Photo of John Leslie Threadgold, MA, MBACP Accred, Psychotherapist
John Leslie Threadgold
Psychotherapist, MA, MBACP Accred
Verified Verified
Hi. I have helped people with issues such as depression, anxiety anger management, unresolved trauma /PTSD and a host of other issues. I aim to offer you a safe space to explore your issues as well as practical strategies for helping you to feel better and make constructive changes to your life. My training includes Trauma training as well as Focusing and Experiential psychotherapy, including mindfulness, person centered, whole body focusing psychotherapy, and more.
Hi. I have helped people with issues such as depression, anxiety anger management, unresolved trauma /PTSD and a host of other issues. I aim to offer you a safe space to explore your issues as well as practical strategies for helping you to feel better and make constructive changes to your life. My training includes Trauma training as well as Focusing and Experiential psychotherapy, including mindfulness, person centered, whole body focusing psychotherapy, and more.
020 3828 7102 View 020 3828 7102
Photo of Kay Murray, MBACP Accred, Counsellor
Kay Murray
Counsellor, MBACP Accred
Verified Verified
I am an experienced counsellor based in Calstock, Cornwall. I provide one-to-one counselling to help people find their way through at times of distress. I have worked with many issues such as depression, anxiety, suicidal thoughts, self injury, shame, guilt and relationship problems along with many other difficult emotional issues. Counselling can help us gain an understanding of ourselves; how we behave and how our past experiences effect who we are today. Explaining our thoughts and feelings can help us understand our distress, gain empowerment, build confidence and help us deal with the challenges life throws at us.
I am an experienced counsellor based in Calstock, Cornwall. I provide one-to-one counselling to help people find their way through at times of distress. I have worked with many issues such as depression, anxiety, suicidal thoughts, self injury, shame, guilt and relationship problems along with many other difficult emotional issues. Counselling can help us gain an understanding of ourselves; how we behave and how our past experiences effect who we are today. Explaining our thoughts and feelings can help us understand our distress, gain empowerment, build confidence and help us deal with the challenges life throws at us.
01822 661238 View 01822 661238
Photo of Lori Thackham, MNCPS Acc., Counsellor
Lori Thackham
Counsellor, MNCPS Acc.
Verified Verified
Serves Area
Welcome - I offer counselling for anxiety, depression and trauma to adults and young people. I am experienced in supporting people to understand themselves better; work through life experiences; identify needs and how to get them met in ways that support a greater sense of wellbeing. I work in ways to help you feel empowered to find your own answers to life's problems. I work flexibly to help you in your process of gaining clarity and deeper understanding, enabling you to find solutions & make decisions to move forward in your life. I am also a qualified Counselling Supervisor. I offer concessions to trainee counsellors.
Welcome - I offer counselling for anxiety, depression and trauma to adults and young people. I am experienced in supporting people to understand themselves better; work through life experiences; identify needs and how to get them met in ways that support a greater sense of wellbeing. I work in ways to help you feel empowered to find your own answers to life's problems. I work flexibly to help you in your process of gaining clarity and deeper understanding, enabling you to find solutions & make decisions to move forward in your life. I am also a qualified Counselling Supervisor. I offer concessions to trainee counsellors.
01822 661241 View 01822 661241

