Counselling in PO18

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Photo of Carole Anne Randell, Psychotherapist in PO18, England
Carole Anne Randell
Psychotherapist, MNCPS Acc.
Verified
Chichester PO18  (Online Only)
Did you know that one in six adults and 30-40% of primary care patients suffer from medically unexplained symptoms, chronic functional syndromes or psychosocial factors linked to chronic pain? Collectively these are known as Psychophysiological Disorders or PPD. Health professionals are slowly changing their approach to dealing with chronic pain you may find that your GP will refer you to a pain clinic rather than reaching for the prescription pad. There are studies that show that medication alone does not work in the longer term, increasing dosages doesn’t help the pain, in some cases pain gets worse.
Did you know that one in six adults and 30-40% of primary care patients suffer from medically unexplained symptoms, chronic functional syndromes or psychosocial factors linked to chronic pain? Collectively these are known as Psychophysiological Disorders or PPD. Health professionals are slowly changing their approach to dealing with chronic pain you may find that your GP will refer you to a pain clinic rather than reaching for the prescription pad. There are studies that show that medication alone does not work in the longer term, increasing dosages doesn’t help the pain, in some cases pain gets worse.
01243 217635 View 01243 217635
Photo of Anna Jenovari Brown, Counsellor in PO18, England
Anna Jenovari Brown
Counsellor, MBACP
Verified
I believe that talking to a trained, professional counsellor in a safe, confidential place can help everyone to understand why they are struggling to cope with modern life challenges. Working with clients, I respect the client’s diagnosis, however instead of keeping my client in that defined “box of diagnosis” and “deal with” it, I tend to try to discover the invisible links between the different parts (past and present) of the client’s life. For me the meaning of successful counselling is not measured by a specific achievement. It is a slow, constantly changing progress of how my clients think and feel about themselves and others.
I believe that talking to a trained, professional counsellor in a safe, confidential place can help everyone to understand why they are struggling to cope with modern life challenges. Working with clients, I respect the client’s diagnosis, however instead of keeping my client in that defined “box of diagnosis” and “deal with” it, I tend to try to discover the invisible links between the different parts (past and present) of the client’s life. For me the meaning of successful counselling is not measured by a specific achievement. It is a slow, constantly changing progress of how my clients think and feel about themselves and others.
01243 974552 View 01243 974552
Photo of Crena Watson, Counsellor in PO18, England
Crena Watson
Counsellor, UKCP Trainee
Verified
Discover Your True Self and Thrive with Specialized Counselling Are you an adult who suspects you may have ADHD or Autism, or perhaps you've recently received an official diagnosis? Many individuals uncover these facets of their identity later in life, often prompted by a lifelong sense of being different from others. Whether you're on a journey of self-discovery or already armed with a diagnosis, it's natural to experience a wide range of emotions – from anxiety, overwhelm, and depression to confusion about your path forward. How has this revelation impacted your relationships with others?
Discover Your True Self and Thrive with Specialized Counselling Are you an adult who suspects you may have ADHD or Autism, or perhaps you've recently received an official diagnosis? Many individuals uncover these facets of their identity later in life, often prompted by a lifelong sense of being different from others. Whether you're on a journey of self-discovery or already armed with a diagnosis, it's natural to experience a wide range of emotions – from anxiety, overwhelm, and depression to confusion about your path forward. How has this revelation impacted your relationships with others?
020 3835 5186 View 020 3835 5186
Photo of Catherine Elizabeth Goss, Counsellor in PO18, England
Catherine Elizabeth Goss
Counsellor, DCounsPsych, MBACP
Verified
People come to counselling when their life is not going as they want it to be. With sensitive listening, empathy and gentle observation I can help you to become aware of what is troubling you and why. You may be having difficulties in one or more of a wide range of difficulties including anger, anxiety, bereavement, depression, divorce and separation, family issues, guilt, loneliness, injury, loss and grief, low self esteem, relationship issues or stress. I can help you by really listening in a non-judgemental way and supporting you as you listen to yourself, which will lead to greater self-acceptance, understanding and resilience.
People come to counselling when their life is not going as they want it to be. With sensitive listening, empathy and gentle observation I can help you to become aware of what is troubling you and why. You may be having difficulties in one or more of a wide range of difficulties including anger, anxiety, bereavement, depression, divorce and separation, family issues, guilt, loneliness, injury, loss and grief, low self esteem, relationship issues or stress. I can help you by really listening in a non-judgemental way and supporting you as you listen to yourself, which will lead to greater self-acceptance, understanding and resilience.
