Counselling in SW1A

Photo of Ailis Weir, Counsellor in SW1A, England
Ailis Weir
Counsellor, MSc, BACP
Verified Verified
London SW1A  (Online Only)
I am a person-centred counsellor who primarily works with members of the LGBTQ+ community. While mental health issues can be a huge barrier for anyone, for LGBTQ+ people these issues can be magnified. Often LGBTQ+ folks struggle to feel understood, to feel heard, and can suffer social isolation as a result. Coming out, again and again, to ourselves, our friends, our partners all while finding one’s true sense of self, can be a lifelong mission. My outlook on counselling is based on compassion and honesty, and I work to foster an environment where collaboration is encouraged. Find out more at my website www.beyondlineartherapy.com.
I am a person-centred counsellor who primarily works with members of the LGBTQ+ community. While mental health issues can be a huge barrier for anyone, for LGBTQ+ people these issues can be magnified. Often LGBTQ+ folks struggle to feel understood, to feel heard, and can suffer social isolation as a result. Coming out, again and again, to ourselves, our friends, our partners all while finding one’s true sense of self, can be a lifelong mission. My outlook on counselling is based on compassion and honesty, and I work to foster an environment where collaboration is encouraged. Find out more at my website www.beyondlineartherapy.com.
0113 519 4367 View 0113 519 4367
Photo of Veronika Kloucek, Psychotherapist in SW1A, England
Veronika Kloucek
Psychotherapist, MA, MBACP Accred
Verified Verified
London SW1A
Many reasons can bring us to therapy whether they are temporary difficulties, long-term struggles or the desire for personal development. I offer a warm, non-judgmental and confidential space in which you can talk openly about any aspects of your life in a way which might not be possible with friends or family. I am here to listen and to work with you so that you can start to make sense of your feelings and create positive change in your life.
Many reasons can bring us to therapy whether they are temporary difficulties, long-term struggles or the desire for personal development. I offer a warm, non-judgmental and confidential space in which you can talk openly about any aspects of your life in a way which might not be possible with friends or family. I am here to listen and to work with you so that you can start to make sense of your feelings and create positive change in your life.
01748 902285 View 01748 902285
Photo of Svetlana Balashova, Counsellor in SW1A, England
Svetlana Balashova
Counsellor, MSc, MBACP Accred
Verified Verified
1 Endorsed
London SW1A
I am an experienced counsellor, working in the areas of personal relationships, family problems, immigration difficulties, work place problems with authorities, problems with depression, anxiety, low self esteem, unhelpful stereotypes of behaviour, childhood sexual abuse, gender uncertainty, sexual orientation problem My ideal client is somebody who is willing to to be able to walk and explore issues that difficult for them. Is somebody who is curious take risks and trust and it's able to
I am an experienced counsellor, working in the areas of personal relationships, family problems, immigration difficulties, work place problems with authorities, problems with depression, anxiety, low self esteem, unhelpful stereotypes of behaviour, childhood sexual abuse, gender uncertainty, sexual orientation problem My ideal client is somebody who is willing to to be able to walk and explore issues that difficult for them. Is somebody who is curious take risks and trust and it's able to
020 3985 5850 View 020 3985 5850
Photo of Sarah Jayne Buchanan, Psychotherapist in SW1A, England
Sarah Jayne Buchanan
Psychotherapist, MA, MBACP
Verified Verified
London SW1A
Perhaps you feel stuck, overwhelmed, or isolated. Maybe you struggle with a sense of hopelessness, feeling that your circumstances or your past mistakes define your future. You may be searching for therapy because you long for change, for a life where burdens are lighter and joy returns. I offer understanding without judgment, practical guidance, and its my sole purpose to help you find a renewed belief in yourself. My practice is compassionate, solution-focused and based in relationship.
Perhaps you feel stuck, overwhelmed, or isolated. Maybe you struggle with a sense of hopelessness, feeling that your circumstances or your past mistakes define your future. You may be searching for therapy because you long for change, for a life where burdens are lighter and joy returns. I offer understanding without judgment, practical guidance, and its my sole purpose to help you find a renewed belief in yourself. My practice is compassionate, solution-focused and based in relationship.
020 3036 1004 View 020 3036 1004
Photo of Graham Wilson, Psychotherapist in SW1A, England
Graham Wilson
Psychotherapist, PhD, MBACP
Verified Verified
London SW1A
