Photo of Amanda E Smith, Psychotherapist, MBBS, COSRT Accred
Amanda E Smith
Psychotherapist, MBBS, COSRT Accred
A fulfilling sex life is an important part of healthy human life & relationships. However many have difficulties at some time in life. Examples of contributing factors include relationship problems, stress, anxiety, depression, bereavement, illness, disability & medication. I aim to put clients at ease and work at my clients' pace so they don't feel rushed or pressured. You can contact me by email, phone or text. I offer a free 10 min phone chat for anyone considering an appointment, to discuss what you'd like to get out of sessions & help you to decide if I'm the right therapist for you. Sessions are typically weekly/fortnightly
A fulfilling sex life is an important part of healthy human life & relationships. However many have difficulties at some time in life. Examples of contributing factors include relationship problems, stress, anxiety, depression, bereavement, illness, disability & medication. I aim to put clients at ease and work at my clients' pace so they don't feel rushed or pressured. You can contact me by email, phone or text. I offer a free 10 min phone chat for anyone considering an appointment, to discuss what you'd like to get out of sessions & help you to decide if I'm the right therapist for you. Sessions are typically weekly/fortnightly
01246 925937 View 01246 925937
Photo of Sidonie Herring, Counsellor, BACP
Sidonie Herring
Counsellor, BACP
2 Endorsed
My clients range from the age of 16 - 60+ and I welcome all challenges they experience that life has presented. From the transition from teenager to young adult and the overwhelming changes to navigate, to mature adult issues that can stem from childhood, present day, trauma or anxiety/depression etc. I love creating a strong therapeutic relationship with my client and seeing them grow into a more regulated, aware and confident person who feels equipped to face life's challenges with the tools and skills learnt in therapy. My clients tend to be those seeking empathy and compassion but aren't afraid to be challenged.
My clients range from the age of 16 - 60+ and I welcome all challenges they experience that life has presented. From the transition from teenager to young adult and the overwhelming changes to navigate, to mature adult issues that can stem from childhood, present day, trauma or anxiety/depression etc. I love creating a strong therapeutic relationship with my client and seeing them grow into a more regulated, aware and confident person who feels equipped to face life's challenges with the tools and skills learnt in therapy. My clients tend to be those seeking empathy and compassion but aren't afraid to be challenged.
01246 956505 View 01246 956505
Derwent Rural Counselling Service
Counsellor, MBACP Accred
Never had therapy before? Unsure if it is for you? Confused about the different types of therapy available? Then we are the service for you! We will take the time to understand who you are, your situation, and what your hopes and needs are and then provide the type of therapy which will be the best fit for you
Never had therapy before? Unsure if it is for you? Confused about the different types of therapy available? Then we are the service for you! We will take the time to understand who you are, your situation, and what your hopes and needs are and then provide the type of therapy which will be the best fit for you
01246 948677 View 01246 948677
Photo of Ana Ochoa de Eribe, Psychotherapist, MBACP
Ana Ochoa de Eribe
Psychotherapist, MBACP
I work in English and SPANISH. As a psychotherapist since 2001, I offer online and in-person compassionate support to help you navigate life's challenges and rediscover your inner strength and purpose. Whether you're seeking clarity during difficult times, healing from past experiences, or striving for personal growth, I provide a safe, confidential space tailored to your unique needs. My services include individual therapy, couples therapy, group therapy, and specialized workshops focusing on mother-daughter and father-daughter relationships.
I work in English and SPANISH. As a psychotherapist since 2001, I offer online and in-person compassionate support to help you navigate life's challenges and rediscover your inner strength and purpose. Whether you're seeking clarity during difficult times, healing from past experiences, or striving for personal growth, I provide a safe, confidential space tailored to your unique needs. My services include individual therapy, couples therapy, group therapy, and specialized workshops focusing on mother-daughter and father-daughter relationships.
01246 607023 View 01246 607023
Photo of Claire Michele Taylor - Inspire Counselling and Wellbeing , Counsellor, BACP
Inspire Counselling and Wellbeing
Counsellor, BACP
2 Endorsed
