Counselling in PE27

Rachel Starling
Counsellor, MBACP
1 Endorsed
I am a person-centred, trauma-informed counsellor with specialist experience supporting survivors of sexual assault and abuse, including those whose experiences occurred in childhood and adulthood. I also work with anxiety, depression, low self-esteem, and the lasting effects of adverse childhood experiences, alongside challenges that can arise from living as an LGBTQIA+ person in a heteronormative world. I offer a warm, safe, and non-judgemental space where you can explore your experiences at your own pace, develop greater self-understanding, and build a more compassionate relationship with yourself.
I am a person-centred, trauma-informed counsellor with specialist experience supporting survivors of sexual assault and abuse, including those whose experiences occurred in childhood and adulthood. I also work with anxiety, depression, low self-esteem, and the lasting effects of adverse childhood experiences, alongside challenges that can arise from living as an LGBTQIA+ person in a heteronormative world. I offer a warm, safe, and non-judgemental space where you can explore your experiences at your own pace, develop greater self-understanding, and build a more compassionate relationship with yourself.
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Photo of Emmajane Davis - Kilby Counselling, Counsellor, MNCPS Acc.
Kilby Counselling
Counsellor, MNCPS Acc.
Hi! I am Emmajane Davis and I am a Counsellor based in St Ives, Cambridgeshire. I work with Young people and Adults of all ages to help them to understand and work through any life concerns they are experiencing. The type of counselling I offer is integrative, this means I use a variety of therapy models to work with my clients, I like to work this way as each client is an individual and that means each clients concerns are unique to them. I work face to face with my clients and offer short term and long term work.
Hi! I am Emmajane Davis and I am a Counsellor based in St Ives, Cambridgeshire. I work with Young people and Adults of all ages to help them to understand and work through any life concerns they are experiencing. The type of counselling I offer is integrative, this means I use a variety of therapy models to work with my clients, I like to work this way as each client is an individual and that means each clients concerns are unique to them. I work face to face with my clients and offer short term and long term work.
01480 597075 View 01480 597075
Photo of Adele Louise Dos Santos, Counsellor, MBACP
Adele Louise Dos Santos
Counsellor, MBACP
1 Endorsed
I offer talking counselling in person and on line. Counselling may help you to gain a deeper understanding of yourself or to help you navigate difficult life experiences and emotional management. I offer counselling for a range of difficulties, including anxiety, depression, stress, and identity-related issues and concerns.
I offer talking counselling in person and on line. Counselling may help you to gain a deeper understanding of yourself or to help you navigate difficult life experiences and emotional management. I offer counselling for a range of difficulties, including anxiety, depression, stress, and identity-related issues and concerns.
01480 279656 View 01480 279656
Photo of Frances Thompson, Psychotherapist, MA, MBACP
Frances Thompson
Psychotherapist, MA, MBACP
Hi, I'm Frances. I'm a Child and Adolescent Psychotherapeutic Counsellor working with young people aged 5-25. I offer therapy that includes talking, creative arts, and play, tailored to each young person I work with. My practice focusses on building a trusting relationship with each child I get to know, supporting them to express and process their experience with a deeply empathetic response. I also offer parent/carer support sessions. I keep up to date on the latest neurobiological understandings of how therapy can restructure neural pathways, repair attachment bonds and facilitate recovery from trauma.
Hi, I'm Frances. I'm a Child and Adolescent Psychotherapeutic Counsellor working with young people aged 5-25. I offer therapy that includes talking, creative arts, and play, tailored to each young person I work with. My practice focusses on building a trusting relationship with each child I get to know, supporting them to express and process their experience with a deeply empathetic response. I also offer parent/carer support sessions. I keep up to date on the latest neurobiological understandings of how therapy can restructure neural pathways, repair attachment bonds and facilitate recovery from trauma.
01480 772088 View 01480 772088
Photo of Helen Stevens - Helen Stevens Counselling & Supervision, Counsellor, MBACP Accred
Helen Stevens Counselling & Supervision
Counsellor, MBACP Accred