More Therapists Nearby

Photo of Zoe Powell Martin, MSc, MBACP, Counsellor
Zoe Powell Martin
Counsellor, MSc, MBACP
Verified Verified
Online Only
Hello, I'm Zoe - it's a pleasure to meet you. I am an experienced LGBTQ+ and University counsellor currently offering online counselling and psychotherapy. I provide a warm, safe and nurturing space to support you on your therapeutic journey. As a therapist, I am committed to ensure that your therapy sessions are co-constructed to meet your individual therapeutic needs. Benefitting from shared-decision making, a focus on therapeutic direction as well as empathy, support, compassion and attention, you can expect a uniquely inclusive and collaborative therapeutic experience.
Hello, I'm Zoe - it's a pleasure to meet you. I am an experienced LGBTQ+ and University counsellor currently offering online counselling and psychotherapy. I provide a warm, safe and nurturing space to support you on your therapeutic journey. As a therapist, I am committed to ensure that your therapy sessions are co-constructed to meet your individual therapeutic needs. Benefitting from shared-decision making, a focus on therapeutic direction as well as empathy, support, compassion and attention, you can expect a uniquely inclusive and collaborative therapeutic experience.
01363 722166 View 01363 722166
Photo of Helaine Black - Helaine Black Therapy and Coaching, MBACP, Psychotherapist
Helaine Black Therapy and Coaching
Psychotherapist, MBACP
Verified Verified
Online Only
Do you feel disconnected, anxious, and unsure about who you really are? Are your relationships with other people difficult or confusing? I specialise in working with people who are troubled by relationship difficulties, family estrangement, and self-identity. I can help you to make sense of your experiences and find a way forward that feels more manageable. I am particularly experienced with ADHD - whether you are diagnosed, self identifying, or questioning.
Do you feel disconnected, anxious, and unsure about who you really are? Are your relationships with other people difficult or confusing? I specialise in working with people who are troubled by relationship difficulties, family estrangement, and self-identity. I can help you to make sense of your experiences and find a way forward that feels more manageable. I am particularly experienced with ADHD - whether you are diagnosed, self identifying, or questioning.
View
Photo of Kathryn Elizabeth Mann, MNCPS Acc., Counsellor
Kathryn Elizabeth Mann
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Online Only
Thoughts and feelings are not the problem, it's how we manage them. In a relaxed and informal way we can learn new ways to manage discomfort together. My approach is underpinned by kindness, compassion, warmth and safety.
Thoughts and feelings are not the problem, it's how we manage them. In a relaxed and informal way we can learn new ways to manage discomfort together. My approach is underpinned by kindness, compassion, warmth and safety.
01803 228021 View 01803 228021
Photo of Julie Best-Clark, MA, MBACP, Psychotherapist
Julie Best-Clark
Psychotherapist, MA, MBACP
Verified Verified
My aim is to bring together effective approaches incorporating a variety of therapeutic models such as relational therapy, humanistic, psychodynamic, attachment theory, person centred and neuroscience. This will also depend on your individual needs. My experience also covers body psychotherapy and energy work along with solution based therapy and mindfulness. I offer both short and long term therapy and the length of therapy will depend upon the presenting issues and your wishes. Is there a particular problem you would like to talk through and explore? This could be to do with a relationship, work related or a repeating pattern.
My aim is to bring together effective approaches incorporating a variety of therapeutic models such as relational therapy, humanistic, psychodynamic, attachment theory, person centred and neuroscience. This will also depend on your individual needs. My experience also covers body psychotherapy and energy work along with solution based therapy and mindfulness. I offer both short and long term therapy and the length of therapy will depend upon the presenting issues and your wishes. Is there a particular problem you would like to talk through and explore? This could be to do with a relationship, work related or a repeating pattern.
01548 312025 View 01548 312025
Photo of Basia Louise Worsley: Psychotherapy Humanistic Supervisor, DCounsPsych, MBACP, Counsellor
Basia Louise Worsley: Psychotherapy Humanistic Supervisor
Counsellor, DCounsPsych, MBACP
Verified Verified
Hello, I'm Basia Louise. I'm an experienced Counsellor/Psychotherapist and Humanist/Clinical Supervisor and a member of BACP with a private practice in Newton Abbot. I believe one of the most important aspect in counselling, is first, in choosing the person you'll do your best work with and then in the building of that theraputic relationship of trust. I offer an open, caring, safe and non judgemental space where I help people get to the root of what is causing their problems and support them in discovering ways to change their lives for the better.
