Counselling in TQ9

Photo of Annamai Martinot - Annamai Martinot Counselling , Counsellor, MNCPS Acc.
Annamai Martinot Counselling
Counsellor, MNCPS Acc.
1 Endorsed
Totnes TQ9
It takes courage to seek support when life isn’t going well, and we would like to work out why. Counselling can help in difficult times, and also in times when we wish to understand ourselves better. With awareness, we have the choice to change our thoughts, feelings and behaviours. I offer safe, confidential and free from judgement counselling sessions, either face-to-face in the heart of Totnes, South Devon, or online via zoom. I offer a free no obligation initial consultation 30 min phone call to discuss what brings you to counselling, answer any questions you may have and to ensure I'm the right therapist to help you.
It takes courage to seek support when life isn’t going well, and we would like to work out why. Counselling can help in difficult times, and also in times when we wish to understand ourselves better. With awareness, we have the choice to change our thoughts, feelings and behaviours. I offer safe, confidential and free from judgement counselling sessions, either face-to-face in the heart of Totnes, South Devon, or online via zoom. I offer a free no obligation initial consultation 30 min phone call to discuss what brings you to counselling, answer any questions you may have and to ensure I'm the right therapist to help you.
01803 926170 View 01803 926170
Photo of Roisin McCarthy Green - Roisin Green | Couples Therapy | Sex Therapy , Psychotherapist, COSRT Reg.
Roisin Green | Couples Therapy | Sex Therapy
Psychotherapist, COSRT Reg.
1 Endorsed
Totnes TQ9
Are you stuck in the same painful arguments, feeling unheard, or watching your relationship unravel? Maybe you’re at the end of your rope, desperate for real change. I can help. I am certified in Terry Real’s Relational Life Therapy (RLT)—a method designed to cut through surface-level fixes and create deep, lasting transformation. Whether you’re navigating communication struggles, rebuilding trust after betrayal, or dealing with intimacy issues, I offer a supportive yet direct approach to help you get unstuck.
Are you stuck in the same painful arguments, feeling unheard, or watching your relationship unravel? Maybe you’re at the end of your rope, desperate for real change. I can help. I am certified in Terry Real’s Relational Life Therapy (RLT)—a method designed to cut through surface-level fixes and create deep, lasting transformation. Whether you’re navigating communication struggles, rebuilding trust after betrayal, or dealing with intimacy issues, I offer a supportive yet direct approach to help you get unstuck.
01548 802197 View 01548 802197
Photo of Thea Platt - Therapy With Thea , Psychotherapist, MA, MUKCP
Therapy With Thea
Psychotherapist, MA, MUKCP
4 Endorsed
Totnes TQ9
Do you feel your potential in life is thwarted by past or present difficulties or trauma? Has your equilibrium, confidence and self esteem been undermined by this? Do you feel disempowered, anxious, and stuck? Sometimes, life's difficulties can prevent us from forming healthy relationships with ourselves and others, and prevent us thriving in life, work and within families, friendships, and partnerships. We can feel our creativity and spark for life is blocked. I am a UKCP Psychotherapist, working to support people suffering with mental and emotional distress find more ease, balance, meaning & health.
Do you feel your potential in life is thwarted by past or present difficulties or trauma? Has your equilibrium, confidence and self esteem been undermined by this? Do you feel disempowered, anxious, and stuck? Sometimes, life's difficulties can prevent us from forming healthy relationships with ourselves and others, and prevent us thriving in life, work and within families, friendships, and partnerships. We can feel our creativity and spark for life is blocked. I am a UKCP Psychotherapist, working to support people suffering with mental and emotional distress find more ease, balance, meaning & health.
01803 926178 View 01803 926178
Photo of Ross Stephenson, Psychotherapist, MUKCP
Ross Stephenson
Psychotherapist, MUKCP
1 Endorsed
Totnes TQ9
I am a Psychodynamic Psychotherapist working in the NHS and in private practice, both online, and in-person. I am here to help you with whatever challenges you are facing. My particular areas of therapeutic experience are working with stress, anxiety, depression, relationship issues, past traumas, and personality disorders.
I am a Psychodynamic Psychotherapist working in the NHS and in private practice, both online, and in-person. I am here to help you with whatever challenges you are facing. My particular areas of therapeutic experience are working with stress, anxiety, depression, relationship issues, past traumas, and personality disorders.
01803 220752 View 01803 220752
Photo of Eleanor Franklin, Counsellor, MA, MBACP
Eleanor Franklin
Counsellor, MA, MBACP
Online Only
