Counselling in SE7

Photo of Christopher Brown - Click Therapies, Psychotherapist, MSc, GMBPsS
Click Therapies
Psychotherapist, MSc, GMBPsS
London SE7
Click Therapies are a small team of UK accredited therapists, nurses and doctors. We are a dedicated online psychological wellbeing service that meets the challenges of the 21st century. We work collaboratively with all our clients to offer a personalised therapy experience to achieve the best recovery outcomes for you. Our service is flexible to meet your needs needs. You can access therapy, anytime, anywhere at your convenience . We deliver evidence based treatments in line with National Guidelines and World Health Organisation. Why not connect with us for your FREE 15min consultation, you have nothing to lose...
Click Therapies are a small team of UK accredited therapists, nurses and doctors. We are a dedicated online psychological wellbeing service that meets the challenges of the 21st century. We work collaboratively with all our clients to offer a personalised therapy experience to achieve the best recovery outcomes for you. Our service is flexible to meet your needs needs. You can access therapy, anytime, anywhere at your convenience . We deliver evidence based treatments in line with National Guidelines and World Health Organisation. Why not connect with us for your FREE 15min consultation, you have nothing to lose...
0117 456 2766 View 0117 456 2766
Photo of Markus Kitzberger, Psychotherapist, MA, MUKCP
Markus Kitzberger
Psychotherapist, MA, MUKCP
London SE7
Does life feel like its getting on top of you? Could you benefit from a place to take some time-out? At certain times we all experience difficulties and doubt, go through life transitions (career change, divorce, new relationship, mid-life crisis) or discover patterns in our lives that are un-supportive. Seeing a counsellor or psychotherapist can help you face these challenges and turn them into an opportunity for personal growth.
Does life feel like its getting on top of you? Could you benefit from a place to take some time-out? At certain times we all experience difficulties and doubt, go through life transitions (career change, divorce, new relationship, mid-life crisis) or discover patterns in our lives that are un-supportive. Seeing a counsellor or psychotherapist can help you face these challenges and turn them into an opportunity for personal growth.
020 3835 5632 View 020 3835 5632
Photo of Dr Michelle Nyangereka, Psychologist, DCounsPsych, CPsychol
Dr Michelle Nyangereka
Psychologist, DCounsPsych, CPsychol
London SE7
My approach is rooted in compassion, authenticity, and a deep understanding that healing is as much about reconnecting with yourself as it is about addressing the wounds you’ve endured. Where relevant I can help you to understand the source of your core pain, which acknowledges and honours the struggles you have already endured while identifying the strengths you have developed to adapt and survive. Where some of these adaptations have become unhelpful, I work with you to discover healthy coping mechanisms and tools moving forward.
My approach is rooted in compassion, authenticity, and a deep understanding that healing is as much about reconnecting with yourself as it is about addressing the wounds you’ve endured. Where relevant I can help you to understand the source of your core pain, which acknowledges and honours the struggles you have already endured while identifying the strengths you have developed to adapt and survive. Where some of these adaptations have become unhelpful, I work with you to discover healthy coping mechanisms and tools moving forward.
020 4538 8097 View 020 4538 8097
Photo of Diana Dan, Psychotherapist, MSc, GMBPsS
Diana Dan
Psychotherapist, MSc, GMBPsS
London SE7
At times it feels we are stuck or that we don’t have other options. It can feel that we are powerless and we cannot find ways to pick us up from the floor.
At times it feels we are stuck or that we don’t have other options. It can feel that we are powerless and we cannot find ways to pick us up from the floor.
020 3962 0314 View 020 3962 0314
Photo of Magdalena Rybarczyk, Psychologist, MSc, HCPC - Couns. Psych.
Magdalena Rybarczyk
Psychologist, MSc, HCPC - Couns. Psych.
London SE7
I hope that the information you can find here will help you to initiate positive changes in your life. I offer therapy for clients struggling with their emotions, experiencing a crisis, relationship difficulties or career and work related concerns. I am experienced in providing effective therapy for depression, anxiety, trauma, stress, self esteem problems, body image concerns, as well as medically unexplained symptoms, sexual and intimacy problems and other psychological challenges. My way of working is emphatic, flexible and receptive to your individual needs.
