Counselling in County Down

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Photo of Gavin Walter Armstrong, Counsellor in County Down, Northern Ireland
Gavin Walter Armstrong
Counsellor, MBACP Accred
Verified Verified
I am passionate about helping people see past their problems to a future free from crippling toxic anxiety and depression. I travel with my clients on their journey of self-discovery, helping them find their own inner strength to deal with their own issues.
I am passionate about helping people see past their problems to a future free from crippling toxic anxiety and depression. I travel with my clients on their journey of self-discovery, helping them find their own inner strength to deal with their own issues.
028 9694 3106 View 028 9694 3106
Photo of Rachel Karen Creighton, Counsellor in County Down, Northern Ireland
Rachel Karen Creighton
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Hi thank you for visiting my profile. I work in an integrative way which means I use different counselling techniques depending on what works best for, you, the client. I believe in a person centred approach which helps clients to reconnect with their core values and sense of self-worth. This approach, along with other tools, can help facilitate the client's personal growth by enabling them to explore and utilise their own strengths. I also use CBT when appropriate and psychodynamic therapy.
Hi thank you for visiting my profile. I work in an integrative way which means I use different counselling techniques depending on what works best for, you, the client. I believe in a person centred approach which helps clients to reconnect with their core values and sense of self-worth. This approach, along with other tools, can help facilitate the client's personal growth by enabling them to explore and utilise their own strengths. I also use CBT when appropriate and psychodynamic therapy.
028 3829 8598 View 028 3829 8598
Photo of Nicola Poskitt, Psychotherapist in County Down, Northern Ireland
Nicola Poskitt
Psychotherapist, MSc, PNCPS Acc.
Verified Verified
Lisburn BT27
Do you experience stress, anxiety, panic, anger, conflict with others and yourself, perfectionism, low self-esteem and confidence, addiction, self-harm and self-sabotage, depression, low mood, low motivation, procrastination or poor sleep? If so, you may be spending too much time outside of your "Window of Tolerance", and restoring this equilibrium is what I support clients with. Clients of mine tend to have had childhood adversity (ACEs), abuse, trauma, bullying, social isolation, attachment & relationship issues, environmental stressors, difficult life transitions or events, or grief from bereavement or other losses.
Do you experience stress, anxiety, panic, anger, conflict with others and yourself, perfectionism, low self-esteem and confidence, addiction, self-harm and self-sabotage, depression, low mood, low motivation, procrastination or poor sleep? If so, you may be spending too much time outside of your "Window of Tolerance", and restoring this equilibrium is what I support clients with. Clients of mine tend to have had childhood adversity (ACEs), abuse, trauma, bullying, social isolation, attachment & relationship issues, environmental stressors, difficult life transitions or events, or grief from bereavement or other losses.
028 9694 3271 View 028 9694 3271
Photo of Kataya Counselling, Counsellor in County Down, Northern Ireland
Kataya Counselling
Counsellor, MBACP
Verified Verified
Tailored solutions for peace of mind. I help people through a crisis or explore the impact of on-going issues. No-one is immune from feeling stressed from work, relationships, or simply life itself. I am a BACP registered Counsellor & Psychotherapist & have experience of working within the statutory, voluntary, & private sectors. I work with adults on a wide range of issues including anxiety, depression, anger management, work-related stress & burnout, relationship & family issues, bereavement, drug and alcohol addiction, compulsive gambling, & personal & professional self development. At Kataya Counselling it's all about YOU!
Tailored solutions for peace of mind. I help people through a crisis or explore the impact of on-going issues. No-one is immune from feeling stressed from work, relationships, or simply life itself. I am a BACP registered Counsellor & Psychotherapist & have experience of working within the statutory, voluntary, & private sectors. I work with adults on a wide range of issues including anxiety, depression, anger management, work-related stress & burnout, relationship & family issues, bereavement, drug and alcohol addiction, compulsive gambling, & personal & professional self development. At Kataya Counselling it's all about YOU!
07595 462293 View 07595 462293
Photo of Tracy Pryce, Counsellor in County Down, Northern Ireland
Tracy Pryce
Counsellor, MBACP
Verified Verified
