Counselling in SY7

Photo of Mandy Fowler, Psychotherapist, MBACP
Mandy Fowler
Psychotherapist, MBACP
1 Endorsed
Ludlow SY7
I am a qualified therapist and psychotherapeutic counsellor working online or in person (including with couples) from my practice nr. Ludlow, experienced in working with adults of all ages, and from all walks of life. I work in a relational way - our therapeutic relationship is central to our work. I also work in a trauma focused way - having undertaken specialist training in this area. Trauma is a lasting emotional response to a stress. My approach responds to the individuals that I am working with, incorporating a range of therapeutic approaches into my work to broaden and deepen the therapeutic experience for my clients.
I am a qualified therapist and psychotherapeutic counsellor working online or in person (including with couples) from my practice nr. Ludlow, experienced in working with adults of all ages, and from all walks of life. I work in a relational way - our therapeutic relationship is central to our work. I also work in a trauma focused way - having undertaken specialist training in this area. Trauma is a lasting emotional response to a stress. My approach responds to the individuals that I am working with, incorporating a range of therapeutic approaches into my work to broaden and deepen the therapeutic experience for my clients.
020 7046 1370 View 020 7046 1370
Photo of Alison Willett, Counsellor, MSc, MBACP
Alison Willett
Counsellor, MSc, MBACP
Serves Area
Welcome! Clients I work with often struggle with not feeling good about themselves, problems with their different relationships, a need to always remain busy, overwhelming emotions or just not being able to find much happiness and pleasure from life. Sometimes the issue is clear for people but just as often, we can experience a sense of something being wrong and we just want it to change for us. As a counsellor and psychotherapist working with individuals and couples, in-person and online, I offer you the confidential space and empathic, professional support to explore and understand what's happening for you.
Welcome! Clients I work with often struggle with not feeling good about themselves, problems with their different relationships, a need to always remain busy, overwhelming emotions or just not being able to find much happiness and pleasure from life. Sometimes the issue is clear for people but just as often, we can experience a sense of something being wrong and we just want it to change for us. As a counsellor and psychotherapist working with individuals and couples, in-person and online, I offer you the confidential space and empathic, professional support to explore and understand what's happening for you.
01743 298107 View 01743 298107
Photo of Caroline Saez, Counsellor, MBACP
Caroline Saez
Counsellor, MBACP
Serves Area
Hi, I offer a safe, friendly, and relaxed space for healing and change. Emotional struggle can happen at any time in life, to anyone, and for many reasons which are not always clear. During these times feeling lost, empty, lonely, stuck or despairing, can be overwhelming, I am here to offer support. As feelings are unique to each of us, I work openly with clients, to understand their individual experience and needs. I aim to create a supportive relationship where clients feel heard, understood, and accepted; where emotions can be openly spoken, explored, and valued.
Hi, I offer a safe, friendly, and relaxed space for healing and change. Emotional struggle can happen at any time in life, to anyone, and for many reasons which are not always clear. During these times feeling lost, empty, lonely, stuck or despairing, can be overwhelming, I am here to offer support. As feelings are unique to each of us, I work openly with clients, to understand their individual experience and needs. I aim to create a supportive relationship where clients feel heard, understood, and accepted; where emotions can be openly spoken, explored, and valued.
01432 808885 View 01432 808885
Photo of Dr Wendy Nicholls, Psychologist, PhD, AFBPSsS
Dr Wendy Nicholls
Psychologist, PhD, AFBPSsS
Serves Area
Escape the diet trap and find lasting weight loss with me. You may have tried many different diets, but can never do them for long, or regain the weight you have lost. You are not on your own; Diets do not work in the long term. In fact, going on a strict ‘diet’ can lead to yo-yo dieting and weight gain. Some people find they start a diet as many as 5 or 6 times a year, and people do on average 126 fad diets across their lifetime. How much time, energy, money, and effort is that? I can help you get out of the dieting cycle for good, by helping you to find what works for you, and a method of sticking at it.
Escape the diet trap and find lasting weight loss with me. You may have tried many different diets, but can never do them for long, or regain the weight you have lost. You are not on your own; Diets do not work in the long term. In fact, going on a strict ‘diet’ can lead to yo-yo dieting and weight gain. Some people find they start a diet as many as 5 or 6 times a year, and people do on average 126 fad diets across their lifetime. How much time, energy, money, and effort is that? I can help you get out of the dieting cycle for good, by helping you to find what works for you, and a method of sticking at it.
01952 984237 View 01952 984237
Photo of Natalie Lambert - Dr Natalie Lambert, Psychotherapist, PhD, MUKCP
Dr Natalie Lambert
Psychotherapist, PhD, MUKCP
Serves Area