Anxiety is normal. Yes, I just said that! Yet many of us grow up with the idea that anxious feelings are negative and to be avoided at all costs. I spent years trying to escape my anxiety, which only made it worse. The more I pushed, the more it pushed back, until I spent all my time pushing. It was exhausting, resulting in OCD behaviours and panic attacks. Then I learnt to change my relationship with anxiety. I realised that to be anxious is to be human. I stopped struggling and instead began to work with my anxiety in new ways that gave me more options, both in the moment and in the long term.
Anxiety is normal. Yes, I just said that! Yet many of us grow up with the idea that anxious feelings are negative and to be avoided at all costs. I spent years trying to escape my anxiety, which only made it worse. The more I pushed, the more it pushed back, until I spent all my time pushing. It was exhausting, resulting in OCD behaviours and panic attacks. Then I learnt to change my relationship with anxiety. I realised that to be anxious is to be human. I stopped struggling and instead began to work with my anxiety in new ways that gave me more options, both in the moment and in the long term.
01548 800582 View 01548 800582
Photo of Finn Buchanan, Counsellor, UKCP Trainee
Finn Buchanan
Counsellor, UKCP Trainee
2 Endorsed
Totnes TQ9
When events in life are overwhelming we can feel frozen, scattered or out of connection with ourselves. Coping mechanisms which served us at one point can become redundant & damaging, leaving us stuck in patterns of self destructive behaviour.
When events in life are overwhelming we can feel frozen, scattered or out of connection with ourselves. Coping mechanisms which served us at one point can become redundant & damaging, leaving us stuck in patterns of self destructive behaviour.
0117 463 7129 View 0117 463 7129
Lucie Dudley
Counsellor, MNCPS Acc.
Totnes TQ9
Offering long-term and short-term therapy, sessions are designed to best meet each clients specific needs and goals. Whether you need a space to talk to unravel thoughts, feelings and emotions, or to overcome difficult times in your life, I work empathically and compassionately to help you move forward in life. Experienced in issues including trauma, anxiety and depression, relationship issues, grief and bereavement, phobias and fears, healing from childhood wounds, victims of crime, emotional and psychological abuse and family dynamics. I am trauma-informed and neurodivergent affirming.
Offering long-term and short-term therapy, sessions are designed to best meet each clients specific needs and goals. Whether you need a space to talk to unravel thoughts, feelings and emotions, or to overcome difficult times in your life, I work empathically and compassionately to help you move forward in life. Experienced in issues including trauma, anxiety and depression, relationship issues, grief and bereavement, phobias and fears, healing from childhood wounds, victims of crime, emotional and psychological abuse and family dynamics. I am trauma-informed and neurodivergent affirming.
01803 223806 View 01803 223806
Photo of Anita Lennox, Counsellor, MNCPS Acc.
Anita Lennox
Counsellor, MNCPS Acc.
I am dedicated to helping Clients navigate life's challenges and achieve personal growth. Whether seeking support for specific issues or aiming for deeper self-understanding, I work with clients who struggle with Anxiety and Stress Management - Self-Development and Self Esteem - Confidence - Fears and Phobias -Emotional Issues - Depression - Relationship Problems - P.T.S.D, - Anger Management- Pain Management - Habit Reversal - Specific Counselling for Women - Women and Menopause - Coaching and more.
I am dedicated to helping Clients navigate life's challenges and achieve personal growth. Whether seeking support for specific issues or aiming for deeper self-understanding, I work with clients who struggle with Anxiety and Stress Management - Self-Development and Self Esteem - Confidence - Fears and Phobias -Emotional Issues - Depression - Relationship Problems - P.T.S.D, - Anger Management- Pain Management - Habit Reversal - Specific Counselling for Women - Women and Menopause - Coaching and more.
01803 222882 View 01803 222882
Photo of Dani Tabb, Counsellor, MNCPS Acc.
Dani Tabb
Counsellor, MNCPS Acc.
1 Endorsed
Totnes TQ9
I provide a safe, affirming therapeutic space for you the client to explore your world . Counselling can be emotional support for day to day struggles with low mood and anxious feelings, or historical work through trauma, childhood and relational experiences. If you are at a crossroad in your life, as your counsellor, I will stand alongside you, providing unconditional positive regard and help you to discover your strength from within. Understanding and acceptance of all aspects of ourselves including who we once were, and who we are now, can provide the opportunity for growth into the most authentic version of yourself.
