Counselling in OX25

Photo of Tammy Wachter, Psychologist, MSc, HCPC - Clin. Psych.
Tammy Wachter
Psychologist, MSc, HCPC - Clin. Psych.
Bicester OX25
I provide psychological assessments and therapy for adults experiencing emotional difficulties such as: ​ Anxiety disorders (obsessive compulsive disorder, generalised anxiety, panic, social anxiety, health anxiety) , ​ Post-Traumatic Stress Disorder (for single or multiple traumas) , ​ Childhood trauma , ​ Mood difficulties (e.g. depression, mood instability) ​ Relationship difficulties, ​ Personality disorders, ​ Self-harming behaviours, ​ Eating disorders, ​ Low self-esteem.
I provide psychological assessments and therapy for adults experiencing emotional difficulties such as: ​ Anxiety disorders (obsessive compulsive disorder, generalised anxiety, panic, social anxiety, health anxiety) , ​ Post-Traumatic Stress Disorder (for single or multiple traumas) , ​ Childhood trauma , ​ Mood difficulties (e.g. depression, mood instability) ​ Relationship difficulties, ​ Personality disorders, ​ Self-harming behaviours, ​ Eating disorders, ​ Low self-esteem.
01234 608759 View 01234 608759
Photo of Jim Cogan, Psychotherapist, UKCP Trainee
Jim Cogan
Psychotherapist, UKCP Trainee
1 Endorsed
Bicester OX25
You were born to flourish, in your own way and on your own terms. Sometimes the pressures of life, fueled by difficult past experiences, make us lose touch with the inner resources that make us who we are. There may be anxiety, depression or low self-esteem as a result. Relationship difficulties. Challenging patterns of thought and behaviour. Ingrained beliefs that we know, deep down, aren't even ours. Sometimes there's a persistent, niggling uncertainty about who we are, what life means and what we truly need.
You were born to flourish, in your own way and on your own terms. Sometimes the pressures of life, fueled by difficult past experiences, make us lose touch with the inner resources that make us who we are. There may be anxiety, depression or low self-esteem as a result. Relationship difficulties. Challenging patterns of thought and behaviour. Ingrained beliefs that we know, deep down, aren't even ours. Sometimes there's a persistent, niggling uncertainty about who we are, what life means and what we truly need.
01869 943655 View 01869 943655
Photo of Zoe Bell, Counsellor, MBACP
Zoe Bell
Counsellor, MBACP
Bicester OX25
Hello and welcome. Are you feeling anxious or overwhelmed right now? Or are you a parent/carer trying to find help for your anxious child? I am an experienced psychotherapeutic counsellor who works with adults & teens aged 11+. I offer a calm and accepting, confidential space for my clients to look at things that currently feel difficult for them. Together we explore these and I will support you to make sense of what is happening using both talking therapies and creative activities depending on your preferences. We will work together to find out what it is you wish to change and how you can create those changes for a better life
Hello and welcome. Are you feeling anxious or overwhelmed right now? Or are you a parent/carer trying to find help for your anxious child? I am an experienced psychotherapeutic counsellor who works with adults & teens aged 11+. I offer a calm and accepting, confidential space for my clients to look at things that currently feel difficult for them. Together we explore these and I will support you to make sense of what is happening using both talking therapies and creative activities depending on your preferences. We will work together to find out what it is you wish to change and how you can create those changes for a better life
01869 943775 View 01869 943775
Photo of Zaira Sophie McIntyre
Zaira Sophie McIntyre
Verified Verified
Bicester OX25
Hi I’m Zaira, I’m a qualified teacher, accredited integrative counsellor MBACP (Accred), and certified NLP coach with over 20 years' experience supporting young people, families, and adults. I work holistically, helping clients understand the past while focusing on meaningful goals for the future.
Hi I’m Zaira, I’m a qualified teacher, accredited integrative counsellor MBACP (Accred), and certified NLP coach with over 20 years' experience supporting young people, families, and adults. I work holistically, helping clients understand the past while focusing on meaningful goals for the future.
01543 396533 View 01543 396533
Photo of Dr Sarah Ford, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Sarah Ford
Psychologist, PsychD, HCPC - Clin. Psych.
2 Endorsed
Bicester OX25
