Counselling in SS1

Photo of Denise Gleed - Shine Counselling Therapy, Counsellor, MNCPS Acc.
Shine Counselling Therapy
Counsellor, MNCPS Acc.
Hi I'm Denise, i am a counsellor passionate about Neurodiverse minds including ADHD, Autism, Dyslexia and any kind of mind that just thinks a little differently. I get it because i live it too, i work in a very visual way, where you are heard, seen and understood, my Neurodiverse knowledge allows me to see things from a Neurodiverse perspective. Are you feeling scared of facing the reality of what is happening for you ? Knowing you want to feel better but just don't know where to start to get help. Are you feeling like there is no way out of these feelings ? Therapy provides an outsiders perspective, a space to talk, feel safe.
Hi I'm Denise, i am a counsellor passionate about Neurodiverse minds including ADHD, Autism, Dyslexia and any kind of mind that just thinks a little differently. I get it because i live it too, i work in a very visual way, where you are heard, seen and understood, my Neurodiverse knowledge allows me to see things from a Neurodiverse perspective. Are you feeling scared of facing the reality of what is happening for you ? Knowing you want to feel better but just don't know where to start to get help. Are you feeling like there is no way out of these feelings ? Therapy provides an outsiders perspective, a space to talk, feel safe.
01268 202732 View 01268 202732
Photo of Simon Uskuri, Counsellor, MBACP Accred
Simon Uskuri
Counsellor, MBACP Accred
"The hardest step is making the call, the most rewarding step is knowing that you're in control again." Welcome, my name is Simon, I am a highly qualified friendly experienced Counsellor. I am a accredited member of the BACP and follow the ethical framework. I have worked successfully with individuals from various backgrounds and ages around Essex for a number of years. What I can offer you is a safe space that is confidential and nonjudgmental where you can truly be listened to and within that space we together can explore and find the answers you are searching for.
"The hardest step is making the call, the most rewarding step is knowing that you're in control again." Welcome, my name is Simon, I am a highly qualified friendly experienced Counsellor. I am a accredited member of the BACP and follow the ethical framework. I have worked successfully with individuals from various backgrounds and ages around Essex for a number of years. What I can offer you is a safe space that is confidential and nonjudgmental where you can truly be listened to and within that space we together can explore and find the answers you are searching for.
01702 683020 View 01702 683020
Photo of Gul- E-Rana Hameed, Psychotherapist, MSc, MBABCP
Gul- E-Rana Hameed
Psychotherapist, MSc, MBABCP
Hello, I’m Gul-e-Rana, and I’m passionate about supporting people to live with greater ease, confidence, and clarity. With over 20 years of experience in mental health, I’ve had the privilege of helping individuals from all walks of life overcome challenges such as anxiety, stress, trauma, and low mood. My approach is warm, down-to-earth, and focused on creating a safe space where you feel truly listened to and understood. Whether we work together face-to-face or online, I tailor therapy to your unique needs, drawing on proven psychological approaches with compassion and sensitivity.
Hello, I’m Gul-e-Rana, and I’m passionate about supporting people to live with greater ease, confidence, and clarity. With over 20 years of experience in mental health, I’ve had the privilege of helping individuals from all walks of life overcome challenges such as anxiety, stress, trauma, and low mood. My approach is warm, down-to-earth, and focused on creating a safe space where you feel truly listened to and understood. Whether we work together face-to-face or online, I tailor therapy to your unique needs, drawing on proven psychological approaches with compassion and sensitivity.
01702 655055 View 01702 655055
Photo of Musonda Mwila, Psychotherapist, MSc, MBACP
Musonda Mwila
Psychotherapist, MSc, MBACP
2 Endorsed
I am a qualified Psychosexual and Relationship Therapist, offering both online and face-to-face therapy sessions. With specialist training and clinical experience with a Relate service, I have a strong background in couples therapy, supporting partners through a wide range of relationship challenges. My therapeutic approach is client-centred and integrative, drawing on Psychodynamic Therapy, CBT, Mindfulness, and Sensate Focus to support behavioural change, enhance communication, and improve sexual functioning.
I am a qualified Psychosexual and Relationship Therapist, offering both online and face-to-face therapy sessions. With specialist training and clinical experience with a Relate service, I have a strong background in couples therapy, supporting partners through a wide range of relationship challenges. My therapeutic approach is client-centred and integrative, drawing on Psychodynamic Therapy, CBT, Mindfulness, and Sensate Focus to support behavioural change, enhance communication, and improve sexual functioning.