07588 735136 View 07588 735136
Photo of Carron Cosbert, Counsellor in PO18, England
Carron Cosbert
Counsellor, MBACP
Verified
Bosham PO18  (Online Only)
Hello, I'm Carron, a BACP registered therapist specialising in issues with teenagers and young adults. I have five years experience working with client issues such as school refusal, neurodivergency, bullying, relationship difficulties, sexual and gender identity issues.
Hello, I'm Carron, a BACP registered therapist specialising in issues with teenagers and young adults. I have five years experience working with client issues such as school refusal, neurodivergency, bullying, relationship difficulties, sexual and gender identity issues.
01243 974659 View 01243 974659
Photo of William Fley, Psychotherapist in PO18, England
William Fley
Psychotherapist, MA, MBACP Accred
Verified
Hello, I offer psychotherapy both on-line and face-to-face therapy. I offer session to help people find their purpose and meaning in life. I work with depression, anxiety, trauma, identity. I have worked in the NHS, universities, and have been in private practice for over 20 years.
Hello, I offer psychotherapy both on-line and face-to-face therapy. I offer session to help people find their purpose and meaning in life. I work with depression, anxiety, trauma, identity. I have worked in the NHS, universities, and have been in private practice for over 20 years.
01243 217638 View 01243 217638
Photo of Shanti therapeutic practice , Counsellor in PO18, England
Shanti therapeutic practice
Counsellor, MBACP
Verified
I am here to help you through this difficult time, even if the issues you face feel insurmountable; we will use our time to develop a genuine and professional relationship which becomes the platform for your discovery and growth. The therapeutic space will make you feel comfortable, trusting and safe, and I will support you to make positive changes in your life. I use a wide range of creative therapies to provide every opportunity to explore your worries. Ultimately we all want to be happy and able to enjoy all that life has to offer; you have the power to take control of the problems weighing you down, let me help you achieve it.
I am here to help you through this difficult time, even if the issues you face feel insurmountable; we will use our time to develop a genuine and professional relationship which becomes the platform for your discovery and growth. The therapeutic space will make you feel comfortable, trusting and safe, and I will support you to make positive changes in your life. I use a wide range of creative therapies to provide every opportunity to explore your worries. Ultimately we all want to be happy and able to enjoy all that life has to offer; you have the power to take control of the problems weighing you down, let me help you achieve it.
01243 974586 View 01243 974586
Photo of Sian Baker Coaching and Counselling, Counsellor in PO18, England
Sian Baker Coaching and Counselling
Counsellor, MBACP
Verified
Not accepting new clients
Hi and welcome, I am an experienced Therapist and coach. I work with adults & elders. Our initial session is to make sure that you are confident with me to continue (there is no obligation to do so) & also for me to understand a little about what brings you to therapy. I have had the privilege to work with many clients with complex issues. I believe the therapeutic relationship is very important. I also invite you to review the therapy regularly to ensure you are getting the most out of the sessions. When appropriate, I work creatively & with humour. If you have any questions please do contact me.
Hi and welcome, I am an experienced Therapist and coach. I work with adults & elders. Our initial session is to make sure that you are confident with me to continue (there is no obligation to do so) & also for me to understand a little about what brings you to therapy. I have had the privilege to work with many clients with complex issues. I believe the therapeutic relationship is very important. I also invite you to review the therapy regularly to ensure you are getting the most out of the sessions. When appropriate, I work creatively & with humour. If you have any questions please do contact me.
07449 828402 View 07449 828402
Photo of Stephen Burt, Counsellor in PO18, England
Stephen Burt
Counsellor, MBACP
Verified
You may be wondering why you do some of the things you do, things that may be harmful to yourself or others, or that keep bringing you back to square one. Perhaps you feel lonely, even when you are with other people, or stuck in the process of making a difficult decision or transition. You may be struggling with depression or anxiety, or feel stressed and find it hard to relax. Whatever your reason for ending up at my page, your being here shows that you have, at the very least, a glimmer of hope that things could be better, and a sense that you need someone to help you on your journey.