Hello, I am a compassionate Chartered Clinical Psychologist who is HCPC registered and EMDR trained. I am committed to alleviating psychological distress. I do this by applying the knowledge and skills I have developed over the last 25 years through lengthy training and experience in both clinical and health psychology. I believe most people experience distress at some time in their lives and can benefit from psychological help. I offer a non-judgemental, safe environment and tailor my approach to the individual needs of my clients. I offer therapy to adults (18+).
Hello, I am a compassionate Chartered Clinical Psychologist who is HCPC registered and EMDR trained. I am committed to alleviating psychological distress. I do this by applying the knowledge and skills I have developed over the last 25 years through lengthy training and experience in both clinical and health psychology. I believe most people experience distress at some time in their lives and can benefit from psychological help. I offer a non-judgemental, safe environment and tailor my approach to the individual needs of my clients. I offer therapy to adults (18+).
01869 943751 View 01869 943751
Photo of Savina Wachter - PairedPsychology, Psychologist, PsychD, HCPC - Clin. Psych.
PairedPsychology
Psychologist, PsychD, HCPC - Clin. Psych.
Bicester OX25
We provide comprehensive Autism and ADHD Assessments that adhere to NICE guidelines. We will complete an in-depth report to support each assessment carried out, as well as provide detailed recommendations which can support the individual being assessed, their family, school, and employer. We provide free initial screening, and you will have the option of booking an initial consultation to discuss whether a full Autism and/or ADHD assessment is indicated. For child autism assessments, in line with NICE guidelines, we complete assessments alongside our speech and language therapy colleagues.
We provide comprehensive Autism and ADHD Assessments that adhere to NICE guidelines. We will complete an in-depth report to support each assessment carried out, as well as provide detailed recommendations which can support the individual being assessed, their family, school, and employer. We provide free initial screening, and you will have the option of booking an initial consultation to discuss whether a full Autism and/or ADHD assessment is indicated. For child autism assessments, in line with NICE guidelines, we complete assessments alongside our speech and language therapy colleagues.
01234 386346 View 01234 386346
Photo of Ali Shepherd, Counsellor, MSc, MBACP
Ali Shepherd
Counsellor, MSc, MBACP
Serves Area
Hello I'm Ali . We can at times , find ourselves needing the opportunity to share what we are thinking and feeling and wanting someone to listen to us and truly hear what we are saying . In sessions my aim is to offer a safe , non-judgemental , confidential space , my full attention and support for you to be truly heard. I offer  warmth and honesty so that we can work together and build a trusting therapeutic relationship.
Hello I'm Ali . We can at times , find ourselves needing the opportunity to share what we are thinking and feeling and wanting someone to listen to us and truly hear what we are saying . In sessions my aim is to offer a safe , non-judgemental , confidential space , my full attention and support for you to be truly heard. I offer  warmth and honesty so that we can work together and build a trusting therapeutic relationship.
01865 537553 View 01865 537553
Photo of Flora Winchester, Psychotherapist, MA, MUKCP
Flora Winchester
Psychotherapist, MA, MUKCP
Serves Area
Hello, and thank you for reading my profile. Are you looking for long-term, in-depth, psychotherapy? Or do you have a particular issue you need to explore in counselling? Perhaps you're a qualified practitioner looking for a clinical supervisor. I could be that person for you, if we find we are a good fit. Whichever best describes you, my work is underpinned with an understanding of spirituality as a personal jorney into the nature of suffering. I think of spirituality as a pathway to self-development. Specifically, I work with mindfulness and Buddhist psychology to explore your current state of being, in mind, body and spirit.
Hello, and thank you for reading my profile. Are you looking for long-term, in-depth, psychotherapy? Or do you have a particular issue you need to explore in counselling? Perhaps you're a qualified practitioner looking for a clinical supervisor. I could be that person for you, if we find we are a good fit. Whichever best describes you, my work is underpinned with an understanding of spirituality as a personal jorney into the nature of suffering. I think of spirituality as a pathway to self-development. Specifically, I work with mindfulness and Buddhist psychology to explore your current state of being, in mind, body and spirit.
07480 773129 View 07480 773129
Photo of Carolina Preo, Counsellor, MSc, MNCPS Acc.
Carolina Preo
Counsellor, MSc, MNCPS Acc.
2 Endorsed
Serves Area