01702 967410 View 01702 967410
Photo of Kay Marina Cohen Mncps, Counsellor, PNCPS Acc.
Kay Marina Cohen Mncps
Counsellor, PNCPS Acc.
I practices in Southend on Sea. I am a senior professional accredited counsellor, accredited, registered member MNCPS working with clients with a variety of different issues such as relationships and couples, addictions; domestic abuse, depression, anxiety, work related stress, building confidence, self esteem, loss and bereavement. I'm honoured to share the journey with my clients. You choose your own goals then we collaborate to achieve them.
I practices in Southend on Sea. I am a senior professional accredited counsellor, accredited, registered member MNCPS working with clients with a variety of different issues such as relationships and couples, addictions; domestic abuse, depression, anxiety, work related stress, building confidence, self esteem, loss and bereavement. I'm honoured to share the journey with my clients. You choose your own goals then we collaborate to achieve them.
01702 967729 View 01702 967729
Photo of Jess Henderson, Counsellor, MNCPS Acc.
Jess Henderson
Counsellor, MNCPS Acc.
2 Endorsed
I am a trained trauma informed Person-Centred Counsellor and a trained mental health nurse. As I am dual qualified, I feel my experience can support you holistically, supporting you to explore any issues in an open way. As a person-centred counsellor, I believe in focusing on the needs of the individual and that you are the expert in your own life. My role is to walk beside you and together explore what has brought you to counselling. I am a trained CBT therapist in anxiety and depression and I am also currently studying in CBTp to work with clients who have psychosis and bipolar.
I am a trained trauma informed Person-Centred Counsellor and a trained mental health nurse. As I am dual qualified, I feel my experience can support you holistically, supporting you to explore any issues in an open way. As a person-centred counsellor, I believe in focusing on the needs of the individual and that you are the expert in your own life. My role is to walk beside you and together explore what has brought you to counselling. I am a trained CBT therapist in anxiety and depression and I am also currently studying in CBTp to work with clients who have psychosis and bipolar.
01702 967304 View 01702 967304
Photo of Tania Freeman - Play Matters Creative Therapy, Counsellor, MBACP
I have extensive experience of working with primary & secondary school aged children using creative techniques to explore difficulties. Whether it's imaginative play, storytelling or image making all are intended to help participants engage in self-exploration through purposeful meaning-making, visually expressing experiences, perceptions, feelings and thoughts through art & play. Creative Therapy is for Adults & Teens too offering an opportunity to go beyond "thinking" about how we feel to create connection to our embodied "felt" sense. We will work together to help enhancing self awareness alongside self empowerment & resilience.
I have extensive experience of working with primary & secondary school aged children using creative techniques to explore difficulties. Whether it's imaginative play, storytelling or image making all are intended to help participants engage in self-exploration through purposeful meaning-making, visually expressing experiences, perceptions, feelings and thoughts through art & play. Creative Therapy is for Adults & Teens too offering an opportunity to go beyond "thinking" about how we feel to create connection to our embodied "felt" sense. We will work together to help enhancing self awareness alongside self empowerment & resilience.
01702 904201 View 01702 904201
Photo of Bukola Ruth Aina, Counsellor, MNCPS Acc.
Bukola Ruth Aina
Counsellor, MNCPS Acc.
1 Endorsed
I am therapeutic counsellor, and dedicated to empowering individuals on their journey toward emotional well-being and personal growth. My background in counselling, combined with hands-on experience in various therapeutic approaches, has equipped me to provide empathetic and non-judgmental support. I believe in the transformative power of therapy and work diligently to build strong therapeutic alliances with clients. Committed to continuous learning, I focus on trauma-informed care and holistic methods. My goal is to create inclusive spaces where everyone can find their voice and resilience, facilitating healing and self-discovery.
I am therapeutic counsellor, and dedicated to empowering individuals on their journey toward emotional well-being and personal growth. My background in counselling, combined with hands-on experience in various therapeutic approaches, has equipped me to provide empathetic and non-judgmental support. I believe in the transformative power of therapy and work diligently to build strong therapeutic alliances with clients. Committed to continuous learning, I focus on trauma-informed care and holistic methods. My goal is to create inclusive spaces where everyone can find their voice and resilience, facilitating healing and self-discovery.
01702 967907 View 01702 967907
