Counselling in W10

Photo of Siomar Ballan, Psychotherapist, MA, MUKCP
Siomar Ballan
Psychotherapist, MA, MUKCP
London W10
Sometimes we encounter problems that can feel insurmountable and we find ourselves suffering and feeling stuck or overwhelmed. For some, the cause may be a specific event or transition in life. At other times, the roots of our struggles may seem vague, experienced through repeating patterns in our lives, depression, anxiety, unhealthy relationships or addictions. Such experiences can be a call for us to look within and to expand our level of awareness and enable new modes of being that allow us to build deeper, more meaningful relationships with ourselves and others.
Sometimes we encounter problems that can feel insurmountable and we find ourselves suffering and feeling stuck or overwhelmed. For some, the cause may be a specific event or transition in life. At other times, the roots of our struggles may seem vague, experienced through repeating patterns in our lives, depression, anxiety, unhealthy relationships or addictions. Such experiences can be a call for us to look within and to expand our level of awareness and enable new modes of being that allow us to build deeper, more meaningful relationships with ourselves and others.
07723 441193 View 07723 441193
Photo of Emma Corker, Psychotherapist, MSc, MUKCP
Emma Corker
Psychotherapist, MSc, MUKCP
1 Endorsed
London W10
I am a qualified Group Analyst and Psychotherapist, working with groups, couples, and individuals. I have extensive experience working in the NHS, the voluntary sector and in further education, particularly in the areas of sexual health, drug and alcohol addiction, and mental health. A group analytic group meets weekly for 90 minutes in a confidential and a containing space. Over time, you will experience the benefits of exploring with other group members the issues that burden you and are causing you distress. We look at your past, as a means of exploring and understanding how it has shaped your present.
I am a qualified Group Analyst and Psychotherapist, working with groups, couples, and individuals. I have extensive experience working in the NHS, the voluntary sector and in further education, particularly in the areas of sexual health, drug and alcohol addiction, and mental health. A group analytic group meets weekly for 90 minutes in a confidential and a containing space. Over time, you will experience the benefits of exploring with other group members the issues that burden you and are causing you distress. We look at your past, as a means of exploring and understanding how it has shaped your present.
020 3835 4807 View 020 3835 4807
Photo of Anneke McCabe, Psychotherapist, BPC
Anneke McCabe
Psychotherapist, BPC
1 Endorsed
London W10
I am a very experienced psychotherapist and group analyst, with 25 years experience of working in NHS and private practice. I am analytically trained and will engage with you in a collaborative therapeutic relationship. I have experience of working with stress, low mood, relationship problems, social anxiety, self-esteem, eating problems, trauma, feelings of loss and other issues. Once we have worked together and understood the underlying origins of your problems this can lead to feeling more resilient and to a reduction in your distressing symptoms.
I am a very experienced psychotherapist and group analyst, with 25 years experience of working in NHS and private practice. I am analytically trained and will engage with you in a collaborative therapeutic relationship. I have experience of working with stress, low mood, relationship problems, social anxiety, self-esteem, eating problems, trauma, feelings of loss and other issues. Once we have worked together and understood the underlying origins of your problems this can lead to feeling more resilient and to a reduction in your distressing symptoms.
020 3917 4939 View 020 3917 4939
Photo of Simon Chu, Counsellor, MBACP
Simon Chu
Counsellor, MBACP
1 Endorsed
London W10
Do you ever feel trapped in repeating patterns of behaviour that lead you to the same painful outcomes? Are you struggling under the weight of negative thoughts, emotions and deeply rooted beliefs that seem to hold you back? Does the voice of your inner critic overwhelm you, leaving you feeling anxious or frozen by fear? If so, I am here to support and guide you as you seek to discover and reclaim the direction, purpose and joy that has gone missing from your life.
Do you ever feel trapped in repeating patterns of behaviour that lead you to the same painful outcomes? Are you struggling under the weight of negative thoughts, emotions and deeply rooted beliefs that seem to hold you back? Does the voice of your inner critic overwhelm you, leaving you feeling anxious or frozen by fear? If so, I am here to support and guide you as you seek to discover and reclaim the direction, purpose and joy that has gone missing from your life.
020 4524 3191 View 020 4524 3191
Photo of Joe Druce, Psychotherapist, MA, BPC
Joe Druce
Psychotherapist, MA, BPC
London W10
I am a psychoanalytic psychotherapist and MBT therapist who works both in the NHS and in private practice. In my private practice I offer individual psychoanalytic psychotherapy to adults from once to four times a week, both online and in person. I also offer parent infant work, either pre or post childbirth. After birth this involves working with parents and their infants together up until the children are two years of age to support their relationships. In conjunction with colleagues, I also offer a private Mentalisation Based Therapy programme, involving a weekly online group and weekly individual sessions.
