Counselling in PE28

Photo of Matt Taylor, Psychotherapist, MUKCP
Matt Taylor
Psychotherapist, MUKCP
At some point in life, most of us long for new ways of being. This can be brought on through a period of depression, anxiety, traumatic past events, relationship problems, or grief and loss. Many of my clients have never seen a therapist before and I recognise that choosing to do so is a big decision. It often comes from a realisation that now is the time to take a pause, to reflect and to invest in oneself. For couples counselling, I know that navigating the complexities of our relationships can be challenging - humans are complex - two of us together is more complex! Having space to talk and be heard is a good place to start.
At some point in life, most of us long for new ways of being. This can be brought on through a period of depression, anxiety, traumatic past events, relationship problems, or grief and loss. Many of my clients have never seen a therapist before and I recognise that choosing to do so is a big decision. It often comes from a realisation that now is the time to take a pause, to reflect and to invest in oneself. For couples counselling, I know that navigating the complexities of our relationships can be challenging - humans are complex - two of us together is more complex! Having space to talk and be heard is a good place to start.
01480 773566 View 01480 773566
Photo of Mac Andrews
Mac Andrews
Verified Verified
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 Lisa Szramowski, Psychotherapist, MA, MBACP
Lisa Szramowski
Psychotherapist, MA, MBACP
Hi, I'm Lisa, a down to earth, warm and nurturing Psychotherapist, Counsellor and Yoga Therapist. I offer a confidential, safe, open space for kind exploration and connection. I can help you with the challenges you are facing emotionally, mentally, physically and spiritually. Where we will develop powerful mind-body tools, designed to empower you outside of sessions, that you can implement in your daily life. Where positive change and deep transformation become possible. Together we can gently connect with how you are feeling, for you to find your way home to your true self, to your vitality and joy.
Hi, I'm Lisa, a down to earth, warm and nurturing Psychotherapist, Counsellor and Yoga Therapist. I offer a confidential, safe, open space for kind exploration and connection. I can help you with the challenges you are facing emotionally, mentally, physically and spiritually. Where we will develop powerful mind-body tools, designed to empower you outside of sessions, that you can implement in your daily life. Where positive change and deep transformation become possible. Together we can gently connect with how you are feeling, for you to find your way home to your true self, to your vitality and joy.
01480 273748 View 01480 273748
Photo of Abby Victoria Lane - Abby Lane Counselling, Counsellor, MBACP
Abby Lane Counselling
Counsellor, MBACP
1 Endorsed
I have an integrative approach to counselling combining various techniques and theories. A Psychodynamic approach helps us look back over our past, whilst Person Centred approach focuses on how we feel now. Cognitive Behavioural Therapy (CBT) allows us to understand how our thoughts affect our feelings and reactions, whereas Solution Focussed Therapy enables us to find a positive way to move forward. Additionally, I use strategies from Dialectical Behaviour Therapy (DBT) and Mindfulness; these help to develop healthy ways of dealing with stress and to regulate our emotions.
I have an integrative approach to counselling combining various techniques and theories. A Psychodynamic approach helps us look back over our past, whilst Person Centred approach focuses on how we feel now. Cognitive Behavioural Therapy (CBT) allows us to understand how our thoughts affect our feelings and reactions, whereas Solution Focussed Therapy enables us to find a positive way to move forward. Additionally, I use strategies from Dialectical Behaviour Therapy (DBT) and Mindfulness; these help to develop healthy ways of dealing with stress and to regulate our emotions.
01487 801949 View 01487 801949
Photo of Helen Stevens - Helen Stevens Counselling & Supervision, Counsellor, MBACP Accred
Helen Stevens Counselling & Supervision
Counsellor, MBACP Accred
1 Endorsed
Somersham PE28
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 Victoria Catt, Psychotherapist, MBABCP
Victoria Catt
Psychotherapist, MBABCP
1 Endorsed
Hello, and thanks for considering me as a therapist to help you with your difficulties. I am a fully accredited Cognitive Behaviour Therapist with extensive experience of working with people with mental health difficulties, both within the NHS and privately. Over 20 years of working within mental health services I have worked with people across the age span who have been experiencing a range of difficulties. These include worry, depression, panic attacks, Obsessive Compulsive disorder, general anxiety, health anxiety, social anxiety, specific phobias, Post traumatic stress, Low self esteem and confidence.....