Photo of Angela McCleave, Counsellor, MSc, MBACP Accred
Angela McCleave
Counsellor, MSc, MBACP Accred
1 Endorsed
I am a BACP Accredited therapist with a wealth of life experience, as well as experience with counselling people going through a wide range of emotional life events. You do not have to do this on your own. The first step is the hardest and that is to make the call to reach out for help. I offer sessions via telephone, video, or face-to-face. I am A qualified EMDR therapist . Please contact me for more information.
I am a BACP Accredited therapist with a wealth of life experience, as well as experience with counselling people going through a wide range of emotional life events. You do not have to do this on your own. The first step is the hardest and that is to make the call to reach out for help. I offer sessions via telephone, video, or face-to-face. I am A qualified EMDR therapist . Please contact me for more information.
01702 967623 View 01702 967623
Natalie Scott
Counsellor, DCounsPsych, MBACP
Feeling constantly overwhelmed and like you just have too much going on in your head? Or maybe you are constantly underwhelmed and everything just feels flat and pointless? Maybe you're sick of repeating the same patterns and want to actually understand what's going on, and for things to change. Therapy can help you sort through all the boxes that are cluttering up your mind, one at a time. I also specialise in working with men, and understanding their resistance and hesitation to come in and talk about what is weighing on their mind.
Feeling constantly overwhelmed and like you just have too much going on in your head? Or maybe you are constantly underwhelmed and everything just feels flat and pointless? Maybe you're sick of repeating the same patterns and want to actually understand what's going on, and for things to change. Therapy can help you sort through all the boxes that are cluttering up your mind, one at a time. I also specialise in working with men, and understanding their resistance and hesitation to come in and talk about what is weighing on their mind.
01702 655803 View 01702 655803
Photo of Sally Willsher, Counsellor, MBACP
Sally Willsher
Counsellor, MBACP
Hello, my name is Sally and I will be present with you on your therapeutic journey. Having a safe space to explore current concerns offers a 'neutral' sounding board for you, as often well meaning friends and family will have an opinion on our life and decisions we make. We will work at your pace to prioritise your needs. Over the years many client issues I have encountered are about loss in various forms, and control - often from others. You may feel helpless or in despair, and would like to be able to clear a pathway for yourself to see with more clarity and establish an easier way of managing day to day.
Hello, my name is Sally and I will be present with you on your therapeutic journey. Having a safe space to explore current concerns offers a 'neutral' sounding board for you, as often well meaning friends and family will have an opinion on our life and decisions we make. We will work at your pace to prioritise your needs. Over the years many client issues I have encountered are about loss in various forms, and control - often from others. You may feel helpless or in despair, and would like to be able to clear a pathway for yourself to see with more clarity and establish an easier way of managing day to day.
01702 904111 View 01702 904111
Photo of Anne Frewin, Counsellor, DCounsPsych, BACP
Anne Frewin
Counsellor, DCounsPsych, BACP
Sometimes we need to feel heard, accepted and understood. As a qualified Person Centred & Trauma Focused counsellor, I offer a welcoming safe space where you can talk freely and explore these feelings, whilst navigating a way to healing & self-development. I do not believe that one size fits all. When working with my clients I adopt to different styles of therapeutic approaches to empowering my clients in bringing about the changes & growth they desire. I am a caring, empathetic counsellor, qualified in Level 4 BACP Humanistic Counselling with experience in working with individuals, and groups of ages from 18 yrs old & upwards.
Sometimes we need to feel heard, accepted and understood. As a qualified Person Centred & Trauma Focused counsellor, I offer a welcoming safe space where you can talk freely and explore these feelings, whilst navigating a way to healing & self-development. I do not believe that one size fits all. When working with my clients I adopt to different styles of therapeutic approaches to empowering my clients in bringing about the changes & growth they desire. I am a caring, empathetic counsellor, qualified in Level 4 BACP Humanistic Counselling with experience in working with individuals, and groups of ages from 18 yrs old & upwards.
01702 967266 View 01702 967266
Photo of Sian Elizabeth Hines, Counsellor, PNCPS Acc.
Sian Elizabeth Hines
Counsellor, PNCPS Acc.
1 Endorsed