I am a psychoanalytic psychotherapist and MBT therapist who works both in the NHS and in private practice. In my private practice I offer individual psychoanalytic psychotherapy to adults from once to four times a week, both online and in person. I also offer parent infant work, either pre or post childbirth. After birth this involves working with parents and their infants together up until the children are two years of age to support their relationships. In conjunction with colleagues, I also offer a private Mentalisation Based Therapy programme, involving a weekly online group and weekly individual sessions.
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Photo of Fiona Austin, Psychotherapist, BACP
Fiona Austin
Psychotherapist, BACP
London W10
As a positive psychologist I can help you out of the overwhelm, away from the anxiety and reducing the panic. • For you - I consider listening and a hearing your story to be paramount. It's often said "there's something about saying it out loud that brings about a shift" and it's true, I've seen it so often. "Fiona's style has been described by clients as 'more than just listening'. 'She is straight talking, informative and balanced but overall has a genuine and kind understanding."
As a positive psychologist I can help you out of the overwhelm, away from the anxiety and reducing the panic. • For you - I consider listening and a hearing your story to be paramount. It's often said "there's something about saying it out loud that brings about a shift" and it's true, I've seen it so often. "Fiona's style has been described by clients as 'more than just listening'. 'She is straight talking, informative and balanced but overall has a genuine and kind understanding."
01748 902468 View 01748 902468
Photo of Eva Maiwald, Psychologist, PsychD, HCPC - Clin. Psych.
Eva Maiwald
Psychologist, PsychD, HCPC - Clin. Psych.
London W10
Struggling with overwhelming emotions? Mood-swings? Or no feelings at all? I am a highly skilled clinical psychologist and psychotherapist specialising in more complex presentations, often trauma-related and/or resistant to change. A lot of my clients present with mood- or anxiety-driven symptoms that stem from more long-term patterns. Some have had therapy before and might feel frustrated or a bit hopeless about their experience. Or they are already very well educated about their symptoms and are looking for a way to turn all that knowledge into the results they are hoping for. I am here to support you with all my experience.
Struggling with overwhelming emotions? Mood-swings? Or no feelings at all? I am a highly skilled clinical psychologist and psychotherapist specialising in more complex presentations, often trauma-related and/or resistant to change. A lot of my clients present with mood- or anxiety-driven symptoms that stem from more long-term patterns. Some have had therapy before and might feel frustrated or a bit hopeless about their experience. Or they are already very well educated about their symptoms and are looking for a way to turn all that knowledge into the results they are hoping for. I am here to support you with all my experience.
07533 063576 View 07533 063576
Photo of Vasviye Yusuf, Psychotherapist, MBACP
Vasviye Yusuf
Psychotherapist, MBACP
London W10
I am a flexible, modern & inclusive practitioner, integrating various modaliites to suit individual need & preference, incl; Person Centred, Psychodynamic, CBT, Compassion Focused Therapy & DBT. I provide support for many issues, including; Helping individuals move from a place of “Stuckness” or feeling Overwhelmed; Exploring how Current or Past Events have affected their Life & Well Being; Anger, Sadness, Irritability, difficulty Regulating Emotions; Life Transitions. Managing Complex Mental Health needs. I offer an Unbiased Perspective and Safe Space to talk through sensitive Issues in Complete Confidence
I am a flexible, modern & inclusive practitioner, integrating various modaliites to suit individual need & preference, incl; Person Centred, Psychodynamic, CBT, Compassion Focused Therapy & DBT. I provide support for many issues, including; Helping individuals move from a place of “Stuckness” or feeling Overwhelmed; Exploring how Current or Past Events have affected their Life & Well Being; Anger, Sadness, Irritability, difficulty Regulating Emotions; Life Transitions. Managing Complex Mental Health needs. I offer an Unbiased Perspective and Safe Space to talk through sensitive Issues in Complete Confidence
020 3835 5692 View 020 3835 5692
Photo of Dr Shaun Bruwer, Psychotherapist, MUKCP
Dr Shaun Bruwer
Psychotherapist, MUKCP
London W10
Hello. My name is Shaun. I provide psychotherapy in a safe and confidential environment, to collaboratively explore any issues and difficulties you may be experiencing. My approach is integrative: I adapt my approach to suit the client’s needs and draw on a range of schools of psychology to work with each unique individual.
Hello. My name is Shaun. I provide psychotherapy in a safe and confidential environment, to collaboratively explore any issues and difficulties you may be experiencing. My approach is integrative: I adapt my approach to suit the client’s needs and draw on a range of schools of psychology to work with each unique individual.
