Photo of Emily Jeffrey, Counsellor, MBACP
Emily Jeffrey
Counsellor, MBACP
Verified Verified
2 Endorsed
Hitchin SG4
Do you have a diagnosis or suspect you are autistic or ADHD? Do you get overwhelmed by aspects of life others seem to find easy? Do you suffer with anxiety or experience depression? Are you struggling with anger or grief, perhaps because you didn't get the support you needed? Perhaps you've been told you are difficult, stupid or lazy? Do you feel like you have missed out or failed to reach your potential? I specialise in working with neurodivergent (ND) people - whether you have known a long time or have received a diagnosis later in life. I can support with the common difficulties people often experience as a result.
Do you have a diagnosis or suspect you are autistic or ADHD? Do you get overwhelmed by aspects of life others seem to find easy? Do you suffer with anxiety or experience depression? Are you struggling with anger or grief, perhaps because you didn't get the support you needed? Perhaps you've been told you are difficult, stupid or lazy? Do you feel like you have missed out or failed to reach your potential? I specialise in working with neurodivergent (ND) people - whether you have known a long time or have received a diagnosis later in life. I can support with the common difficulties people often experience as a result.
01462 419202 View 01462 419202
Photo of Rachael Brown - Rachael Brown Therapy, Psychotherapist, MBABCP
Rachael Brown Therapy
Psychotherapist, MBABCP
Verified Verified
Online Only
Reaching out for therapy is a brave step but it can also be a daunting one. It can be hard to know where to turn to or who to trust. I understand this firsthand as I too sought therapy many years ago to help address my own battle with depression. Indeed it was this experience that ignited my passion for helping others struggling with their mental health and which led me to re-train as a therapist. I feel very privileged to be able to support people in their time of need and strive to do so by providing a non-judgemental, compassionate and collaborative space for talking.
Reaching out for therapy is a brave step but it can also be a daunting one. It can be hard to know where to turn to or who to trust. I understand this firsthand as I too sought therapy many years ago to help address my own battle with depression. Indeed it was this experience that ignited my passion for helping others struggling with their mental health and which led me to re-train as a therapist. I feel very privileged to be able to support people in their time of need and strive to do so by providing a non-judgemental, compassionate and collaborative space for talking.
01438 576924 View 01438 576924
Photo of Dr Sola Osindero, Psychotherapist, MBBS, MUKCP
Dr Sola Osindero
Psychotherapist, MBBS, MUKCP
Verified Verified
Hitchin SG4
You might be unhappily confused or have difficult and dark feelings about issues and arrangements in your self and your life. You imagine there must be a way out of your difficulty or perhaps wish to coexist peacefully with it. Things are just not getting better. Many of us have difficulty working out ways of sorting out and resolving such difficulties alone. Perhaps gaining insight by working with a skilled 'other person' could help you.
You might be unhappily confused or have difficult and dark feelings about issues and arrangements in your self and your life. You imagine there must be a way out of your difficulty or perhaps wish to coexist peacefully with it. Things are just not getting better. Many of us have difficulty working out ways of sorting out and resolving such difficulties alone. Perhaps gaining insight by working with a skilled 'other person' could help you.
01462 418057 View 01462 418057
Photo of Sue Williams, Psychotherapist, MSc, MBACP Snr. Accred
Sue Williams
Psychotherapist, MSc, MBACP Snr. Accred
Verified Verified
Hitchin SG4
If you feel you need to gain insight and self awareness, deal with current or historical difficulties, then I would be happy to discuss this in an initial appointment to decide whether my approach can help you. I have 40 years experience of therapeutic work with individuals, couples and groups, as well as training and supervising other practitioners both in training and qualified.
If you feel you need to gain insight and self awareness, deal with current or historical difficulties, then I would be happy to discuss this in an initial appointment to decide whether my approach can help you. I have 40 years experience of therapeutic work with individuals, couples and groups, as well as training and supervising other practitioners both in training and qualified.
07713 247139 View 07713 247139
Photo of Maina Warraich, Counsellor, MBACP
Maina Warraich
Counsellor, MBACP
Verified Verified
Hitchin SG4
lCounselling for Anxiety and Depressionl Maybe you have anxiety, panic attacks and keep overthinking. You might at times feel numb or completely overwhelmed. Maybe it's having an impact on your relationship with your loved ones and more importantly how you feel about yourself. Things don't have to stay this way. I’m passionate about supporting adults with anxiety and depression. I have experienced how isolating and debilitating it can be. People can say things like “just be positive” or “don’t worry about it”. It can be hard for them to understand that it isn’t as simple as just focusing on something else.
