Photo of Jan Howe, MBACP, Counsellor
Jan Howe
Counsellor, MBACP
Verified Verified
London SW14
Life, and what we experience, can sometimes overwhelm us, bringing to the surface underlying issues that maybe you hadn't realised are there. Maybe you can't figure out why you feel the way you do. Whatever issues you’re experiencing – from anxiety, to bereavement, stress, low self-esteem, life changes, depression, abuse, addiction, or other trauma – I offer a confidential one-to-one counselling service to help you work through them. You can talk through your problems, and explore emotional problems in a safe, non-judgmental and confidential setting.
Life, and what we experience, can sometimes overwhelm us, bringing to the surface underlying issues that maybe you hadn't realised are there. Maybe you can't figure out why you feel the way you do. Whatever issues you’re experiencing – from anxiety, to bereavement, stress, low self-esteem, life changes, depression, abuse, addiction, or other trauma – I offer a confidential one-to-one counselling service to help you work through them. You can talk through your problems, and explore emotional problems in a safe, non-judgmental and confidential setting.
01748 902503 View 01748 902503
Photo of Marc Dalal, MBACP Accred, Psychotherapist
Marc Dalal
Psychotherapist, MBACP Accred
Verified Verified
London SW14
I am a highly experienced therapist who is registered and accredited by the BACP. With a strong background in private practice, I have successfully worked with a diverse range of clients. As I currently have ample availability, I welcome new clients, whether they are seeking short-term or open-ended therapy. My expertise spans a wide spectrum, encompassing complex mental health conditions such as Dissociative Identity Disorder, as well as anxiety, anger management, and personal or relationship issues. I believe in providing a safe and supportive environment for all clients, regardless of the nature or severity of their challenges.
I am a highly experienced therapist who is registered and accredited by the BACP. With a strong background in private practice, I have successfully worked with a diverse range of clients. As I currently have ample availability, I welcome new clients, whether they are seeking short-term or open-ended therapy. My expertise spans a wide spectrum, encompassing complex mental health conditions such as Dissociative Identity Disorder, as well as anxiety, anger management, and personal or relationship issues. I believe in providing a safe and supportive environment for all clients, regardless of the nature or severity of their challenges.
01748 901233 View 01748 901233
Photo of Matthew Crane, MBACP, Counsellor
Matthew Crane
Counsellor, MBACP
Verified Verified
London SW14
We all experience problems and difficulties which at times can build-up and seem overwhelming in our day-to-day lives. Sometimes, events or relationships can feel difficult due to deeper issues unresolved from our past, such as childhood experiences or family problems. Counselling can help you have more awareness of yourself and the decisions you make, giving you greater empowerment in your life. It may help with a range of emotional issues including anxiety, depression, loss and grief, low self-esteem, mood or family and relationship problems. It can support you through difficult times and allow you to achieve your full potential.
We all experience problems and difficulties which at times can build-up and seem overwhelming in our day-to-day lives. Sometimes, events or relationships can feel difficult due to deeper issues unresolved from our past, such as childhood experiences or family problems. Counselling can help you have more awareness of yourself and the decisions you make, giving you greater empowerment in your life. It may help with a range of emotional issues including anxiety, depression, loss and grief, low self-esteem, mood or family and relationship problems. It can support you through difficult times and allow you to achieve your full potential.
07376 962977 View 07376 962977
Photo of undefined - Dr Lucia Giombini, PhD, HCPC - Clin. Psych., Psychologist
Dr Lucia Giombini
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
London SW14  (Online Only)
I have dedicated the majority of my career as Clinical Psychologist thus far to helping people suffering from various forms of eating disorder, such anorexia nervosa, bulimia nervosa, binge eating disorder or emotional eating. By working with these conditions, I have developed a deeper understanding of the difficulties connected to them, such as different types of anxiety disorders and depression, perfectionism and obsessive-compulsive symptoms. I use different interventions deriving from a wide range of psychological theories, including motivational enhancement therapy, interpersonal therapy and cognitive behavioural therapy. Please, for more information visit my website: www.luciagiombini.com