I hope that the information you can find here will help you to initiate positive changes in your life. I offer therapy for clients struggling with their emotions, experiencing a crisis, relationship difficulties or career and work related concerns. I am experienced in providing effective therapy for depression, anxiety, trauma, stress, self esteem problems, body image concerns, as well as medically unexplained symptoms, sexual and intimacy problems and other psychological challenges. My way of working is emphatic, flexible and receptive to your individual needs.
020 3763 5265 View 020 3763 5265
Photo of Bima Loxley, Psychotherapist, COSRT Accred
Bima Loxley
Psychotherapist, COSRT Accred
1 Endorsed
Online Only
I am a queer trans nonbinary sex & relationship therapist who provides therapy for couples, multiple partnered relationships (ie non monogamy, colleagues, friends, families & groups) & individuals online only. As a Clinical Sexologist & Relationship Therapist I can help you with three sectors: Sex: desire & arousal, sexuality, sexual health, sexual function & pain, low-esteem. Relationships: intimacy, conflict management, infidelity, life changes, family issues. Gender & sexual identity: LGBTQIA+, Kink, gender dysphoria, sex work, diverse relationship styles. When I reply to your email, please check your junk/spam too!
I am a queer trans nonbinary sex & relationship therapist who provides therapy for couples, multiple partnered relationships (ie non monogamy, colleagues, friends, families & groups) & individuals online only. As a Clinical Sexologist & Relationship Therapist I can help you with three sectors: Sex: desire & arousal, sexuality, sexual health, sexual function & pain, low-esteem. Relationships: intimacy, conflict management, infidelity, life changes, family issues. Gender & sexual identity: LGBTQIA+, Kink, gender dysphoria, sex work, diverse relationship styles. When I reply to your email, please check your junk/spam too!
View
Photo of Samuel Harris Farleigh - Art Therapy London, MA
Art Therapy London
Verified Verified
London SE7
I'm Sam, an Art Psychotherapist using creative expression as a tool to help support you to manage difficulties in you or your child's life. I use art as a way to support the exploration of these difficulties and help express the emotions related to this. I have worked in the NHS with complex mental health issues, as well as mainstream and SEN education. I specialise in working with a range of neurodiversity. Art therapy is suitable for most people and all ages and difficulties regardless previous art experience and skill. We use a wide range of materials and different forms of creative expression.
I'm Sam, an Art Psychotherapist using creative expression as a tool to help support you to manage difficulties in you or your child's life. I use art as a way to support the exploration of these difficulties and help express the emotions related to this. I have worked in the NHS with complex mental health issues, as well as mainstream and SEN education. I specialise in working with a range of neurodiversity. Art therapy is suitable for most people and all ages and difficulties regardless previous art experience and skill. We use a wide range of materials and different forms of creative expression.
07723 460550 View 07723 460550
Photo of Danai Karvouni, Psychotherapist, MA, HCPC-Drama Therap.
Danai Karvouni
Psychotherapist, MA, HCPC-Drama Therap.
London SE7
Psychotherapy is a courageous and rewarding act toward personal growth, insight and change. My intention as your therapist is to make space for you to explore, process and make sense of your emotions with the aim to get closer to what you wish for in life. To achieve this, you will be invited to both verbal and creative explorations depending on your preference each time. As my interventions tend to be informed by your needs, you can expect to play an active role in your therapy.
Psychotherapy is a courageous and rewarding act toward personal growth, insight and change. My intention as your therapist is to make space for you to explore, process and make sense of your emotions with the aim to get closer to what you wish for in life. To achieve this, you will be invited to both verbal and creative explorations depending on your preference each time. As my interventions tend to be informed by your needs, you can expect to play an active role in your therapy.
020 4572 3192 View 020 4572 3192
Photo of Rachel Power, Psychotherapist, MSc, MBACP
Rachel Power
Psychotherapist, MSc, MBACP
Online Only
Waitlist for new clients