Hello, and thanks for considering me as a therapist to help you with your difficulties. I am a fully accredited Cognitive Behaviour Therapist with extensive experience of working with people with mental health difficulties, both within the NHS and privately. Over 20 years of working within mental health services I have worked with people across the age span who have been experiencing a range of difficulties. These include worry, depression, panic attacks, Obsessive Compulsive disorder, general anxiety, health anxiety, social anxiety, specific phobias, Post traumatic stress, Low self esteem and confidence.....
01487 801914 View 01487 801914
Photo of Lisa Weston - Neuro Coral Psychology; Autism & ADHD specialists, Psychologist, PsychD, HCPC - Clin. Psych.
Neuro Coral Psychology; Autism & ADHD specialists
Psychologist, PsychD, HCPC - Clin. Psych.
Hello! I'm Dr Lisa Weston, a Chartered Clinical Psychologist leading a small team of experienced clinicians. We offer Autism, ADHD, and Learning Disability diagnostic assessments and support sessions for children, young people and adults, in Cambridgeshire and beyond. We are skilled in assessing features of neurodivergence which are often missed, including in girls and women or those who may mask their differences. Having previously worked in an NHS diagnostic assessment service, I recognise how important it is for people to have a positive experience of their assessment and post diagnostic support.
Hello! I'm Dr Lisa Weston, a Chartered Clinical Psychologist leading a small team of experienced clinicians. We offer Autism, ADHD, and Learning Disability diagnostic assessments and support sessions for children, young people and adults, in Cambridgeshire and beyond. We are skilled in assessing features of neurodivergence which are often missed, including in girls and women or those who may mask their differences. Having previously worked in an NHS diagnostic assessment service, I recognise how important it is for people to have a positive experience of their assessment and post diagnostic support.
01480 772097 View 01480 772097
Photo of Dawn Warwick - Alternative Approaches, Counsellor, MNCPS Acc.
Alternative Approaches
Counsellor, MNCPS Acc.
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 Sheree Irwin, Counsellor, MBACP Snr. Accred
Sheree Irwin
Counsellor, MBACP Snr. Accred
1 Endorsed
I am an Integrative Therapy Practitioner. I hold a Diploma in Therapeutic Counselling and have been BACP Accredited since 2005. I became a qualified Life Coach in 2004 and later whilst working at the Priory Hospital Chelmsford, completed an Intensive course in Dialectical Behavior Therapy (DBT). I went on to develop and lead the DBT Program, which has become very successful and helped many people improve their well being and life balance.
I am an Integrative Therapy Practitioner. I hold a Diploma in Therapeutic Counselling and have been BACP Accredited since 2005. I became a qualified Life Coach in 2004 and later whilst working at the Priory Hospital Chelmsford, completed an Intensive course in Dialectical Behavior Therapy (DBT). I went on to develop and lead the DBT Program, which has become very successful and helped many people improve their well being and life balance.
01487 801899 View 01487 801899
Photo of Lisa Tilling, Psychotherapist, MSc, MUKCP
Lisa Tilling
Psychotherapist, MSc, MUKCP
I am a qualified , experienced Integrative Psychotherapist, who can offer help and support to individuals / couples experiencing a range of issues. I understand how difficult it can be to decide to seek help and i hope to be able to work with you whatever the issue . I offer therapy in a comfortable and supportive environment and aim to help you achieve a more contented way of being in the world, and/ or better relationships . I aim to help my clients understand their own patterns of behaviour to enable solutions to be uncovered and changes to be made. I am also able to offer EMDR to enable the processing of trauma/ events
I am a qualified , experienced Integrative Psychotherapist, who can offer help and support to individuals / couples experiencing a range of issues. I understand how difficult it can be to decide to seek help and i hope to be able to work with you whatever the issue . I offer therapy in a comfortable and supportive environment and aim to help you achieve a more contented way of being in the world, and/ or better relationships . I aim to help my clients understand their own patterns of behaviour to enable solutions to be uncovered and changes to be made. I am also able to offer EMDR to enable the processing of trauma/ events
01697 927009 View 01697 927009
Photo of Julie Cooke, Psychologist, HCPC - Clin. Psych.
Julie Cooke
Psychologist, HCPC - Clin. Psych.
I am a Chartered Clinical Psychologist registered with the Health and Care Professions Council (HCPC) and the British Psychological Society (BPS). Since qualifying, I have specialised in providing psychological therapy to adults with a range of emotional, behavioural or relational difficulties. I have recently completed extensive training in Experiential Dynamic Therapy. Through developing a safe place to explore and play within therapy, I have seen how making space for feelings can help people to lead enriching, fulfilled lives in which they can fully seek and follow their needs, desires and motivations.