Welcome to Inspire Counselling and Wellbeing practice. My name is Claire, and I am a dedicated, compassionate, and qualified counsellor. My approach is integrative, meaning I utilise a variety of therapeutic techniques tailored to meet the unique needs of every client. My ethos is rooted in empathy, understanding, listening and a deep commitment to empower personal growth and healing. Creating a safe and supportive environment where clients can explore their feelings without judgement, fostering a therapeutic relationship. I am proficient working with anxiety, depression, trauma, bereavement, domestic abuse and neurodivergence.
Welcome to Inspire Counselling and Wellbeing practice. My name is Claire, and I am a dedicated, compassionate, and qualified counsellor. My approach is integrative, meaning I utilise a variety of therapeutic techniques tailored to meet the unique needs of every client. My ethos is rooted in empathy, understanding, listening and a deep commitment to empower personal growth and healing. Creating a safe and supportive environment where clients can explore their feelings without judgement, fostering a therapeutic relationship. I am proficient working with anxiety, depression, trauma, bereavement, domestic abuse and neurodivergence.
01246 948541 View 01246 948541
Photo of Sian Alexandra Spencer-Bray - Therapy & Lifestyle Clinic (TLC), Psychotherapist, MSc, COSRT General
Therapy & Lifestyle Clinic (TLC)
Psychotherapist, MSc, COSRT General
TLC is a clinic of experienced and highly qualified professionals working towards helping you better yourself. We work with individuals, couples and groups to offer a confidential service where clients can discuss sensitive issues with no judgement. Sian’s (the founder) career has been namely in mental health and sexual health, two areas which she is hugely passionate about. At TLC we work with a range of difficulties including anxiety, depression, bereavement, stress, bullying, low self-esteem, sex & relationships and offer Autism assessments, to name a few. All our professionals are registered with COSRT, BABCP, BACP, HCPC or BPS.
TLC is a clinic of experienced and highly qualified professionals working towards helping you better yourself. We work with individuals, couples and groups to offer a confidential service where clients can discuss sensitive issues with no judgement. Sian’s (the founder) career has been namely in mental health and sexual health, two areas which she is hugely passionate about. At TLC we work with a range of difficulties including anxiety, depression, bereavement, stress, bullying, low self-esteem, sex & relationships and offer Autism assessments, to name a few. All our professionals are registered with COSRT, BABCP, BACP, HCPC or BPS.
01246 607005 View 01246 607005
Photo of Bex Fennell, Psychotherapist, MNCPS Acc.
Bex Fennell
Psychotherapist, MNCPS Acc.
Not accepting new clients
Hi, I am Bex and I am an Accredited Integrative Psychotherapist (NCPS) and Counsellor with over 20 years’ experience of working within mental health. I work individually with both adults and children. I also offer sessions with the whole family to support positive changes. I know that seeking counselling can be a daunting process, however, I offer a warm, supportive and non- judgemental space where we can explore any issues that could be preventing you from living a more fulfilling life. Each client is unique with their own perspective and understanding. It is my work to sit alongside you and understand your pain.
Hi, I am Bex and I am an Accredited Integrative Psychotherapist (NCPS) and Counsellor with over 20 years’ experience of working within mental health. I work individually with both adults and children. I also offer sessions with the whole family to support positive changes. I know that seeking counselling can be a daunting process, however, I offer a warm, supportive and non- judgemental space where we can explore any issues that could be preventing you from living a more fulfilling life. Each client is unique with their own perspective and understanding. It is my work to sit alongside you and understand your pain.
View
Photo of Lisa Hammond, Psychotherapist, BACP
Lisa Hammond
Psychotherapist, BACP
Hi, I'm Lisa, an integrative psychotherapist (PGDip), and an individual member of the BACP. I appreciate that starting your therapeutic journey is not easy. With this in mind, I strive to create a safe space that is confidential and professional, but also comfortable, compassionate, and empowering to facilitate your journey to improved well-being, mental health, and quality of life. As difficult as it can be to reach out for support, it can be just as difficult to stay where we are, especially if we are suffering. I hope that today you feel able to reach out and begin rebuilding your story.
Hi, I'm Lisa, an integrative psychotherapist (PGDip), and an individual member of the BACP. I appreciate that starting your therapeutic journey is not easy. With this in mind, I strive to create a safe space that is confidential and professional, but also comfortable, compassionate, and empowering to facilitate your journey to improved well-being, mental health, and quality of life. As difficult as it can be to reach out for support, it can be just as difficult to stay where we are, especially if we are suffering. I hope that today you feel able to reach out and begin rebuilding your story.