I can help you to reach the potential that you want and deserve to reach by helping you to understand your past, present and future. To help you to work through relationship problems, self esteem issues or letting go of the past. To enable you to see past blocks and obstacles so that you can control, minimise and eliminate any anxieties. To work with the negative emotions that you feel so that you can identify quickly what your emotions are telling you and then challenge them so that they do not control you. To magnify the positives and build on them for complete self confidence.
I can help you to reach the potential that you want and deserve to reach by helping you to understand your past, present and future. To help you to work through relationship problems, self esteem issues or letting go of the past. To enable you to see past blocks and obstacles so that you can control, minimise and eliminate any anxieties. To work with the negative emotions that you feel so that you can identify quickly what your emotions are telling you and then challenge them so that they do not control you. To magnify the positives and build on them for complete self confidence.
01702 967425 View 01702 967425
Photo of Farah Mitha, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Farah Mitha
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Farah has over 18 years clinical experience of working both in the NHS and private sector, providing evidence based psychological treatment and guidance tailoring her approach to the individual clients needs. These may be short term goals, that lend themselves to briefer therapy, or longer-term goals leading to more in-depth exploration of longer standing issues. Her clinical expereince include a wide range of emotional and psychological difficulties from mild depression and anxiety, to complex trauma, with a special interest in OCD. She is able to offer specialised trauma treatment for PTSD in the form of EMDR.
Farah has over 18 years clinical experience of working both in the NHS and private sector, providing evidence based psychological treatment and guidance tailoring her approach to the individual clients needs. These may be short term goals, that lend themselves to briefer therapy, or longer-term goals leading to more in-depth exploration of longer standing issues. Her clinical expereince include a wide range of emotional and psychological difficulties from mild depression and anxiety, to complex trauma, with a special interest in OCD. She is able to offer specialised trauma treatment for PTSD in the form of EMDR.
01702 967132 View 01702 967132
Photo of Helen McDonald, Counsellor, MA, MBACP
Helen McDonald
Counsellor, MA, MBACP
2 Endorsed
I’ve been working with children and young people for over 20 years and I have extensive experience of supporting children and young people with a range of emotional needs and of supporting parents, caregivers and professionals to build better connections with the children and young people in their lives. I’m based in Southend-on-Sea, Essex, and I offer a range of support services for children and young people, including therapy (play-based and talking therapy), coaching, and advocacy. I have experience of working with children and young people with additional learning needs and those who are neurodivergent.
I’ve been working with children and young people for over 20 years and I have extensive experience of supporting children and young people with a range of emotional needs and of supporting parents, caregivers and professionals to build better connections with the children and young people in their lives. I’m based in Southend-on-Sea, Essex, and I offer a range of support services for children and young people, including therapy (play-based and talking therapy), coaching, and advocacy. I have experience of working with children and young people with additional learning needs and those who are neurodivergent.
01702 418208 View 01702 418208
Photo of Michelle Anne Saunders, Counsellor, MBACP
You might feel stuck, overwhelmed, or like life’s become heavy and tangled. Maybe you're repeating old patterns, struggling with anxiety or low self-esteem, or navigating something deeply personal — like fertility issues, grief, addiction or chronic health challenges. You want to feel like you again. You want to understand what’s really going on underneath it all, move forward without pressure or judgement, and finally stop carrying so much on your own. You don’t need fixing — just space, support, and someone who gets it.
You might feel stuck, overwhelmed, or like life’s become heavy and tangled. Maybe you're repeating old patterns, struggling with anxiety or low self-esteem, or navigating something deeply personal — like fertility issues, grief, addiction or chronic health challenges. You want to feel like you again. You want to understand what’s really going on underneath it all, move forward without pressure or judgement, and finally stop carrying so much on your own. You don’t need fixing — just space, support, and someone who gets it.
01702 967445 View 01702 967445
Photo of Victoria Worton, Counsellor, BACP
Victoria Worton
Counsellor, BACP
Most people experience problems at some time in their lives, many experience regular recurring difficulties. If you are wondering if Counselling will help, then maybe it is time to try it. I aim to provide a warm and welcoming environment where people feel safe to explore whatever reasons/issues brought them to personal therapy.