Ten years ago, I was where you are. Suffering with anxiety and panic attacks pushed me to seek support out of desperation. I didn’t see how talking could help, yet it changed my life. I eventually trained as a counsellor to support others the way I was: feeling like I finally had someone in my corner. But how do you even choose a counsellor? It can feel like a daunting task, especially if having so many options leaves you feeling overwhelmed. This is where your intuition helps. We are often conditioned to ignore our "gut feeling" in favour of the "shoulds" of life—but those "shoulds" often lead us away from our authentic selves.
Ten years ago, I was where you are. Suffering with anxiety and panic attacks pushed me to seek support out of desperation. I didn’t see how talking could help, yet it changed my life. I eventually trained as a counsellor to support others the way I was: feeling like I finally had someone in my corner. But how do you even choose a counsellor? It can feel like a daunting task, especially if having so many options leaves you feeling overwhelmed. This is where your intuition helps. We are often conditioned to ignore our "gut feeling" in favour of the "shoulds" of life—but those "shoulds" often lead us away from our authentic selves.
01280 733693 View 01280 733693
Photo of Jodi Lovelock - Lovelocks Counselling, Counsellor, MBACP
Lovelocks Counselling
Counsellor, MBACP
Serves Area
Welcome :) I'm glad you're here! Maybe you or someone you love is feeling in need of some support. With 22 years experience, I want to reassure you, I'm versed in holding a safe space, putting you at ease so that you can feel able to talk & really make sense of things. I help you to better understand yourself & others, alchemise you pain & truly heal. Sessions are set up to meet your needs & your goals. Experienced & trained in ADHD/Autism. A Self Love Expert, also offering a 12 week (Self) Love Therapy program, covering Inner Child work & more, increasing your capacity in relationships/business. Speak soon, Jodi
Welcome :) I'm glad you're here! Maybe you or someone you love is feeling in need of some support. With 22 years experience, I want to reassure you, I'm versed in holding a safe space, putting you at ease so that you can feel able to talk & really make sense of things. I help you to better understand yourself & others, alchemise you pain & truly heal. Sessions are set up to meet your needs & your goals. Experienced & trained in ADHD/Autism. A Self Love Expert, also offering a 12 week (Self) Love Therapy program, covering Inner Child work & more, increasing your capacity in relationships/business. Speak soon, Jodi
01234 607484 View 01234 607484
Photo of Michaela Stansfield, Counsellor, MBACP
Michaela Stansfield
Counsellor, MBACP
Serves Area
Feeling lost, burnt out, or like you’ve fallen behind? If you’re in your 30s, 40s or 50s and wondering “How did I end up here?” — you’re in the right place. Do you feel unheard, overwhelmed, a loss of self or confidence, stuck in unhelpful coping mechanisms or patterns? Do you feel like your worth is tied to pleasing others, or how useful or 'perfect' you can be? Do you feel like your past is impacting your present? Is your inner critic running the show? I work with women who are tired of holding it all together, of living in survival mode and meeting everyone else's needs but your own.
Feeling lost, burnt out, or like you’ve fallen behind? If you’re in your 30s, 40s or 50s and wondering “How did I end up here?” — you’re in the right place. Do you feel unheard, overwhelmed, a loss of self or confidence, stuck in unhelpful coping mechanisms or patterns? Do you feel like your worth is tied to pleasing others, or how useful or 'perfect' you can be? Do you feel like your past is impacting your present? Is your inner critic running the show? I work with women who are tired of holding it all together, of living in survival mode and meeting everyone else's needs but your own.
01865 638671 View 01865 638671
Photo of Katie Ginger, Psychotherapist, MBACP Accred
Katie Ginger
Psychotherapist, MBACP Accred
Serves Area
I’m Katie Ginger, an MBACP‑accredited psychotherapist based in Buckingham (MK18). I offer trauma‑informed, relational therapy for adults facing childhood neglect and abuse, parental separation, relationship difficulties, anxiety and life transitions. My person‑centred, attachment‑informed approach creates a safe, non‑judgemental space where we gently map how early experiences shape current feelings and relationships. Therapy is collaborative and practical: we explore emotional patterns, build secure ways of relating, and use focused tools (emotion‑focused and brief CBT techniques) to help you manage symptoms and reclaim agency.