01246 948660 View 01246 948660
New Horizons Counselling
Counsellor, FNCPS
Hello I’m Heather. I offer a safe, confidential and none judgmental space for you to be able to explore the reason that has brought you to counselling. We will work together, at your pace, to find ways that will empower you to help you to re-gain control of your life again.
Hello I’m Heather. I offer a safe, confidential and none judgmental space for you to be able to explore the reason that has brought you to counselling. We will work together, at your pace, to find ways that will empower you to help you to re-gain control of your life again.
01246 948515 View 01246 948515
Photo of Nicola Penny, Psychotherapist, MBABCP
Nicola Penny
Psychotherapist, MBABCP
1 Endorsed
Online Only
Hi there, I am sorry that you are experiencing a tough time, I am here to help you as best as I can. People say they find me warm, soothing and easy to connect with, I look forward to hearing from you.
Hi there, I am sorry that you are experiencing a tough time, I am here to help you as best as I can. People say they find me warm, soothing and easy to connect with, I look forward to hearing from you.
01246 948648 View 01246 948648
Photo of Richard Carter, Counsellor, MNCPS Acc.
Richard Carter
Counsellor, MNCPS Acc.
Dealing with the fundamental challenges of life can be difficult; work, family, relationships, anxieties, depression and many other issues that can have a detrimental impact on your well-being. Reaching out for therapy is the start of your journey and together we will address those issues. I will support you along the way to realise the harmony and contentment you so deserve. My purpose is to steer you to a place where you can feel at ‘one’ within yourself and your world, making sense of your experiences, and recognising how your interaction with others impacts not only what you feel, but importantly the way you respond.
Dealing with the fundamental challenges of life can be difficult; work, family, relationships, anxieties, depression and many other issues that can have a detrimental impact on your well-being. Reaching out for therapy is the start of your journey and together we will address those issues. I will support you along the way to realise the harmony and contentment you so deserve. My purpose is to steer you to a place where you can feel at ‘one’ within yourself and your world, making sense of your experiences, and recognising how your interaction with others impacts not only what you feel, but importantly the way you respond.
01246 948546 View 01246 948546
Photo of Gay Ilona Horvath
Gay Ilona Horvath
Verified Verified
I am a qualified Cognitive Analytic Therapist and EMDR practitioner. Having worked in the NHS for 30 years as a Mental Health Nurse I have a variety of experiences, helping people with depression, anxiety, parenthood, and trauma. I can offer a compassionate safe space online or face to face in Chesterfield or Ashbourne I have extensive experience and feel passionate about treating men, women who experience mental health issues during the perinatal period. It is really important to be able to access help swiftly. I offer screening for ADHD, coping skills and support for parents and carers. If you’re struggling with your emotions?
I am a qualified Cognitive Analytic Therapist and EMDR practitioner. Having worked in the NHS for 30 years as a Mental Health Nurse I have a variety of experiences, helping people with depression, anxiety, parenthood, and trauma. I can offer a compassionate safe space online or face to face in Chesterfield or Ashbourne I have extensive experience and feel passionate about treating men, women who experience mental health issues during the perinatal period. It is really important to be able to access help swiftly. I offer screening for ADHD, coping skills and support for parents and carers. If you’re struggling with your emotions?
01246 607024 View 01246 607024
Photo of Tracey Adams, Psychotherapist, MSc, MUKCP
Tracey Adams
Psychotherapist, MSc, MUKCP
Serves Area
Hi I am a UKCP accredited psychotherapist and clinical supervisor working in the Derby area. I have over 30 years experience working within Forensic and Mental Health Services both within the public and voluntary sector including Civil Service and the NHS. I hold an MSc in Integrative Psychotherapy however I have extensive CPD training, which I integrate within my practice including Hypnotherapy, EMDR, Group Analysis and in more recent years with the expansion in neuroscience research I have trained in Comprehensive Resource Model (CRM).
