Photo of Elaine Joy Stephenson, MBACP, Counsellor
Elaine Joy Stephenson
Counsellor, MBACP
Verified Verified
As a mother of four and a family support worker for many years before qualifying as a counsellor, I have first-hand experience of the challenges of family life and how difficult it can be to navigate. The days can start to feel overwhelming and unmanageable, inducing massive stress and anxiety. Or perhaps the early years were okay, but now the family is mature and you are feeling sad or stuck, with no sense of how to move forward. Therapy gives you the chance to focus on who you are, as well as your relationships with others and the world around you.
As a mother of four and a family support worker for many years before qualifying as a counsellor, I have first-hand experience of the challenges of family life and how difficult it can be to navigate. The days can start to feel overwhelming and unmanageable, inducing massive stress and anxiety. Or perhaps the early years were okay, but now the family is mature and you are feeling sad or stuck, with no sense of how to move forward. Therapy gives you the chance to focus on who you are, as well as your relationships with others and the world around you.
020 3893 2344 View 020 3893 2344
Photo of Dr Stephanie Okwu, PsychD, HCPC - Couns. Psych., Psychologist
Dr Stephanie Okwu
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
Are you feeling overwhelmed by your thoughts and feelings or perhaps you are feeling unable to cope with the pressures you face in your life. Seeking therapy can be a helpful means to find peace and balance in our lives and regain a sense of purpose and control. I am Chartered Principal Counselling Psychologist with over 10 years experience of working in the NHS with a diverse range of clients and difficulties. I am trained in compassion based, psychodynamic, cognitive behavioural (CBT) and humanistic approaches. I will provide you with a bespoke and individualised form of therapy; specially developed for you and your needs.
Are you feeling overwhelmed by your thoughts and feelings or perhaps you are feeling unable to cope with the pressures you face in your life. Seeking therapy can be a helpful means to find peace and balance in our lives and regain a sense of purpose and control. I am Chartered Principal Counselling Psychologist with over 10 years experience of working in the NHS with a diverse range of clients and difficulties. I am trained in compassion based, psychodynamic, cognitive behavioural (CBT) and humanistic approaches. I will provide you with a bespoke and individualised form of therapy; specially developed for you and your needs.
020 4538 8484 View 020 4538 8484
Photo of Dr Aysha Begum - Dr. Aysha Begum (Blackheath Therapy), PhD, HCPC - Clin. Psych., Psychologist
Dr. Aysha Begum (Blackheath Therapy)
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
As a clinical psychologist I work across the age span i.e. from childhood to older age, and with all types of emotional and psychological difficulties. I use a range of psychological therapies including Eye Movement Desensitisation and Reprocessing (EMDR), Cognitive and Behavioural Therapy (CBT), Mindfulness-based CBT, Trauma-focused CBT, Narrative Exposure Therapy (NET), Compassion Focused Therapy (CFT) and Dialectic Behavioural Therapy (DBT).
As a clinical psychologist I work across the age span i.e. from childhood to older age, and with all types of emotional and psychological difficulties. I use a range of psychological therapies including Eye Movement Desensitisation and Reprocessing (EMDR), Cognitive and Behavioural Therapy (CBT), Mindfulness-based CBT, Trauma-focused CBT, Narrative Exposure Therapy (NET), Compassion Focused Therapy (CFT) and Dialectic Behavioural Therapy (DBT).
View
Photo of Dr Helena Nundy, DCounsPsych, HCPC - Couns. Psych., Psychologist
Dr Helena Nundy
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
We all encounter difficult times in life. The loss of loved ones, relationship breakdown, difficulties at work, and poor physical health, for example, may have a huge impact on our ability to function. During these times we may find it difficult to cope and struggle to know what to do to feel better.
We all encounter difficult times in life. The loss of loved ones, relationship breakdown, difficulties at work, and poor physical health, for example, may have a huge impact on our ability to function. During these times we may find it difficult to cope and struggle to know what to do to feel better.
020 4538 4212 View 020 4538 4212
Photo of Amanda Webster, DCounsPsych, MNCPS Acc., Counsellor
Amanda Webster
Counsellor, DCounsPsych, MNCPS Acc.
Verified Verified