You may be wondering why you do some of the things you do, things that may be harmful to yourself or others, or that keep bringing you back to square one. Perhaps you feel lonely, even when you are with other people, or stuck in the process of making a difficult decision or transition. You may be struggling with depression or anxiety, or feel stressed and find it hard to relax. Whatever your reason for ending up at my page, your being here shows that you have, at the very least, a glimmer of hope that things could be better, and a sense that you need someone to help you on your journey.
07403 940007 View 07403 940007
Photo of Lanes Counselling, Counsellor in PO18, England
Lanes Counselling
Counsellor, MBACP
Verified
I am a Relate trained relationship counsellor with over 20 years experience. I am very passionate about helping clients move forward and I often challenge and draw upon a vast array of tools to help clients get out of a "stuck" place. My practice offers a wide range of therapies from a variety of approaches to help individuals, couples, children and adolescents with a spectrum of difficulties and symptoms. We are passionate about getting you to the place you want to be. Each counsellor is trained in a range of approaches which enables us to tailor our approach to suit each individual or couple,
I am a Relate trained relationship counsellor with over 20 years experience. I am very passionate about helping clients move forward and I often challenge and draw upon a vast array of tools to help clients get out of a "stuck" place. My practice offers a wide range of therapies from a variety of approaches to help individuals, couples, children and adolescents with a spectrum of difficulties and symptoms. We are passionate about getting you to the place you want to be. Each counsellor is trained in a range of approaches which enables us to tailor our approach to suit each individual or couple,
01903 924199 View 01903 924199
Photo of Mel Crowe, Counsellor in PO18, England
Mel Crowe
Counsellor, MBACP
Verified
Chichester PO18  (Online Only)
If you have a narcissistic parent, I am the right therapist for you! Do you feel like you are living with the consequences of bad parenting? Were you treated badly or unfairly during your childhood by your parent? Do they still treat you badly even though you're an adult? Do they ever give you the silent treatment? Does all this still affect you today, and you can’t stop thinking about the way they treated you? Does this leave you feeling confused and with a low self esteem, but you don’t know what to do about it or how to get over it? If so, then you might be feeling really hurt and alone, unable to see a way out.
If you have a narcissistic parent, I am the right therapist for you! Do you feel like you are living with the consequences of bad parenting? Were you treated badly or unfairly during your childhood by your parent? Do they still treat you badly even though you're an adult? Do they ever give you the silent treatment? Does all this still affect you today, and you can’t stop thinking about the way they treated you? Does this leave you feeling confused and with a low self esteem, but you don’t know what to do about it or how to get over it? If so, then you might be feeling really hurt and alone, unable to see a way out.
07403 931297 View 07403 931297
Photo of Janis Wilson, Psychotherapist in PO18, England
Janis Wilson
Psychotherapist, MUKCP
Verified
Thinking about coming to see a Counsellor/Therapist? Welcome. If you're looking here then it's likely you are experiencing some kind of distress or unhappiness. You might be suffering with anxiety or depression or have recently experienced a loss or be having difficulties with work, relationships or unwanted habits. Many things can prompt seeking help and you're probably looking for a compassionate listener but also someone who can help you to feel better.
Thinking about coming to see a Counsellor/Therapist? Welcome. If you're looking here then it's likely you are experiencing some kind of distress or unhappiness. You might be suffering with anxiety or depression or have recently experienced a loss or be having difficulties with work, relationships or unwanted habits. Many things can prompt seeking help and you're probably looking for a compassionate listener but also someone who can help you to feel better.
01243 979826 View 01243 979826
Photo of Alison Cassy, Counsellor in PO18, England
Alison Cassy
Counsellor, MBACP
Verified
I am an Accredited psychotherapeutic counsellor, experienced in supporting individual and couple clients with a wide range of sex and relationship issues. I specialise in working with sex and pornography addiction and am a registered StopSo therapist, trained to work with contact and online sex offending issues. I am also in-training as a Psychosexual Therapist, working with sexual function problems such as premature/delayed ejaculation, unreliable erections, painful sex and penetration problems, low libido and orgasm difficulties. I am LGBTQ+ positive and open-minded kink aware therapist, working with both individuals and couples.
I am an Accredited psychotherapeutic counsellor, experienced in supporting individual and couple clients with a wide range of sex and relationship issues. I specialise in working with sex and pornography addiction and am a registered StopSo therapist, trained to work with contact and online sex offending issues. I am also in-training as a Psychosexual Therapist, working with sexual function problems such as premature/delayed ejaculation, unreliable erections, painful sex and penetration problems, low libido and orgasm difficulties. I am LGBTQ+ positive and open-minded kink aware therapist, working with both individuals and couples.