We are all unique, as is our complex journey through life. At times it can be overwhelming and confusing leaving us anxious, stressed and depressed. We all have the capacity for emotional healing and personal growth but sometimes we need help. Creating a supportive and trusting relationship and a safe space where you can explore your thoughts, emotions, and feelings without judgment is at the heart of my work.I take a personalised approach using differing therapeutic modalities, as appropriate, so that together we can work towards your personal goals and facilitate meaningful change.
We are all unique, as is our complex journey through life. At times it can be overwhelming and confusing leaving us anxious, stressed and depressed. We all have the capacity for emotional healing and personal growth but sometimes we need help. Creating a supportive and trusting relationship and a safe space where you can explore your thoughts, emotions, and feelings without judgment is at the heart of my work.I take a personalised approach using differing therapeutic modalities, as appropriate, so that together we can work towards your personal goals and facilitate meaningful change.
028 9694 3690 View 028 9694 3690
Photo of Patricia Murphy, Counsellor in County Down, Northern Ireland
Patricia Murphy
Counsellor, MBACP
Verified Verified
Bangor BT20
Hi, I am a BACP registered therapist based in Bangor, North Down and currently offer face to face, online and telephone counselling. I offer a safe and confidential space to explore where you are and where you want to be. I work with adults and children aged 12 +. I work with a range of issues including anxiety, depression, bereavement, family difficulties and trauma.
Hi, I am a BACP registered therapist based in Bangor, North Down and currently offer face to face, online and telephone counselling. I offer a safe and confidential space to explore where you are and where you want to be. I work with adults and children aged 12 +. I work with a range of issues including anxiety, depression, bereavement, family difficulties and trauma.
028 9692 8227 View 028 9692 8227
Photo of Caitriona Mulligan / Mind Revitalise, Counsellor in County Down, Northern Ireland
Caitriona Mulligan / Mind Revitalise
Counsellor, MBACP
Verified Verified
Hello, I’m Caitriona and I work with people experiencing many different issues and problems including anxiety, overthinking, and low self-esteem. Maybe you’re looking for help because you find yourself lying awake at night feeling worried and anxious. Perhaps you would like to make changes in your life, but you don’t know where to begin, or you’re afraid to get started because you don’t want to get it wrong. Or maybe it feels as if everything is just too much and your worries and concerns are affecting the way you live your life and your relationships.
Hello, I’m Caitriona and I work with people experiencing many different issues and problems including anxiety, overthinking, and low self-esteem. Maybe you’re looking for help because you find yourself lying awake at night feeling worried and anxious. Perhaps you would like to make changes in your life, but you don’t know where to begin, or you’re afraid to get started because you don’t want to get it wrong. Or maybe it feels as if everything is just too much and your worries and concerns are affecting the way you live your life and your relationships.
028 9694 3468 View 028 9694 3468
Photo of Emma Doran, Counsellor in County Down, Northern Ireland
Emma Doran
Counsellor, MBACP
Verified Verified
Bangor BT19
A fully registered member of BACP, I use an integrated approach in my client work. Using a person-centered, psychodynamic and humanistic style to keep the client at the centre of all my work, I hope to create a safe space where my clients can feel at ease to work through whatever they need to at their own pace. I am also a fully qualified EFT practitioner (Emotional Freedom Technique, also known as 'tapping') and am able to offer this technique in my client work, along with mindfulness and meditation. Sometimes we need to access more tools, helping my clients find the best fit for them can create lasting change.
A fully registered member of BACP, I use an integrated approach in my client work. Using a person-centered, psychodynamic and humanistic style to keep the client at the centre of all my work, I hope to create a safe space where my clients can feel at ease to work through whatever they need to at their own pace. I am also a fully qualified EFT practitioner (Emotional Freedom Technique, also known as 'tapping') and am able to offer this technique in my client work, along with mindfulness and meditation. Sometimes we need to access more tools, helping my clients find the best fit for them can create lasting change.
028 9694 3403 View 028 9694 3403
Photo of Clarity Counselling Holywood, Psychotherapist in County Down, Northern Ireland
Clarity Counselling Holywood
Psychotherapist, MSc, MNCPS Acc.
Verified Verified
My approach to counselling is tailored to you depending on your needs . The core of our work together is based on a safe, trusting, non judgemental space where we can get an understanding of how it is for you in your world and from there help you find a way to progess. I have been taught at Post Graduate level by expert tutors in their counselling approach, Person Centred, Psychodynamic and CBT. This has equipped me with my unique integrative style of working with my clients. As an integrative therapist working in private practice I am an accredited member of the National Counselling Society.