I’m an Integrative Psychotherapist which means I am trained in different therapeutic approaches that I combine to support you to achieve your goals. For example, we might use Gestalt therapy to explore your present difficulties, or Psychodynamic therapy to explore how your past is affecting you in the present. We may also incorporate CBT to uncover practical ways to manage challenges that you're currently facing. I specialise in supporting neurodivergent people and people that have experienced trauma. I'm autistic and ADHD myself, which provides an additional layer of insight and understanding when supporting neurodivergent people.
I’m an Integrative Psychotherapist which means I am trained in different therapeutic approaches that I combine to support you to achieve your goals. For example, we might use Gestalt therapy to explore your present difficulties, or Psychodynamic therapy to explore how your past is affecting you in the present. We may also incorporate CBT to uncover practical ways to manage challenges that you're currently facing. I specialise in supporting neurodivergent people and people that have experienced trauma. I'm autistic and ADHD myself, which provides an additional layer of insight and understanding when supporting neurodivergent people.
07568 461102 View 07568 461102
Photo of Victoria Martin, Counsellor, MBACP
Victoria Martin
Counsellor, MBACP
Online Only
As a couples therapist grounded in the person-centred approach, I prioritise building an empathic connection with each client. This means truly understanding their world from their perspective, without judgment. I believe that when clients feel deeply heard and accepted, they can access their own capacity for healing and growth.
As a couples therapist grounded in the person-centred approach, I prioritise building an empathic connection with each client. This means truly understanding their world from their perspective, without judgment. I believe that when clients feel deeply heard and accepted, they can access their own capacity for healing and growth.
01743 292597 View 01743 292597
Photo of Ben Groome, Psychotherapist, MSc, BACP
Ben Groome
Psychotherapist, MSc, BACP
5 Endorsed
Online Only
Hello! I’m Ben. Thank you for visiting my profile; taking this step takes courage and shows growth. I speak from experience as someone who has been in the client’s chair. I am an Integrative Psychotherapist, trained in Person-Centred Therapy, CBT, Gestalt, and Transactional Analysis. I provide a safe, confidential, approachable space for children, young people, and adults to explore emotional, behavioural, or psychological challenges. My approach fosters reflection, resilience, healthier coping, and draws on positive psychology. I offer short- and longer-term work and am happy to discuss support for children with parents or carers.
Hello! I’m Ben. Thank you for visiting my profile; taking this step takes courage and shows growth. I speak from experience as someone who has been in the client’s chair. I am an Integrative Psychotherapist, trained in Person-Centred Therapy, CBT, Gestalt, and Transactional Analysis. I provide a safe, confidential, approachable space for children, young people, and adults to explore emotional, behavioural, or psychological challenges. My approach fosters reflection, resilience, healthier coping, and draws on positive psychology. I offer short- and longer-term work and am happy to discuss support for children with parents or carers.
01952 457971 View 01952 457971
Photo of Valerie Northcote, Counsellor, COSRT Accred
Valerie Northcote
Counsellor, COSRT Accred
Online Only
Are you experiencing sexual issues in your relationship? Has one of you had an affair? You may have erection problems, difficulty orgasming, painful penetration or lack or no desire for sex. Perhaps you've experienced a trauma in your life which is affecting your ability to connect with your partner or yourself sexually. Have you found yourself or your partner using more and more pornography or behaving sexually in a way that isn't acceptable or is out of control. You want to create a better relationship. You want to recover from the pain of betrayal. You want to live a happy healthy life......
Are you experiencing sexual issues in your relationship? Has one of you had an affair? You may have erection problems, difficulty orgasming, painful penetration or lack or no desire for sex. Perhaps you've experienced a trauma in your life which is affecting your ability to connect with your partner or yourself sexually. Have you found yourself or your partner using more and more pornography or behaving sexually in a way that isn't acceptable or is out of control. You want to create a better relationship. You want to recover from the pain of betrayal. You want to live a happy healthy life......
07449 470212 View 07449 470212
Photo of Julie Bartlett, Psychotherapist, MBACP Accred
Julie Bartlett
Psychotherapist, MBACP Accred
Online Only
We live in challenging times and it's easy to feel overwhelmed and in need of a little help. I am a very experienced counsellor, professionally accredited by the British Association of Counsellors and Psychotherapists for more than fifteen years. It has been my privilege to work with clients between 8 and 81 years of age in numerous settings including GP surgeries, schools, counselling agencies and my own longstanding private practice.
We live in challenging times and it's easy to feel overwhelmed and in need of a little help. I am a very experienced counsellor, professionally accredited by the British Association of Counsellors and Psychotherapists for more than fifteen years. It has been my privilege to work with clients between 8 and 81 years of age in numerous settings including GP surgeries, schools, counselling agencies and my own longstanding private practice.
07481 342508 View 07481 342508