If you're frustrated, personally or professionally, and find this distresses you (and maybe those around you), would like to take stock and make changes, but feel that it would be easier with someone outside your immediate circle, then I'd be happy to hear from you. My clients tend to be professionals, whether established in their careers or trying to establish themselves. Their frustrations may arise from their work or life outside. They are often seen by family and friends as capable and focused, but they often feel misunderstood and their own perception of themselves can sometimes be a little rocky.
If you're frustrated, personally or professionally, and find this distresses you (and maybe those around you), would like to take stock and make changes, but feel that it would be easier with someone outside your immediate circle, then I'd be happy to hear from you. My clients tend to be professionals, whether established in their careers or trying to establish themselves. Their frustrations may arise from their work or life outside. They are often seen by family and friends as capable and focused, but they often feel misunderstood and their own perception of themselves can sometimes be a little rocky.
01869 228022 View 01869 228022
Photo of Dan Entwisle, Counsellor in SW1A, England
Dan Entwisle
Counsellor, MBACP
Verified Verified
London SW1A  (Online Only)
I bring more than just academic qualifications to counselling. I also bring my experience from my previous career as a broadcaster to create a unique therapeutic offer. As an integrative therapist I am ready to guide you on your personal path to wellbeing. My style is informal and welcoming. I don't just hear what you have to tell me, I listen and help you find your path by fostering a creative and positve theraputic alliance.
I bring more than just academic qualifications to counselling. I also bring my experience from my previous career as a broadcaster to create a unique therapeutic offer. As an integrative therapist I am ready to guide you on your personal path to wellbeing. My style is informal and welcoming. I don't just hear what you have to tell me, I listen and help you find your path by fostering a creative and positve theraputic alliance.
01661 523724 View 01661 523724
Vlad Cunet: Jungian Psychoanalysis
Psychotherapist, MA, MUKCP
Verified Verified
London SW1A
My analytical identity was formed in Kyiv, Saint Petersburg, and London, where I was trained as a psychotherapist and Jungian analyst. I worked with children, adolescents, and adults in Ukraine and Italy for years before settling down in London, SE1, where I run my private psychoanalytical practice for adults. I offer analysis one to five times per week, on a chair or couch, to people with various conditions: from depression and relational issues to anxiety and psychotic breakdowns. I offer supervision services to colleagues who need support, guidance, or accompaniment in the pursuits of their Jungian nature.
My analytical identity was formed in Kyiv, Saint Petersburg, and London, where I was trained as a psychotherapist and Jungian analyst. I worked with children, adolescents, and adults in Ukraine and Italy for years before settling down in London, SE1, where I run my private psychoanalytical practice for adults. I offer analysis one to five times per week, on a chair or couch, to people with various conditions: from depression and relational issues to anxiety and psychotic breakdowns. I offer supervision services to colleagues who need support, guidance, or accompaniment in the pursuits of their Jungian nature.
020 4538 8935 View 020 4538 8935
Photo of Dr Owen Thompson, Psychologist in SW1A, England
Dr Owen Thompson
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London SW1A
Sometimes people seek therapy for a specific problem, like feeling depressed or anxious. Sometimes because there has been a life transition that has been particularly hard to navigate. Or perhaps because they have a sense of there being repeating patterns in their relationships and life that are leaving them feeling stuck or empty. Sometimes people do not feel exactly sure why they are seeking therapy, there is just a sense of something being not quite right and an idea that this is something that could usefully be explored with another person.
Sometimes people seek therapy for a specific problem, like feeling depressed or anxious. Sometimes because there has been a life transition that has been particularly hard to navigate. Or perhaps because they have a sense of there being repeating patterns in their relationships and life that are leaving them feeling stuck or empty. Sometimes people do not feel exactly sure why they are seeking therapy, there is just a sense of something being not quite right and an idea that this is something that could usefully be explored with another person.
020 3816 3688 View 020 3816 3688
Photo of Dr Claire Mansfield, Psychologist in SW1A, England
Dr Claire Mansfield
Psychologist, PsychD, CPsychol
Verified Verified
London SW1A