I provide a safe, affirming therapeutic space for you the client to explore your world . Counselling can be emotional support for day to day struggles with low mood and anxious feelings, or historical work through trauma, childhood and relational experiences. If you are at a crossroad in your life, as your counsellor, I will stand alongside you, providing unconditional positive regard and help you to discover your strength from within. Understanding and acceptance of all aspects of ourselves including who we once were, and who we are now, can provide the opportunity for growth into the most authentic version of yourself.
01803 228239 View 01803 228239
Photo of Jana Coles, Counsellor, MNCPS Acc.
Jana Coles
Counsellor, MNCPS Acc.
Totnes TQ9
Suffering is often what stops us in our tracks. It brings us to a halt and encourages us to turn towards what is painful. This turn requires a great deal of bravery and willingness to respond to what is calling for our attention, and is often a pivotal moment in our lives. Counselling is a held space in which I support the client to not only explore what is coming up for them, but to move closer and find new ways of relating to it. From personal experience, I have grown the most in times of difficulty. I know of despair, bereavement, stagnation, shock, hurt, trauma….the human experience of being here in this world.
Suffering is often what stops us in our tracks. It brings us to a halt and encourages us to turn towards what is painful. This turn requires a great deal of bravery and willingness to respond to what is calling for our attention, and is often a pivotal moment in our lives. Counselling is a held space in which I support the client to not only explore what is coming up for them, but to move closer and find new ways of relating to it. From personal experience, I have grown the most in times of difficulty. I know of despair, bereavement, stagnation, shock, hurt, trauma….the human experience of being here in this world.
01803 222595 View 01803 222595
Photo of Debbie Horton, Counsellor, MNCPS Acc.
Debbie Horton
Counsellor, MNCPS Acc.
Totnes TQ9
I'm an experienced counsellor working with adults, from a warm and comfortable room in the centre of Totnes. I support a lot of people who feel limited or stuck, often by habitual patterns of behaviour which started early in life and which have been reinforced over the years. This can show up in many situations, in relationship, in crises or during big life transitions, for example. Those patterns will have started out as protective, but may have become restrictive in adult life, and in need of an update, to allow for growth and forward movement.
I'm an experienced counsellor working with adults, from a warm and comfortable room in the centre of Totnes. I support a lot of people who feel limited or stuck, often by habitual patterns of behaviour which started early in life and which have been reinforced over the years. This can show up in many situations, in relationship, in crises or during big life transitions, for example. Those patterns will have started out as protective, but may have become restrictive in adult life, and in need of an update, to allow for growth and forward movement.
01803 221759 View 01803 221759
Photo of Steve Cutmore, Counsellor, MBACP
Steve Cutmore
Counsellor, MBACP
Totnes TQ9
I provide a nurturing environment in which themes and issues can be explored safely. My overall goal is to enhance client's sense of well-being and ability to thrive. I view each client as an individual who is seeking assistance in aligning with their path. I place great value on the client-therapist relationship, as a client you will experience me as committed to my work, focussed and attentive while being friendly and non-judgemental. I am happy to work face to face or via skype/phone-calls. I am open to negotiating rates if appropriate.
I provide a nurturing environment in which themes and issues can be explored safely. My overall goal is to enhance client's sense of well-being and ability to thrive. I view each client as an individual who is seeking assistance in aligning with their path. I place great value on the client-therapist relationship, as a client you will experience me as committed to my work, focussed and attentive while being friendly and non-judgemental. I am happy to work face to face or via skype/phone-calls. I am open to negotiating rates if appropriate.
07481 360884 View 07481 360884
Photo of Kim-Leng Hills, Counsellor, MBACP Accred
Kim-Leng Hills
Counsellor, MBACP Accred
1 Endorsed
Totnes TQ9
Waitlist for new clients
I am a fully insured and qualified Counsellor Accredited with the BACP, working with ages 13+ through to seniors, coming from different backgrounds and life experiences both face to face or online. Sessions are ran entirely at your individual pace and specific to your needs and ways of working. They are also open ended, meaning you are not bound to a set amount of sessions. I work with a whole multitude of areas, not just what is set out on this profile, and you’re always welcome to enquire if you are unsure. My office is also pet friendly, so you’re welcome to bring your furry friend with you, and is fully wheelchair accessible.