More Therapists Nearby

Photo of Julie Price, Counsellor, MBACP
Julie Price
Counsellor, MBACP
Serves Area
Hi, my name is Julie, I am an Integrative Counsellor trained in a number of therapeutic approaches that can be tailored to your needs. I work with people of all ages from young teens to adults.
Hi, my name is Julie, I am an Integrative Counsellor trained in a number of therapeutic approaches that can be tailored to your needs. I work with people of all ages from young teens to adults.
01384 437543 View 01384 437543
Photo of Robert Clayton, Counsellor, PNCPS Acc.
Robert Clayton
Counsellor, PNCPS Acc.
2 Endorsed
Telford TF1
Reaching out for help can be daunting, so, good trust and rapport is essential when building a positive and effective therapeutic relationship. I'm Robert Clayton PNCPS (Acc.), an Integrative Counsellor/Therapist and NCPS Accredited Professional Member. I have over twenty years experience working with adults, children and young people, undertaking therapeutic work. So, If you're experiencing, anxiety; depression; anger issues; dealing with abuse; trauma; bereavement/ loss; struggling with change; or other issues, then I'm here to help. We can explore your ‘lived experience’ and ‘what’s happened’ in a very safe and confidential way.
Reaching out for help can be daunting, so, good trust and rapport is essential when building a positive and effective therapeutic relationship. I'm Robert Clayton PNCPS (Acc.), an Integrative Counsellor/Therapist and NCPS Accredited Professional Member. I have over twenty years experience working with adults, children and young people, undertaking therapeutic work. So, If you're experiencing, anxiety; depression; anger issues; dealing with abuse; trauma; bereavement/ loss; struggling with change; or other issues, then I'm here to help. We can explore your ‘lived experience’ and ‘what’s happened’ in a very safe and confidential way.
01902 943003 View 01902 943003
Photo of Hollie Baynham - Hope & Bloom, Counsellor, MNCPS Acc.
Hope & Bloom
Counsellor, MNCPS Acc.
2 Endorsed
Bewdley DY12
I offer a supportive space to explore life’s challenges and find balance. Drawing on personal and professional experience, I work with children, young people, and adults experiencing anxiety, stress, low mood, or overwhelm, as well as those healing from trauma, loss, or difficult childhood experiences. My approach is inclusive towards those who are neurodiverse, with a extensive background in supporting those who face challenges related to specific presentations such as Autism and ADHD. I have a passion and focus on women’s wellbeing and offering personal therapy for counselling students.
I offer a supportive space to explore life’s challenges and find balance. Drawing on personal and professional experience, I work with children, young people, and adults experiencing anxiety, stress, low mood, or overwhelm, as well as those healing from trauma, loss, or difficult childhood experiences. My approach is inclusive towards those who are neurodiverse, with a extensive background in supporting those who face challenges related to specific presentations such as Autism and ADHD. I have a passion and focus on women’s wellbeing and offering personal therapy for counselling students.
07510 925735 View 07510 925735
Photo of Simone Bell, Counsellor, MBACP
Simone Bell
Counsellor, MBACP
1 Endorsed
Serves Area
Are you feeling anxious, overwhelmed, or constantly overthinking? Perhaps your mind never seems to switch off, you feel on edge or emotionally drained. Or are you struggling with low mood, self-doubt, or relationship difficulties? You might be coping on the outside while inside feeling exhausted, disconnected, or unsure of who you are anymore. I’m Simone Bell, a qualified counsellor offering face to face counselling in Kingswinford and online UK-wide. I work with people experiencing anxiety, depression, overwhelm, low self-esteem, grief, and the emotional impact of major life changes including chronic illness.
Are you feeling anxious, overwhelmed, or constantly overthinking? Perhaps your mind never seems to switch off, you feel on edge or emotionally drained. Or are you struggling with low mood, self-doubt, or relationship difficulties? You might be coping on the outside while inside feeling exhausted, disconnected, or unsure of who you are anymore. I’m Simone Bell, a qualified counsellor offering face to face counselling in Kingswinford and online UK-wide. I work with people experiencing anxiety, depression, overwhelm, low self-esteem, grief, and the emotional impact of major life changes including chronic illness.
01384 437117 View 01384 437117
Photo of Ruth Cranley, Counsellor, MBACP
Ruth Cranley
Counsellor, MBACP