I have dedicated the majority of my career as Clinical Psychologist thus far to helping people suffering from various forms of eating disorder, such anorexia nervosa, bulimia nervosa, binge eating disorder or emotional eating. By working with these conditions, I have developed a deeper understanding of the difficulties connected to them, such as different types of anxiety disorders and depression, perfectionism and obsessive-compulsive symptoms. I use different interventions deriving from a wide range of psychological theories, including motivational enhancement therapy, interpersonal therapy and cognitive behavioural therapy. Please, for more information visit my website: www.luciagiombini.com
020 3962 0172 View 020 3962 0172
Photo of Nadia Mackenzie (Bacp), DCounsPsych, MBACP, Psychotherapist
Nadia Mackenzie (Bacp)
Psychotherapist, DCounsPsych, MBACP
Verified Verified
London SW14
We can sometimes feel stuck or overwhelmed in our lives, so by working collaboratively supporting my clients through helping explore feelings, setting goals and developing coping strategies to manage difficulties. I fully understand taking the first step can feel daunting, which is why it’s important to find the right therapist, as building trust is central to the counselling relationship. I strongly believe given the right support, through learning ways to overcome old beliefs and behaviours, we have a capacity to find our own answers and so develop a sense of self-direction which leads us to more enhanced fulfilment in our lives.
We can sometimes feel stuck or overwhelmed in our lives, so by working collaboratively supporting my clients through helping explore feelings, setting goals and developing coping strategies to manage difficulties. I fully understand taking the first step can feel daunting, which is why it’s important to find the right therapist, as building trust is central to the counselling relationship. I strongly believe given the right support, through learning ways to overcome old beliefs and behaviours, we have a capacity to find our own answers and so develop a sense of self-direction which leads us to more enhanced fulfilment in our lives.
01748 900743 View 01748 900743
Photo of Fi Howard, MBACP Accred, Counsellor
Fi Howard
Counsellor, MBACP Accred
Verified Verified
London SW14
Hello. Sometimes life is just overwhelming - often we know what the root cause of the problem is and occasionally we don't.  Perhaps you have realised that coping on your own isn't working and talking to someone else could help. Whatever the reason you have landed on my page today, I hope it gives you an insight into what I do.   Having faced my own challenges and formed an authentic relationship with my therapist,  I experienced first hand the power of an empathic, caring, non judgemental and safe space to explore my feelings.  My aim is to offer a similar experience to you, whether individually or as a couple.
Hello. Sometimes life is just overwhelming - often we know what the root cause of the problem is and occasionally we don't.  Perhaps you have realised that coping on your own isn't working and talking to someone else could help. Whatever the reason you have landed on my page today, I hope it gives you an insight into what I do.   Having faced my own challenges and formed an authentic relationship with my therapist,  I experienced first hand the power of an empathic, caring, non judgemental and safe space to explore my feelings.  My aim is to offer a similar experience to you, whether individually or as a couple.
01748 901562 View 01748 901562
Photo of Berlin Leiman, MSc, MUKCP, Psychotherapist
Berlin Leiman
Psychotherapist, MSc, MUKCP
Verified Verified
London SW14
Maybe you find life overwhelming? Do you feel down and is it affecting your quality of life, your relationships with family and friends? Maybe you are trying really hard to accept life as is, or no matter how hard you try to make changes, time and again you meet similar situations, recognisable patterns that seem to be repeating themselves
Maybe you find life overwhelming? Do you feel down and is it affecting your quality of life, your relationships with family and friends? Maybe you are trying really hard to accept life as is, or no matter how hard you try to make changes, time and again you meet similar situations, recognisable patterns that seem to be repeating themselves
01748 901296 View 01748 901296
Photo of Dragana Djukic, MA, MUKCP, Psychotherapist
Dragana Djukic
Psychotherapist, MA, MUKCP
Verified Verified
London SW14
I have a particular interest and vast experience (25+ years) in working with stress, anxiety, panic attacks, phobias, depression, and relationship issues. I offer ONLINE therapy only, for now – via Skype, FaceTime, WhatsApp and Zoom. I provide a safe and supportive space for you to express your feelings and thoughts so to gain clarity and make a positive, lasting change. For more information, please contact me on 079 0889 0336, or visit my website www.quantumkoan.com
I have a particular interest and vast experience (25+ years) in working with stress, anxiety, panic attacks, phobias, depression, and relationship issues. I offer ONLINE therapy only, for now – via Skype, FaceTime, WhatsApp and Zoom. I provide a safe and supportive space for you to express your feelings and thoughts so to gain clarity and make a positive, lasting change. For more information, please contact me on 079 0889 0336, or visit my website www.quantumkoan.com
