Counselling in RH11

Photo of Tania Mills, Counsellor, MNCPS Acc.
Tania Mills
Counsellor, MNCPS Acc.
Crawley RH11
I offer a warm, compassionate and safe space for us to explore the areas of your life where you may feel overwhelmed, stuck or want to make changes. Perhaps you have noticed yourself repeating the same old patterns or feel life has gone off course and need support or a new perspective to help get things back on track. Whatever your reasons for seeking counselling, I will take the time to listen, understand your needs and what is important to you, before we decide the best way to move forward together.
I offer a warm, compassionate and safe space for us to explore the areas of your life where you may feel overwhelmed, stuck or want to make changes. Perhaps you have noticed yourself repeating the same old patterns or feel life has gone off course and need support or a new perspective to help get things back on track. Whatever your reasons for seeking counselling, I will take the time to listen, understand your needs and what is important to you, before we decide the best way to move forward together.
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Photo of Louise Hudspith, Counsellor, DCounsPsych, MBACP
Louise Hudspith
Counsellor, DCounsPsych, MBACP
Crawley RH11
Find the Right Support for You. The connection between a counsellor and client is at the heart of successful therapy. It’s not just about professional expertise—it’s about feeling comfortable, understood, and supported. Often, you’ll get a sense of whether a therapist is the right fit from the very first conversation. Are you feeling overwhelmed by life’s challenges? Taking the step to seek therapy is an act of strength. Whether you’re navigating grief, loss, anxiety, depression, or other life struggles, you don’t have to face them alone. Let’s see if we’re the right match—reach out for a free 15-minute discovery session
Find the Right Support for You. The connection between a counsellor and client is at the heart of successful therapy. It’s not just about professional expertise—it’s about feeling comfortable, understood, and supported. Often, you’ll get a sense of whether a therapist is the right fit from the very first conversation. Are you feeling overwhelmed by life’s challenges? Taking the step to seek therapy is an act of strength. Whether you’re navigating grief, loss, anxiety, depression, or other life struggles, you don’t have to face them alone. Let’s see if we’re the right match—reach out for a free 15-minute discovery session
01293 376074 View 01293 376074
Photo of Anna Louise Andrew - Livingwell Counselling, Counsellor, BACP
Livingwell Counselling
Counsellor, BACP
Crawley RH11
I'm Anna and my therapeutic approach is integrative, rooted in person-centred values and guided by trauma-informed principles. I believe healing unfolds in relationship, through safety, collaboration, and compassionate curiosity. I offer a warm, non-judgmental space where you can explore your experiences at your own pace. Together, we co-create a therapeutic relationship built on trust, respect, and empowerment. My aim is to support you in reconnecting with your inner resources, values, and voice. Whether you're navigating trauma, loss, identity, or life transitions, I work with you to foster resilience, clarity, and hope.
I'm Anna and my therapeutic approach is integrative, rooted in person-centred values and guided by trauma-informed principles. I believe healing unfolds in relationship, through safety, collaboration, and compassionate curiosity. I offer a warm, non-judgmental space where you can explore your experiences at your own pace. Together, we co-create a therapeutic relationship built on trust, respect, and empowerment. My aim is to support you in reconnecting with your inner resources, values, and voice. Whether you're navigating trauma, loss, identity, or life transitions, I work with you to foster resilience, clarity, and hope.
01293 376270 View 01293 376270
Photo of Donna Jelley, Counsellor, MBACP
Donna Jelley
Counsellor, MBACP
Crawley RH11
Life is difficult at times, and we may not be able to resolve issues on our own, so we need a helping hand. When you are experiencing thoughts and feelings that you cannot process alone, Counselling can help you make sense of them and help you move forward with your life. Whatever your issue, a long-term problem, an immediate crisis, or just feeling stuck. I can offer you a calm space where you have the opportunity to explore what has prompted you to seek Counselling.
Life is difficult at times, and we may not be able to resolve issues on our own, so we need a helping hand. When you are experiencing thoughts and feelings that you cannot process alone, Counselling can help you make sense of them and help you move forward with your life. Whatever your issue, a long-term problem, an immediate crisis, or just feeling stuck. I can offer you a calm space where you have the opportunity to explore what has prompted you to seek Counselling.
01293 699859 View 01293 699859
Photo of Liam J Wakefield, Psychotherapist, MNCPS Acc.