1 Endorsed
Serves Area
I offer one to one therapeutic counselling to adults, young people and adolescents. My practice is based in a quiet village location just outside St. Ives, Cambridgeshire. I also offer online sessions. My aim is to walk alongside you to explore whatever it may be that is getting in the way and to help you connect to your own internal resources, to achieve a balanced and fulfilling life. I have experience of working with a wide range of issues such as; depression, anxiety, childhood sexual abuse, stress, bullying, lack of confidence,reduced self-esteem, relationship issues, sexuality and more.
I offer one to one therapeutic counselling to adults, young people and adolescents. My practice is based in a quiet village location just outside St. Ives, Cambridgeshire. I also offer online sessions. My aim is to walk alongside you to explore whatever it may be that is getting in the way and to help you connect to your own internal resources, to achieve a balanced and fulfilling life. I have experience of working with a wide range of issues such as; depression, anxiety, childhood sexual abuse, stress, bullying, lack of confidence,reduced self-esteem, relationship issues, sexuality and more.
01480 597035 View 01480 597035
Photo of Anne L Ryan, Psychotherapist, MUKCP
Anne L Ryan
Psychotherapist, MUKCP
Serves Area
My work centres around trauma, developmental trauma, emotional neglect, the highly sensitive person and the capacity to understand and express feelings and emotions. Through working with body awareness, somatically and with mindfulness breathing, you will come to understand how these feelings arise and why your body responds and behaves in the way it does; why you say things and act as you do. As you become aware of the effect of this on yourself and others, you can make informed decisions and choices on how to change this so that you live your life fully and authentically to reach its full potential.
My work centres around trauma, developmental trauma, emotional neglect, the highly sensitive person and the capacity to understand and express feelings and emotions. Through working with body awareness, somatically and with mindfulness breathing, you will come to understand how these feelings arise and why your body responds and behaves in the way it does; why you say things and act as you do. As you become aware of the effect of this on yourself and others, you can make informed decisions and choices on how to change this so that you live your life fully and authentically to reach its full potential.
01223 658145 View 01223 658145
Photo of Yugen Naidoo, Counsellor, MBACP
Yugen Naidoo
Counsellor, MBACP
Serves Area
I offer a range of counselling services tailored to support your unique journey toward emotional wellness and personal growth. I understand that life can be demanding and, at times, deeply overwhelming. Whether you're facing relationship difficulties, workplace stress, or simply feeling lost and unsure of your next steps, therapy offers the cWhether you're here because you feel stuck, hurt, or simply ready to grow, therapy can offer the space to reconnect with yourself and create lasting, meaningful change. Together, we'll work towards helping you feel more centred, confident, and equipped to navigate life with clarity and strength.
I offer a range of counselling services tailored to support your unique journey toward emotional wellness and personal growth. I understand that life can be demanding and, at times, deeply overwhelming. Whether you're facing relationship difficulties, workplace stress, or simply feeling lost and unsure of your next steps, therapy offers the cWhether you're here because you feel stuck, hurt, or simply ready to grow, therapy can offer the space to reconnect with yourself and create lasting, meaningful change. Together, we'll work towards helping you feel more centred, confident, and equipped to navigate life with clarity and strength.
01223 679928 View 01223 679928
Photo of Esther Mordant, Counsellor, PhD, MBACP
Esther Mordant
Counsellor, PhD, MBACP
1 Endorsed
Serves Area
As a psychodynamic counsellor and hypnotherapist, my approach to working with clients is rooted in psychodynamic theory, which emphasises the exploration of unconscious processes and the influence of past experiences on a person's current thoughts, feelings, and actions. Here's a general outline of how I work with my clients: I shall meet with you, listen to you and together with you establish our therapeutic relationship.A safe and trusting working relationship. Once we have this we shall be ready to start exploring deep and often sensitive issues. I shall help you explore your unconscious thoughts, feelings, and conflicts.