‘I’m fine thanks.’ Do you hear yourself saying that, even though you know you really don’t feel fine at all? Maybe you’re struggling with anxiety, seeing repeated patterns in your behaviour or relationships that seem to be holding you back, still finding it hard to cope with a bereavement, or you’re going through another situation or loss in your life that feels difficult to navigate? I can help you to explore why you might be feeling like you are, at a pace that suits you and in a safe space where you can be yourself and don’t need to wear that mask of being ‘fine’.
‘I’m fine thanks.’ Do you hear yourself saying that, even though you know you really don’t feel fine at all? Maybe you’re struggling with anxiety, seeing repeated patterns in your behaviour or relationships that seem to be holding you back, still finding it hard to cope with a bereavement, or you’re going through another situation or loss in your life that feels difficult to navigate? I can help you to explore why you might be feeling like you are, at a pace that suits you and in a safe space where you can be yourself and don’t need to wear that mask of being ‘fine’.
View
Photo of Jonathan Livingstone, Psychologist, MSc, GMBPsS
Jonathan Livingstone
Psychologist, MSc, GMBPsS
Serves Area
A psychologist, therapist and coach with more than 25 years’ experience helping individuals to overcome trauma, anxiety, childhood abuse, people pleasing, OCD, ADHD and other problems; and helping couples to communicate effectively and let go of resentments. The methods I use enable full resolution of problems much more quickly than conventional therapies (see below). I will help you to clarify your goals; identify what it is within you that is blocking you; find out where this comes from in your biography; and help you to permanently resolve and overcome your problem, so that you can achieve your goals.
A psychologist, therapist and coach with more than 25 years’ experience helping individuals to overcome trauma, anxiety, childhood abuse, people pleasing, OCD, ADHD and other problems; and helping couples to communicate effectively and let go of resentments. The methods I use enable full resolution of problems much more quickly than conventional therapies (see below). I will help you to clarify your goals; identify what it is within you that is blocking you; find out where this comes from in your biography; and help you to permanently resolve and overcome your problem, so that you can achieve your goals.
01562 543351 View 01562 543351
Photo of Rob Ursell - RJUTherapy, Counsellor, MBACP Accred
RJUTherapy
Counsellor, MBACP Accred
1 Endorsed
Serves Area
I am an experienced BACP accredited relationship therapist with 19 years of clinical practice experience working with Individuals, couples and families with relationship-based issues. They may have difficulty with communication; conflict resolution; separation; attachment; infidelity and mental health, amongst others. They need an experienced accredited professional using a safe, secure, evidenced-based approach. This enables them to explore their material in confidence whilst gaining core insight and tools.
I am an experienced BACP accredited relationship therapist with 19 years of clinical practice experience working with Individuals, couples and families with relationship-based issues. They may have difficulty with communication; conflict resolution; separation; attachment; infidelity and mental health, amongst others. They need an experienced accredited professional using a safe, secure, evidenced-based approach. This enables them to explore their material in confidence whilst gaining core insight and tools.
01905 672311 View 01905 672311
Photo of Dominic Kelly, Counsellor, UKCP Trainee
Dominic Kelly
Counsellor, UKCP Trainee
Life can be tough, and most of the time we've done our best to navigate our way through it. Sometimes, though, we find ourselves struggling; we can't manage as well as we used to, and we could do with someone to talk to. If you are struggling, and are looking for support, I can offer you a regular safe space to help you explore your difficulties, and move towards a less stressful, anxious or overwhelming position in life. We will work together with curiosity; exploring who you are, who you were, and who you might want to be. Therapy is a great way to invest in yourself and realise the best version of you.
Life can be tough, and most of the time we've done our best to navigate our way through it. Sometimes, though, we find ourselves struggling; we can't manage as well as we used to, and we could do with someone to talk to. If you are struggling, and are looking for support, I can offer you a regular safe space to help you explore your difficulties, and move towards a less stressful, anxious or overwhelming position in life. We will work together with curiosity; exploring who you are, who you were, and who you might want to be. Therapy is a great way to invest in yourself and realise the best version of you.