Hello, I'm Basia Louise. I'm an experienced Counsellor/Psychotherapist and Humanist/Clinical Supervisor and a member of BACP with a private practice in Newton Abbot. I believe one of the most important aspect in counselling, is first, in choosing the person you'll do your best work with and then in the building of that theraputic relationship of trust. I offer an open, caring, safe and non judgemental space where I help people get to the root of what is causing their problems and support them in discovering ways to change their lives for the better.
01626 248101 View 01626 248101
Photo of Thais Lloyd (Tess), MSc, MBACP, Counsellor
Thais Lloyd (Tess)
Counsellor, MSc, MBACP
Verified Verified
Hello, my name is Thais Lloyd, but people call me Tess. I have over 15 years' experience as a counsellor. I am experienced in working with clients with: depression and low mood; anxiety, panic and phobias; difficulties in relationships; loneliness; trauma and abuse; low self-esteem; health-related stress; grief and loss; addiction. Finding a counsellor that you can connect well with can make a real difference to how you feel and to how you deal with what is difficult for you. My aim is to support you to find the relief you seek, make the changes you wish to make, and move forward in your life in a more creative and fulfilling way.
Hello, my name is Thais Lloyd, but people call me Tess. I have over 15 years' experience as a counsellor. I am experienced in working with clients with: depression and low mood; anxiety, panic and phobias; difficulties in relationships; loneliness; trauma and abuse; low self-esteem; health-related stress; grief and loss; addiction. Finding a counsellor that you can connect well with can make a real difference to how you feel and to how you deal with what is difficult for you. My aim is to support you to find the relief you seek, make the changes you wish to make, and move forward in your life in a more creative and fulfilling way.
07493 591515 View 07493 591515
Photo of Georgina Claire Lee - Georgina Lee Counselling, DCounsPsych, MBACP, Counsellor
Georgina Lee Counselling
Counsellor, DCounsPsych, MBACP
Verified Verified
Online Only
I am a fully qualified integrative counsellor who has worked within the public sector and with private clients over a number of years. I use a combined approach to psychotherapy as I believe that there is not one single approach that can successfully treat each client in all situations. I am an experienced warm and compassionate Practitioner and believe that the quality of the relationship between Therapist and Client is fundamental. I offer a safe and confidential space, where together, we can explore areas which matter to you, so you can make appropriate changes, feel in control of your life and develop through in-depth sessions.
I am a fully qualified integrative counsellor who has worked within the public sector and with private clients over a number of years. I use a combined approach to psychotherapy as I believe that there is not one single approach that can successfully treat each client in all situations. I am an experienced warm and compassionate Practitioner and believe that the quality of the relationship between Therapist and Client is fundamental. I offer a safe and confidential space, where together, we can explore areas which matter to you, so you can make appropriate changes, feel in control of your life and develop through in-depth sessions.
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Photo of Matthew Hart, MUKCP, Psychotherapist
Matthew Hart
Psychotherapist, MUKCP
Verified Verified
Serves Area
I specialise in assisting adults who are experiencing anxiety, depression and anger related to family, social situations or work. My role is to help you gain understanding and find solutions so that you can once again cope with stress, enjoy home and work relationships, and feel a renewed sense of yourself and purpose in life. I am a qualified psychotherapist practicing face to face in Exeter/Crediton (and online when needed). I offer a tiered 'equalising' fee structure which invites those on higher incomes to pay more in order that I can offer reduced rates to those on low income. Standard fee £60 concessions £35/45 Equalising £75
I specialise in assisting adults who are experiencing anxiety, depression and anger related to family, social situations or work. My role is to help you gain understanding and find solutions so that you can once again cope with stress, enjoy home and work relationships, and feel a renewed sense of yourself and purpose in life. I am a qualified psychotherapist practicing face to face in Exeter/Crediton (and online when needed). I offer a tiered 'equalising' fee structure which invites those on higher incomes to pay more in order that I can offer reduced rates to those on low income. Standard fee £60 concessions £35/45 Equalising £75
01392 690525 View 01392 690525
Photo of Jane Blackburn, MNCPS Acc., Counsellor
Jane Blackburn
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Serves Area
Hi, my name is Jane Blackburn. If you're reading this, you’ve probably found that life isn’t always as straight-forward as we’d like and that it can really take a toll on each of us. I have experience supporting people facing all sorts of challenges in their lives including: anxiety, stress, depression, panic attacks, difficulties expressing themselves, low self-esteem, and relationship difficulties, to name but a few. I can even support you if you just feel a little bit ‘off’, as though things are ‘not quite right’. The first step towards making a positive change is to ask for help, even if that feels daunting to do.