As a psychodynamic counsellor and hypnotherapist, my approach to working with clients is rooted in psychodynamic theory, which emphasises the exploration of unconscious processes and the influence of past experiences on a person's current thoughts, feelings, and actions. Here's a general outline of how I work with my clients: I shall meet with you, listen to you and together with you establish our therapeutic relationship.A safe and trusting working relationship. Once we have this we shall be ready to start exploring deep and often sensitive issues. I shall help you explore your unconscious thoughts, feelings, and conflicts.
01354 701264 View 01354 701264
Photo of Dawn Warwick - Alternative Approaches, Counsellor, MNCPS Acc.
Alternative Approaches
Counsellor, MNCPS Acc.
Serves Area
If you’re facing stress, burnout, anxiety, or major life transitions and want to regain clarity, confidence, and balance then you want a safe, reflective space to explore your thoughts and emotions, reconnect with your strengths, and develop practical strategies that stick. Using creative, person-centred, and nature-inspired approaches, you’ll build resilience, manage challenges effectively, and leave each session feeling more empowered, focused, and ready to thrive in both your professional and personal life.
If you’re facing stress, burnout, anxiety, or major life transitions and want to regain clarity, confidence, and balance then you want a safe, reflective space to explore your thoughts and emotions, reconnect with your strengths, and develop practical strategies that stick. Using creative, person-centred, and nature-inspired approaches, you’ll build resilience, manage challenges effectively, and leave each session feeling more empowered, focused, and ready to thrive in both your professional and personal life.
01480 273695 View 01480 273695
Photo of Anna Hall - Anna Hall Counselling & Psychotherapy, Counsellor, MBACP
Anna Hall Counselling & Psychotherapy
Counsellor, MBACP
Serves Area
I believe that as we are all unique the counselling we receive should be tailored to meet your individual needs which is why I work as an integrative humanistic therapist. This allows me to get to know you and understand your perspective on your issues to enable you to make the changes in your life you would like to make by offering you a warm, friendly and confidential space for you to explore what ever is worrying you. I work with clients to build a trusting and safe relationship which will allow you to feel you can explore your feelings freely and without judgement enabling a greater sense of empowerment for your life ahead.
I believe that as we are all unique the counselling we receive should be tailored to meet your individual needs which is why I work as an integrative humanistic therapist. This allows me to get to know you and understand your perspective on your issues to enable you to make the changes in your life you would like to make by offering you a warm, friendly and confidential space for you to explore what ever is worrying you. I work with clients to build a trusting and safe relationship which will allow you to feel you can explore your feelings freely and without judgement enabling a greater sense of empowerment for your life ahead.
01697 921271 View 01697 921271
Photo of Mac Andrews
Mac Andrews
Verified Verified
Serves Area
Life is tough. The world can be a very harsh and unforgiving place indeed. Above all I work with kindness, acceptance and understanding - successful therapy always depends upon a partnership between you and me, both/all of us working purposefully together to solve the issues that are in your way - let's face it, there is simply not enough of those three qualities around these days. It is never a failure to reach out for help - never. It takes courage. So please reach out: I promise to take your hand, keep you safe, and together we'll walk the path to better days.
Life is tough. The world can be a very harsh and unforgiving place indeed. Above all I work with kindness, acceptance and understanding - successful therapy always depends upon a partnership between you and me, both/all of us working purposefully together to solve the issues that are in your way - let's face it, there is simply not enough of those three qualities around these days. It is never a failure to reach out for help - never. It takes courage. So please reach out: I promise to take your hand, keep you safe, and together we'll walk the path to better days.
01697 927020 View 01697 927020
Photo of Rose McDonald, Counsellor, MNCPS Acc.
Rose McDonald
Counsellor, MNCPS Acc.
Serves Area
