Counselling in TW6

Photo of Esther Benson, Counsellor, MUKCP
Esther Benson
Counsellor, MUKCP
Serves Area
Our consciousness is like a small candle in vast darkness; we must not let it go out. Sometimes when we are faced with life challenges, our mind falters like a candle in the wind; we are confused, sad, angry, or agitated, and at times like this we need listening ears to listen to us and help us decipher our experiences to make sense of what is causing these emotional reactions and pain. Sometimes, confusion and contamination of our minds can be brought about by broken relationships, job loss, bereavement, mental illness, toxic relations, racism, oppression, wrong religious beliefs, divorce and cultural influences to mention a few.
Our consciousness is like a small candle in vast darkness; we must not let it go out. Sometimes when we are faced with life challenges, our mind falters like a candle in the wind; we are confused, sad, angry, or agitated, and at times like this we need listening ears to listen to us and help us decipher our experiences to make sense of what is causing these emotional reactions and pain. Sometimes, confusion and contamination of our minds can be brought about by broken relationships, job loss, bereavement, mental illness, toxic relations, racism, oppression, wrong religious beliefs, divorce and cultural influences to mention a few.
020 8138 8572 View 020 8138 8572
Photo of Dina Doldt, Psychotherapist, MSc, MBACP
Dina Doldt
Psychotherapist, MSc, MBACP
1 Endorsed
Serves Area
Private Practice in SW London and Clapham. Divorce /separation support Trauma, anxiety, depression.I am a qualified and registered integrative psychotherapist (BACP, UKCP) and offer long or short term psychotherapy. As a therapist I provide a safe, warm and non-judgemental space where you can explore and reflect about your thoughts, behaviour and your emotions outside your usual circles of family or friends with a trained professional whom you can trust to keep things completely confidential.
Private Practice in SW London and Clapham. Divorce /separation support Trauma, anxiety, depression.I am a qualified and registered integrative psychotherapist (BACP, UKCP) and offer long or short term psychotherapy. As a therapist I provide a safe, warm and non-judgemental space where you can explore and reflect about your thoughts, behaviour and your emotions outside your usual circles of family or friends with a trained professional whom you can trust to keep things completely confidential.
01748 902420 View 01748 902420
Nimi Shallon
Psychotherapist, PsychD, MBACP
Serves Area
Psychotherapy offers the opportunity to explore the origins and roots of the difficulties you are experiencing in life today. We will work together to understand and untangle your feelings and behaviours, discovering a better understanding of the lifestyle choices you are making. This process will help you review your way of living, and the choices you are making. You will then have the opportunity to lead a more true and authentic life.
Psychotherapy offers the opportunity to explore the origins and roots of the difficulties you are experiencing in life today. We will work together to understand and untangle your feelings and behaviours, discovering a better understanding of the lifestyle choices you are making. This process will help you review your way of living, and the choices you are making. You will then have the opportunity to lead a more true and authentic life.
020 8016 3495 View 020 8016 3495
Photo of Carys Gabrielle Cole, Counsellor, MSc, MBACP
Carys Gabrielle Cole
Counsellor, MSc, MBACP
Serves Area
I am an experienced and qualified Therapeutic Counsellor, offering both online and face-to-face sessions. I have worked with individuals of all ages, backgrounds, and cultures, including children, young people, and adults, across various sectors such as counselling organisations, schools, and private practice. My experience also includes Christian counselling, where I am comfortable discussing spiritual beliefs as part of the therapeutic process. In addition to my core training, I am qualified in Video Interactive Guidance (VIG), which allows me to use video to enhance communication and relationships, offering a powerful tool for r
I am an experienced and qualified Therapeutic Counsellor, offering both online and face-to-face sessions. I have worked with individuals of all ages, backgrounds, and cultures, including children, young people, and adults, across various sectors such as counselling organisations, schools, and private practice. My experience also includes Christian counselling, where I am comfortable discussing spiritual beliefs as part of the therapeutic process. In addition to my core training, I am qualified in Video Interactive Guidance (VIG), which allows me to use video to enhance communication and relationships, offering a powerful tool for r
020 8016 2952 View 020 8016 2952
Photo of Nicole-Marie Pittman, Counsellor, MSc, GMBPsS
Nicole-Marie Pittman
Counsellor, MSc, GMBPsS
Online Only
I believe there’s no such thing as a “perfect” client — just someone who is ready to make a change. Change starts at the moment of awareness. I work with adults facing a wide range of challenges, including anxiety, depression, trauma, self-esteem, and relationship stress. My skill set allows me to meet clients where they are, offering support that is compassionate, collaborative, and practical. Whether you’re navigating a difficult season or seeking lasting change, my goal is to help you build insight, develop coping strategies, and move toward a life that feels more balanced, confident, and fulfilling.
I believe there’s no such thing as a “perfect” client — just someone who is ready to make a change. Change starts at the moment of awareness. I work with adults facing a wide range of challenges, including anxiety, depression, trauma, self-esteem, and relationship stress. My skill set allows me to meet clients where they are, offering support that is compassionate, collaborative, and practical. Whether you’re navigating a difficult season or seeking lasting change, my goal is to help you build insight, develop coping strategies, and move toward a life that feels more balanced, confident, and fulfilling.
020 4538 6459 View 020 4538 6459