lCounselling for Anxiety and Depressionl Maybe you have anxiety, panic attacks and keep overthinking. You might at times feel numb or completely overwhelmed. Maybe it's having an impact on your relationship with your loved ones and more importantly how you feel about yourself. Things don't have to stay this way. I’m passionate about supporting adults with anxiety and depression. I have experienced how isolating and debilitating it can be. People can say things like “just be positive” or “don’t worry about it”. It can be hard for them to understand that it isn’t as simple as just focusing on something else.
01582 377615 View 01582 377615
Cedar Counselling
Psychotherapist, MSc, MBACP
Verified Verified
Hitchin SG4
I am here to help with all kinds of things which may be troubling you, from your relationships with families, friends or work, to depression, anxiety and addiction or simply finding that you are going through life without as much zest or happiness as you would like or perhaps feeling that you don't belong in your own life. I am also able to see couples in need of help with their relationship or family members who have problems relating to each other.
I am here to help with all kinds of things which may be troubling you, from your relationships with families, friends or work, to depression, anxiety and addiction or simply finding that you are going through life without as much zest or happiness as you would like or perhaps feeling that you don't belong in your own life. I am also able to see couples in need of help with their relationship or family members who have problems relating to each other.
01462 413871 View 01462 413871
Photo of Dr Charis Green, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Charis Green
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Hitchin SG4
Maybe you can see where you want to be and don't know how to get there, or maybe you just feel totally lost.  Are you finding yourself repeating old patterns, or in habits that you just know aren't helpful, but don't seem to be able to stop? Maybe you're avoiding things in life because it just feels too much. You might understand what the issue is, and why it’s there - and yet you still feel the same. Or is there something you really could do with talking about, but you've been putting it off, or you just aren't sure where to start? You are not alone. I can help - in London, Hertfordshire, and across the UK online.
Maybe you can see where you want to be and don't know how to get there, or maybe you just feel totally lost.  Are you finding yourself repeating old patterns, or in habits that you just know aren't helpful, but don't seem to be able to stop? Maybe you're avoiding things in life because it just feels too much. You might understand what the issue is, and why it’s there - and yet you still feel the same. Or is there something you really could do with talking about, but you've been putting it off, or you just aren't sure where to start? You are not alone. I can help - in London, Hertfordshire, and across the UK online.
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Photo of Dr Suman Prinjha, Psychotherapist, PhD, MBACP
Dr Suman Prinjha
Psychotherapist, PhD, MBACP
Verified Verified
Serves Area
I specialise in anxiety, depression, relationship issues, cultural issues, work-related stress, and living with illness. We all face times when we feel confused, stuck or unsure about what to do. During these difficult or uncertain times talking to someone who listens, yet has distance from the issue, can really help. Asking for support is not a sign of weakness. It takes courage to focus on ourselves so that we can find solutions, make changes, and move forwards. I offer compassionate, non-judgmental, confidential yet proactive therapy in a safe and supportive space. I work in the evenings and weekends.
I specialise in anxiety, depression, relationship issues, cultural issues, work-related stress, and living with illness. We all face times when we feel confused, stuck or unsure about what to do. During these difficult or uncertain times talking to someone who listens, yet has distance from the issue, can really help. Asking for support is not a sign of weakness. It takes courage to focus on ourselves so that we can find solutions, make changes, and move forwards. I offer compassionate, non-judgmental, confidential yet proactive therapy in a safe and supportive space. I work in the evenings and weekends.
01767 660654 View 01767 660654
Photo of Po Chan, Psychotherapist, MBACP
Po Chan
Psychotherapist, MBACP
Verified Verified
Serves Area
In an ideal world, everyone should have someone, they can talk to. But the world isn't ideal and talking to someone you know may be difficult, or even problematic. So I can help. There’s a Chinese proverb that I like - ‘reading ten thousand scrolls, rather walk ten thousand miles.’ When we search for answers, our first point is the internet or books but what we can’t grasp from written literature, is the life experiences of interactions and 'light bulb' moments. My journeys have covered more than ten thousand miles. I have encountered and experienced many difficulties myself and I want to help you to overcome yours and feel better.