07908 890336 View 07908 890336
Photo of Bettina Salzmann, MBACP, Psychotherapist
Bettina Salzmann
Psychotherapist, MBACP
Verified Verified
London SW14
I am an experienced CBT therapist and integrative counsellor/psychotherapist working in private practice for Anxiety, Trauma, Personality Disorder, Depression, family mediation.I use mindfulness with my clients to help them to become more aware of the present moment and in acknowledging feelings and thoughts as they come and go.It’s been accepted as a useful therapy for anxiety and depression for years, and research suggests it's effective when practising reflection on yourself, switching off your auto pilot in order to discover your real feelings, and this can have an positive influence on our well being.
I am an experienced CBT therapist and integrative counsellor/psychotherapist working in private practice for Anxiety, Trauma, Personality Disorder, Depression, family mediation.I use mindfulness with my clients to help them to become more aware of the present moment and in acknowledging feelings and thoughts as they come and go.It’s been accepted as a useful therapy for anxiety and depression for years, and research suggests it's effective when practising reflection on yourself, switching off your auto pilot in order to discover your real feelings, and this can have an positive influence on our well being.
01748 900742 View 01748 900742
Photo of Baruch Spiegel
Baruch Spiegel
Verified Verified
London SW14
The world facing our children and young people today is an extremely complicated one. Dealing with an unpredictable, and at times, chaotic environment, can test our mental and physical systems. The seeds of worry can be sown in a myriad of ways but nearly always ends up with the young person internalising their problems, which then manifest in increasingly problematic ways such as OCD, Tics, Self-Harming, and body image issues. Underlying all of these symptoms is a powerfully negative view of themselves which, if unchecked, can become overwhelming.
The world facing our children and young people today is an extremely complicated one. Dealing with an unpredictable, and at times, chaotic environment, can test our mental and physical systems. The seeds of worry can be sown in a myriad of ways but nearly always ends up with the young person internalising their problems, which then manifest in increasingly problematic ways such as OCD, Tics, Self-Harming, and body image issues. Underlying all of these symptoms is a powerfully negative view of themselves which, if unchecked, can become overwhelming.
020 4538 9608 View 020 4538 9608
Photo of Emily Iniekio, MA, HCPC-Art Therap., Psychotherapist
Emily Iniekio
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
London SW14  (Online Only)
Seeking help through therapy can feel like a daunting task, but it can also be the first big step to healing from within. Perhaps you're feeling stressed, having trouble sleeping or just generally out of sorts. This may even be affecting your relationships, work and health. I offer you a warm empathic space and a chance to talk about whatever is troubling you in a confidential supportive way. Simply put, it a chance for you to heal. I work with an integrative psychodynamic model, bringing in elements of CBT and minfulness.
Seeking help through therapy can feel like a daunting task, but it can also be the first big step to healing from within. Perhaps you're feeling stressed, having trouble sleeping or just generally out of sorts. This may even be affecting your relationships, work and health. I offer you a warm empathic space and a chance to talk about whatever is troubling you in a confidential supportive way. Simply put, it a chance for you to heal. I work with an integrative psychodynamic model, bringing in elements of CBT and minfulness.
01748 902963 View 01748 902963
Photo of Simonetta Wyatt, MBACP, Counsellor
Simonetta Wyatt
Counsellor, MBACP
Verified Verified
London SW14
Each and every one of us will at some point in our lives face difficulties and challenges that we find hard to deal with – be that experiencing periods of feeling ‘stuck’, anxious, depressed, low or angry; experiencing conflicts in our relationships with others, suffering a loss; or being impacted by past events which still affect how we cope with life today.
Each and every one of us will at some point in our lives face difficulties and challenges that we find hard to deal with – be that experiencing periods of feeling ‘stuck’, anxious, depressed, low or angry; experiencing conflicts in our relationships with others, suffering a loss; or being impacted by past events which still affect how we cope with life today.
01748 901490 View 01748 901490
Photo of Jacqui Crane, MBACP, Counsellor
Jacqui Crane
Counsellor, MBACP
Verified Verified
London SW14