Hi I am a UKCP accredited psychotherapist and clinical supervisor working in the Derby area. I have over 30 years experience working within Forensic and Mental Health Services both within the public and voluntary sector including Civil Service and the NHS. I hold an MSc in Integrative Psychotherapy however I have extensive CPD training, which I integrate within my practice including Hypnotherapy, EMDR, Group Analysis and in more recent years with the expansion in neuroscience research I have trained in Comprehensive Resource Model (CRM).
07889 510099 View 07889 510099
Photo of Yvonne Caroline Ainsworth, Counsellor
Yvonne Caroline Ainsworth
Counsellor
Serves Area
When overwhelmed by life’s difficulties, struggling with loss or suffering from anxiety, stress, and depression, people often have no one to turn to. Even with friends or family who love them, they don’t feel able to talk openly, due to guilt or embarrassment, or particularly in the case of bereavement, through not wanting to burden others. Often desperate to be ‘heard’ and supported, my clients come to me for counselling and find release as I allow them to offload from a place of pain, helping them find ways to cope with life again. It’s a ‘safe place’ – they can be ‘real’ without any fear of judgement.
When overwhelmed by life’s difficulties, struggling with loss or suffering from anxiety, stress, and depression, people often have no one to turn to. Even with friends or family who love them, they don’t feel able to talk openly, due to guilt or embarrassment, or particularly in the case of bereavement, through not wanting to burden others. Often desperate to be ‘heard’ and supported, my clients come to me for counselling and find release as I allow them to offload from a place of pain, helping them find ways to cope with life again. It’s a ‘safe place’ – they can be ‘real’ without any fear of judgement.
01629 701455 View 01629 701455
Photo of Jane McClaren - Sheffield CBT & Counselling Practice, Psychotherapist, MBABCP
Sheffield CBT & Counselling Practice
Psychotherapist, MBABCP
Serves Area
We at Sheffield CBT & Counselling Practice are committed to helping people to overcome difficult and distressing times. We provide a safe and personalised service offering solutions for people experiencing a range of difficulties from anxiety, depression, panic attacks, worrying, social phobia, low self esteem, public speaking, OCD, & PTSD. At the center of Sheffield CBT & Counselling Practice is an approach that supports clients to reach psychological and personal well-being,
We at Sheffield CBT & Counselling Practice are committed to helping people to overcome difficult and distressing times. We provide a safe and personalised service offering solutions for people experiencing a range of difficulties from anxiety, depression, panic attacks, worrying, social phobia, low self esteem, public speaking, OCD, & PTSD. At the center of Sheffield CBT & Counselling Practice is an approach that supports clients to reach psychological and personal well-being,
0114 478 2065 View 0114 478 2065
Photo of Dr Melita Ash - Dr Melita Ash, Percuro Psychology, Psychologist, HCPC - Clin. Psych.
Dr Melita Ash, Percuro Psychology
Psychologist, HCPC - Clin. Psych.
1 Endorsed
Serves Area
Is your child or teen finding things hard at the moment and you want to help, but struggling to know how? Are you feeling anxious and overwhelmed? Maybe your child has OCD and needs some specialist psychological support? Do you want your child or teen to feel calmer, happier and skilled at managing their emotions, and to feel empowered as a parent, secure in your knowledge of how best to help? Dr Ash is a specialist in working with children/teens & young adults with obsessive-compulsive disorder (OCD), anxiety and trauma related difficulties.
Is your child or teen finding things hard at the moment and you want to help, but struggling to know how? Are you feeling anxious and overwhelmed? Maybe your child has OCD and needs some specialist psychological support? Do you want your child or teen to feel calmer, happier and skilled at managing their emotions, and to feel empowered as a parent, secure in your knowledge of how best to help? Dr Ash is a specialist in working with children/teens & young adults with obsessive-compulsive disorder (OCD), anxiety and trauma related difficulties.
07480 789538 View 07480 789538
Photo of Shirani Situnayake, Counsellor, PNCPS Acc.
Shirani Situnayake
Counsellor, PNCPS Acc.
Serves Area
I have extensive experience of working with a variety of issues, particularly those affecting women and bring a deep understanding and considerable empathy to my therapeutic work. Struggles with anger, child sexual abuse, self harm, anxiety, depression, sexual violence and domestic abuse, addictions, self esteem, cultural issues, identity issues, sexuality issues, eating issues and self confidence, PTSD and trauma.
I have extensive experience of working with a variety of issues, particularly those affecting women and bring a deep understanding and considerable empathy to my therapeutic work. Struggles with anger, child sexual abuse, self harm, anxiety, depression, sexual violence and domestic abuse, addictions, self esteem, cultural issues, identity issues, sexuality issues, eating issues and self confidence, PTSD and trauma.