In an ideal world, everyone should have someone, they can talk to. But the world isn't ideal and talking to someone you know may be difficult, or even problematic. So I can help. There’s a Chinese proverb that I like - ‘reading ten thousand scrolls, rather walk ten thousand miles.’ When we search for answers, our first point is the internet or books but what we can’t grasp from written literature, is the life experiences of interactions and 'light bulb' moments. My journeys have covered more than ten thousand miles. I have encountered and experienced many difficulties myself and I want to help you to overcome yours and feel better.
01234 608756 View 01234 608756
Photo of Elisa Gatti, Psychotherapist, MBACP
Elisa Gatti
Psychotherapist, MBACP
Verified Verified
Serves Area
I work with individuals, couples and families that need to face a trauma, a loss, problems of anxiety, depression, fears or relational problems (such as couple conflict, emotional or behavioral problem in a child, alimentary disorder, relational closure in an adolescent). Working together will help everyone finding new energy to change and when everyone is involved in a transformation, it will be stronger and lasting. As an Italian psychotherapist I work in Italian and in English with the foreign community in UK. Sharing the experience of migration always helps to face a new life in a different country.
I work with individuals, couples and families that need to face a trauma, a loss, problems of anxiety, depression, fears or relational problems (such as couple conflict, emotional or behavioral problem in a child, alimentary disorder, relational closure in an adolescent). Working together will help everyone finding new energy to change and when everyone is involved in a transformation, it will be stronger and lasting. As an Italian psychotherapist I work in Italian and in English with the foreign community in UK. Sharing the experience of migration always helps to face a new life in a different country.
01462 413864 View 01462 413864
Photo of Verity Ann Lewis, Psychotherapist, MSc, MHGI
Verity Ann Lewis
Psychotherapist, MSc, MHGI
Verified Verified
Serves Area
At some point in our life, many of us feel overwhelmed by life's challenges. These can either be events in our life or our inner struggles. At such times it can feel difficult to see solutions or recognise our choices, or feel confident to overcome our fears. Whatever changes you wish to make I can offer you an individually tailored approach, which will help you to identify your own unique goals and learn how to move forward to the future you wish for yourself.
At some point in our life, many of us feel overwhelmed by life's challenges. These can either be events in our life or our inner struggles. At such times it can feel difficult to see solutions or recognise our choices, or feel confident to overcome our fears. Whatever changes you wish to make I can offer you an individually tailored approach, which will help you to identify your own unique goals and learn how to move forward to the future you wish for yourself.
01462 558588 View 01462 558588
Photo of Holly Dorling, Psychotherapist, COSRT Accred
Holly Dorling
Psychotherapist, COSRT Accred
Verified Verified
1 Endorsed
Serves Area
Hello, I'm Holly and I offer support for individuals and couples / multi-partnered people with issues relating to all things sex and relationships. I cover a range of topics, but my specialism sits with young adults (18-35), women's sexual health matters and relationship problems. This might include; dating concerns, low sexual desire, sexual anxiety, vaginismus, erectile problems, sexual health questions and living with STIs, low self-esteem/body image concerns. I also offer therapy for people needing support with recovering from affairs, improving communication or re-establishing intimacy in their relationship.
Hello, I'm Holly and I offer support for individuals and couples / multi-partnered people with issues relating to all things sex and relationships. I cover a range of topics, but my specialism sits with young adults (18-35), women's sexual health matters and relationship problems. This might include; dating concerns, low sexual desire, sexual anxiety, vaginismus, erectile problems, sexual health questions and living with STIs, low self-esteem/body image concerns. I also offer therapy for people needing support with recovering from affairs, improving communication or re-establishing intimacy in their relationship.
View
Photo of Clare Faulkner, Psychotherapist, MA, HCPC-Art Therap.
Clare Faulkner
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
Serves Area
Waitlist for new clients