Liam J Wakefield
Psychotherapist, MNCPS Acc.
Serves Area
I work with a wide range of clients, those who are “wearing a mask”, facing adversity, struggling with past trauma, loss of agency, identity, or self-destructive patterns. They feel disconnected, reactive, and uncertain about their future. They need a structured approach to rebuild trust in themselves, regain control, and find meaning in navigating their suffering. Their goal is growth, not just recovery. They want clarity, resilience, and a sense of purpose because they refuse to be defined by their past. My therapy focuses on reintegrating the divided self, fostering agency, and helping clients transform pain into strength.
I work with a wide range of clients, those who are “wearing a mask”, facing adversity, struggling with past trauma, loss of agency, identity, or self-destructive patterns. They feel disconnected, reactive, and uncertain about their future. They need a structured approach to rebuild trust in themselves, regain control, and find meaning in navigating their suffering. Their goal is growth, not just recovery. They want clarity, resilience, and a sense of purpose because they refuse to be defined by their past. My therapy focuses on reintegrating the divided self, fostering agency, and helping clients transform pain into strength.
01403 331639 View 01403 331639
Photo of Faye Head, Counsellor, MNCPS Acc.
Faye Head
Counsellor, MNCPS Acc.
Serves Area
I am fully qualified and experienced in working with adults of all ages and young people from the age of 11, with a wide range of difficulties including anxiety, depression, low mood, low self-esteem/self-worth, bereavement, loneliness, bullying, stress, relationship problems, abuse and many more. Maybe you feel stuck in a rut and would like things to look different for you, but unsure where to start. Whatever you are experiencing, we will figure it out together.
I am fully qualified and experienced in working with adults of all ages and young people from the age of 11, with a wide range of difficulties including anxiety, depression, low mood, low self-esteem/self-worth, bereavement, loneliness, bullying, stress, relationship problems, abuse and many more. Maybe you feel stuck in a rut and would like things to look different for you, but unsure where to start. Whatever you are experiencing, we will figure it out together.
01403 912752 View 01403 912752
Photo of Clare Dackombe, Counsellor, MBACP Accred
Clare Dackombe
Counsellor, MBACP Accred
1 Endorsed
Serves Area
Hi my name is Clare and before you read on, I first want to say that I hope you find the help you are seeking and that if you are suffering you find the right support to help ease your pain. Perhaps you are struggling to cope, feeling powerless, desperate or maybe you wish for personal change; I can support you in your journey. Specific issues that I can help with: anxiety, depression, low self-esteem, bereavement, loss, relationship problems, improving communication, problem-solving,  life or work stress,  trauma, post-pandemic anxiety and general life dissatisfaction.
Hi my name is Clare and before you read on, I first want to say that I hope you find the help you are seeking and that if you are suffering you find the right support to help ease your pain. Perhaps you are struggling to cope, feeling powerless, desperate or maybe you wish for personal change; I can support you in your journey. Specific issues that I can help with: anxiety, depression, low self-esteem, bereavement, loss, relationship problems, improving communication, problem-solving,  life or work stress,  trauma, post-pandemic anxiety and general life dissatisfaction.
01342 659960 View 01342 659960
Photo of Kirsty Craig, Counsellor, MBACP
Kirsty Craig
Counsellor, MBACP
Serves Area
Sometimes we lose touch with ourselves and grow numb, perhaps because we didn’t have the right environment growing up, or because things have happened in our lives and we have become stuck. Difficult things happen in our lives but when we feel isolated and alone with them these experiences can become traumatic. You may already have a sense of what you want from counselling, or you may just feel something's not right in your life. You may feel distressed, or you may simply want to be curious about who you are and who you hope to be. Even if you have a supportive circle, it may be easier to talk with an independent therapist.
Sometimes we lose touch with ourselves and grow numb, perhaps because we didn’t have the right environment growing up, or because things have happened in our lives and we have become stuck. Difficult things happen in our lives but when we feel isolated and alone with them these experiences can become traumatic. You may already have a sense of what you want from counselling, or you may just feel something's not right in your life. You may feel distressed, or you may simply want to be curious about who you are and who you hope to be. Even if you have a supportive circle, it may be easier to talk with an independent therapist.
01737 302218 View 01737 302218
Photo of Melanie Stanton - New Leaf Counselling , Counsellor, MNCPS Acc.