Amanda has a natural connection with children and young adults, some of whom are on the autism spectrum and has been working for 3 years with various levels of severity of different autistic levels - she also has working with clients with ADHD, helping them with anxieties, Executive dysfunction and Emotional Regulation - she was diagnosed last year so gets it - Amanda works with the LGBTQAI+ community and specialises in helping those through transition. a fully trained hypnotherapist who uses hypnosis if and when a client wants to try it - we have great success with combined therapies- www.ajwebstertherapies.co.uk
Amanda has a natural connection with children and young adults, some of whom are on the autism spectrum and has been working for 3 years with various levels of severity of different autistic levels - she also has working with clients with ADHD, helping them with anxieties, Executive dysfunction and Emotional Regulation - she was diagnosed last year so gets it - Amanda works with the LGBTQAI+ community and specialises in helping those through transition. a fully trained hypnotherapist who uses hypnosis if and when a client wants to try it - we have great success with combined therapies- www.ajwebstertherapies.co.uk
020 3856 3533 View 020 3856 3533
Photo of Mudimo Okondo, MA, MBACP, Counsellor
Mudimo Okondo
Counsellor, MA, MBACP
Verified Verified
I have over 20 years experience working in the personal development, mentoring, and mental health fields, working with a broad range and severity of issues including: anxiety and depression, family/relationship conflicts, life transitions, trauma/abuse, challenges in being neuro-atypical, and the affirmation of sexual orientation and gender identity.
I have over 20 years experience working in the personal development, mentoring, and mental health fields, working with a broad range and severity of issues including: anxiety and depression, family/relationship conflicts, life transitions, trauma/abuse, challenges in being neuro-atypical, and the affirmation of sexual orientation and gender identity.
020 3835 5796 View 020 3835 5796
Photo of Kirsty Carmichael, PsychD, HCPC - Clin. Psych., Psychologist
Kirsty Carmichael
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London SE3  (Online Only)
I am Dr Kirsty Carmichael and I am a Practitioner Psychologist registered with the Health and Care Professions Council (HCPC) with more than 12 years experience of working in the NHS. I offer a range of psychological therapies for adults, young people, couples and families.
I am Dr Kirsty Carmichael and I am a Practitioner Psychologist registered with the Health and Care Professions Council (HCPC) with more than 12 years experience of working in the NHS. I offer a range of psychological therapies for adults, young people, couples and families.
020 3835 5282 View 020 3835 5282
Photo of Lucy Samantha Payne, PsychD, HCPC - Clin. Psych., Psychologist
Lucy Samantha Payne
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Taking that first step to starting therapy can be overwhelming. That's why talking with a supportive, non-judgemental, experienced Clinical Psychologist, who believes in the importance of people feeling safe and heard can be incredibly beneficial. My sessions are collaborative and use an integrative approach, drawing on a range of psychological models that prioritises peoples strengths and values to help individuals make sense of their past and present experiences. The sessions aim to help people feel happier, calmer and develop their own resources to manage emotions, relationships and difficult life events that may occur.
Taking that first step to starting therapy can be overwhelming. That's why talking with a supportive, non-judgemental, experienced Clinical Psychologist, who believes in the importance of people feeling safe and heard can be incredibly beneficial. My sessions are collaborative and use an integrative approach, drawing on a range of psychological models that prioritises peoples strengths and values to help individuals make sense of their past and present experiences. The sessions aim to help people feel happier, calmer and develop their own resources to manage emotions, relationships and difficult life events that may occur.
020 3910 0897 View 020 3910 0897
Photo of Elaine da Silva, MSc, MBACP, Psychotherapist
Elaine da Silva
Psychotherapist, MSc, MBACP
Verified Verified
I believe therapy can offer a safe space for self-discovery that provides you with an opportunity to creatively discover how you want to live. I am particularly inclined to listen to how an individual describes their world, as I believe each person experiences life in a unique way that can rarely be communicated to someone else. I have worked extensively with individuals facing challenges such as anxiety (towards a specific situation and generalised), depression, breakdown of a relationship, grieving, work issues, infertility and addiction. I also focus on the metaphysical meaning of physical illness to improve wellbeing.