I offer positive help and support with a range of issues including anxiety, relationship difficulties and career stress, and an understanding that managing meaningful personal and professional relationships can be complex. Qualified as a couple and individual psychotherapist at Tavistock Relationships, with an MSc from the Department of Organisational Psychology, Birkbeck University of London, I am able to work effectively with both couples and individuals. I have recently undertaken further training in the area of counselling for compulsive sexual behaviour.
I offer positive help and support with a range of issues including anxiety, relationship difficulties and career stress, and an understanding that managing meaningful personal and professional relationships can be complex. Qualified as a couple and individual psychotherapist at Tavistock Relationships, with an MSc from the Department of Organisational Psychology, Birkbeck University of London, I am able to work effectively with both couples and individuals. I have recently undertaken further training in the area of counselling for compulsive sexual behaviour.
023 8235 7320 View 023 8235 7320
Photo of Catherine Bechirian, Psychotherapist, MA, HCPC-Art Therap.
Catherine Bechirian
Psychotherapist, MA, HCPC-Art Therap.
Online Only
I have 20 years experience of offering a supportive, confidential place in which to make some sense of symptoms such as anxiety, stress, depression, or a sense of general dissatisfaction. You may have suffered a loss, or trauma, or be going through a transition in your life and would like to talk to a professional. People come to therapy for many reasons. I see my role as therapist as being someone who can support you in learning more about yourself, your thinking and behaviours, your relationships, and your unconscious motivations, supporting you to create meaning, and to make the changes that you feel you need.
I have 20 years experience of offering a supportive, confidential place in which to make some sense of symptoms such as anxiety, stress, depression, or a sense of general dissatisfaction. You may have suffered a loss, or trauma, or be going through a transition in your life and would like to talk to a professional. People come to therapy for many reasons. I see my role as therapist as being someone who can support you in learning more about yourself, your thinking and behaviours, your relationships, and your unconscious motivations, supporting you to create meaning, and to make the changes that you feel you need.
01322 949235 View 01322 949235
Photo of Eirini Diathesopoulou, Psychotherapist, MBACP
Eirini Diathesopoulou
Psychotherapist, MBACP
Serves Area
Welcome! Are you feeling stuck in cycles of anxiety, low mood, or challenging relationships? Imagine overcoming these barriers and stepping into a life filled with confidence and connection. I’m Eirini, an Integrative Psychotherapist/Psychologist, and I’m here to help. With a compassionate, person-centred approach, I support adults in breaking free from cycles of stress, trauma, and self-doubt. Together, we’ll build confidence, improve communication, and create a life of balance, connection, and fulfilment.
Welcome! Are you feeling stuck in cycles of anxiety, low mood, or challenging relationships? Imagine overcoming these barriers and stepping into a life filled with confidence and connection. I’m Eirini, an Integrative Psychotherapist/Psychologist, and I’m here to help. With a compassionate, person-centred approach, I support adults in breaking free from cycles of stress, trauma, and self-doubt. Together, we’ll build confidence, improve communication, and create a life of balance, connection, and fulfilment.
020 8103 9033 View 020 8103 9033
Photo of Ildiko Victoria Szatmari, Psychotherapist, MSc, MUKCP
Ildiko Victoria Szatmari
Psychotherapist, MSc, MUKCP
Serves Area
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 Tony Patterson, Counsellor, MBACP
Tony Patterson
Counsellor, MBACP
2 Endorsed
Serves Area
I have experience working with clients in areas such as stress, anxiety, low self esteem, relationship issues (self or others), sexual identity, sexuality, masculine embodiment, depression. I feel coming to therapy can be daunting as clients often do not know what to expect. I like to talk this through with clients and make sure that they feel safe and secure, and we can build a therapeutic relationship together. I provide a safe, confidential, and non-judgemental space in which the you can explore your thoughts and feelings, allowing you to understand more about yourself and your relationships with others at your own pace.
I have experience working with clients in areas such as stress, anxiety, low self esteem, relationship issues (self or others), sexual identity, sexuality, masculine embodiment, depression. I feel coming to therapy can be daunting as clients often do not know what to expect. I like to talk this through with clients and make sure that they feel safe and secure, and we can build a therapeutic relationship together. I provide a safe, confidential, and non-judgemental space in which the you can explore your thoughts and feelings, allowing you to understand more about yourself and your relationships with others at your own pace.