I am a fully insured and qualified Counsellor Accredited with the BACP, working with ages 13+ through to seniors, coming from different backgrounds and life experiences both face to face or online. Sessions are ran entirely at your individual pace and specific to your needs and ways of working. They are also open ended, meaning you are not bound to a set amount of sessions. I work with a whole multitude of areas, not just what is set out on this profile, and you’re always welcome to enquire if you are unsure. My office is also pet friendly, so you’re welcome to bring your furry friend with you, and is fully wheelchair accessible.
01364 701881 View 01364 701881
Photo of Hannah Garner, Counsellor, MNCPS Acc.
Hannah Garner
Counsellor, MNCPS Acc.
1 Endorsed
Totnes TQ9
I offer a welcoming space when times are difficult; you may need someone to talk to about relationship issues, support with feeling low or anxious, or maybe you'd like to explore feelings about your past. I provide a neuro-affirming space; whether you have a formal diagnosis or are self-diagnosed. My experience includes supporting teenagers, as well as adults. I also have an interest in supporting parents, including those with premature babies; something I have personal experience of. We can work together to help you feel less stressed or worried, to find more balance in life, to notice your strengths, and discover coping skills.
I offer a welcoming space when times are difficult; you may need someone to talk to about relationship issues, support with feeling low or anxious, or maybe you'd like to explore feelings about your past. I provide a neuro-affirming space; whether you have a formal diagnosis or are self-diagnosed. My experience includes supporting teenagers, as well as adults. I also have an interest in supporting parents, including those with premature babies; something I have personal experience of. We can work together to help you feel less stressed or worried, to find more balance in life, to notice your strengths, and discover coping skills.
01803 225424 View 01803 225424
Photo of Chris Smith, Psychotherapist, MNCPS Acc.
Chris Smith
Psychotherapist, MNCPS Acc.
Totnes TQ9
I love helping people to improve their lives. So many of us carry emotional burdens, anxieties and traumas that hold us back, inhibit our happiness and impact on our relationships, and yet there is much that can be done to relieve and even resolve this pain. Through my psychotherapy practice I have been able to help many people to live their lives more fully; helping people with self esteem, trauma, anxiety, depression, low self-esteem, grief, resentment, and many other forms of emotional pain. I help people make important life decisions, find new directions and begin to realise their potential. I'd love to see how I can help you.
I love helping people to improve their lives. So many of us carry emotional burdens, anxieties and traumas that hold us back, inhibit our happiness and impact on our relationships, and yet there is much that can be done to relieve and even resolve this pain. Through my psychotherapy practice I have been able to help many people to live their lives more fully; helping people with self esteem, trauma, anxiety, depression, low self-esteem, grief, resentment, and many other forms of emotional pain. I help people make important life decisions, find new directions and begin to realise their potential. I'd love to see how I can help you.
01364 708945 View 01364 708945
Photo of Lucy Wallace, Counsellor, MNCPS Acc.
Lucy Wallace
Counsellor, MNCPS Acc.
Totnes TQ9
It can be challenging to share our concerns and fears with others. We often worry that our struggles might be too heavy for our friends and family. I provide a private and secure environment where you can safely explore your thoughts and feelings. There is no timeline for grief, and no loss or challenge is too great to discuss in therapy. You are not required to rush through your healing; this is your personal space to release the weight of life's burdens and reflect on your current and past experiences at your own speed. I offer a nurturing platform and my expertise to support your journey of personal growth and acceptance.
It can be challenging to share our concerns and fears with others. We often worry that our struggles might be too heavy for our friends and family. I provide a private and secure environment where you can safely explore your thoughts and feelings. There is no timeline for grief, and no loss or challenge is too great to discuss in therapy. You are not required to rush through your healing; this is your personal space to release the weight of life's burdens and reflect on your current and past experiences at your own speed. I offer a nurturing platform and my expertise to support your journey of personal growth and acceptance.
01803 221434 View 01803 221434
Photo of Felicity Morgan, Counsellor, MA, MBACP
Felicity Morgan
Counsellor, MA, MBACP
Totnes TQ9