My approach to counselling is tailored to you depending on your needs . The core of our work together is based on a safe, trusting, non judgemental space where we can get an understanding of how it is for you in your world and from there help you find a way to progess. I have been taught at Post Graduate level by expert tutors in their counselling approach, Person Centred, Psychodynamic and CBT. This has equipped me with my unique integrative style of working with my clients. As an integrative therapist working in private practice I am an accredited member of the National Counselling Society.
028 9694 3079 View 028 9694 3079
Photo of Shimna Therapy, Psychotherapist in County Down, Northern Ireland
Shimna Therapy
Psychotherapist, BACP
Verified Verified
Are you struggling? Anxious? Challenged? Lonely? In despair? Lost confidence? Low self-esteem? In need of direction, new confidence, raised self-esteem ... ? At Shimna Therapy we have almost four decades of no nonsense, person-centred counselling to help guide and support you when times are challenging and you need to regain control, find new direction and feel more confident and assured with yourself, others and in managing situations. We focus on helping you find the best version of you so you can focus on living a full, happy and fulfilled life.
Are you struggling? Anxious? Challenged? Lonely? In despair? Lost confidence? Low self-esteem? In need of direction, new confidence, raised self-esteem ... ? At Shimna Therapy we have almost four decades of no nonsense, person-centred counselling to help guide and support you when times are challenging and you need to regain control, find new direction and feel more confident and assured with yourself, others and in managing situations. We focus on helping you find the best version of you so you can focus on living a full, happy and fulfilled life.
028 9694 3460 View 028 9694 3460
Photo of Prof Melania Anna Duca in County Down, Northern Ireland
Prof Melania Anna Duca
PhD
Verified Verified
1 Endorsed
After having taught for 7 years at the Faculty of Psychology of an Italian private University, I moved to Northern Ireland where I founded Athena Mental Health which I now direct as the CEO. I am a Fellow of the National Council of Integrative Psychotherapists (UK) where I served as Ethics Committee Member and currently offer Clinical Supervision. During the COVID19 pandemic I moved my business online accessing the global market where I still work treating adults, couples and families from any country in the world. I was trained to provide therapy in English to speakers of other languages.
After having taught for 7 years at the Faculty of Psychology of an Italian private University, I moved to Northern Ireland where I founded Athena Mental Health which I now direct as the CEO. I am a Fellow of the National Council of Integrative Psychotherapists (UK) where I served as Ethics Committee Member and currently offer Clinical Supervision. During the COVID19 pandemic I moved my business online accessing the global market where I still work treating adults, couples and families from any country in the world. I was trained to provide therapy in English to speakers of other languages.
07490 076636 View 07490 076636
Photo of Helen McCune, Counsellor in County Down, Northern Ireland
Helen McCune
Counsellor, MNCPS Acc.
Verified Verified
I am a qualified Integrative Counsellor. I work with adults both online and in person, providing a safe space to explore & openly discuss issues they're struggling with. My sessions are tailored to you aiming to provide support to face challenging issues that arise, allowing you to progress & get the most out of life.
I am a qualified Integrative Counsellor. I work with adults both online and in person, providing a safe space to explore & openly discuss issues they're struggling with. My sessions are tailored to you aiming to provide support to face challenging issues that arise, allowing you to progress & get the most out of life.
028 9694 3571 View 028 9694 3571
Photo of Maggie Barton- Grief and Loss Therapist , Counsellor in County Down, Northern Ireland
Maggie Barton- Grief and Loss Therapist
Counsellor, MBACP
Verified Verified
Are you struggling to cope with your grief and loss of a loved one? Has the death of someone near and dear to you left you feeling like you cannot go on? Has life become so difficult that your daily routines have stopped ? Do you feel like this? Do you awaken in the morning or throughout the night with thoughts racing, images flashing of what was, or what could have been? Does it feel like you have hit a brick wall, or want to curl up and hide away ? If so, I understand how you feel. I too have experienced clear loss. Or maybe it is another type of loss, like the loss of a relationship? A job? Your direction in life, Your identity ?