Offering a safe and secure private studio space and also online and telephone sessions where you can explore thoughts and feelings not only through the medium of art and creativity, but also through spoken communication in an non judgemental and welcoming environment. My experience and expertise can help to facilitate your journey, however long or short, to understanding, making sense and acceptance of the issues that may be presenting to you. I aim to provide and facilitate a healing and creative space to bring about change and understanding.
Offering a safe and secure private studio space and also online and telephone sessions where you can explore thoughts and feelings not only through the medium of art and creativity, but also through spoken communication in an non judgemental and welcoming environment. My experience and expertise can help to facilitate your journey, however long or short, to understanding, making sense and acceptance of the issues that may be presenting to you. I aim to provide and facilitate a healing and creative space to bring about change and understanding.
01767 668783 View 01767 668783
Photo of Glenda Erwee - The Stevenage Counselling Clinic, Counsellor, DCounsPsych, MBACP
The Stevenage Counselling Clinic
Counsellor, DCounsPsych, MBACP
Verified Verified
Serves Area
We have a wealth of knowledge with diverse and highly trained counsellors in our team to help you process , heal and work towards a more contented, healthy and stable life and relationship with yourself. We work with a wide range of presentations including depression, anxiety, relationship difficulties, OCD, body image and many many more. We are all passionate about working with people and helping them to reach their full potential at a pace that works for you! We value CPD as vitally important to keep up with the ever evolving and exciting sector of mental health and neuroscience.
We have a wealth of knowledge with diverse and highly trained counsellors in our team to help you process , heal and work towards a more contented, healthy and stable life and relationship with yourself. We work with a wide range of presentations including depression, anxiety, relationship difficulties, OCD, body image and many many more. We are all passionate about working with people and helping them to reach their full potential at a pace that works for you! We value CPD as vitally important to keep up with the ever evolving and exciting sector of mental health and neuroscience.
01438 904207 View 01438 904207
Photo of Paulette Adams, Counsellor, MBACP
Paulette Adams
Counsellor, MBACP
Verified Verified
Serves Area
There are times in our lives when our ability to cope alone is significantly diminished. You may be there right now. Perhaps negative experiences from the past, or significant life changing experiences have altered the way you think, feel, or behave. You want to move forward, but just can't seem to break the cycle of shame, guilt and fear? You may be unsure who you can trust? My personal experience and faith in God's transforming power fuels my passion to come alongside the hurting, wounded, confused, lonely and voiceless as I witness broken lives being restored.
There are times in our lives when our ability to cope alone is significantly diminished. You may be there right now. Perhaps negative experiences from the past, or significant life changing experiences have altered the way you think, feel, or behave. You want to move forward, but just can't seem to break the cycle of shame, guilt and fear? You may be unsure who you can trust? My personal experience and faith in God's transforming power fuels my passion to come alongside the hurting, wounded, confused, lonely and voiceless as I witness broken lives being restored.
01582 310669 View 01582 310669
Photo of Ryan Peter Robert Davis, Counsellor, MBACP Accred
Ryan Peter Robert Davis
Counsellor, MBACP Accred
Verified Verified
Serves Area
Welcome! Over the last 16 years I have assisted hundred's of people with their personal challenges , challenges spanning the full spectrum of human difficulties; dealing with loss, what choices to make, stuckness in any life domain, recovering from divorce , simply being a teenager or managing the role of parent; to name but a handful. There really is nothing new under the sun, we all have our personal struggles and there are times where assistance can make a substantial difference to how we think and feel about ourselves and the life we inhabit.
Welcome! Over the last 16 years I have assisted hundred's of people with their personal challenges , challenges spanning the full spectrum of human difficulties; dealing with loss, what choices to make, stuckness in any life domain, recovering from divorce , simply being a teenager or managing the role of parent; to name but a handful. There really is nothing new under the sun, we all have our personal struggles and there are times where assistance can make a substantial difference to how we think and feel about ourselves and the life we inhabit.
01462 558529 View 01462 558529
Photo of Dr Kate Brierton, Psychologist, CPsychol
Dr Kate Brierton
Psychologist, CPsychol
Verified Verified
Serves Area
Not accepting new clients