01243 957232 View 01243 957232
Photo of Anna Bassett in PO18, England
Anna Bassett
I am an integrative and trauma informed counsellor based in Chichester West Sussex. I work therapeutically with children, young people and adults in a gentle, empathic and warm way. Fundamental to my approach is the belief that we all have the potential to change, develop and lead more satisfying lives. You may be having relationship difficulties, issues with anxiety, experienced trauma of some kind, or looking to change an aspect of your life that is not fulfilling. In providing a relationship which feels safe you can, at your own pace, find your own answers and feel heard and supported towards a happier way of living and being
I am an integrative and trauma informed counsellor based in Chichester West Sussex. I work therapeutically with children, young people and adults in a gentle, empathic and warm way. Fundamental to my approach is the belief that we all have the potential to change, develop and lead more satisfying lives. You may be having relationship difficulties, issues with anxiety, experienced trauma of some kind, or looking to change an aspect of your life that is not fulfilling. In providing a relationship which feels safe you can, at your own pace, find your own answers and feel heard and supported towards a happier way of living and being
01243 957293 View 01243 957293
Photo of Paul Lane, Psychotherapist in PO18, England
Paul Lane
Psychotherapist, MBACP
Verified
All clients, have the basic expectations and the desire to be listened to, understood, helped, and healed. I offer this. I am a calm, genuine, and non-judgmental individual and have the experience to hold your difficulties safely and securely. My noticing working with people is, no one comes to therapy because they feel OK. There are difficulties that underlie each and every one of us. I have had my issues and you will or have had yours. I do find similarities with some clients who have similar difficulties. The similarities are the underlying trauma of difference. There is the sense that you are alone.
All clients, have the basic expectations and the desire to be listened to, understood, helped, and healed. I offer this. I am a calm, genuine, and non-judgmental individual and have the experience to hold your difficulties safely and securely. My noticing working with people is, no one comes to therapy because they feel OK. There are difficulties that underlie each and every one of us. I have had my issues and you will or have had yours. I do find similarities with some clients who have similar difficulties. The similarities are the underlying trauma of difference. There is the sense that you are alone.
07449 854802 View 07449 854802
Photo of Maxine Harley in PO18, England
Maxine Harley
MSc
Chichester PO18  (Online Only)
Are you a woman struggling to feel happy and at peace with yourself, your relationships, or your working life? Might it be your own thoughts and behaviours that are getting in the way of you having the life or career success you want? I can help you to understand and manage your emotions, self-talk, boundaries and behaviours. I will help you to rebalance your life and improve your most important relationship - the one you have with yourself and your Inner Child! I’ll work with you nationally or internationally - online using Skype. I work in a short-term focused and structured way tailored to your individual needs (av 15 sessions).
Are you a woman struggling to feel happy and at peace with yourself, your relationships, or your working life? Might it be your own thoughts and behaviours that are getting in the way of you having the life or career success you want? I can help you to understand and manage your emotions, self-talk, boundaries and behaviours. I will help you to rebalance your life and improve your most important relationship - the one you have with yourself and your Inner Child! I’ll work with you nationally or internationally - online using Skype. I work in a short-term focused and structured way tailored to your individual needs (av 15 sessions).
07481 358873 View 07481 358873
Photo of Lucy M Brooks, Psychologist in PO18, England
Lucy M Brooks
Psychologist, PsychD, HCPC - Clin. Psych.
Verified
I am a registered Clinical Psychologist with a special interest in working with children, adolescents and their families. I work with families of young children as well as individual therapy for older children and adolescents. I offer assessment and interventions for many emotional and behavioural difficulties such as anxiety and mood disorders, eating difficulties, sleeping difficulties, social/ relationship issues, self esteem and resilience, coping with physical health problems, trauma, and attachment. My interventions aim to support the family and child or young person in making positive changes in their emotional well being.