020 4538 4310 View 020 4538 4310
Photo of Lauran Ware, Psychotherapist, GMBPsS
Lauran Ware
Psychotherapist, GMBPsS
Serves Area
Hi, I'm Lauran an Emotional and Mental Wellness Therapist, Healer & Teacher. We exist with quiet confidence & inner knowing when our interiority is in alignment with our external lives.  My background in western Psychology has given me an amazing understanding of the diagnostic process, however, I believe true healing comes from looking at our emotional and mental lives and exploring deeply and insightfully the things that keep us emotionally regulated. I work from Marylebone (W1) and Queens Park London (NW6) London.
Hi, I'm Lauran an Emotional and Mental Wellness Therapist, Healer & Teacher. We exist with quiet confidence & inner knowing when our interiority is in alignment with our external lives.  My background in western Psychology has given me an amazing understanding of the diagnostic process, however, I believe true healing comes from looking at our emotional and mental lives and exploring deeply and insightfully the things that keep us emotionally regulated. I work from Marylebone (W1) and Queens Park London (NW6) London.
View
Photo of Richard Absalom, Psychotherapist, DCounsPsych, MBACP Accred
Richard Absalom
Psychotherapist, DCounsPsych, MBACP Accred
1 Endorsed
Online Only
By gaining insight into how significant relationships and events have shaped your feelings, communication, and actions, you'll develop a deeper understanding of yourself. Therapy will help untangle the emotional knots that have been holding you back. Since 2006, I have been committed to helping individuals and couples strengthen their relationships, and improve their mental and sexual health. Therapy puts words to the feelings, that would otherwise remain painful or unresolved.
By gaining insight into how significant relationships and events have shaped your feelings, communication, and actions, you'll develop a deeper understanding of yourself. Therapy will help untangle the emotional knots that have been holding you back. Since 2006, I have been committed to helping individuals and couples strengthen their relationships, and improve their mental and sexual health. Therapy puts words to the feelings, that would otherwise remain painful or unresolved.
01202 013959 View 01202 013959
Photo of Ian Richards, Psychotherapist, MA, MBACP
Ian Richards
Psychotherapist, MA, MBACP
Serves Area
I am a fully qualified Psychotherapist and hold the ATSAC professional Certificate for Treating Sexual Addiction. I work with individuals who are struggling with compulsive sexual behaviours including paraphiliac urges. These can range from, viewing online Pornography, having multiple sexual encounters or sexual urges towards children. I also work with the partners of addicted individuals suffering from these behaviours. I have vast clinical experience of working with men who have committed sexual online or contact offence's. I offer therapy sessions in Stratford-upon-Avon and Nationally via Zoom.
I am a fully qualified Psychotherapist and hold the ATSAC professional Certificate for Treating Sexual Addiction. I work with individuals who are struggling with compulsive sexual behaviours including paraphiliac urges. These can range from, viewing online Pornography, having multiple sexual encounters or sexual urges towards children. I also work with the partners of addicted individuals suffering from these behaviours. I have vast clinical experience of working with men who have committed sexual online or contact offence's. I offer therapy sessions in Stratford-upon-Avon and Nationally via Zoom.
01789 339386 View 01789 339386
Photo of Michele Lamonaca, Psychotherapist, MSc, MBACP
Michele Lamonaca
Psychotherapist, MSc, MBACP
Serves Area
Welcome, my name is Michele. I'm a registered counsellor and psychotherapist - I help individuals and couples with their emotional health. I have private sector experience as a counsellor and psychotherapist. My focus involves abuse, depression and narcissistic personality disorder, and the specific problems encountered by men, transgender people and women. An initial assessment meeting allows you to see if you feel comfortable with me, discuss what concerns you, ask questions, clarify confidentiality, and determine if therapy could assist you.
Welcome, my name is Michele. I'm a registered counsellor and psychotherapist - I help individuals and couples with their emotional health. I have private sector experience as a counsellor and psychotherapist. My focus involves abuse, depression and narcissistic personality disorder, and the specific problems encountered by men, transgender people and women. An initial assessment meeting allows you to see if you feel comfortable with me, discuss what concerns you, ask questions, clarify confidentiality, and determine if therapy could assist you.