Are you struggling to cope with your grief and loss of a loved one? Has the death of someone near and dear to you left you feeling like you cannot go on? Has life become so difficult that your daily routines have stopped ? Do you feel like this? Do you awaken in the morning or throughout the night with thoughts racing, images flashing of what was, or what could have been? Does it feel like you have hit a brick wall, or want to curl up and hide away ? If so, I understand how you feel. I too have experienced clear loss. Or maybe it is another type of loss, like the loss of a relationship? A job? Your direction in life, Your identity ?
028 9694 3448 View 028 9694 3448
Photo of Cara Swanston, Counsellor in County Down, Northern Ireland
Cara Swanston
Counsellor, MBACP
Verified Verified
Bangor BT20
I am an experienced therapist, using talking, sand play, CBT and horses ( Equine Facilitated Psychotherapist) to work with anxiety, depression and all mental health challenges with years of experience working with neuordiversity. Sometimes in life, we are thrown a curve ball, and our challenges become to tough for us to handle alone. These are the times that counselling can help. Counselling can provide a safe, totally non-judgmental, and confidential space for you to explore and work through these challenges. Improving your sense of emotional contentment, physical health and connection to the world.
I am an experienced therapist, using talking, sand play, CBT and horses ( Equine Facilitated Psychotherapist) to work with anxiety, depression and all mental health challenges with years of experience working with neuordiversity. Sometimes in life, we are thrown a curve ball, and our challenges become to tough for us to handle alone. These are the times that counselling can help. Counselling can provide a safe, totally non-judgmental, and confidential space for you to explore and work through these challenges. Improving your sense of emotional contentment, physical health and connection to the world.
028 9694 3956 View 028 9694 3956
Photo of Melanie Louise Poland, Counsellor in County Down, Northern Ireland
Melanie Louise Poland
Counsellor, MBACP
Verified Verified
“Hello and thanks for taking the time to look at my profile. I believe that we all experience difficulties in our lives and it can be difficult to speak to friends and family at times. Coming to counselling for the first time can be very challenging and it takes courage to open up and talk about how we feel. I believe that counselling can be a very liberating experience and can enhance our self-awareness and bring about positive changes in our lives as well as increasing our general well-being."
“Hello and thanks for taking the time to look at my profile. I believe that we all experience difficulties in our lives and it can be difficult to speak to friends and family at times. Coming to counselling for the first time can be very challenging and it takes courage to open up and talk about how we feel. I believe that counselling can be a very liberating experience and can enhance our self-awareness and bring about positive changes in our lives as well as increasing our general well-being."
028 9694 3262 View 028 9694 3262
Photo of Amanda Rafferty, Psychotherapist in County Down, Northern Ireland
Amanda Rafferty
Psychotherapist, MBACP
Verified Verified
Comber BT23
Not accepting new clients
Do you feel that you are at a stage in your life where you want to make some changes? Perhaps you feel overwhelmed and feel you could benefit from having confidential, independent and neutral support to work through particular issues in your life? By working along side you, I can help you to try to work through the issues that are troubling you. The counselling relationship is one where I will listen to you without judging you. I will try to understand things from your point of view and I will provide a safe space where you will be heard. Our relationship will aim to provide clarity around the issues that concern you.
Do you feel that you are at a stage in your life where you want to make some changes? Perhaps you feel overwhelmed and feel you could benefit from having confidential, independent and neutral support to work through particular issues in your life? By working along side you, I can help you to try to work through the issues that are troubling you. The counselling relationship is one where I will listen to you without judging you. I will try to understand things from your point of view and I will provide a safe space where you will be heard. Our relationship will aim to provide clarity around the issues that concern you.
028 9124 8153 View 028 9124 8153
Photo of Rosa Stevens, Counsellor in County Down, Northern Ireland
Rosa Stevens
Counsellor, MNCPS Acc.
Verified Verified
Waitlist for new clients
Hi my name is Rosa and I love to tailor a therapy for my clients, my holistic approach does not merely focus exclusively on your thinking style. Working with me will allow you to reconnect your mind body and soul so it becomes easier to understand unhelpful thinking styles which may be triggering anxiety and in turn lower your physical and emotional well-being.