I believe therapy can offer a safe space for self-discovery that provides you with an opportunity to creatively discover how you want to live. I am particularly inclined to listen to how an individual describes their world, as I believe each person experiences life in a unique way that can rarely be communicated to someone else. I have worked extensively with individuals facing challenges such as anxiety (towards a specific situation and generalised), depression, breakdown of a relationship, grieving, work issues, infertility and addiction. I also focus on the metaphysical meaning of physical illness to improve wellbeing.
020 3984 8413 View 020 3984 8413
Photo of Olga Konstantinidou, MSc, HCPC - Clin. Psych., Psychologist
Olga Konstantinidou
Psychologist, MSc, HCPC - Clin. Psych.
Verified Verified
London SE3  (Online Only)
I am a multilingual (English, and Greek speaking) Consultant Clinical Psychologist, recognised by leading professional organisations: The British Psychological Society (CPsychol), and the Health & Care Professions Council (HCPC), offering online therapy. I have worked clinically in a number of settings within mental health care industry and with clients from a variety of backgrounds, presenting complex and mild psychological difficulties. I am trained in Cognitive Behavioural Therapy (CBT), Schema Therapy , DBT, Mindfulness, CFT, CAT as well as Systemic approach.
I am a multilingual (English, and Greek speaking) Consultant Clinical Psychologist, recognised by leading professional organisations: The British Psychological Society (CPsychol), and the Health & Care Professions Council (HCPC), offering online therapy. I have worked clinically in a number of settings within mental health care industry and with clients from a variety of backgrounds, presenting complex and mild psychological difficulties. I am trained in Cognitive Behavioural Therapy (CBT), Schema Therapy , DBT, Mindfulness, CFT, CAT as well as Systemic approach.
View
Photo of Rhiana Sheth, MA, MBABCP, Psychotherapist
Rhiana Sheth
Psychotherapist, MA, MBABCP
Verified Verified
London SE3  (Online Only)
Hello and welcome to my page. My name is Rhiana and I am a qualified and accredited CBT therapist. Are you struggling with mental health, insomnia, or just want to increase your performance in all areas? If you are looking make positive changes in your life then look no further. I offer remote therapy so that we can start working together whenever and wherever suits you best.
Hello and welcome to my page. My name is Rhiana and I am a qualified and accredited CBT therapist. Are you struggling with mental health, insomnia, or just want to increase your performance in all areas? If you are looking make positive changes in your life then look no further. I offer remote therapy so that we can start working together whenever and wherever suits you best.
020 3870 3597 View 020 3870 3597
Photo of Dr Angeliki Schiza, PsychD, HCPC - Clin. Psych., Psychologist
Dr Angeliki Schiza
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London SE3  (Online Only)
I am a Senior Clinical Psychologist with over 12 years of experience in a range of NHS services. I work integratively offering evidence-based therapies, particularly Cognitive Behavioural Therapy (CBT), Compassion Focused Therapy (CFT), Acceptance and Commitment Therapy (ACT) and Narrative Therapy. I work collaboratively to help you identify what is keeping you stuck and set goals for changes that are important for you. You have the answers and I believe in being alongside you on the journey of exploring, understanding yourself and providing a space for you to grow and heal, opening up new possibilities for the future.
I am a Senior Clinical Psychologist with over 12 years of experience in a range of NHS services. I work integratively offering evidence-based therapies, particularly Cognitive Behavioural Therapy (CBT), Compassion Focused Therapy (CFT), Acceptance and Commitment Therapy (ACT) and Narrative Therapy. I work collaboratively to help you identify what is keeping you stuck and set goals for changes that are important for you. You have the answers and I believe in being alongside you on the journey of exploring, understanding yourself and providing a space for you to grow and heal, opening up new possibilities for the future.
020 7046 0649 View 020 7046 0649
Photo of Sasha Louise - Sasha Louise, Counsellor
Sasha Louise
Counsellor
Verified Verified
1 Endorsed
As a dedicated CBT therapist I work with clients who suffer with anxiety, depression, panic attacks, bereavement, emotional eating and more. CBT is a talk based therapy that uses techniques to help clients trapped in negative thought patterns, emotions and behaviours move to positive ones to improve the quality of day to day life. We will work together to achieving your therapy goals. With a person centered approach I empower individuals through self awareness to better understand their thought process, navigate their emotional landscape and express their behaviours differently.