New Leaf Counselling
Counsellor, MNCPS Acc.
Serves Area
Life gives us challenges at times no matter who we are. We are better equipped to deal with these challenges when we have the right support in place. This is where counselling can play a big part in supporting you to deal with whatever challenges you might be facing. Studies have shown that traumatic childhood events can present in our lives when we reach adulthood leaving us in a state of confusion. No matter what your challenges are or where they have come from counselling is there to help you deal with them in a safe and neutral place. I can offer online counselling, face to face, and a walk and talk service.
Life gives us challenges at times no matter who we are. We are better equipped to deal with these challenges when we have the right support in place. This is where counselling can play a big part in supporting you to deal with whatever challenges you might be facing. Studies have shown that traumatic childhood events can present in our lives when we reach adulthood leaving us in a state of confusion. No matter what your challenges are or where they have come from counselling is there to help you deal with them in a safe and neutral place. I can offer online counselling, face to face, and a walk and talk service.
01403 339588 View 01403 339588
Photo of Karen Hanson, Counsellor, MBACP Accred
Karen Hanson
Counsellor, MBACP Accred
Serves Area
When life is tough we can start thinking things like, 'I just can't go on like this, something has to change.' These are times when it can feel like we are overwhelmed by emotion, have anxious spiraling thoughts or feel really stuck. I support people navigating through those times to move forward with their lives. Such times include bereavement, life changes, exploring the impact of boarding school experience, childhood trauma surfacing, anxiety and depression.
When life is tough we can start thinking things like, 'I just can't go on like this, something has to change.' These are times when it can feel like we are overwhelmed by emotion, have anxious spiraling thoughts or feel really stuck. I support people navigating through those times to move forward with their lives. Such times include bereavement, life changes, exploring the impact of boarding school experience, childhood trauma surfacing, anxiety and depression.
01403 330313 View 01403 330313
Photo of Tamsin Alice Jupp - Tamsin Jupp Counselling, Counsellor, MBACP
Tamsin Jupp Counselling
Counsellor, MBACP
3 Endorsed
Serves Area
As a humanistic counsellor you are at the centre of my practice. Working with children and adults I provide a safe and accepting space to explore and empower your decisions. I understand that life can feel confusing, isolating and some events can bring up emotions you had boxed away, leaving you feeling overwhelmed. You might feel that you have lost sight of who you are or that people just do not hear you. Big life changes especially in childhood have such an impact on us, and it is about seeing these patterns and deciding if you want to change them.
As a humanistic counsellor you are at the centre of my practice. Working with children and adults I provide a safe and accepting space to explore and empower your decisions. I understand that life can feel confusing, isolating and some events can bring up emotions you had boxed away, leaving you feeling overwhelmed. You might feel that you have lost sight of who you are or that people just do not hear you. Big life changes especially in childhood have such an impact on us, and it is about seeing these patterns and deciding if you want to change them.
01403 627747 View 01403 627747
Photo of Abby S Quick, Psychotherapist, MBABCP
Abby S Quick
Psychotherapist, MBABCP
1 Endorsed
Serves Area
I am passionate about CBT and my therapeutic approach offers curiosity, compassion, support, non-judgement, knowledge and hope throughout a goals-led treatment process. I am a huge advocate for 'keeping things simple' and work creatively - using metaphors, imagery, reference to pop culture/social media platforms and humour (where appropriate!) to sustain client interest and aid learning and insight. I am a therapist who believes human connection is vital, particularly in this day-and-age of AI and virtual forms of interaction. My preferred method of working therefore is in-person (although I do also offer online methods.)
I am passionate about CBT and my therapeutic approach offers curiosity, compassion, support, non-judgement, knowledge and hope throughout a goals-led treatment process. I am a huge advocate for 'keeping things simple' and work creatively - using metaphors, imagery, reference to pop culture/social media platforms and humour (where appropriate!) to sustain client interest and aid learning and insight. I am a therapist who believes human connection is vital, particularly in this day-and-age of AI and virtual forms of interaction. My preferred method of working therefore is in-person (although I do also offer online methods.)
01444 221447 View 01444 221447
Photo of Loraine Cook, Counsellor, DCounsPsych, PNCPS Acc.