More Therapists Nearby

Photo of Victoria Turton-Blyth, Psychotherapist, MA, MBACP
Victoria Turton-Blyth
Psychotherapist, MA, MBACP
Ascot SL5
I'm a friendly, experienced therapist offering face-to-face, phone and Skype sessions. I deal with everything from anxiety, depression, gender, sexuality and self-harm. Therapy is at your pace so you feel comfortable and supported. Whether you have never been to therapy before or consider yourself an experience client, I offer an integrative approach that adapts to your needs. I offer short or long term therapy, and i work closely with my clients to understand how they want to approach therapy. I am experienced in dealing with anxiety, depression, self-harm, sexuality, gender and relationship issues.
I'm a friendly, experienced therapist offering face-to-face, phone and Skype sessions. I deal with everything from anxiety, depression, gender, sexuality and self-harm. Therapy is at your pace so you feel comfortable and supported. Whether you have never been to therapy before or consider yourself an experience client, I offer an integrative approach that adapts to your needs. I offer short or long term therapy, and i work closely with my clients to understand how they want to approach therapy. I am experienced in dealing with anxiety, depression, self-harm, sexuality, gender and relationship issues.
01753 981203 View 01753 981203
Photo of Lucy Davies, Counsellor, MBACP Accred
Lucy Davies
Counsellor, MBACP Accred
Harrow HA1
Do you feel the need to be listened to without judgement? Do you need a safe place to talk through your thoughts and feelings? I work with all aspects of emotional well being and truly believe that a person has the potential for growth and change given the space, time and acceptance. In turn, finding your own answers and finding a way of moving towards an emotionally healthier way of living . I work with a wide range of issues including anger, anxiety disorders, depression, low self esteem, relationships, suicide, loss and bereavement and domestic abuse.
Do you feel the need to be listened to without judgement? Do you need a safe place to talk through your thoughts and feelings? I work with all aspects of emotional well being and truly believe that a person has the potential for growth and change given the space, time and acceptance. In turn, finding your own answers and finding a way of moving towards an emotionally healthier way of living . I work with a wide range of issues including anger, anxiety disorders, depression, low self esteem, relationships, suicide, loss and bereavement and domestic abuse.
01895 547557 View 01895 547557
Photo of Georgia Smith, Psychologist, PsychD, HCPC - Clin. Psych.
Georgia Smith
Psychologist, PsychD, HCPC - Clin. Psych.
1 Endorsed
London SE11
I work with founders and driven professionals navigating burnout, anxiety, imposter syndrome, and the emotional rollercoaster of entrepreneurship. Together, we’ll clarify what matters most, rebuild balance, and strengthen your confidence, so you can lead and live with purpose, not pressure.
I work with founders and driven professionals navigating burnout, anxiety, imposter syndrome, and the emotional rollercoaster of entrepreneurship. Together, we’ll clarify what matters most, rebuild balance, and strengthen your confidence, so you can lead and live with purpose, not pressure.
020 3984 7585 View 020 3984 7585
Photo of Gulliver Ralston - Gulliver Ralston - London Life Therapist, Counsellor, UKCP Trainee
Gulliver Ralston - London Life Therapist
Counsellor, UKCP Trainee
London SW13
People come to psychotherapy when life seems too much, when they feel stuck, find emotions overwhelming, or when they lose the sense of who they are. In therapy we explore together how life is for you, how you are living in the world, the choices you make, and what fears you may have around change. Starting therapy can be hard. I provide a confidential space where we can work with difficult emotions.
People come to psychotherapy when life seems too much, when they feel stuck, find emotions overwhelming, or when they lose the sense of who they are. In therapy we explore together how life is for you, how you are living in the world, the choices you make, and what fears you may have around change. Starting therapy can be hard. I provide a confidential space where we can work with difficult emotions.
View
Photo of Karen Stallard, Psychotherapist, MA, MUKCP
Karen Stallard
Psychotherapist, MA, MUKCP
1 Endorsed
London N5