As a dedicated CBT therapist I work with clients who suffer with anxiety, depression, panic attacks, bereavement, emotional eating and more. CBT is a talk based therapy that uses techniques to help clients trapped in negative thought patterns, emotions and behaviours move to positive ones to improve the quality of day to day life. We will work together to achieving your therapy goals. With a person centered approach I empower individuals through self awareness to better understand their thought process, navigate their emotional landscape and express their behaviours differently.
020 4537 3010 View 020 4537 3010
Photo of Alun Jones, Counsellor
Alun Jones
Counsellor
Verified Verified
I work with people (mainly men) who feel stressed, depressed, anxious, or perhaps a little bit lost and need some help to relax, feel more self-confident and balanced, and more able to cope and enjoy their lives more happily. We can all feel down, depressed, and lost at times, but with gentleness, patience, and support it can be changed. Some of my clients just need help getting clear on their aims and goals and taking action to get there. Some clients need more ongoing support to help them cope with day-to-day stresses, and also with building their self-confidence and self-esteem.
I work with people (mainly men) who feel stressed, depressed, anxious, or perhaps a little bit lost and need some help to relax, feel more self-confident and balanced, and more able to cope and enjoy their lives more happily. We can all feel down, depressed, and lost at times, but with gentleness, patience, and support it can be changed. Some of my clients just need help getting clear on their aims and goals and taking action to get there. Some clients need more ongoing support to help them cope with day-to-day stresses, and also with building their self-confidence and self-esteem.
020 8103 5606 View 020 8103 5606
Photo of Aariya Rae, PsychD, HCPC - Clin. Psych., Psychologist
Aariya Rae
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London SE3  (Online Only)
I offer Integrative Therapy for adults and young people, and family work. I specialise in anxiety, over- thinking, adhd, healing from childhood trauma and parenting for children with neurodiversity. I take a holistic, intuitive and non judgemental approach, where all parts of you (and your child) are welcome.
I offer Integrative Therapy for adults and young people, and family work. I specialise in anxiety, over- thinking, adhd, healing from childhood trauma and parenting for children with neurodiversity. I take a holistic, intuitive and non judgemental approach, where all parts of you (and your child) are welcome.
View
Photo of Deon Remzi, MBACP, Counsellor
Deon Remzi
Counsellor, MBACP
Verified Verified
1 Endorsed
As an integrative counsellor, I merge various humanistic and psychodynamic therapeutic modalities to offer comprehensive support. Offering long & short term therapy specialising in, Anxiety, Depression, Abuse, Family issues, Early years parenting, Suicide, Bereavement & Relationship issues. My practice is built on a foundation of compassion, believing in the inherent capacity for growth and healing within you. Cultural awareness is paramount, as I deeply value and honour your diverse background, experiences, and identities. By embracing your unique cultural differences, I ensure that my therapeutic approach is inclusive.
As an integrative counsellor, I merge various humanistic and psychodynamic therapeutic modalities to offer comprehensive support. Offering long & short term therapy specialising in, Anxiety, Depression, Abuse, Family issues, Early years parenting, Suicide, Bereavement & Relationship issues. My practice is built on a foundation of compassion, believing in the inherent capacity for growth and healing within you. Cultural awareness is paramount, as I deeply value and honour your diverse background, experiences, and identities. By embracing your unique cultural differences, I ensure that my therapeutic approach is inclusive.
020 7123 9359 View 020 7123 9359
Photo of Paola Filotico, PsychD, HCPC - Clin. Psych., Psychologist
Paola Filotico
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London SE3  (Online Only)
Sometimes life hits hard and we find it hard to cope. Sometimes everything seems to be well, and still, we are unhappy. There are times when we feel haunted by our past, and times when we just don’t understand some parts of ourselves - thoughts, emotions, or even physical pain. And we are going through increasing global uncertainty: Covid, the current political and financial situation, wars and climate change are only a few of the unsettling topic we are exposed to 24/7 - we are facing a previously unimaginable amount of collective stress, anxiety and grief.