Life’s pressures can sometimes make us feel unsure of ourselves and this can make us feel unhappy. Our true selves can get buried under the weight of conditioning and other people’s ideas of who we are, and we can lose sense of where we are going. I am a warm, caring integrative therapist who will work by encouraging you to find answers from within. I can help you discover the person you were before you drew conclusions from others. I believe we all have the power to choose who we want to be. There is only one person that we can change and that is ourself and I can help you as you embark on this journey of discovery and growth.
Life’s pressures can sometimes make us feel unsure of ourselves and this can make us feel unhappy. Our true selves can get buried under the weight of conditioning and other people’s ideas of who we are, and we can lose sense of where we are going. I am a warm, caring integrative therapist who will work by encouraging you to find answers from within. I can help you discover the person you were before you drew conclusions from others. I believe we all have the power to choose who we want to be. There is only one person that we can change and that is ourself and I can help you as you embark on this journey of discovery and growth.
01748 901509 View 01748 901509
Photo of Lorna Francis, MBACP, Counsellor
Lorna Francis
Counsellor, MBACP
Verified Verified
1 Endorsed
London SW14
Life can feel as though everything is getting too much. Are you low, irritable or anxious? Or is there something you want to talk through? Then therapy may be for you. Being in a confidential, empathic and non-judgemental environment with an experienced trained professional, listening and providing support can help you start to lead a more fulfilling life. Building a trusting relationship with me can support you with trauma, anxiety or relationship issues. Through in-depth exploration we can enable you to understand yourself, yourself with others and gain new insights, awareness and choices.
Life can feel as though everything is getting too much. Are you low, irritable or anxious? Or is there something you want to talk through? Then therapy may be for you. Being in a confidential, empathic and non-judgemental environment with an experienced trained professional, listening and providing support can help you start to lead a more fulfilling life. Building a trusting relationship with me can support you with trauma, anxiety or relationship issues. Through in-depth exploration we can enable you to understand yourself, yourself with others and gain new insights, awareness and choices.
01748 902557 View 01748 902557
Photo of Patrick van Straaten, MBACP, Psychotherapist
Patrick van Straaten
Psychotherapist, MBACP
Verified Verified
London SW14
Therapy starts with you. You may be struggling with a specific problem, at work or in your personal life; you may be noticing changes in your habits or your mood; you may want to understand how your past affects you; you may feel like life is generally not going your way. People come to therapy for many reasons, and together we can talk about what you’re going through, and what you’d like more or less of in your life, in a space where you are accepted for who you are.
Therapy starts with you. You may be struggling with a specific problem, at work or in your personal life; you may be noticing changes in your habits or your mood; you may want to understand how your past affects you; you may feel like life is generally not going your way. People come to therapy for many reasons, and together we can talk about what you’re going through, and what you’d like more or less of in your life, in a space where you are accepted for who you are.
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Photo of Tallulah Turney, MBACP, Counsellor
Tallulah Turney
Counsellor, MBACP
Verified Verified
6 Endorsed
London SW14
I am a supportive and empathic counsellor providing a safe and welcoming space where you may explore whatever it is that brings you to therapy. With an empathic and non judgemental approach I will listen with understanding & compassion. It may be that you are experiencing difficulties in your life, feeling stressed, anxious or depressed. You may feel the need for a place to talk. Whatever is troubling you - may be unearthed within the safety of our therapeutic relationship. As a fully qualified & experienced Humanistic Counsellor I offer a blended approach across person centred, TA & Gestalt modalities.
I am a supportive and empathic counsellor providing a safe and welcoming space where you may explore whatever it is that brings you to therapy. With an empathic and non judgemental approach I will listen with understanding & compassion. It may be that you are experiencing difficulties in your life, feeling stressed, anxious or depressed. You may feel the need for a place to talk. Whatever is troubling you - may be unearthed within the safety of our therapeutic relationship. As a fully qualified & experienced Humanistic Counsellor I offer a blended approach across person centred, TA & Gestalt modalities.
01748 900178 View 01748 900178
Photo of Eliza Burrows, MA, MBACP, Psychotherapist
Eliza Burrows
Psychotherapist, MA, MBACP
Verified Verified
London SW14