I am a friendly creative therapist who believes that human connection is vital for a sense of wellbeing and also for equipping people to make significant changes in their lives. I am trained to use the arts, this includes image making, clay, sand tray, puppets, music, drama, movement as well as working as a talking psychotherapist. My approach will depend on what is right for you. I am interested in the whole person and enjoy working with different spiritualities and am experienced in working with childhood trauma, sexuality and gender issues.
I am a friendly creative therapist who believes that human connection is vital for a sense of wellbeing and also for equipping people to make significant changes in their lives. I am trained to use the arts, this includes image making, clay, sand tray, puppets, music, drama, movement as well as working as a talking psychotherapist. My approach will depend on what is right for you. I am interested in the whole person and enjoy working with different spiritualities and am experienced in working with childhood trauma, sexuality and gender issues.
020 3984 8426 View 020 3984 8426
Photo of Max Gillespie, Counsellor, MA, MBACP
Max Gillespie
Counsellor, MA, MBACP
London EC1R
I offer a soulful approach to therapy grounded in the latest psychological theory. ​Often, it may seem that much of modern psychological therapy merely ruffles and reorganises the surface of the things that trouble us, seeing people who are experiencing psychological suffering as complex machines to which we can apply a set psychological theories. In contrast, after 20years of working as a psychological therapist, I believe it's more appropriate to approach clients as 'souls' in need of hearing, healing, connection, meaning, and renewal. ​
I offer a soulful approach to therapy grounded in the latest psychological theory. ​Often, it may seem that much of modern psychological therapy merely ruffles and reorganises the surface of the things that trouble us, seeing people who are experiencing psychological suffering as complex machines to which we can apply a set psychological theories. In contrast, after 20years of working as a psychological therapist, I believe it's more appropriate to approach clients as 'souls' in need of hearing, healing, connection, meaning, and renewal. ​
View
Photo of Alda Simoni, Psychotherapist, MSc, BPC
Alda Simoni
Psychotherapist, MSc, BPC
1 Endorsed
London NW1
I'm an experienced psychodynamic psychotherapist offering individual therapy in my private practice in Primrose Hill, North London. I practice classical, open-ended psychotherapy, specialising in ongoing, often long-term, work for those individuals who wish to embark upon deep-seated characterological change and development.
I'm an experienced psychodynamic psychotherapist offering individual therapy in my private practice in Primrose Hill, North London. I practice classical, open-ended psychotherapy, specialising in ongoing, often long-term, work for those individuals who wish to embark upon deep-seated characterological change and development.
020 3840 3685 View 020 3840 3685
Photo of Rebecca Holland, Psychotherapist, MA, HCPC-Art Therap.
Rebecca Holland
Psychotherapist, MA, HCPC-Art Therap.
Serves Area
Hello and thank you for visiting my page. I am an Art Psychotherapist and EMDR Therapist. I support individuals who may be facing challenges such as trauma, loss, relationship difficulties including separation, betrayal trauma, or they simply the need for a safe space to explore their thoughts and feelings. Therapy is a collaborative process and our work together will begin at your pace, starting where you feel most comfortable.
Hello and thank you for visiting my page. I am an Art Psychotherapist and EMDR Therapist. I support individuals who may be facing challenges such as trauma, loss, relationship difficulties including separation, betrayal trauma, or they simply the need for a safe space to explore their thoughts and feelings. Therapy is a collaborative process and our work together will begin at your pace, starting where you feel most comfortable.
01273 036205 View 01273 036205
Photo of Kate Morgenstern, Psychotherapist, MBACP
Kate Morgenstern
Psychotherapist, MBACP
1 Endorsed
London W1G
I’m an integrative and existential psychotherapist, blending analytical clarity with a compassionate, relational approach. I support people who feel stuck, anxious, burnt out or disconnected to find clarity, purpose and meaning again. Many clients come to me no longer finding fulfilment in work or relationships, feeling flat, irritable or unsettled. I have experience working with burn-out, anxiety, depression, trauma, grief, neurodivergence, bipolar disorder and eating disorders. Together we explore the deeper patterns shaping your life and support you in creating a future that feels aligned and grounded.