I work relationally, which means I will help you explore what brings you to counselling at this point in your life and what is important to you. Our work together may allow you to develop more awareness of yourself, your patterns and your story so far, ultimately allowing you more freedom in your ability to choose. My aim is to help you to lead a more fulfilling life. I will also be curious about your social, economic and cultural situation, as I am mindful of the stresses and challenges of living in the modern world. I work with adults, aged over 18 and I work both face to face and online.
I work relationally, which means I will help you explore what brings you to counselling at this point in your life and what is important to you. Our work together may allow you to develop more awareness of yourself, your patterns and your story so far, ultimately allowing you more freedom in your ability to choose. My aim is to help you to lead a more fulfilling life. I will also be curious about your social, economic and cultural situation, as I am mindful of the stresses and challenges of living in the modern world. I work with adults, aged over 18 and I work both face to face and online.
01364 708957 View 01364 708957
Photo of Monika Lewis, Counsellor, MNCPS Acc.
Monika Lewis
Counsellor, MNCPS Acc.
2 Endorsed
Totnes TQ9
I can help with many common troubles, such as anxiety, depression, pain, emotion regulation, self-worth, panic attacks, identity worries, family life, attachment, trauma, abuse and more. Many of the clients I have worked with needed help in seeing, accepting and loving their true self. Often these have been young people and adults with a divergent neurotype, whose feelings and authenticity have been masked for far too long.
I can help with many common troubles, such as anxiety, depression, pain, emotion regulation, self-worth, panic attacks, identity worries, family life, attachment, trauma, abuse and more. Many of the clients I have worked with needed help in seeing, accepting and loving their true self. Often these have been young people and adults with a divergent neurotype, whose feelings and authenticity have been masked for far too long.
01803 229153 View 01803 229153
Photo of Romilly Keen, Counsellor, MSc, MBACP
Romilly Keen
Counsellor, MSc, MBACP
Totnes TQ9
Life can feel overwhelming and uncertain at times. Navigating transitions, managing anxious thoughts, or grappling with questions about beliefs and identity can leave anyone feeling stuck or unsure of how to move forward. Difficult thoughts may dominate, or you might feel a sense that change is needed in your life but aren’t sure where to begin. There may be a longing for greater self-acceptance, confidence, and clarity, but emotional pain can feel like a barrier. Everyone deserves a space to explore these challenges and feel empowered to heal and grow.
Life can feel overwhelming and uncertain at times. Navigating transitions, managing anxious thoughts, or grappling with questions about beliefs and identity can leave anyone feeling stuck or unsure of how to move forward. Difficult thoughts may dominate, or you might feel a sense that change is needed in your life but aren’t sure where to begin. There may be a longing for greater self-acceptance, confidence, and clarity, but emotional pain can feel like a barrier. Everyone deserves a space to explore these challenges and feel empowered to heal and grow.
01803 221637 View 01803 221637
Photo of Mark Shanagher, Psychotherapist, UKCP Trainee
Mark Shanagher
Psychotherapist, UKCP Trainee
Totnes TQ9
Hi, my name is Mark Shanagher and I practice Core Process Psychotherapy at Dartington Hall, Totnes.
 My approach is collaborative and relational. I am interested in working with you to explore how it is that you ‘do’ you, in what your experience is and in how you might begin to express and experience yourself differently. I have seen how transformation can take place in a setting of compassion, acceptance and non-judgemental listening, and value these qualities in our working relationship.
Hi, my name is Mark Shanagher and I practice Core Process Psychotherapy at Dartington Hall, Totnes.
 My approach is collaborative and relational. I am interested in working with you to explore how it is that you ‘do’ you, in what your experience is and in how you might begin to express and experience yourself differently. I have seen how transformation can take place in a setting of compassion, acceptance and non-judgemental listening, and value these qualities in our working relationship.
01548 800965 View 01548 800965

See more therapy options for TQ9

How does your Counsellor compare?

Number of Counsellors in TQ9

80+

Average cost per session

£55

Counsellors in TQ9 who prioritize treating:

85% Anxiety
77% Depression
74% Self Esteem
73% Relationship Issues
73% Stress
62% Bereavement
61% Trauma and PTSD

Average years in practice

7 Years

Top 3 insurances accepted

57% Aviva
57% AXA PPP
57% Bupa

How Counsellors in TQ9 see their clients

90% In Person and Online
10% Online Only

Gender breakdown

74% Female
25% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in TQ9?

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.