You may be feeling unsure of yourself — doubting your abilities or quietly believing you’re “not enough.” It can feel like carrying an invisible weight, whether this is recent or long-standing. Perhaps anxiety, low self-esteem, or a change in your circumstances — such as bereavement, loss, or an unexpected life shift — is affecting how you see yourself and your relationships. You may be longing to feel more confident, more like yourself again, and able to move through life with greater ease. I’m Rose, and I work with people who feel this way…
You may be feeling unsure of yourself — doubting your abilities or quietly believing you’re “not enough.” It can feel like carrying an invisible weight, whether this is recent or long-standing. Perhaps anxiety, low self-esteem, or a change in your circumstances — such as bereavement, loss, or an unexpected life shift — is affecting how you see yourself and your relationships. You may be longing to feel more confident, more like yourself again, and able to move through life with greater ease. I’m Rose, and I work with people who feel this way…
01572 498977 View 01572 498977
Photo of Kirstin Bicknell, Psychotherapist, MA, MUKCP
Kirstin Bicknell
Psychotherapist, MA, MUKCP
Serves Area
Waitlist for new clients
I'm an integrative counsellor and psychotherapist offering therapy that's right for you. I provide a supportive, confidential service for individuals and couples to explore and work through issues you are facing. As an integrative counsellor and psychotherapist there are a number of elements that therapy may include. The ones we use will depend on what you want to work on and your preferences. This can involve exploring how you're feeling, why you're feeling that way and how you can manage challenging feelings or relationships or working with childhood trauma as well as specific strategies including EMDR for PTSD.
I'm an integrative counsellor and psychotherapist offering therapy that's right for you. I provide a supportive, confidential service for individuals and couples to explore and work through issues you are facing. As an integrative counsellor and psychotherapist there are a number of elements that therapy may include. The ones we use will depend on what you want to work on and your preferences. This can involve exploring how you're feeling, why you're feeling that way and how you can manage challenging feelings or relationships or working with childhood trauma as well as specific strategies including EMDR for PTSD.
01223 656854 View 01223 656854
Photo of Karen Ferguson, Counsellor
Karen Ferguson
Counsellor
Online Only
One monthly cost, less than what most people pay for a single session. Not per session. No booking. No waiting. You keep thinking about something and can’t quite settle it. A conversation that didn’t sit right. A decision you keep going back to. Something small that’s stayed with you longer than it should. It’s not always something you want to book sessions for or explain to someone else. But leaving it doesn’t help either. You need a way to go through it while it’s still on your mind, so it stops circling and starts making sense.
One monthly cost, less than what most people pay for a single session. Not per session. No booking. No waiting. You keep thinking about something and can’t quite settle it. A conversation that didn’t sit right. A decision you keep going back to. Something small that’s stayed with you longer than it should. It’s not always something you want to book sessions for or explain to someone else. But leaving it doesn’t help either. You need a way to go through it while it’s still on your mind, so it stops circling and starts making sense.
01480 260068 View 01480 260068
Photo of Emily Louise Perry - More Than Therapy, Counsellor, MBACP
More Than Therapy
Counsellor, MBACP
2 Endorsed
Online Only
I know how hard it is to find the right therapist and I hope I can help you. You may be seeking therapy to deal with your relationships, anxiety, depression, living abroad, burn-out, crisis of meaning and life purpose, or your life in general, to name but a few. Naturally, our work will be tailored to your needs and desires. We can work on thought patterns or behaviours that don’t serve you anymore. Or we might want to explore earlier experiences or relationships that are keeping you stuck. I am a British therapist working online and in-person in Amsterdam, Netherlands.
I know how hard it is to find the right therapist and I hope I can help you. You may be seeking therapy to deal with your relationships, anxiety, depression, living abroad, burn-out, crisis of meaning and life purpose, or your life in general, to name but a few. Naturally, our work will be tailored to your needs and desires. We can work on thought patterns or behaviours that don’t serve you anymore. Or we might want to explore earlier experiences or relationships that are keeping you stuck. I am a British therapist working online and in-person in Amsterdam, Netherlands.
020 3817 9627 View 020 3817 9627