I’m an integrative and existential psychotherapist, blending analytical clarity with a compassionate, relational approach. I support people who feel stuck, anxious, burnt out or disconnected to find clarity, purpose and meaning again. Many clients come to me no longer finding fulfilment in work or relationships, feeling flat, irritable or unsettled. I have experience working with burn-out, anxiety, depression, trauma, grief, neurodivergence, bipolar disorder and eating disorders. Together we explore the deeper patterns shaping your life and support you in creating a future that feels aligned and grounded.
020 3871 8314 View 020 3871 8314
Photo of Claudia Varosio - Inner Wisdom Therapy , Counsellor, MBACP
Inner Wisdom Therapy
Counsellor, MBACP
London N1
Hello and welcome. Perhaps you are experiencing challenges, and the usual ways of distracting yourself are no longer working. Or, maybe, you are feeling stuck, and would like to understand why you seem to be repeating the same unhelpful patterns. My intention is to support you, while offering an opportunity for self-discovery and personal growth, so you may begin to live a more fulfilling life. As your therapist, I provide a mirror for your own reflection, helping to facilitate your inner transformation. I bring a sensitive, inclusive understanding to issues related to identity, culture, sexuality, and religion.
Hello and welcome. Perhaps you are experiencing challenges, and the usual ways of distracting yourself are no longer working. Or, maybe, you are feeling stuck, and would like to understand why you seem to be repeating the same unhelpful patterns. My intention is to support you, while offering an opportunity for self-discovery and personal growth, so you may begin to live a more fulfilling life. As your therapist, I provide a mirror for your own reflection, helping to facilitate your inner transformation. I bring a sensitive, inclusive understanding to issues related to identity, culture, sexuality, and religion.
View
Photo of Monica Balggan, Counsellor, MBACP
Monica Balggan
Counsellor, MBACP
1 Endorsed
My aim is to offer you a safe space to explore whatever may be troubling you in confidence. Whether you are facing relationship issues, work problems, low self esteem, stress, anxiety or just feeling unhappy, my role is to neither judge or give advice but to enable you to draw on your inner resources to feel empowered and in control of your lives. In order for therapy to take place, you must feel able to talk openly to the therapist and have a sense of a good enough connection with him or her. That's why, more than my skills and qualification, I trust my ability to reach out to you in distress and begin therapy.
My aim is to offer you a safe space to explore whatever may be troubling you in confidence. Whether you are facing relationship issues, work problems, low self esteem, stress, anxiety or just feeling unhappy, my role is to neither judge or give advice but to enable you to draw on your inner resources to feel empowered and in control of your lives. In order for therapy to take place, you must feel able to talk openly to the therapist and have a sense of a good enough connection with him or her. That's why, more than my skills and qualification, I trust my ability to reach out to you in distress and begin therapy.
020 4538 2888 View 020 4538 2888
Photo of Bex Gordon, Counsellor, MBACP
Bex Gordon
Counsellor, MBACP
2 Endorsed
London SE1
Therapy with me is a sacred space to focus on you. It feels like chatting over a cuppa with someone you trust. It's trauma-led, non-judgemental, and kind, yet honest. I welcome the tricky, hard-to-explain stuff; this can be where the gold is. Together, we'll consider what's blocking you from where you want to be and work with (not against) these blocks. Hi. I'm Bex (she/they). I affirm women, queer, and neurodivergent people. I'm neuro-queer (with ADHD), too. As you feel safe enough to slow down, I'll support you in gently feeling and processing any held emotions from old wounds. This can help you to feel more present every day.
Therapy with me is a sacred space to focus on you. It feels like chatting over a cuppa with someone you trust. It's trauma-led, non-judgemental, and kind, yet honest. I welcome the tricky, hard-to-explain stuff; this can be where the gold is. Together, we'll consider what's blocking you from where you want to be and work with (not against) these blocks. Hi. I'm Bex (she/they). I affirm women, queer, and neurodivergent people. I'm neuro-queer (with ADHD), too. As you feel safe enough to slow down, I'll support you in gently feeling and processing any held emotions from old wounds. This can help you to feel more present every day.