Chartered counselling psychologist offering psychological support for difficulties such as depression, anxiety, health anxiety, and relationship and family issues. Highly qualified and experienced, offering expert care. Counselling and therapy enables individuals to talk about painful or difficult experiences in a safe and confidential setting. It can allow people to find new ways of coping or to think about changes that they may want to make.
Chartered counselling psychologist offering psychological support for difficulties such as depression, anxiety, health anxiety, and relationship and family issues. Highly qualified and experienced, offering expert care. Counselling and therapy enables individuals to talk about painful or difficult experiences in a safe and confidential setting. It can allow people to find new ways of coping or to think about changes that they may want to make.
01442 506774 View 01442 506774
Photo of Chryssa Chalkia, Psychotherapist in SW1A, England
Chryssa Chalkia
Psychotherapist, MA, MUKCP
Verified Verified
2 Endorsed
London SW1A
Are you currently facing the challenges of overwhelming stress, dissatisfaction, or a sense of being stuck in your personal or professional life? Are emotions or behaviours becoming harder to manage? Is the demands of work overshadowing your life? I specialize in helping individuals like you overcome obstacles, regain control, and achieve their goals. By using evidence based strategies and tailored support, we can unlock your full potential and foster a life of balance and success. Invest in your well-being and professional growth. Take the first step toward positive change; reach out, and let's explore a brighter future together.
Are you currently facing the challenges of overwhelming stress, dissatisfaction, or a sense of being stuck in your personal or professional life? Are emotions or behaviours becoming harder to manage? Is the demands of work overshadowing your life? I specialize in helping individuals like you overcome obstacles, regain control, and achieve their goals. By using evidence based strategies and tailored support, we can unlock your full potential and foster a life of balance and success. Invest in your well-being and professional growth. Take the first step toward positive change; reach out, and let's explore a brighter future together.
020 3962 0643 View 020 3962 0643
Photo of Andrew Rutherford, Psychotherapist in SW1A, England
Andrew Rutherford
Psychotherapist, MUKCP
Verified Verified
London SW1A
Hello, I'm Andrew and I'm an integrative psychotherapist. What do I mean by integrative? Well, it has been reliably shown that there is no overall 'best therapy'. What works for one person does not necessarily work for another, even if their issues are similar. You might have heard about psychoanalysis, person-centred counselling, or CBT. These are just a few of a number of therapeutic approaches. Each type of therapy offers different potentials for change. For over forty years now there has been a movement towards integrating these approaches to better meet a person's individual needs.
Hello, I'm Andrew and I'm an integrative psychotherapist. What do I mean by integrative? Well, it has been reliably shown that there is no overall 'best therapy'. What works for one person does not necessarily work for another, even if their issues are similar. You might have heard about psychoanalysis, person-centred counselling, or CBT. These are just a few of a number of therapeutic approaches. Each type of therapy offers different potentials for change. For over forty years now there has been a movement towards integrating these approaches to better meet a person's individual needs.
020 3962 0926 View 020 3962 0926
Photo of Gerhard Franz Payrhuber, Psychotherapist in SW1A, England
Gerhard Franz Payrhuber
Psychotherapist, MSc, MUKCP
Verified Verified
London SW1A
Do you struggle with anxiety, depression or traumatic experiences? Do you have a psychiatric diagnosis? Can't you work out why you feel so unhappy, confused or helpless? Want to improve your confidence or build a more resilient way of living? Want to stop addictive behaviours or just need someone to help you through disturbing or a crisis? Are you met with enough understanding and encouragement?
Do you struggle with anxiety, depression or traumatic experiences? Do you have a psychiatric diagnosis? Can't you work out why you feel so unhappy, confused or helpless? Want to improve your confidence or build a more resilient way of living? Want to stop addictive behaviours or just need someone to help you through disturbing or a crisis? Are you met with enough understanding and encouragement?
020 3910 7758 View 020 3910 7758
Photo of Michael Dee Therapy, Counsellor in SW1A, England
Michael Dee Therapy
Counsellor, MBACP
Verified Verified
London SW1A
Life events can trigger emotions that are difficult to understand or express. Sudden trauma, redundancy, a business failure, a relationship breakdown, bereavement, abuse, bullying and harassment, or struggles with gender and sexual identity. The list is endless and is as individual as us. These can prevent clear thinking and create worries or reactions, which can go on to cause anxiety, shame, confusion, or possible feelings of guilt that are hard to recognise or cope with. They may also cause a reaction of self-destruction, self-harm, eating disorders, drinking, drug use and other issues.