More Therapists Nearby

Photo of Mark Hamilton, Counsellor, MBACP
Mark Hamilton
Counsellor, MBACP
Therapy for late-diagnosed neurodivergent adults You may have spent years feeling like an outsider, overwhelmed, or exhausted from trying to keep up – only to discover later in life that you are neurodivergent, whether it’s a formal diagnosis or self-identified. A late diagnosis or self-identification can bring relief, but it can also stir up grief, anger, confusion and questions about identity, relationships, and work. You might be going through a process of 'unmasking’, trying to discover what or who is at the core of you, or why things that seem easy for others around you have always felt so hard.
Therapy for late-diagnosed neurodivergent adults You may have spent years feeling like an outsider, overwhelmed, or exhausted from trying to keep up – only to discover later in life that you are neurodivergent, whether it’s a formal diagnosis or self-identified. A late diagnosis or self-identification can bring relief, but it can also stir up grief, anger, confusion and questions about identity, relationships, and work. You might be going through a process of 'unmasking’, trying to discover what or who is at the core of you, or why things that seem easy for others around you have always felt so hard.
01225 234317 View 01225 234317
Photo of Rosalind Simpson, Psychotherapist, COSRT Accred
Rosalind Simpson
Psychotherapist, COSRT Accred
2 Endorsed
Serves Area
Couples Therapy in Dalston, Hackney (N16) & Online Worldwide. City Dynamic Therapy offers couples counselling, marriage therapy, relationship counselling, and individual psychotherapy to help partners move beyond conflict, disconnection, and mistrust. Based in Dalston, Hackney, London, I am an experienced accredited counsellor, psychotherapist, and supervisor offering face-to-face therapy in London and secure online therapy worldwide for relationship issues, anxiety, stress, ADHD, trauma, and emotional wellbeing.
Couples Therapy in Dalston, Hackney (N16) & Online Worldwide. City Dynamic Therapy offers couples counselling, marriage therapy, relationship counselling, and individual psychotherapy to help partners move beyond conflict, disconnection, and mistrust. Based in Dalston, Hackney, London, I am an experienced accredited counsellor, psychotherapist, and supervisor offering face-to-face therapy in London and secure online therapy worldwide for relationship issues, anxiety, stress, ADHD, trauma, and emotional wellbeing.
020 3856 8640 View 020 3856 8640
Photo of Paulette Adams, Counsellor, MBACP
Paulette Adams
Counsellor, MBACP
Serves Area
There are times in our lives when our ability to cope alone is significantly diminished. You may be there right now. Perhaps negative experiences from the past, or significant life changing experiences have altered the way you think, feel, or behave. You want to move forward, but just can't seem to break the cycle of shame, guilt and fear? You may be unsure who you can trust? My personal experience and faith in God's transforming power fuels my passion to come alongside the hurting, wounded, confused, lonely and voiceless as I witness broken lives being restored.
There are times in our lives when our ability to cope alone is significantly diminished. You may be there right now. Perhaps negative experiences from the past, or significant life changing experiences have altered the way you think, feel, or behave. You want to move forward, but just can't seem to break the cycle of shame, guilt and fear? You may be unsure who you can trust? My personal experience and faith in God's transforming power fuels my passion to come alongside the hurting, wounded, confused, lonely and voiceless as I witness broken lives being restored.
01582 310669 View 01582 310669
Photo of Rachael Forder, Psychotherapist, MA, HCPC-Music Therap.
Rachael Forder
Psychotherapist, MA, HCPC-Music Therap.
Cambridge CB23
I am a creative therapist registered with the HCPC and have been practicing for several years. I primarily work with children and adults who have experienced trauma, or are experiencing poor mental health. The client may be coming to therapy to work on processing their trauma, exploring their emotions, working towards finding the root cause, or finding ways to express their feelings and delve into their unconscious in creative, non-directive ways. Mainly, they want to explore their issues and create a better life for themselves.
I am a creative therapist registered with the HCPC and have been practicing for several years. I primarily work with children and adults who have experienced trauma, or are experiencing poor mental health. The client may be coming to therapy to work on processing their trauma, exploring their emotions, working towards finding the root cause, or finding ways to express their feelings and delve into their unconscious in creative, non-directive ways. Mainly, they want to explore their issues and create a better life for themselves.
01223 658394 View 01223 658394
Photo of Rebecca Dickinson, Psychotherapist, MBABCP
Rebecca Dickinson
Psychotherapist, MBABCP
I am able to offer you a safe place to discuss your current difficulties. Free from judgement, I am committed to helping you move forward toward positive wellbeing. I have over 15 years experience of working in Primary and Secondary Care NHS mental health settings. For 10 years I have delivered Cognitive Behavioural based therapies on an individual and group basis to treat common mental heath problems. I am a fully accredited member of the BABCP. I am also a trained EMDR practitioner.
I am able to offer you a safe place to discuss your current difficulties. Free from judgement, I am committed to helping you move forward toward positive wellbeing. I have over 15 years experience of working in Primary and Secondary Care NHS mental health settings. For 10 years I have delivered Cognitive Behavioural based therapies on an individual and group basis to treat common mental heath problems. I am a fully accredited member of the BABCP. I am also a trained EMDR practitioner.
01733 964599 View 01733 964599

How does your Counsellor compare?

Number of Counsellors in PE27

10+

Average cost per session

£60

Counsellors in PE27 who prioritize treating:

93% Anxiety
87% Relationship Issues
87% Depression
87% Self Esteem
80% Stress
73% Trauma and PTSD
73% Sexual Abuse

Average years in practice

13 Years

Top 3 insurances accepted

100% Bupa
50% Cigna and Evernorth
50% AXA PPP

How Counsellors in PE27 see their clients

87% In Person and Online
13% Online Only

Gender breakdown

93% Female
7% Male
FAQs - About Therapy and Counselling

How can I find a therapist in PE27?

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.