07723 423681 View 07723 423681
Photo of Tom Deitch, Counsellor, BACP
Tom Deitch
Counsellor, BACP
1 Endorsed
Serves Area
Are you facing challenges in your life which seem impossible to overcome? Maybe you are struggling with intrusive thoughts, feelings of low self-esteem, despair, guilt or shame? Has a bereavement or traumatic incident left you feeling that it’s hard to cope? Do you have a need to be properly heard, perhaps for the first time? We can explore ways in which you can begin to think differently about the obstacles you face, examining your thoughts and feelings with a view to increasing self-awareness and ultimately gaining greater control over your life.
Are you facing challenges in your life which seem impossible to overcome? Maybe you are struggling with intrusive thoughts, feelings of low self-esteem, despair, guilt or shame? Has a bereavement or traumatic incident left you feeling that it’s hard to cope? Do you have a need to be properly heard, perhaps for the first time? We can explore ways in which you can begin to think differently about the obstacles you face, examining your thoughts and feelings with a view to increasing self-awareness and ultimately gaining greater control over your life.
020 3962 1219 View 020 3962 1219
Photo of Luka Hadrych - DBT in Mind Team, Psychotherapist, MSc, MUKCP
DBT in Mind Team
Psychotherapist, MSc, MUKCP
1 Endorsed
Serves Area
We are a team of experienced therapists providing specialist support for people living with emotion regulation difficulties whose challenges get described in the medical world as "borderline personality disorder" (BPD/EUPD). We offer the intensive programmes in Dialectical Behaviour Therapy and Mentalisation Based Treatment and are committed to providing research-based and compassionate therapies developed specifically for intensely-feeling individuals. We are here to support you on your journey toward greater control over your emotions, behaviour and relationships.
We are a team of experienced therapists providing specialist support for people living with emotion regulation difficulties whose challenges get described in the medical world as "borderline personality disorder" (BPD/EUPD). We offer the intensive programmes in Dialectical Behaviour Therapy and Mentalisation Based Treatment and are committed to providing research-based and compassionate therapies developed specifically for intensely-feeling individuals. We are here to support you on your journey toward greater control over your emotions, behaviour and relationships.
020 3870 3919 View 020 3870 3919
Photo of David Banos Smith, Psychotherapist, PhD, MUKCP
David Banos Smith
Psychotherapist, PhD, MUKCP
Serves Area
I work with people who are you feeling anxious or depressed or uncertain how to live in a way that feels satisfying. With people who have suffered bereavement, the end of a relationship or who are struggling with relationships that aren't working and leave them feeling unhappy. With people who are unhappy at work and feel stuck in a job that isn't what they'd hoped it would be, a job that's too challenging or not challenging enough. With people who are struggling with ways of being sexual, who find it hard to have the kind of sexual relationships they want, to know how to begin, negotiate or end intimate sexual relationships.
I work with people who are you feeling anxious or depressed or uncertain how to live in a way that feels satisfying. With people who have suffered bereavement, the end of a relationship or who are struggling with relationships that aren't working and leave them feeling unhappy. With people who are unhappy at work and feel stuck in a job that isn't what they'd hoped it would be, a job that's too challenging or not challenging enough. With people who are struggling with ways of being sexual, who find it hard to have the kind of sexual relationships they want, to know how to begin, negotiate or end intimate sexual relationships.
020 3974 2905 View 020 3974 2905

How does your Counsellor compare?

Number of Counsellors in SE7

30+

Average cost per session

£80

Counsellors in SE7 who prioritize treating:

90% Anxiety
87% Depression
87% Stress
80% Relationship Issues
80% Self Esteem
73% Trauma and PTSD
67% Family Conflict

Average years in practice

12 Years

Top 3 insurances accepted

82% Aviva
82% Vitality
73% Cigna and Evernorth

How Counsellors in SE7 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

54% Female
43% Male
3% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in SE7?

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.