
Get back your mojo with Joe Roe (she/her) The Mental Health Coach. Shifting you from anxiety and stress to calm, confident and happiness. Using a beautiful blend of coaching & NLP, working together to move you forward to achieve your goals with your mental health wealth, goal clarity, self belief, motivation, work, relationships and life style choices, cleaning up memories and phobias. Over 20 years coaching experience and 7 years in own private practice successfully coaching people just like you to live a calm, confident and happy life, full of purpose.
Get back your mojo with Joe Roe (she/her) The Mental Health Coach. Shifting you from anxiety and stress to calm, confident and happiness. Using a beautiful blend of coaching & NLP, working together to move you forward to achieve your goals with your mental health wealth, goal clarity, self belief, motivation, work, relationships and life style choices, cleaning up memories and phobias. Over 20 years coaching experience and 7 years in own private practice successfully coaching people just like you to live a calm, confident and happy life, full of purpose.
01623 572247 View 01623 572247
Photo of Dominica Hamilton-Leathart, MA, MBACP, Counsellor
Dominica Hamilton-Leathart
Counsellor, MA, MBACP
Verified Verified
Online Only
I'm a fully qualified person-centred counsellor and PhD candidate in counselling studies. We are all affected by adversity at one time or another and sometimes feel overwhelmed and defeated. You may be feeling depressed, anxious, lost, or in any number of different states that are making life incredibly difficult. I will offer a warm and welcoming environment to help you thoroughly explore what's happening for you. Having a safe space to explore what's hurting you can be transformative, creating new possibilities that help you heal, grow, and find solutions.
I'm a fully qualified person-centred counsellor and PhD candidate in counselling studies. We are all affected by adversity at one time or another and sometimes feel overwhelmed and defeated. You may be feeling depressed, anxious, lost, or in any number of different states that are making life incredibly difficult. I will offer a warm and welcoming environment to help you thoroughly explore what's happening for you. Having a safe space to explore what's hurting you can be transformative, creating new possibilities that help you heal, grow, and find solutions.
01623 272419 View 01623 272419
Photo of Maya Patrizia Gagni, MA, MBACP Accred, Counsellor
Maya Patrizia Gagni
Counsellor, MA, MBACP Accred
Verified Verified
2 Endorsed
Waitlist for new clients
Please note my practice is a women only service. I am a Counsellor/Psychotherapist, Dramatherapist, Supervisor, Equine Facilitated Psychotherapist, Trauma Therapist and EMDR accredited practitioner with more than 20 years experience of working with a variety of presenting issues including complex PTSD. I can support clients with a number of difficulties and have extensive experience in supporting clients on the ASD spectrum. I am also trained in CBT, PCE-CfD and DBT therapy, Couple Counselling, MBCT and Mindfulness. All my training enables me to support clients through difficulties that classical talking therapy might not be able.
Please note my practice is a women only service. I am a Counsellor/Psychotherapist, Dramatherapist, Supervisor, Equine Facilitated Psychotherapist, Trauma Therapist and EMDR accredited practitioner with more than 20 years experience of working with a variety of presenting issues including complex PTSD. I can support clients with a number of difficulties and have extensive experience in supporting clients on the ASD spectrum. I am also trained in CBT, PCE-CfD and DBT therapy, Couple Counselling, MBCT and Mindfulness. All my training enables me to support clients through difficulties that classical talking therapy might not be able.
01623 272429 View 01623 272429
Photo of Cheryl Robinson, BACP, Counsellor
Cheryl Robinson
Counsellor, BACP
Verified Verified
As an experienced counsellor for both individuals and couples, I offer comprehensive support and understanding. You will experience me as a warm, approachable person and I provide a welcoming space to help individuals and couples navigate lifes challenges, fostering resilience and a path forward together. Also currently offering low cost supervision to trainees and qualified counsellors as I gain my hours toward my Supervision qualification
As an experienced counsellor for both individuals and couples, I offer comprehensive support and understanding. You will experience me as a warm, approachable person and I provide a welcoming space to help individuals and couples navigate lifes challenges, fostering resilience and a path forward together. Also currently offering low cost supervision to trainees and qualified counsellors as I gain my hours toward my Supervision qualification
01623 259256 View 01623 259256
Photo of David John Buckler - The Eden Practice, MNCPS Acc., Counsellor
The Eden Practice
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Expressing your thoughts and feelings in confidence, and with someone who can ensure a caring and empathetic space is empowering.  Making changes is not easy, and that is precisely why I engage a very human approach to a number of models of talking therapies.
Expressing your thoughts and feelings in confidence, and with someone who can ensure a caring and empathetic space is empowering.  Making changes is not easy, and that is precisely why I engage a very human approach to a number of models of talking therapies.