I am a Chartered Clinical Psychologist registered with the Health and Care Professions Council (HCPC) and the British Psychological Society (BPS). Since qualifying, I have specialised in providing psychological therapy to adults with a range of emotional, behavioural or relational difficulties. I have recently completed extensive training in Experiential Dynamic Therapy. Through developing a safe place to explore and play within therapy, I have seen how making space for feelings can help people to lead enriching, fulfilled lives in which they can fully seek and follow their needs, desires and motivations.
01487 801912 View 01487 801912
Photo of Kerry Lilley - Therapy Avenue - Kerry Lilley - EMDR and CBT , Psychotherapist, MBABCP
I never set out to work with a specific kind of person, however, around 70% of my clients tend to be women aged between 30 and 45. They worry, feel stressed and not good enough. They often find themselves saying 'what if' all the time having lost their zest for life without any knowledge of why! It might be triggered by past traumatic events, the challenges of juggling life, family or work. These feelings might be a new, unexplained experience or they may have been around for decades. Does this sound like you? Even if this doesn't, you may be like the other 30% of people I work with, and you matter too!
I never set out to work with a specific kind of person, however, around 70% of my clients tend to be women aged between 30 and 45. They worry, feel stressed and not good enough. They often find themselves saying 'what if' all the time having lost their zest for life without any knowledge of why! It might be triggered by past traumatic events, the challenges of juggling life, family or work. These feelings might be a new, unexplained experience or they may have been around for decades. Does this sound like you? Even if this doesn't, you may be like the other 30% of people I work with, and you matter too!
01480 598079 View 01480 598079
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 Emma Fallon, Psychotherapist, MSc, MBABCP
Emma Fallon
Psychotherapist, MSc, MBABCP
Serves Area
I have over 20 years experience working in the NHS in both adult as well as children and adolescent mental health services. My specialism and passion is working with children and young people with a variety of emotional and mental health difficulties, including anxiety, depression and low mood, trichotillomania, lack of confidence and poor self esteem, eating issues, OCD and trauma. This includes both assessment and treatment.
I have over 20 years experience working in the NHS in both adult as well as children and adolescent mental health services. My specialism and passion is working with children and young people with a variety of emotional and mental health difficulties, including anxiety, depression and low mood, trichotillomania, lack of confidence and poor self esteem, eating issues, OCD and trauma. This includes both assessment and treatment.
01223 637051 View 01223 637051
Photo of Katie Robinson, Psychotherapist, MBACP
Katie Robinson
Psychotherapist, MBACP
Serves Area
I believe you strive to want to do what's best for you, no matter what conditions you may find yourself in. I believe in the uniqueness of each individual and that you have the capacity to be the expert in your own world, as only you know how you truly feel, and what you really want. You are the only person who can decide who you want to be, and how you want to be living your life. I believe you deserve respect for the values and choices you decide to live by and strongly believe that through the trustworthy relationship I hope to build with you, that together, we will find the path that is hidden from you.
I believe you strive to want to do what's best for you, no matter what conditions you may find yourself in. I believe in the uniqueness of each individual and that you have the capacity to be the expert in your own world, as only you know how you truly feel, and what you really want. You are the only person who can decide who you want to be, and how you want to be living your life. I believe you deserve respect for the values and choices you decide to live by and strongly believe that through the trustworthy relationship I hope to build with you, that together, we will find the path that is hidden from you.
01772 595016 View 01772 595016
Photo of Emma Fanthom, Counsellor, MBACP
Emma Fanthom
Counsellor, MBACP
1 Endorsed
Serves Area
Are you struggling with anxiety, ADHD, trauma, stress, loss, family issues or feeling overwhelmed by life? Whatever you’re going through, I’m here to listen and help you untangle the knots, connect the dots and start to make sense of things. I give you the space you need to offload and say what’s on your mind. We will work together, unpicking and untangling your thoughts, feelings or worries. I will give you coping strategies and work with you to find a way forward, so you wont feel like you are facing things alone.
Are you struggling with anxiety, ADHD, trauma, stress, loss, family issues or feeling overwhelmed by life? Whatever you’re going through, I’m here to listen and help you untangle the knots, connect the dots and start to make sense of things. I give you the space you need to offload and say what’s on your mind. We will work together, unpicking and untangling your thoughts, feelings or worries. I will give you coping strategies and work with you to find a way forward, so you wont feel like you are facing things alone.