I am a Clinical Psychologist with a passion for compassion! I see clients both face to face and online. I read my first degree at Cambridge University, followed by a doctorate in Clinical Psychology at the Institute of Psychology, Psychiatry and Neuropsychology in London. Initially trained in CBT, I have since moved over to compassion focused therapy developed by Professor Paul Gilbert. I find it is useful for most clients, with a 90% success rate. With CFT, I can teach you how to balance your mind for the rest of your life.
I am a Clinical Psychologist with a passion for compassion! I see clients both face to face and online. I read my first degree at Cambridge University, followed by a doctorate in Clinical Psychology at the Institute of Psychology, Psychiatry and Neuropsychology in London. Initially trained in CBT, I have since moved over to compassion focused therapy developed by Professor Paul Gilbert. I find it is useful for most clients, with a 90% success rate. With CFT, I can teach you how to balance your mind for the rest of your life.
01223 653976 View 01223 653976
Photo of Heather McKenna, Counsellor, MA, MBACP
Heather McKenna
Counsellor, MA, MBACP
Verified Verified
1 Endorsed
Serves Area
Do you feel overwhelmed by your feelings? Do they impact on your confidence and day-to-day life? Or perhaps you have experienced painful losses, abuse or traumatic events that are affecting you? Do you have patterns of behaviour that no longer feel beneficial to you? Sometimes we think and act in certain ways that function to protect and preserve us. These have felt necessary in the past, but are no longer useful and can instead impact negatively on our life.
Do you feel overwhelmed by your feelings? Do they impact on your confidence and day-to-day life? Or perhaps you have experienced painful losses, abuse or traumatic events that are affecting you? Do you have patterns of behaviour that no longer feel beneficial to you? Sometimes we think and act in certain ways that function to protect and preserve us. These have felt necessary in the past, but are no longer useful and can instead impact negatively on our life.
01462 413850 View 01462 413850
Photo of Gillian Titmuss, Psychotherapist, MBACP
Gillian Titmuss
Psychotherapist, MBACP
Verified Verified
1 Endorsed
Serves Area
If you feel you've got unanswered or unresolved questions, I offer a dedicated time and a safe, confidential and nonjudgmental space to explore your past, present and future. Getting back in touch with ourselves instead of feeling lost is fundamental to having satisfaction with life. Giving to ourselves means we can enjoy being alive as well as fulfilling our responsibilities and having pleasurable and rewarding relationships. If you have any questions, please feel free to make contact.
If you feel you've got unanswered or unresolved questions, I offer a dedicated time and a safe, confidential and nonjudgmental space to explore your past, present and future. Getting back in touch with ourselves instead of feeling lost is fundamental to having satisfaction with life. Giving to ourselves means we can enjoy being alive as well as fulfilling our responsibilities and having pleasurable and rewarding relationships. If you have any questions, please feel free to make contact.
01462 418466 View 01462 418466
Photo of Jacqui Carol, Counsellor, BACP
Jacqui Carol
Counsellor, BACP
Verified Verified
Online Only
I am a Person-Centred Counsellor who provides a warm and welcoming space to nurture and develop my client’s own inner self and power. I believe throughout life we all face moments of great difficulties; however, we have hidden depths of strength that can be discovered and utilised when given a safe place to explore. Making the decision to seek support from a counsellor can feel daunting. I will work with you to meet your needs supporting you to feel safe in your personal journey. What can initially be perceived as difficult or frightening can actually inspire insight giving the opportunity to thrive, change and move forward.
I am a Person-Centred Counsellor who provides a warm and welcoming space to nurture and develop my client’s own inner self and power. I believe throughout life we all face moments of great difficulties; however, we have hidden depths of strength that can be discovered and utilised when given a safe place to explore. Making the decision to seek support from a counsellor can feel daunting. I will work with you to meet your needs supporting you to feel safe in your personal journey. What can initially be perceived as difficult or frightening can actually inspire insight giving the opportunity to thrive, change and move forward.
01438 907148 View 01438 907148
1

See more therapy options for SG4

How does your Counsellor compare?

Number of Counsellors in SG4

40+

Average cost per session

£60

Counsellors in SG4 who prioritize treating:

98% Depression
95% Anxiety
93% Relationship Issues
89% Self Esteem
89% Stress
75% Trauma and PTSD
75% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

67% Aviva
67% Bupa
56% AXA PPP

How Counsellors in SG4 see their clients

91% In Person and Online
9% Online Only

Gender breakdown

89% Female
11% Male
FAQs - About Therapy and Counselling

How can I find a therapist in SG4?

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.