I am a registered Clinical Psychologist with a special interest in working with children, adolescents and their families. I work with families of young children as well as individual therapy for older children and adolescents. I offer assessment and interventions for many emotional and behavioural difficulties such as anxiety and mood disorders, eating difficulties, sleeping difficulties, social/ relationship issues, self esteem and resilience, coping with physical health problems, trauma, and attachment. My interventions aim to support the family and child or young person in making positive changes in their emotional well being.
07723 463345 View 07723 463345
Photo of Dr Hannah Graydon, Psychologist in PO18, England
Dr Hannah Graydon
Psychologist, PsychD, HCPC - Couns. Psych.
Verified
Registered counselling psychologist with over 10 years experience of working with people with a range of difficulties from mild to severe and enduring. As a counselling psychologist I draw upon a variety of evidence based models in order to support you in the most effective way. Trained in humanistic, psychodynamic, CBT , mindfulness and EMDR. This means I can deliver treatment that is specifically designed for your needs. Experienced across a variety of settings (young people’s services, charities such as Mind, NHS), I currently work in the NHS and run a private practice for adults and young people.
Registered counselling psychologist with over 10 years experience of working with people with a range of difficulties from mild to severe and enduring. As a counselling psychologist I draw upon a variety of evidence based models in order to support you in the most effective way. Trained in humanistic, psychodynamic, CBT , mindfulness and EMDR. This means I can deliver treatment that is specifically designed for your needs. Experienced across a variety of settings (young people’s services, charities such as Mind, NHS), I currently work in the NHS and run a private practice for adults and young people.
01243 974684 View 01243 974684
Photo of Barbara Wojcik-Lokaj, Psychologist in PO18, England
Barbara Wojcik-Lokaj
Psychologist, MSc, GMBPsS
Verified
Do you feel that your life is difficult to cope with, and that you are 'stuck'? Experiencing marital burnout or would like to work on yourself to find yourself and your goals. Maybe your child is going through an emotionally tough patch at the moment? I help parents in situations of emerging problems related to children or parents' relationships with children, in situations of parents' doubts about their upbringing methods or doubts resulting from concerns about the child's mental health. What would your life look like if you stopped feeling overwhelmed and found the right way to communicate with your partner or child?
Do you feel that your life is difficult to cope with, and that you are 'stuck'? Experiencing marital burnout or would like to work on yourself to find yourself and your goals. Maybe your child is going through an emotionally tough patch at the moment? I help parents in situations of emerging problems related to children or parents' relationships with children, in situations of parents' doubts about their upbringing methods or doubts resulting from concerns about the child's mental health. What would your life look like if you stopped feeling overwhelmed and found the right way to communicate with your partner or child?
01903 497588 View 01903 497588
Photo of Daniel Sutton-Johanson, Psychotherapist in PO18, England
Daniel Sutton-Johanson
Psychotherapist, MSc, MUKCP
Verified
1 Endorsed
Chichester PO18  (Online Only)
Reasons to seek out therapy are, much like ourselves, varied, nuanced and complex. A deeply empathic, attentive presence, warmth and trust for how you process things and what you decide to bring to our sessions, are at the heart of my practice. As a therapist, I provide a therapeutic relationship which, over time, creates a space in which deep healing can occur. I hope to help you see yourself and make meaning of your experience(s) in ways which were not available before. My work is therefore centred around attending to the whole person, with equal respect and worth for both content and process, both feeling and thinking.
Reasons to seek out therapy are, much like ourselves, varied, nuanced and complex. A deeply empathic, attentive presence, warmth and trust for how you process things and what you decide to bring to our sessions, are at the heart of my practice. As a therapist, I provide a therapeutic relationship which, over time, creates a space in which deep healing can occur. I hope to help you see yourself and make meaning of your experience(s) in ways which were not available before. My work is therefore centred around attending to the whole person, with equal respect and worth for both content and process, both feeling and thinking.
023 9387 8735 View 023 9387 8735

See more therapy options for PO18

How does your Counsellor compare?

Number of Counsellors in PO18

40+

Average cost per session

£60

Counsellors in PO18 who prioritize treating:

98% Depression
98% Anxiety
95% Self Esteem
88% Relationship Issues
81% Stress
76% Trauma and PTSD
76% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

71% AXA PPP
71% Vitality
57% Aviva

How Counsellors in PO18 see their clients

86% In Person and Online
14% Online Only

Gender breakdown

83% Female
17% Male

FAQs - About Therapy and Counselling

How can I find a therapist in PO18?

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.