Most people experience problems at some time in their lives, many experience regular recurring difficulties. If you are wondering if Counselling will help, then maybe it is time to try it. I aim to provide a warm and welcoming environment where people feel safe to explore whatever reasons/issues brought them to personal therapy.
01268 437441 View 01268 437441
Photo of Tracey Anne Denton - Wright Counselling, Counsellor, MBACP Accred
Wright Counselling
Counsellor, MBACP Accred
Do you sometimes feel overwhelmed by the stresses in life? Feel unable to make decisions? Do you condemn yourself for making the 'wrong' decision? We can be good at condemning ourselves and be our worst critic. Discovering what patterns are happening for us over and over again, and preparing yourself for these, knowing what you can and can't do, can feel empowering. Being able to express yourself knowing that you can be heard without fear, embarrassment or shame but with acceptance of you as a person can be life changing. I can help you look at making changes and find bespoke ways to support and establish a way forward for you.
Do you sometimes feel overwhelmed by the stresses in life? Feel unable to make decisions? Do you condemn yourself for making the 'wrong' decision? We can be good at condemning ourselves and be our worst critic. Discovering what patterns are happening for us over and over again, and preparing yourself for these, knowing what you can and can't do, can feel empowering. Being able to express yourself knowing that you can be heard without fear, embarrassment or shame but with acceptance of you as a person can be life changing. I can help you look at making changes and find bespoke ways to support and establish a way forward for you.
01702 411337 View 01702 411337
Photo of Sally Robarts - Wisteria Talking Therapy , Counsellor, BACP
Wisteria Talking Therapy
Counsellor, BACP
3 Endorsed
Have you suffered an adverse childhood experience? Are you feeling anxious? Are your relationships suffering? Is there unprocessed trauma affecting your own wellbeing or those around you? Want to feel more at peace? Do you struggle living in a neurodivergent household or waiting a ADHD diagnosis and feel that no one gets you? Neurodivergent people can suffer multiple traumatic events impacting their wellbeing and can be highly sensitive to rejection impacting self worth. Working through a trauma lense we can pinpoint where the unease lay and work towards hope, clarity and a sense of calm.
Have you suffered an adverse childhood experience? Are you feeling anxious? Are your relationships suffering? Is there unprocessed trauma affecting your own wellbeing or those around you? Want to feel more at peace? Do you struggle living in a neurodivergent household or waiting a ADHD diagnosis and feel that no one gets you? Neurodivergent people can suffer multiple traumatic events impacting their wellbeing and can be highly sensitive to rejection impacting self worth. Working through a trauma lense we can pinpoint where the unease lay and work towards hope, clarity and a sense of calm.
01268 437918 View 01268 437918
Photo of Gemma Maria Anderson, Counsellor, MBACP
Hi I’m Gemma, and welcome to my profile. Counselling can be daunting and maybe you’re unsure of what you want which is why I offer my 1st Session at half the fee for you to decide if I’m the right fit for you. I have many years of experience with anxiety, depression, confidence issues, fears and many more reasons people take up counselling. Are you experiencing intense emotions and feel like you’re unable to manage them in the way you would like?. Are you feeling sad, isolated and alone because of this. There really is nothing too small/big to bring to therapy. Maybe get in contact and give it a try. :)
Hi I’m Gemma, and welcome to my profile. Counselling can be daunting and maybe you’re unsure of what you want which is why I offer my 1st Session at half the fee for you to decide if I’m the right fit for you. I have many years of experience with anxiety, depression, confidence issues, fears and many more reasons people take up counselling. Are you experiencing intense emotions and feel like you’re unable to manage them in the way you would like?. Are you feeling sad, isolated and alone because of this. There really is nothing too small/big to bring to therapy. Maybe get in contact and give it a try. :)
01702 655677 View 01702 655677

How does your Counsellor compare?

Number of Counsellors in SS1

50+

Average cost per session

£60

Counsellors in SS1 who prioritize treating:

96% Anxiety
90% Self Esteem
86% Depression
84% Stress
73% Relationship Issues
71% Bereavement
59% Domestic Abuse

Average years in practice

11 Years

Top 3 insurances accepted

75% Aviva
56% AXA PPP
56% Vitality

How Counsellors in SS1 see their clients

92% In Person and Online
8% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counselling

How can I find a therapist in SS1?

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.