Loraine Cook
Counsellor, DCounsPsych, PNCPS Acc.
Serves Area
Psychotherapeutic Counsellor - Relationships, Anxiety & Attachment. Are you feeling overwhelmed, anxious or struggling in your relationships? You may feel stuck in patterns that are hard to understand or find yourself carrying alot for others while feeling alone. I offer a warm, supportive and non-judgemental space where we can explore what's going on for you at a pace that feels right. My approach is relational and attachment-focussed, helping you understand yourself and your relationships. I work with anxiety, relationship difficulties, low mood and life transitions as well as grief and addiction.
Psychotherapeutic Counsellor - Relationships, Anxiety & Attachment. Are you feeling overwhelmed, anxious or struggling in your relationships? You may feel stuck in patterns that are hard to understand or find yourself carrying alot for others while feeling alone. I offer a warm, supportive and non-judgemental space where we can explore what's going on for you at a pace that feels right. My approach is relational and attachment-focussed, helping you understand yourself and your relationships. I work with anxiety, relationship difficulties, low mood and life transitions as well as grief and addiction.
01403 331307 View 01403 331307
Photo of Victoria Batten, Counsellor, MBACP Accred
Victoria Batten
Counsellor, MBACP Accred
1 Endorsed
Serves Area
Have you ever felt like you do not belong? Have you felt like you are from a different planet, compared to your family and friends? Nobody could possibly understand how you feel or even understand the massive range of emotions you experience on a day to day basis? Dealing with anxiety, depression, panic attacks, low self-esteem, low self-confidence, and stress is very isolating. . You constantly feel alone and overwhelmed
Have you ever felt like you do not belong? Have you felt like you are from a different planet, compared to your family and friends? Nobody could possibly understand how you feel or even understand the massive range of emotions you experience on a day to day basis? Dealing with anxiety, depression, panic attacks, low self-esteem, low self-confidence, and stress is very isolating. . You constantly feel alone and overwhelmed
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Photo of Bunty Dann, Psychotherapist, MHGI
Bunty Dann
Psychotherapist, MHGI
Serves Area
If you are coping with high levels of anxiety or depression, if past traumatic experiences are interfering in your ability to manage the present and sleep is problematic then this can change. By understanding what is happening in your system (mind and body), using your natural resources well and having some new tools to use, you can get back into balance, to the you that is resilient, able to focus and live to your potential.
If you are coping with high levels of anxiety or depression, if past traumatic experiences are interfering in your ability to manage the present and sleep is problematic then this can change. By understanding what is happening in your system (mind and body), using your natural resources well and having some new tools to use, you can get back into balance, to the you that is resilient, able to focus and live to your potential.
01342 651097 View 01342 651097
Photo of Harriett Karen Seager, Psychotherapist, MA, MBACP
Harriett Karen Seager
Psychotherapist, MA, MBACP
2 Endorsed
Serves Area
Are you a teenager, young person or adult living with anxiety, loneliness, depression, relationship issues or a mixture of these and other mental health issues? Do you want to stop feeling stuck and lead a fulfilling life free of mental health issues? With the right therapist, progress can be made, anxiety can lift, the past healed and the future looked forward to. Don't hesitate to find help, reach out now and start to thrive.
Are you a teenager, young person or adult living with anxiety, loneliness, depression, relationship issues or a mixture of these and other mental health issues? Do you want to stop feeling stuck and lead a fulfilling life free of mental health issues? With the right therapist, progress can be made, anxiety can lift, the past healed and the future looked forward to. Don't hesitate to find help, reach out now and start to thrive.
01342 645305 View 01342 645305
Photo of Sam Mantle - SJM Counselling, Counsellor, MBACP
SJM Counselling
Counsellor, MBACP
Serves Area
Hi, I am Sam. Whether you're facing anxiety, depression, stress, relationship problems or difficulties relating to ADHD, I offer a safe and impartial space in which to really consider what’s going on in your life at your own pace and begin to make real changes. I have always approached each client I work with slightly differently and I believe this forms the basis of meaningful connection between us. This is, for me, the most fundamental element of good therapy. People are different and being adaptive is key. I listen and I aim to understand and get to know you in a way which facilitates change and movement.