I’m Katie Ginger, an MBACP‑accredited psychotherapist based in Buckingham (MK18). I offer trauma‑informed, relational therapy for adults facing childhood neglect and abuse, parental separation, relationship difficulties, anxiety and life transitions. My person‑centred, attachment‑informed approach creates a safe, non‑judgemental space where we gently map how early experiences shape current feelings and relationships. Therapy is collaborative and practical: we explore emotional patterns, build secure ways of relating, and use focused tools (emotion‑focused and brief CBT techniques) to help you manage symptoms and reclaim agency.
01280 733372 View 01280 733372
Photo of Guy Guy Edwards - Guy Edwards Counselling, Counsellor, MA, MBACP
Guy Edwards Counselling
Counsellor, MA, MBACP
3 Endorsed
Serves Area
Seeking counselling is brave and necessary step when life is overwhelming. Perhaps you feel continually anxious for no good reason, or experience crushingly low moods too much of the time. The loss of a loved one, or a job can provoke a crisis. Or you may be going through unforeseen change in your life which has taken you into uncharted territory. Most people face relationship difficulties sometimes. Discrimination, abuse or bullying may leave you feeling isolated and helpless. If you want to find strength to face such difficulties, solve problems and renew your sense of purpose and joy, I can help.
Seeking counselling is brave and necessary step when life is overwhelming. Perhaps you feel continually anxious for no good reason, or experience crushingly low moods too much of the time. The loss of a loved one, or a job can provoke a crisis. Or you may be going through unforeseen change in your life which has taken you into uncharted territory. Most people face relationship difficulties sometimes. Discrimination, abuse or bullying may leave you feeling isolated and helpless. If you want to find strength to face such difficulties, solve problems and renew your sense of purpose and joy, I can help.
01295 957854 View 01295 957854
Photo of Paul Masters, Psychotherapist, MA, MUKCP
Paul Masters
Psychotherapist, MA, MUKCP
1 Endorsed
Serves Area
Hello and welcome. Making the decision to begin therapy or counselling can be anxiety provoking. It is important, therefore, to find the right therapist or counsellor for you, as this is a vital element of the psychotherapeutic process. Finding a therapist or counsellor you feel safe with and with whom you have a sense of connection will enable you to explore the issues you are experiencing. People of all ethnicities and social backgrounds seek therapy for a plethora of reasons, and I welcome patients whatever their culture, ethnicity, nationality, sexual orientation, or gender.
Hello and welcome. Making the decision to begin therapy or counselling can be anxiety provoking. It is important, therefore, to find the right therapist or counsellor for you, as this is a vital element of the psychotherapeutic process. Finding a therapist or counsellor you feel safe with and with whom you have a sense of connection will enable you to explore the issues you are experiencing. People of all ethnicities and social backgrounds seek therapy for a plethora of reasons, and I welcome patients whatever their culture, ethnicity, nationality, sexual orientation, or gender.
020 3962 1621 View 020 3962 1621
Photo of Kate O'Donnell, Counsellor, MBACP
Kate O'Donnell
Counsellor, MBACP
Serves Area
Hello I’m Kate, I know that taking the first step to come to therapy can be daunting but my aim is to offer you a safe space where you can truly be yourself. Please note that I am away from October 16th to 26th and will respond to messages after this.
Hello I’m Kate, I know that taking the first step to come to therapy can be daunting but my aim is to offer you a safe space where you can truly be yourself. Please note that I am away from October 16th to 26th and will respond to messages after this.
01295 237366 View 01295 237366
Photo of Jules Sealby - Centre Therapy, Counsellor, MBACP
Centre Therapy
Counsellor, MBACP
Serves Area
Beginning counselling can feel like a big step. We all have 'mental (or emotional) health' needs and I believe that we all benefit from giving this our time and attention. I have over 20 years experience working within mental health, specifically in education settings and in recent years I have established my private practice. I work with adult clients and adolescents from aged 15.
Beginning counselling can feel like a big step. We all have 'mental (or emotional) health' needs and I believe that we all benefit from giving this our time and attention. I have over 20 years experience working within mental health, specifically in education settings and in recent years I have established my private practice. I work with adult clients and adolescents from aged 15.
01295 235583 View 01295 235583