Hi, my name is Jane Blackburn. If you're reading this, you’ve probably found that life isn’t always as straight-forward as we’d like and that it can really take a toll on each of us. I have experience supporting people facing all sorts of challenges in their lives including: anxiety, stress, depression, panic attacks, difficulties expressing themselves, low self-esteem, and relationship difficulties, to name but a few. I can even support you if you just feel a little bit ‘off’, as though things are ‘not quite right’. The first step towards making a positive change is to ask for help, even if that feels daunting to do.
01392 321023 View 01392 321023
Photo of Bronwyn Silva, PNCPS Acc., Psychotherapist
Bronwyn Silva
Psychotherapist, PNCPS Acc.
Verified Verified
I am an experienced Integrative CBT therapist. I utilise a variety of research backed approaches to support and enhance your experience of the therapeutic process. These include Acceptance and Commitment Therapy (ACT), Mindfulness-based Cognitive Therapy (MBCT), Rational Emotive Behaviour therapy (REBT), Cognitive Behaviour Therapy (CBT), trauma informed Polyvagal Theory and Hypnotherapy. In this way, I formulate treatment to meet your individual needs. This ability to work flexibly has a significant impact on how quickly you begin to feel better.
I am an experienced Integrative CBT therapist. I utilise a variety of research backed approaches to support and enhance your experience of the therapeutic process. These include Acceptance and Commitment Therapy (ACT), Mindfulness-based Cognitive Therapy (MBCT), Rational Emotive Behaviour therapy (REBT), Cognitive Behaviour Therapy (CBT), trauma informed Polyvagal Theory and Hypnotherapy. In this way, I formulate treatment to meet your individual needs. This ability to work flexibly has a significant impact on how quickly you begin to feel better.
01803 222675 View 01803 222675
Chris MacDonald
Counsellor, MBACP Accred
Verified Verified
I offer an opportunity for you to explore whatever you feel the need to share, in a safe environment with a trained counsellor and psychotherapist. I will bring over 20 years experience working in this area with adults and young people ( over 11 years old ) to our sessions together.
I offer an opportunity for you to explore whatever you feel the need to share, in a safe environment with a trained counsellor and psychotherapist. I will bring over 20 years experience working in this area with adults and young people ( over 11 years old ) to our sessions together.
01803 269822 View 01803 269822
Photo of Marcia Morton, MBACP, Counsellor
Marcia Morton
Counsellor, MBACP
Verified Verified
It can be scary making the first steps to looking for a counsellor and it also takes a lot of strength and bravery. Sometimes life events can leave us with a feeling of being stuck. This could be because of fear, anxiety, stress or underlying trauma that prevents you from finding the strength to move forward and heal. I believe by being able to learn to connect back to our feelings and our true selves, learning to listen and trust ourselves will not only help us understand who we are but also what we want and deserve which is to be loved, valued and happy.
It can be scary making the first steps to looking for a counsellor and it also takes a lot of strength and bravery. Sometimes life events can leave us with a feeling of being stuck. This could be because of fear, anxiety, stress or underlying trauma that prevents you from finding the strength to move forward and heal. I believe by being able to learn to connect back to our feelings and our true selves, learning to listen and trust ourselves will not only help us understand who we are but also what we want and deserve which is to be loved, valued and happy.
01752 987228 View 01752 987228
Photo of Roxanne Ashley, BACP, Counsellor
Roxanne Ashley
Counsellor, BACP
Verified Verified
1 Endorsed
Serves Area
I understand that seeking counselling for the first time can be daunting. Life can be overwhelming and difficult to make sense of on your own. Therapy can help you to explore your problems in a confidential, safe space without judgement. Through building a trusting and open relationship where you feel heard and understood I believe that we all have the potential to grow and heal. I am also a qualified clinical Supervisor. I offer supervision to trainee and qualified counsellors.
I understand that seeking counselling for the first time can be daunting. Life can be overwhelming and difficult to make sense of on your own. Therapy can help you to explore your problems in a confidential, safe space without judgement. Through building a trusting and open relationship where you feel heard and understood I believe that we all have the potential to grow and heal. I am also a qualified clinical Supervisor. I offer supervision to trainee and qualified counsellors.
01637 808555 View 01637 808555
Photo of Lisa Clive - Dr Lisa Clive, Ebb and Flow Psychology and EMDR, HCPC - Clin. Psych., Psychologist
Dr Lisa Clive, Ebb and Flow Psychology and EMDR
Psychologist, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