Hi, I am Sam. Whether you're facing anxiety, depression, stress, relationship problems or difficulties relating to ADHD, I offer a safe and impartial space in which to really consider what’s going on in your life at your own pace and begin to make real changes. I have always approached each client I work with slightly differently and I believe this forms the basis of meaningful connection between us. This is, for me, the most fundamental element of good therapy. People are different and being adaptive is key. I listen and I aim to understand and get to know you in a way which facilitates change and movement.
01444 222032 View 01444 222032
Photo of Carolyne Keenan, Psychologist, PsychD, HCPC - Couns. Psych.
Carolyne Keenan
Psychologist, PsychD, HCPC - Couns. Psych.
Serves Area
You might be feeling anxious and stressed at the moment or looking for support for something that has been an issue for a long time. I will create a space for you to explore things you might not have been able to speak about before. I have a wide experience base as the foundation to my private practice. This includes Psychiatric rehabilitation, drug and alcohol treatment services, eating disorders, acute adolescent psychiatric inpatient settings and work with children and young people in the care system. I work integratively which means I draw from a range of therapeutic models to create a care plan that best fits your needs.
You might be feeling anxious and stressed at the moment or looking for support for something that has been an issue for a long time. I will create a space for you to explore things you might not have been able to speak about before. I have a wide experience base as the foundation to my private practice. This includes Psychiatric rehabilitation, drug and alcohol treatment services, eating disorders, acute adolescent psychiatric inpatient settings and work with children and young people in the care system. I work integratively which means I draw from a range of therapeutic models to create a care plan that best fits your needs.
07449 542566 View 07449 542566
Photo of Gina Howard, Counsellor, MBACP
Gina Howard
Counsellor, MBACP
Serves Area
I offer a free 30 minute assessment session face to face or via Zoom to see how we work together and for you to decide if you want to continue with me. I am an experienced counsellor of 10 yrs offering affordable counselling to individuals and couples. The issues that people come to me for are anxiety, panic attacks, ADHD and other neurodivergent experiences, depression, stress, relationship issues, family problems, phobias, addictions, bereavement and loneliness. Together we can work to find a way forward.
I offer a free 30 minute assessment session face to face or via Zoom to see how we work together and for you to decide if you want to continue with me. I am an experienced counsellor of 10 yrs offering affordable counselling to individuals and couples. The issues that people come to me for are anxiety, panic attacks, ADHD and other neurodivergent experiences, depression, stress, relationship issues, family problems, phobias, addictions, bereavement and loneliness. Together we can work to find a way forward.
01403 907121 View 01403 907121
Photo of Daniel Goldberg, Psychotherapist, DCounsPsych, PNCPS Acc.
Daniel Goldberg
Psychotherapist, DCounsPsych, PNCPS Acc.
Serves Area
I’ve been a therapist for 23 years now . My special interest are mid life crisis , Depression , drugs alcohol dependence and Relationships of all sorts , from sublime to absolutely weird and wonderful . My subjects of interest are Narcissistic Pd. Anxiety disorders . Alcohol snd Drug addiction. Sex addiction Couple Counselling. Gas lighting snd abusive Relationship. Porn addiction. I have been involved in the rich and creative dialogue between depth psychology and spirituality - to personal growth, emotional healing and creativity. Religion , existentialism , purpose and the meaning of life.
I’ve been a therapist for 23 years now . My special interest are mid life crisis , Depression , drugs alcohol dependence and Relationships of all sorts , from sublime to absolutely weird and wonderful . My subjects of interest are Narcissistic Pd. Anxiety disorders . Alcohol snd Drug addiction. Sex addiction Couple Counselling. Gas lighting snd abusive Relationship. Porn addiction. I have been involved in the rich and creative dialogue between depth psychology and spirituality - to personal growth, emotional healing and creativity. Religion , existentialism , purpose and the meaning of life.
01342 659107 View 01342 659107

How does your Counsellor compare?

Number of Counsellors in RH11

20+

Average cost per session

£65

Counsellors in RH11 who prioritize treating:

93% Depression
93% Anxiety
89% Self Esteem
89% Stress
74% Relationship Issues
74% Bereavement
63% Trauma and PTSD

Average years in practice

6 Years

Top 3 insurances accepted

60% Bupa
60% Aviva
60% Vitality

How Counsellors in RH11 see their clients

81% In Person and Online
19% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counselling

How can I find a therapist in RH11?

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.