Photo of Ewa (Eva) Kearl, Psychotherapist, MBACP
Ewa (Eva) Kearl
Psychotherapist, MBACP
Serves Area
I am Qualified Integrative Counsellor/Psychotherapist, dedicated to helping every individual thrive in their own way, according to their specific need. Tailored to each individual I use varieties of therapeutic treatments including Person-Centred Therapy, Psychodynamic, Gestalt, Transactional Analyses, Cognitive Behavioural Therapy (CBT), also relaxation techniques.
I am Qualified Integrative Counsellor/Psychotherapist, dedicated to helping every individual thrive in their own way, according to their specific need. Tailored to each individual I use varieties of therapeutic treatments including Person-Centred Therapy, Psychodynamic, Gestalt, Transactional Analyses, Cognitive Behavioural Therapy (CBT), also relaxation techniques.
01869 943671 View 01869 943671
Photo of Hannah Gattrell, Counsellor, MBACP
Hannah Gattrell
Counsellor, MBACP
Serves Area
I can support you if you are struggling to make sense of your identity, your relationships, or distressing changes in your life. I offer integrative humanistic therapy both online and face to face. Get in touch for a free 15 minute introductory call. You may wish to make sense of childhood and how its challenges still affect you. You may need to explore a new understanding of yourself as neuro-divergent. You may be processing questions about gender or sexuality. These thoughts can feel scary to voice to family and friends. I offer a safe, confidential, and non-judgmental space to explore these feelings.
I can support you if you are struggling to make sense of your identity, your relationships, or distressing changes in your life. I offer integrative humanistic therapy both online and face to face. Get in touch for a free 15 minute introductory call. You may wish to make sense of childhood and how its challenges still affect you. You may need to explore a new understanding of yourself as neuro-divergent. You may be processing questions about gender or sexuality. These thoughts can feel scary to voice to family and friends. I offer a safe, confidential, and non-judgmental space to explore these feelings.
01295 239721 View 01295 239721
Photo of Karen Dinmore Mbacp Mncs Acc, Psychotherapist, MBACP
Karen Dinmore Mbacp Mncs Acc
Psychotherapist, MBACP
Serves Area
Advance Therapy offers professional counselling to a wide range of clients, working in line with the Ethics of the BACP. British Association of Counselling and Psychotherapy . Sessions are 50 mins £60.00. Client may have as few or as many sessions as they feel appropriate
Advance Therapy offers professional counselling to a wide range of clients, working in line with the Ethics of the BACP. British Association of Counselling and Psychotherapy . Sessions are 50 mins £60.00. Client may have as few or as many sessions as they feel appropriate
01869 227131 View 01869 227131
Photo of Lewis Ottaway, Psychotherapist, MSc, MBABCP
Lewis Ottaway
Psychotherapist, MSc, MBABCP
3 Endorsed
Serves Area
I’m a cognitive behavioural psychotherapist supporting people aged 14+ to build self-esteem and navigate life with ADHD. I also help clients overcome anxiety, depression and PTSD. By blending evidence-based techniques with my lived experience – especially around low self-esteem - we can tailor therapy to your unique needs and goals. My approach is flexible, compassionate and focused on lasting change. I often draw on Acceptance and Commitment Therapy (ACT), Cognitive Behavioural Therapy (CBT), somatic approaches, trauma-focused rescripting, mindfulness and emotional processing.
I’m a cognitive behavioural psychotherapist supporting people aged 14+ to build self-esteem and navigate life with ADHD. I also help clients overcome anxiety, depression and PTSD. By blending evidence-based techniques with my lived experience – especially around low self-esteem - we can tailor therapy to your unique needs and goals. My approach is flexible, compassionate and focused on lasting change. I often draw on Acceptance and Commitment Therapy (ACT), Cognitive Behavioural Therapy (CBT), somatic approaches, trauma-focused rescripting, mindfulness and emotional processing.
01525 302579 View 01525 302579

How does your Counsellor compare?

Number of Counsellors in OX25

20+

Average cost per session

£70

Counsellors in OX25 who prioritize treating:

93% Anxiety
93% Self Esteem
81% Relationship Issues
78% Stress
74% Depression
70% Trauma and PTSD
63% Bereavement

Average years in practice

14 Years

Top 3 insurances accepted

73% Aviva
64% AXA PPP
64% Vitality

How Counsellors in OX25 see their clients

89% In Person and Online
11% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counselling

How can I find a therapist in OX25?

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.