01588 502612 View 01588 502612
Zen Horse
Counsellor, MBACP
Equine assisted psychotherapy. We can work with all issues all concerns, being particularly familiar with people who don't want or suit conventional therapy or who have tried therapy and have not progressed. The therapy is facilitated through the horses. We help the client to process their experiences with them. I have 12 years of working with individuals and organisations full time behind me and am award winning for addiction treatment (Worcs county Council) . I have worked for eight years with young adults with trauma. This is a powerful experiential treatment that gets to the heart of the matter very quickly.
Equine assisted psychotherapy. We can work with all issues all concerns, being particularly familiar with people who don't want or suit conventional therapy or who have tried therapy and have not progressed. The therapy is facilitated through the horses. We help the client to process their experiences with them. I have 12 years of working with individuals and organisations full time behind me and am award winning for addiction treatment (Worcs county Council) . I have worked for eight years with young adults with trauma. This is a powerful experiential treatment that gets to the heart of the matter very quickly.
01384 437246 View 01384 437246
Photo of Kenneth Evans, Counsellor, BPC
Kenneth Evans
Counsellor, BPC
Serves Area
Everyone needs a little support from time to time. Perhaps you or someone you know feel that you ought to be able to manage your feelings, but are finding them too much at the moment. You may be feeling overwhelmed, sad, anxious, angry or confused. The demands of work, relationships, families, financial worries, or caring for someone can all make it difficult to cope. You may have experienced loss through bereavement, redundancy, or retirement, or you might be struggling with your sense of identity, self-confidence, health, or direction in home life or at work. You may feel that you are struggling with some other unique issue.
Everyone needs a little support from time to time. Perhaps you or someone you know feel that you ought to be able to manage your feelings, but are finding them too much at the moment. You may be feeling overwhelmed, sad, anxious, angry or confused. The demands of work, relationships, families, financial worries, or caring for someone can all make it difficult to cope. You may have experienced loss through bereavement, redundancy, or retirement, or you might be struggling with your sense of identity, self-confidence, health, or direction in home life or at work. You may feel that you are struggling with some other unique issue.
01989 940023 View 01989 940023
Photo of Liz Saunders, Psychotherapist, MSc, MBABCP
Liz Saunders
Psychotherapist, MSc, MBABCP
Serves Area
Hi and welcome to my profile! I am a fully accredited Cognitive Behavioural Therapist (CBT) with the BABCP. We can all experience difficult times in our lives that we may require help and support with.  When we experience distress we can often have negative feelings and thoughts which can influence how we react to a certain situation. We can often find ourselves stuck in a vicious cycle of negative thoughts and behaviours that can be hard to break.  CBT works on a 'here and now' basis, exploring your current difficulties and give you effective coping strategies to be able to make changes in your life and move forwards.
Hi and welcome to my profile! I am a fully accredited Cognitive Behavioural Therapist (CBT) with the BABCP. We can all experience difficult times in our lives that we may require help and support with.  When we experience distress we can often have negative feelings and thoughts which can influence how we react to a certain situation. We can often find ourselves stuck in a vicious cycle of negative thoughts and behaviours that can be hard to break.  CBT works on a 'here and now' basis, exploring your current difficulties and give you effective coping strategies to be able to make changes in your life and move forwards.
07588 663628 View 07588 663628

How does your Counsellor compare?

Number of Counsellors in SY7

< 10

Counsellors in SY7 who prioritize treating:

89% Relationship Issues
67% ADHD
67% Depression
67% Anxiety
67% Trauma and PTSD
56% Domestic Abuse
56% Bereavement

Average years in practice

12 Years

Gender breakdown

88% Female
12% Male

How Counsellors in SY7 see their clients

56% In Person and Online
44% Online Only
FAQs - About Therapy and Counselling

How can I find a therapist in SY7?

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.