07723 466082 View 07723 466082
Photo of Gemma Thorley, MA, MBABCP, Psychotherapist
Gemma Thorley
Psychotherapist, MA, MBABCP
Verified Verified
With 1 in 4 people experiencing mental health difficulties such as depression and anxiety there is more and more need for people to find support and help when they need it. I believe that therapy is journey that we will travel together, working as a team to overcome your difficulties.
With 1 in 4 people experiencing mental health difficulties such as depression and anxiety there is more and more need for people to find support and help when they need it. I believe that therapy is journey that we will travel together, working as a team to overcome your difficulties.
01623 392895 View 01623 392895
Photo of Ben Michael Roper - Ben Roper Psychotherapy, BACP, Counsellor
Ben Roper Psychotherapy
Counsellor, BACP
Verified Verified
Online Only
Do you need a hand with personal growth? Is there something that is worrying you, and you need a sense of clarity over? Are there some things that have gone unsaid, that keep resurfacing at times you can't predict? Maybe I can help. I work with issues such as anxiety, low mood, trauma, stress, relationship difficulties, grief, and many more (see detailed list further down). It takes true strength to speak up, and something I will stand by your side with.
Do you need a hand with personal growth? Is there something that is worrying you, and you need a sense of clarity over? Are there some things that have gone unsaid, that keep resurfacing at times you can't predict? Maybe I can help. I work with issues such as anxiety, low mood, trauma, stress, relationship difficulties, grief, and many more (see detailed list further down). It takes true strength to speak up, and something I will stand by your side with.
01623 701290 View 01623 701290
Photo of Tracy Bankier - Counselling And Psychotherapy, MBACP Accred, Psychotherapist
Tracy Bankier - Counselling And Psychotherapy
Psychotherapist, MBACP Accred
Verified Verified
Hi, I’m Tracy, an accredited Humanistic and Integrative psychotherapist and counsellor. Experiencing feelings of being invisible, unimportant, low in mood or motivation, stuck and general dissatisfaction can all be signs that you may need some support to navigate your problems. Our initial meeting is an opportunity for you to discuss what brings you to counselling and to decide if I am the right person to support you. I offer short and long term therapy to suit your needs.
Hi, I’m Tracy, an accredited Humanistic and Integrative psychotherapist and counsellor. Experiencing feelings of being invisible, unimportant, low in mood or motivation, stuck and general dissatisfaction can all be signs that you may need some support to navigate your problems. Our initial meeting is an opportunity for you to discuss what brings you to counselling and to decide if I am the right person to support you. I offer short and long term therapy to suit your needs.
0115 824 6254 View 0115 824 6254
Photo of Kay Bingham, PNCPS Acc., Counsellor
Kay Bingham
Counsellor, PNCPS Acc.
Verified Verified
There are times in our life when pressures mount up so much, that they really impact on the quality of our day to day living and our overall wellbeing. This may be caused by specific events such as a relationship breakup, the death of a pet or loved one, redundancy or our health. It could be more general such as the impact of Covid-19, unfulfilling relationships whether that be with your colleagues, parents, siblings, partner or your children. Or, you’re not sure what’s causing you to feel so fed up – you ‘should’ be happy. Building resilience does not eradicate the stress and anxiety of everyday life, but it does reduce the impact.
There are times in our life when pressures mount up so much, that they really impact on the quality of our day to day living and our overall wellbeing. This may be caused by specific events such as a relationship breakup, the death of a pet or loved one, redundancy or our health. It could be more general such as the impact of Covid-19, unfulfilling relationships whether that be with your colleagues, parents, siblings, partner or your children. Or, you’re not sure what’s causing you to feel so fed up – you ‘should’ be happy. Building resilience does not eradicate the stress and anxiety of everyday life, but it does reduce the impact.
01623 392744 View 01623 392744
Photo of Stephanie Lockett, MSc, MUKCP, Psychotherapist
Stephanie Lockett
Psychotherapist, MSc, MUKCP
Verified Verified
As a Psychotherapist It has been my privilege to work closely with people facing deep challenges and issues in their lives. As someone who has faced my own challenges I believe I can truly empathise and help those who are in a dark place.
As a Psychotherapist It has been my privilege to work closely with people facing deep challenges and issues in their lives. As someone who has faced my own challenges I believe I can truly empathise and help those who are in a dark place.
07522 396595 View 07522 396595
Photo of Sharon Roe - Chesterfield Counselling, MSc, MBACP, Psychotherapist
Chesterfield Counselling
Psychotherapist, MSc, MBACP
Verified Verified
Online Only
Waitlist for new clients