Hi my name is Rosa and I love to tailor a therapy for my clients, my holistic approach does not merely focus exclusively on your thinking style. Working with me will allow you to reconnect your mind body and soul so it becomes easier to understand unhelpful thinking styles which may be triggering anxiety and in turn lower your physical and emotional well-being.
028 9692 8101 View 028 9692 8101
Photo of Aine Gannon Chartered Psychologist Cpsychol, Psychologist in County Down, Northern Ireland
Aine Gannon Chartered Psychologist Cpsychol
Psychologist, MA, CPsychol
Verified Verified
1 Endorsed
Bangor BT19
I am a Specialist Chartered Psychologist, a member of the British Psychological Society and registered with HCPC. I've worked in the NHS for over 20 years in the area of Mental Health. I use an integrative approach drawing from a number of therapeutic approaches to help meet each clients individual needs. I provide a safe, healing and confidential space to help clients connect with their feelings and explore and gain an understanding of their difficulties. I have extensive experience working with a wide range of Clinical Presentations including, trauma, depression, anxiety, bereavement, self-esteem and relationship difficulties.
I am a Specialist Chartered Psychologist, a member of the British Psychological Society and registered with HCPC. I've worked in the NHS for over 20 years in the area of Mental Health. I use an integrative approach drawing from a number of therapeutic approaches to help meet each clients individual needs. I provide a safe, healing and confidential space to help clients connect with their feelings and explore and gain an understanding of their difficulties. I have extensive experience working with a wide range of Clinical Presentations including, trauma, depression, anxiety, bereavement, self-esteem and relationship difficulties.
028 3829 8071 View 028 3829 8071
Photo of Tara Aughey, Counsellor in County Down, Northern Ireland
Tara Aughey
Counsellor, MBACP
Verified Verified
Unsure about the future or tortured by memories of the past? Are you questioning if your habits and behaviours are really helping or hindering you? Do you wonder if a relationship or friendship is healthy or good for you? Do you automatically blame yourself for problems in your relationships? Do you feel vaguely unhappy or low sometimes and aren’t sure why? Do you find yourself saying yes when you really want to say no? Do the demands of life overwhelm you and leave you feeling anxious and unable to switch off? Do you feel that things may never change or that you can never change?
Unsure about the future or tortured by memories of the past? Are you questioning if your habits and behaviours are really helping or hindering you? Do you wonder if a relationship or friendship is healthy or good for you? Do you automatically blame yourself for problems in your relationships? Do you feel vaguely unhappy or low sometimes and aren’t sure why? Do you find yourself saying yes when you really want to say no? Do the demands of life overwhelm you and leave you feeling anxious and unable to switch off? Do you feel that things may never change or that you can never change?
028 9694 3315 View 028 9694 3315
Photo of Nicola Atkins, Psychotherapist in County Down, Northern Ireland
Nicola Atkins
Psychotherapist, MA, MBACP Accred
Verified Verified
I am a BACP accredited therapist, BA (1:1), MA (1:1), MA (1:1) with 7 years' experience. My specialism is in trauma-focused therapy. This is a very specific model of working that requires care and competence. I aim to help you feel relaxed, safe, and assured that your issues will be treated with respect, gentleness and professionalism. I offer evidence-based interventions to suit your presentation and preference. At its best, therapy is focused and productive without being overwhelming or coercive. I am pleased to now offer post-cult and spiritual abuse counselling.
I am a BACP accredited therapist, BA (1:1), MA (1:1), MA (1:1) with 7 years' experience. My specialism is in trauma-focused therapy. This is a very specific model of working that requires care and competence. I aim to help you feel relaxed, safe, and assured that your issues will be treated with respect, gentleness and professionalism. I offer evidence-based interventions to suit your presentation and preference. At its best, therapy is focused and productive without being overwhelming or coercive. I am pleased to now offer post-cult and spiritual abuse counselling.
028 3829 8606 View 028 3829 8606

See more therapy options for County Down

How does your Counsellor compare?

Number of Counsellors in County Down

100+

Average cost per session

£50

Counsellors in County Down who prioritize treating:

93% Anxiety
91% Self Esteem
85% Depression
80% Stress
78% Relationship Issues
74% Bereavement
67% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

50% Aviva
50% AXA PPP
47% Bupa

How Counsellors in County Down see their clients

87% In Person and Online
13% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counselling

How can I find a therapist in County Down?

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.