Life events can trigger emotions that are difficult to understand or express. Sudden trauma, redundancy, a business failure, a relationship breakdown, bereavement, abuse, bullying and harassment, or struggles with gender and sexual identity. The list is endless and is as individual as us. These can prevent clear thinking and create worries or reactions, which can go on to cause anxiety, shame, confusion, or possible feelings of guilt that are hard to recognise or cope with. They may also cause a reaction of self-destruction, self-harm, eating disorders, drinking, drug use and other issues.
01926 293629 View 01926 293629
Photo of Silva Neves, Psychotherapist in SW1A, England
Silva Neves
Psychotherapist, COSRT Accred
Verified Verified
1 Endorsed
London SW1A
I am a fully qualified, experienced and accredited psychotherapist, specialist in psychosexual & relationship therapy, couples therapy, and the treatment of compulsive sexual behaviours. I am a clinical traumatologist specialist in providing therapy for survivors of sexual abuse. I offer clinical supervision to psychotherapists, psychologists, counsellors and other mental health professionals. I hold a full professional insurance.
I am a fully qualified, experienced and accredited psychotherapist, specialist in psychosexual & relationship therapy, couples therapy, and the treatment of compulsive sexual behaviours. I am a clinical traumatologist specialist in providing therapy for survivors of sexual abuse. I offer clinical supervision to psychotherapists, psychologists, counsellors and other mental health professionals. I hold a full professional insurance.
020 3974 1463 View 020 3974 1463
Photo of Zoe Powell Martin, Counsellor in SW1A, England
Zoe Powell Martin
Counsellor, MSc, MBACP
Verified Verified
London SW1A  (Online Only)
Hello, I'm Zoe - it's a pleasure to meet you. I am an experienced LGBTQ+ and University counsellor currently offering online counselling and psychotherapy. I provide a warm, safe and nurturing space to support you on your therapeutic journey. As a therapist, I am committed to ensure that your therapy sessions are co-constructed to meet your individual therapeutic needs. Benefitting from shared-decision making, a focus on therapeutic direction as well as empathy, support, compassion and attention, you can expect a uniquely inclusive and collaborative therapeutic experience.
Hello, I'm Zoe - it's a pleasure to meet you. I am an experienced LGBTQ+ and University counsellor currently offering online counselling and psychotherapy. I provide a warm, safe and nurturing space to support you on your therapeutic journey. As a therapist, I am committed to ensure that your therapy sessions are co-constructed to meet your individual therapeutic needs. Benefitting from shared-decision making, a focus on therapeutic direction as well as empathy, support, compassion and attention, you can expect a uniquely inclusive and collaborative therapeutic experience.
01363 722166 View 01363 722166
Photo of Patricia Hines Counselling and Psychotherapy, Psychotherapist in SW1A, England
Patricia Hines Counselling and Psychotherapy
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
London SW1A
Do you need help with: self-esteem, relationship problems, anxiety, panic attacks, eating disorders, recent or past trauma, experience of abuse, OCD, or perhaps other issues? I provide a confidential space where your experience will be heard. We can work together to find new perspectives for a better future.
Do you need help with: self-esteem, relationship problems, anxiety, panic attacks, eating disorders, recent or past trauma, experience of abuse, OCD, or perhaps other issues? I provide a confidential space where your experience will be heard. We can work together to find new perspectives for a better future.
020 3962 1066 View 020 3962 1066
Photo of Joanna Morrin, Psychotherapist in SW1A, England
Joanna Morrin
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
London SW1A
Asking for help can be difficult and contacting a therapist may feel scary. That’s why from our first contact I aim to create a safe, confidential non-judgemental space for you to explore your difficulties. Talking to a therapist offers a different perspective on how you feel and relate to others. We’ll draw on your past and present to find new ways to move forward for the best future for you. We can all get stuck reacting in ways that are not always useful to our wellbeing. Working with a psychotherapist brings insight into how we react, why we react that way, and changing negative patterns thinking, feeling and behaviour.
Asking for help can be difficult and contacting a therapist may feel scary. That’s why from our first contact I aim to create a safe, confidential non-judgemental space for you to explore your difficulties. Talking to a therapist offers a different perspective on how you feel and relate to others. We’ll draw on your past and present to find new ways to move forward for the best future for you. We can all get stuck reacting in ways that are not always useful to our wellbeing. Working with a psychotherapist brings insight into how we react, why we react that way, and changing negative patterns thinking, feeling and behaviour.