Choosing me as your counsellor. If you’re looking for a counsellor, you need to find someone who is going to be a good “fit” for you. I believe that the most important part of any counselling is having a good relationship with the therapist. You need to be able to trust me and feel comfortable talking to me about yourself. Otherwise you cannot get the best out of the experience. Contacting a counsellor for the first time can be daunting. You might be nervous or struggling to put things into words. It is okay if you are not quite sure what you want from this, I will do everything I can to put you at your ease.
Choosing me as your counsellor. If you’re looking for a counsellor, you need to find someone who is going to be a good “fit” for you. I believe that the most important part of any counselling is having a good relationship with the therapist. You need to be able to trust me and feel comfortable talking to me about yourself. Otherwise you cannot get the best out of the experience. Contacting a counsellor for the first time can be daunting. You might be nervous or struggling to put things into words. It is okay if you are not quite sure what you want from this, I will do everything I can to put you at your ease.
01246 488565 View 01246 488565
Photo of Dr Steven Andrew Lilley - Dr Steven Lilley, Inter-Mind Ltd, PsychD, HCPC - Clin. Psych., Psychologist
Dr Steven Lilley, Inter-Mind Ltd
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
If you are struggling with low mood, anxiety, or generally feeling lost and unfulfilled in life and in relationships, please feel free to get in touch. I have over 20 years' experience of working in the mental health field, including the NHS, independent secure mental health services, and private practice (Inter-Mind Psychological Services Ltd). I pride myself on a down-to-Earth approach that is highly confidential, compassionate, and consistent with my professional ethics and values. I use the knowledge and skills I have to try to help clients make sense of their difficulties and to find ways of moving forwards in their lives.
If you are struggling with low mood, anxiety, or generally feeling lost and unfulfilled in life and in relationships, please feel free to get in touch. I have over 20 years' experience of working in the mental health field, including the NHS, independent secure mental health services, and private practice (Inter-Mind Psychological Services Ltd). I pride myself on a down-to-Earth approach that is highly confidential, compassionate, and consistent with my professional ethics and values. I use the knowledge and skills I have to try to help clients make sense of their difficulties and to find ways of moving forwards in their lives.
01623 392167 View 01623 392167
Photo of Vesna Pivcevic, MBACP, Counsellor
Vesna Pivcevic
Counsellor, MBACP
Verified Verified
I am a professionally trained and qualified person-centred counsellor supporting clients with a wide range of issues. Reaching out for help can feel like a big step so I offer a free 15-minute phone consultation to help you to make your decision. Being able to talk about everything that matters to you and feeling truly heard and understood, can help you to ease your burdens and feel able to cope again. I offer both long and short-term counselling, face to face or online.
I am a professionally trained and qualified person-centred counsellor supporting clients with a wide range of issues. Reaching out for help can feel like a big step so I offer a free 15-minute phone consultation to help you to make your decision. Being able to talk about everything that matters to you and feeling truly heard and understood, can help you to ease your burdens and feel able to cope again. I offer both long and short-term counselling, face to face or online.
0115 647 0049 View 0115 647 0049
Photo of Theresa Eadson, PNCPS Acc., Counsellor
Theresa Eadson
Counsellor, PNCPS Acc.
Verified Verified
Hello, how are you? If you’re looking for counselling it’s likely that you’re experiencing something in your life that’s overwhelming or distressing, or maybe you want things to be different and you’re not sure how to make changes. Life can throw us all sorts of challenges, and sometimes these can lead us to feel anxious, upset or really down about things. Experiences and relationships from the past can also be troubling and stir up uncomfortable emotions. I can offer you the opportunity to explore your thoughts and feelings in a confidential space where you won’t be judged.
Hello, how are you? If you’re looking for counselling it’s likely that you’re experiencing something in your life that’s overwhelming or distressing, or maybe you want things to be different and you’re not sure how to make changes. Life can throw us all sorts of challenges, and sometimes these can lead us to feel anxious, upset or really down about things. Experiences and relationships from the past can also be troubling and stir up uncomfortable emotions. I can offer you the opportunity to explore your thoughts and feelings in a confidential space where you won’t be judged.
01623 572819 View 01623 572819
1

See more therapy options for NG18

How does your Counsellor compare?

Number of Counsellors in NG18

30+

Average cost per session

£50

Counsellors in NG18 who prioritize treating:

94% Depression
91% Anxiety
88% Relationship Issues
81% Self Esteem
81% Stress
78% Trauma and PTSD
75% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

62% Bupa
54% Aviva
54% AXA PPP

How Counsellors in NG18 see their clients

82% In Person and Online
18% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counselling

How can I find a therapist in NG18?

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.