01536 857538 View 01536 857538
Photo of Anna Hayward, Counsellor, MNCPS Acc.
Anna Hayward
Counsellor, MNCPS Acc.
Serves Area
Do you feel you never fit in? Are you autistic or ADHD, or think you might be? Maybe you live with chronic anxiety, fatigue, ill-health... with or without a diagnosis. Talking can help. Autism & ADHD specialist counselling, from someone who lives it.
Do you feel you never fit in? Are you autistic or ADHD, or think you might be? Maybe you live with chronic anxiety, fatigue, ill-health... with or without a diagnosis. Talking can help. Autism & ADHD specialist counselling, from someone who lives it.
01480 271036 View 01480 271036
Photo of Jo Fenton, Psychotherapist, MBACP Accred
Jo Fenton
Psychotherapist, MBACP Accred
Serves Area
Hi, I am Jo and welcome to my profile. I am a qualified and Accredited Counsellor and Psychotherapist with the BACP Integrative approach, believing 'one size does NOT fit all'. This approach gives me a variety of skills and ideas based on theory from different schools of thought, therefore allowing me to reach and help more people. I am also an experienced coach, particularly around relationships. Whilst there are definite differences between Counselling/Psychotherapy and Coaching, and there are professional ethics and boundaries I abide, I also believe that the two have similarities in enabling and empowering people to make change.
Hi, I am Jo and welcome to my profile. I am a qualified and Accredited Counsellor and Psychotherapist with the BACP Integrative approach, believing 'one size does NOT fit all'. This approach gives me a variety of skills and ideas based on theory from different schools of thought, therefore allowing me to reach and help more people. I am also an experienced coach, particularly around relationships. Whilst there are definite differences between Counselling/Psychotherapy and Coaching, and there are professional ethics and boundaries I abide, I also believe that the two have similarities in enabling and empowering people to make change.
020 8106 5721 View 020 8106 5721
Photo of Abigail Drury, Counsellor, MBACP
Abigail Drury
Counsellor, MBACP
Serves Area
Are you struggling with anxiety or depression? trying to cope with loss or past trauma in your life? Perhaps you are trying to navigate complicated relationships or it might be that for no known reason, you are feeling lost or stuck and want to seek a better understanding to support you in moving forwards. Life can throw some painful and challenging experiences our way , leaving us feeling overwhelmed at times and doing our best to find ways of coping. These experiences can range from significant events in life to more day to day stresses.
Are you struggling with anxiety or depression? trying to cope with loss or past trauma in your life? Perhaps you are trying to navigate complicated relationships or it might be that for no known reason, you are feeling lost or stuck and want to seek a better understanding to support you in moving forwards. Life can throw some painful and challenging experiences our way , leaving us feeling overwhelmed at times and doing our best to find ways of coping. These experiences can range from significant events in life to more day to day stresses.
01767 669711 View 01767 669711
Photo of Sarah Boucher, Counsellor, MBACP
Sarah Boucher
Counsellor, MBACP
Serves Area
Hello, I'm Sarah, a BACP-registered counsellor with a focus on navigating major life or career transitions and on workplace wellbeing. Whether you're feeling stressed or overwhelmed at work, or at a crossroads in your personal life, I’ll support you in exploring what’s going on and help you move toward greater clarity, confidence, and balance. My approach is integrative and relational, shaped by your unique experiences and goals. I believe meaningful change happens when you feel heard and respected.
Hello, I'm Sarah, a BACP-registered counsellor with a focus on navigating major life or career transitions and on workplace wellbeing. Whether you're feeling stressed or overwhelmed at work, or at a crossroads in your personal life, I’ll support you in exploring what’s going on and help you move toward greater clarity, confidence, and balance. My approach is integrative and relational, shaped by your unique experiences and goals. I believe meaningful change happens when you feel heard and respected.
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How does your Counsellor compare?

Number of Counsellors in PE28

20+

Average cost per session

£60

Counsellors in PE28 who prioritize treating:

89% Self Esteem
86% Anxiety
82% Relationship Issues
79% Depression
79% Stress
75% Parenting
64% Family Conflict

Average years in practice

13 Years

Top 3 insurances accepted

44% Aviva
44% AXA PPP
44% Vitality

How Counsellors in PE28 see their clients

96% In Person and Online
4% Online Only

Gender breakdown

92% Female
8% Male
FAQs - About Therapy and Counselling

How can I find a therapist in PE28?

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.