View
Photo of Gordon Wax, Psychotherapist, MBACP
Gordon Wax
Psychotherapist, MBACP
London E14
Hi, my name is Gordon. Welcome! I am a full qualified therapist working online and in person from my consulting room in Manchester zone one. Personal therapy helped me to untangle my relationship with myself and my emotions from others. The world alone is a chaotic place to manage our own unknowns, anxieties, and traumas. I understand that everyone experiences the world in different ways, so unique problems require bespoke responses. Our lives are constantly changing, so it’s natural to feel emotions strongly, think differently and respond atypically. I help clients explore all spheres of their life to help build hope and cope
Hi, my name is Gordon. Welcome! I am a full qualified therapist working online and in person from my consulting room in Manchester zone one. Personal therapy helped me to untangle my relationship with myself and my emotions from others. The world alone is a chaotic place to manage our own unknowns, anxieties, and traumas. I understand that everyone experiences the world in different ways, so unique problems require bespoke responses. Our lives are constantly changing, so it’s natural to feel emotions strongly, think differently and respond atypically. I help clients explore all spheres of their life to help build hope and cope
020 3871 8210 View 020 3871 8210
Photo of Adriana Amorim, Psychotherapist, MA, MBACP
Adriana Amorim
Psychotherapist, MA, MBACP
1 Endorsed
London W4
Hello, I am Adriana, an MBACP qualified counsellor and psychotherapist working in Chiswick and Kensington, and Online, seeing individuals and couples. I have worked with individuals suffering from anxiety, stress, panic attacks, depression, post-traumatic stress disorder (PTSD), learning disabilities, HIV, agoraphobia, bereavement & loss, relationship difficulties, suicide, addiction, eating disorders, sleep disorders, sexual abuse, cancer, obsessional behaviour, self-harm, amongst others. I have experience in working with life transitions such as young adulthood, motherhood, midlife and loss.
Hello, I am Adriana, an MBACP qualified counsellor and psychotherapist working in Chiswick and Kensington, and Online, seeing individuals and couples. I have worked with individuals suffering from anxiety, stress, panic attacks, depression, post-traumatic stress disorder (PTSD), learning disabilities, HIV, agoraphobia, bereavement & loss, relationship difficulties, suicide, addiction, eating disorders, sleep disorders, sexual abuse, cancer, obsessional behaviour, self-harm, amongst others. I have experience in working with life transitions such as young adulthood, motherhood, midlife and loss.
020 8138 0173 View 020 8138 0173
Photo of Lilia Sheleg, Psychotherapist, PhD, MUKCP
Lilia Sheleg
Psychotherapist, PhD, MUKCP
1 Endorsed
London W1G
When thinking about therapy, it might be difficult to know where to start or what to expect. From my experience, the best way is to have a face-to-face initial consultation. This will allow you to get a sense of whether you feel comfortable in sharing your feelings and thoughts with me. There is no obligation to continue after the first meeting. Usually, I allow 3-4 sessions before deciding on working together. If we both agree that therapy can be beneficial then we will have our agreement, including a regular weekly time slot and a fee.
When thinking about therapy, it might be difficult to know where to start or what to expect. From my experience, the best way is to have a face-to-face initial consultation. This will allow you to get a sense of whether you feel comfortable in sharing your feelings and thoughts with me. There is no obligation to continue after the first meeting. Usually, I allow 3-4 sessions before deciding on working together. If we both agree that therapy can be beneficial then we will have our agreement, including a regular weekly time slot and a fee.
020 3870 3148 View 020 3870 3148

How does your Counsellor compare?

Number of Counsellors in TW6

< 10

Counsellors in TW6 who prioritize treating:

100% Depression
100% Anxiety
80% Relationship Issues
80% Domestic Abuse
80% Life Coaching
80% Bereavement
80% Spirituality

Average years in practice

8 Years

Top 3 insurances accepted

50% Bupa
50% Vitality
50% WPA

How Counsellors in TW6 see their clients

80% In Person and Online
20% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in TW6?

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.