Everyone will experience difficulties or distress in their lives or in their relationships at some point. You may be struggling with low self-esteem, low mood, loss of a key relationship, a transition in your life or career, or perhaps deeper-rooted issues from the past that have been triggered by a current event or situation. I work in a warm, supportive and conversational way, with the aim of establishing a strong and trusting relationship with you. I offer a safe, non-judgemental and confidential space where we can explore your experiences, feelings and concerns together.
Everyone will experience difficulties or distress in their lives or in their relationships at some point. You may be struggling with low self-esteem, low mood, loss of a key relationship, a transition in your life or career, or perhaps deeper-rooted issues from the past that have been triggered by a current event or situation. I work in a warm, supportive and conversational way, with the aim of establishing a strong and trusting relationship with you. I offer a safe, non-judgemental and confidential space where we can explore your experiences, feelings and concerns together.
01748 352061 View 01748 352061
Photo of Fiona Davis-Coleman, MA, MBACP, Psychotherapist
Fiona Davis-Coleman
Psychotherapist, MA, MBACP
Verified Verified
London SW14
I work as an integrative psychotherapist and will tailor our sessions to your needs. I believe that we are all capable of transforming our lives. Profound and fundamental change occurs with the realisation that the most important relationship we will ever have is the relationship with ourselves.
I work as an integrative psychotherapist and will tailor our sessions to your needs. I believe that we are all capable of transforming our lives. Profound and fundamental change occurs with the realisation that the most important relationship we will ever have is the relationship with ourselves.
020 3910 6051 View 020 3910 6051
Photo of Carolyn Thompson, DCounsPsych, MBACP, Counsellor
Carolyn Thompson
Counsellor, DCounsPsych, MBACP
Verified Verified
London SW14
I work respectfully with a diverse range of clients and situations bringing a warm, supportive and non-judgemental approach. I work with many issues including, (but not exhaustive) sexual abuse and trauma, disassociation, PTSD and complex PDST, relationships, family dynamics, cancer, dementia, addictions and carer support. It is helpful to bring what may be troubling you, either from the past or present to the safety of a counselling relationship. Many people find they are then more confident to be able to make positive changes in their lives through counselling support. I offer a free 15-minute telephone consultation.
I work respectfully with a diverse range of clients and situations bringing a warm, supportive and non-judgemental approach. I work with many issues including, (but not exhaustive) sexual abuse and trauma, disassociation, PTSD and complex PDST, relationships, family dynamics, cancer, dementia, addictions and carer support. It is helpful to bring what may be troubling you, either from the past or present to the safety of a counselling relationship. Many people find they are then more confident to be able to make positive changes in their lives through counselling support. I offer a free 15-minute telephone consultation.
020 3835 4314 View 020 3835 4314
Photo of Audra Williams, MA, HCPC-Art Therap., Psychotherapist
Audra Williams
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
1 Endorsed
London SW14
So often people suffer in silence instead of reaching out for support. Whether you are looking for a therapist for yourself or have concerns about your child, teenager or family member, I will provide an engaging and individual approach. I am an experienced artist and art psychotherapist with a private practice in my home in Richmond. You do not need to be an ‘artist’ or ‘good at art’ to benefit from making and engaging in art therapy. It is not about producing masterpieces (although you may surprise yourself). And although all materials are included and their use encouraged, art making during sessions is not a requirement.
So often people suffer in silence instead of reaching out for support. Whether you are looking for a therapist for yourself or have concerns about your child, teenager or family member, I will provide an engaging and individual approach. I am an experienced artist and art psychotherapist with a private practice in my home in Richmond. You do not need to be an ‘artist’ or ‘good at art’ to benefit from making and engaging in art therapy. It is not about producing masterpieces (although you may surprise yourself). And although all materials are included and their use encouraged, art making during sessions is not a requirement.
01748 902213 View 01748 902213

See more therapy options for SW14

How does your Counsellor compare?

Number of Counsellors in SW14

30+

Average cost per session

£75

Counsellors in SW14 who prioritize treating:

100% Anxiety
94% Depression
92% Relationship Issues
92% Self Esteem
89% Stress
75% Bereavement
67% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

80% Aviva
80% AXA PPP
70% Vitality

How Counsellors in SW14 see their clients

81% In Person and Online
19% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counselling

How can I find a therapist in SW14?

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.