Sometimes life hits hard and we find it hard to cope. Sometimes everything seems to be well, and still, we are unhappy. There are times when we feel haunted by our past, and times when we just don’t understand some parts of ourselves - thoughts, emotions, or even physical pain. And we are going through increasing global uncertainty: Covid, the current political and financial situation, wars and climate change are only a few of the unsettling topic we are exposed to 24/7 - we are facing a previously unimaginable amount of collective stress, anxiety and grief.
020 8059 8389 View 020 8059 8389
Photo of Ildiko Victoria Szatmari, MSc, MUKCP, Psychotherapist
Ildiko Victoria Szatmari
Psychotherapist, MSc, MUKCP
Verified Verified
Welcome to a safe place to talk. There are many reasons why people reach out for help. It may be connected with relationship difficulties, feeling lonely, suffering a bereavement, experiencing anxiety, panic attacks, struggling with depression, trauma, anger, low self-esteem, or work issues. Sometimes there is nothing specific to name. I am a qualified, registered and experienced therapist, holding a degree in psychology and I have been professionally trained in psychodynamic psychotherapy. I am a member of the professional bodies UKCP and FPC.
Welcome to a safe place to talk. There are many reasons why people reach out for help. It may be connected with relationship difficulties, feeling lonely, suffering a bereavement, experiencing anxiety, panic attacks, struggling with depression, trauma, anger, low self-esteem, or work issues. Sometimes there is nothing specific to name. I am a qualified, registered and experienced therapist, holding a degree in psychology and I have been professionally trained in psychodynamic psychotherapy. I am a member of the professional bodies UKCP and FPC.
020 3870 2948 View 020 3870 2948
Photo of Louise Bentley, Counsellor
Louise Bentley
Counsellor
Verified Verified
London SE3  (Online Only)
It can be really difficult to ask for help so as a counsellor I take your interest seriously. I offer a safe, confidential and non judgemental relationship within which we can explore your thoughts and feelings. A place where you will be heard, understood and where I can help you find a way forward from the difficulties you may be experiencing. Whether it be childhood trauma, relationship issues, low self esteem, abuse, depression or something you just can't put your finger on, by contacting myself for counselling is the first step to positive change.
It can be really difficult to ask for help so as a counsellor I take your interest seriously. I offer a safe, confidential and non judgemental relationship within which we can explore your thoughts and feelings. A place where you will be heard, understood and where I can help you find a way forward from the difficulties you may be experiencing. Whether it be childhood trauma, relationship issues, low self esteem, abuse, depression or something you just can't put your finger on, by contacting myself for counselling is the first step to positive change.
01227 931095 View 01227 931095
Photo of Dr Emma Larsson-Thomas, HCPC - Clin. Psych., Psychologist
Dr Emma Larsson-Thomas
Psychologist, HCPC - Clin. Psych.
Verified Verified
I am a qualified Clinical Psychologist with over 10 years experience. Individuals coming to see me may be considering therapy for a specific concern or difficulty (e.g. anxiety, depression, relationship difficulties) or have a specific question, event or life transition that needs attention. Others may have noticed that they are stuck in unhelpful and painful patterns. Or perhaps wanting to get to know themselves on a deeper level or change the way they interact with themselves.
I am a qualified Clinical Psychologist with over 10 years experience. Individuals coming to see me may be considering therapy for a specific concern or difficulty (e.g. anxiety, depression, relationship difficulties) or have a specific question, event or life transition that needs attention. Others may have noticed that they are stuck in unhelpful and painful patterns. Or perhaps wanting to get to know themselves on a deeper level or change the way they interact with themselves.
020 3984 9972 View 020 3984 9972
1

See more therapy options for SE3

How does your Counsellor compare?

Number of Counsellors in SE3

60+

Average cost per session

£70

Counsellors in SE3 who prioritize treating:

92% Anxiety
86% Depression
85% Stress
83% Self Esteem
82% Relationship Issues
61% Trauma and PTSD
61% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

63% Vitality
52% Aviva
48% AXA PPP

How Counsellors in SE3 see their clients

82% In Person and Online
18% Online Only

Gender breakdown

74% Female
23% Male
3% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in SE3?

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.