01727 227289 View 01727 227289
Photo of Heather Finlay, Psychotherapist in SW1A, England
Heather Finlay
Psychotherapist, MSc, MBACP
Verified Verified
London SW1A
I offer therapy in a safe environment, providing confidential, non-judgemental support to help you explore the difficulties that have led you to seek help. I strive to build a supportive and trusting relationship through listening and talking, to work through issues that may be upsetting you, such as relationship problems, loss, anxiety, depression, shame, trauma, addictions or low self-esteem. We will explore these problems together and find ways to manage feelings that may overwhelm you, challenge self defeating behaviour, identify goals and increase motivation to change, through sessions tailor made to meet your needs.
I offer therapy in a safe environment, providing confidential, non-judgemental support to help you explore the difficulties that have led you to seek help. I strive to build a supportive and trusting relationship through listening and talking, to work through issues that may be upsetting you, such as relationship problems, loss, anxiety, depression, shame, trauma, addictions or low self-esteem. We will explore these problems together and find ways to manage feelings that may overwhelm you, challenge self defeating behaviour, identify goals and increase motivation to change, through sessions tailor made to meet your needs.
020 3962 0254 View 020 3962 0254
Photo of Dr Jennifer Black, Psychologist in SW1A, England
Dr Jennifer Black
Psychologist, HCPC - Clin. Psych.
Verified Verified
London SW1A  (Online Only)
Are you feeling anxious, overwhelmed or a bit lost? Perhaps you’ve recently had something difficult happen in your life, or maybe you’ve been struggling for a while now and have decided to seek support. Do you want a space to be listened to, understand what is going on and how to change things? I can offer my experience and expertise, drawing on the best evidence to support you and give you the tools & techniques you need to feel better. I can help you to get a better understanding of what is going on, what’s working for you and what isn’t and come up with an idea of how we can move things forward with a personalised therapy plan.
Are you feeling anxious, overwhelmed or a bit lost? Perhaps you’ve recently had something difficult happen in your life, or maybe you’ve been struggling for a while now and have decided to seek support. Do you want a space to be listened to, understand what is going on and how to change things? I can offer my experience and expertise, drawing on the best evidence to support you and give you the tools & techniques you need to feel better. I can help you to get a better understanding of what is going on, what’s working for you and what isn’t and come up with an idea of how we can move things forward with a personalised therapy plan.
View
Photo of Chandrayee Basu, Psychotherapist in SW1A, England
Chandrayee Basu
Psychotherapist, MA, MBACP
Verified Verified
London SW1A
I am a person who believes that our capacity to embrace the ups and downs of life is our greatest strength. Adversity can be a brilliant teacher if we are willing to learn and consequently, change. My objective is to help you find your own voice, recognise your greatest strengths and empower you to live a fulfilling life. I am confident that by working together we will make sense of your fears, whether you are struggling with debilitating anxiety, or you feel isolated from your friends and family. It is important that you know that paths exist that can help you to move ahead.
I am a person who believes that our capacity to embrace the ups and downs of life is our greatest strength. Adversity can be a brilliant teacher if we are willing to learn and consequently, change. My objective is to help you find your own voice, recognise your greatest strengths and empower you to live a fulfilling life. I am confident that by working together we will make sense of your fears, whether you are struggling with debilitating anxiety, or you feel isolated from your friends and family. It is important that you know that paths exist that can help you to move ahead.
020 4524 5596 View 020 4524 5596

How does your Counsellor compare?

Number of Counsellors in SW1A

40+

Average cost per session

£80

Counsellors in SW1A who prioritize treating:

88% Relationship Issues
86% Anxiety
83% Depression
83% Stress
81% Self Esteem
74% Trauma and PTSD
67% Family Conflict

Average years in practice

10 Years

Top 3 insurances accepted

79% Aviva
64% AXA PPP
64% Vitality

How Counsellors in SW1A see their clients

77% In Person and Online
23% Online Only

Gender breakdown

75% Female
25% Male

FAQs - About Therapy and Counselling

How can I find a therapist in SW1A?

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.