01623 572202 View 01623 572202
Photo of Chloe Hallatt, Counsellor, UKCP Trainee
Chloe Hallatt
Counsellor, UKCP Trainee
1 Endorsed
Serves Area
Hi, I'm Chloe. I have a small practice in Belper (Derbyshire) as well as online, seeing clients across the country. Some of my clients I am currently working with, are exploring topics such as: neurodiversity (self or professionally diagnosed) work-related stress, sexuality and bereavement. I love working with clients to explore power and have noticed lots of clients exploring themes of finding their voice establishing boundaries, particularly with parents as they enter adulthood. I have an interest on working with women experiencing body-image issues, challenges surrounding weight loss and bariatric surgery.
Hi, I'm Chloe. I have a small practice in Belper (Derbyshire) as well as online, seeing clients across the country. Some of my clients I am currently working with, are exploring topics such as: neurodiversity (self or professionally diagnosed) work-related stress, sexuality and bereavement. I love working with clients to explore power and have noticed lots of clients exploring themes of finding their voice establishing boundaries, particularly with parents as they enter adulthood. I have an interest on working with women experiencing body-image issues, challenges surrounding weight loss and bariatric surgery.
07359 674801 View 07359 674801
Photo of Shanell Carolee Jackson - Shanell Jackson Therapy , Psychotherapist, MBACP Accred
Shanell Jackson Therapy
Psychotherapist, MBACP Accred
Online Only
Hi! I’m Shanell (she/her), a BACP accredited Counsellor/Psychotherapist. I currently offer counselling to adult individuals and adolescents (16+) online via video call. Starting therapy can feel really daunting and you may not know where to start, what to say or what to expect and that is perfectly okay. My aim as a therapist is to make you feel as comfortable as possible and work with you through this process. I have over 7 years of experience working with young people and adults from a wide range of backgrounds including the LGBTQIA+ community and ethnic minorities. I have experience working within NHS services and privately.
Hi! I’m Shanell (she/her), a BACP accredited Counsellor/Psychotherapist. I currently offer counselling to adult individuals and adolescents (16+) online via video call. Starting therapy can feel really daunting and you may not know where to start, what to say or what to expect and that is perfectly okay. My aim as a therapist is to make you feel as comfortable as possible and work with you through this process. I have over 7 years of experience working with young people and adults from a wide range of backgrounds including the LGBTQIA+ community and ethnic minorities. I have experience working within NHS services and privately.
View
Photo of Dr Gemma Kothari, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Gemma Kothari
Psychologist, PsychD, HCPC - Clin. Psych.
Serves Area
You're finding life hard, feeling stuck, or you need to work through something and make changes. Perhaps you are struggling with anxiety, low mood, relationship problems, work issues, or low self-esteem. Within the safety of a therapeutic relationship, we can understand the ways in which you have learned to cope with what has happened in your life. I offer Cognitive Analytic Therapy (CAT) aimed at understanding the repeating patterns of how you relate to yourself and to others in ways that keep your difficulties going. Recognising the patterns ultimately allows you to make lasting positive changes to live a fulfilling life.
You're finding life hard, feeling stuck, or you need to work through something and make changes. Perhaps you are struggling with anxiety, low mood, relationship problems, work issues, or low self-esteem. Within the safety of a therapeutic relationship, we can understand the ways in which you have learned to cope with what has happened in your life. I offer Cognitive Analytic Therapy (CAT) aimed at understanding the repeating patterns of how you relate to yourself and to others in ways that keep your difficulties going. Recognising the patterns ultimately allows you to make lasting positive changes to live a fulfilling life.
0114 697 2716 View 0114 697 2716
1

See more therapy options for S40

How does your Counsellor compare?

Number of Counsellors in S40

30+

Average cost per session

£55

Counsellors in S40 who prioritize treating:

91% Anxiety
86% Depression
86% Self Esteem
77% Relationship Issues
77% Bereavement
74% Coping Skills
74% Stress

Average years in practice

11 Years

Top 3 insurances accepted

50% Bupa
40% Aviva
30% Cigna and Evernorth

How Counsellors in S40 see their clients

95% In Person and Online
5% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counselling

How can I find a therapist in S40?

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.