At Ebb and Flow Psychology we specialise in caring for the whole family, recognising the importance of caring for parents in order to help you care for your children. We understand that children and adults experience things differently and support parents to deepen their understanding of their child’s world and strengthen their relationships.
At Ebb and Flow Psychology we specialise in caring for the whole family, recognising the importance of caring for parents in order to help you care for your children. We understand that children and adults experience things differently and support parents to deepen their understanding of their child’s world and strengthen their relationships.
01822 661367 View 01822 661367
Photo of Christian Assinobo Minsansa, DCounsPsych, MBACP, Counsellor
Christian Assinobo Minsansa
Counsellor, DCounsPsych, MBACP
Verified Verified
Serves Area
Hi, my name is Christian and I am a Person Centred Counsellor offering remote sessions. I specialise in domestic abuse, racial identity, discrimination and trauma. I'm commited to recognising inequalities and strive to offer a counselling experience that is inclusive and responsive to the needs of the person I work with. I have found remote working has increased my ability to reach individuals in need of a therapeutic space that is inclusive of exploring cultural and racial identity. As a French Black male, I can empathise with feelings of being othered, so I am passionate about supporting people to cultivate a sense belonging.
Hi, my name is Christian and I am a Person Centred Counsellor offering remote sessions. I specialise in domestic abuse, racial identity, discrimination and trauma. I'm commited to recognising inequalities and strive to offer a counselling experience that is inclusive and responsive to the needs of the person I work with. I have found remote working has increased my ability to reach individuals in need of a therapeutic space that is inclusive of exploring cultural and racial identity. As a French Black male, I can empathise with feelings of being othered, so I am passionate about supporting people to cultivate a sense belonging.
01841 553830 View 01841 553830
Photo of Diane Wills, MNCPS Acc., Psychotherapist
Diane Wills
Psychotherapist, MNCPS Acc.
Verified Verified
I believe that we are all perfect human beings trying our best to navigate the complexities of life. It’s my job to help you to make sense of how the past influences your present so that you can have a future which realises your full potential. I have many years experience of sitting in rooms with people and listening to their stories in a range of professional contexts. It is still the work I consider to be of the highest privilege. My main therapy training is psychodynamic. I also use person-centred, cognitive-behavioural therapy, brief solution-focused therapy, compassion-focused therapy, acceptance & commitment therapy.
I believe that we are all perfect human beings trying our best to navigate the complexities of life. It’s my job to help you to make sense of how the past influences your present so that you can have a future which realises your full potential. I have many years experience of sitting in rooms with people and listening to their stories in a range of professional contexts. It is still the work I consider to be of the highest privilege. My main therapy training is psychodynamic. I also use person-centred, cognitive-behavioural therapy, brief solution-focused therapy, compassion-focused therapy, acceptance & commitment therapy.
01503 770548 View 01503 770548
Photo of Jerry Fox - Mind Training for Performance: Sport-Work-Leaders
I'm Jerry and I practice as a Mindfulness Based Cognitive psychological trainer. I have worked with many clients including, Olympic & Paralympic athletes, pro golfers, pro footballers, university sports, pro cycling, creatives & leaders. I train people in how to enhance their self-belief for: performance optimisation, emotional regulation, resilience & effective decision making. Pressure in performance environments is a certainty. How we perceive pressure, determines our response. We can choose how to think about pressure and this depends on our level of self-belief, the essential ingredient when navigating demanding environments.
I'm Jerry and I practice as a Mindfulness Based Cognitive psychological trainer. I have worked with many clients including, Olympic & Paralympic athletes, pro golfers, pro footballers, university sports, pro cycling, creatives & leaders. I train people in how to enhance their self-belief for: performance optimisation, emotional regulation, resilience & effective decision making. Pressure in performance environments is a certainty. How we perceive pressure, determines our response. We can choose how to think about pressure and this depends on our level of self-belief, the essential ingredient when navigating demanding environments.
01392 321706 View 01392 321706

See more therapy options for PL18

How does your Counsellor compare?

Number of Counsellors in PL18

< 10

Counsellors in PL18 who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Bereavement
100% Obsessive-Compulsive (OCD)
100% Trauma and PTSD
100% Coping Skills

Average years in practice

17 Years

Gender breakdown

50% Female
50% Male

How Counsellors in PL18 see their clients

100% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in PL18?

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.