07403 935211 View 07403 935211
Photo of Elizabeth Shaw, Counsellor, MBACP
Elizabeth Shaw
Counsellor, MBACP
London W10
I feel the best thing about therapy is being seen, being held in mind, knowing that when you walk into that room you are free to speak openly in a way you may feel unable to with anyone else in your life. Whatever is behind your reason for looking for therapy now, an immediate crisis, a lack of motivation, social anxiety, relationship issues, a background or childhood that you feel may be getting in your way I hope that you will take the possibly life changing step to understand yourself more deeply.
I feel the best thing about therapy is being seen, being held in mind, knowing that when you walk into that room you are free to speak openly in a way you may feel unable to with anyone else in your life. Whatever is behind your reason for looking for therapy now, an immediate crisis, a lack of motivation, social anxiety, relationship issues, a background or childhood that you feel may be getting in your way I hope that you will take the possibly life changing step to understand yourself more deeply.
020 8138 8845 View 020 8138 8845
Photo of Soraya Mansour - Limitless Self Ltd
Limitless Self Ltd
Verified Verified
London W10
Feeling stuck, anxious, or caught in a cycle of self-doubt? Maybe you’re battling unhealthy habits, people-pleasing, or toxic relationships—with food, substances, or even yourself. You've tried to set boundaries or shift your mindset, but somehow old patterns keep pulling you back. Sound familiar? What if you could break free—for good? If you're ready to change the inner soundtrack that's been holding you back, I’m here to guide and support you. You don’t have to stay stuck. Let’s begin the journey toward the life you truly want.
Feeling stuck, anxious, or caught in a cycle of self-doubt? Maybe you’re battling unhealthy habits, people-pleasing, or toxic relationships—with food, substances, or even yourself. You've tried to set boundaries or shift your mindset, but somehow old patterns keep pulling you back. Sound familiar? What if you could break free—for good? If you're ready to change the inner soundtrack that's been holding you back, I’m here to guide and support you. You don’t have to stay stuck. Let’s begin the journey toward the life you truly want.
020 7046 0402 View 020 7046 0402
Photo of Marianne Wallis-King, Psychotherapist, MSc, MUKCP
Marianne Wallis-King
Psychotherapist, MSc, MUKCP
London W10
Life can be hard sometimes, leaving us feeling alone, with no one to talk to when we need it most. Maybe your path in life feels unsteady or you took the scenic route, stumbling along the way. Maybe some recent life event feels too much or you want your life to change, to shift old patterns and feel more grounded. If you feel talking might help, I offer a safe haven to explore whatever you choose to bring and where your troubles may be heard.
Life can be hard sometimes, leaving us feeling alone, with no one to talk to when we need it most. Maybe your path in life feels unsteady or you took the scenic route, stumbling along the way. Maybe some recent life event feels too much or you want your life to change, to shift old patterns and feel more grounded. If you feel talking might help, I offer a safe haven to explore whatever you choose to bring and where your troubles may be heard.
020 4572 4744 View 020 4572 4744
Photo of Baanu Baghbani-Irvine, Psychotherapist, MSc, BACP
Baanu Baghbani-Irvine
Psychotherapist, MSc, BACP
London W10
I am a qualified Psychotherapist with degrees in number of different therapeutic modalities and over 20 years experience in Family and Children Services and private practice. I use effective evidence-based techniques, practices and therapeutic skills to tailor-make my approach. I use active-directive psychotherapy that promotes change by helping clients to identify, confront, and change their self-defeating thoughts and beliefs. I have extensive experience working with attachment, Childhood trauma and family relationships and in the treatment of many mental and emotional disturbances.
I am a qualified Psychotherapist with degrees in number of different therapeutic modalities and over 20 years experience in Family and Children Services and private practice. I use effective evidence-based techniques, practices and therapeutic skills to tailor-make my approach. I use active-directive psychotherapy that promotes change by helping clients to identify, confront, and change their self-defeating thoughts and beliefs. I have extensive experience working with attachment, Childhood trauma and family relationships and in the treatment of many mental and emotional disturbances.
020 3856 4052 View 020 3856 4052
Photo of Heather Finlay, Psychotherapist, MSc, MBACP
Heather Finlay
Psychotherapist, MSc, MBACP
London W10
I offer therapy in a safe environment, providing confidential, non-judgemental support to help you explore the difficulties that have led you to seek help. I strive to build a supportive and trusting relationship through listening and talking, to work through issues that may be upsetting you, such as relationship problems, loss, anxiety, depression, shame, trauma, addictions or low self-esteem. We will explore these problems together and find ways to manage feelings that may overwhelm you, challenge self defeating behaviour, identify goals and increase motivation to change, through sessions tailor made to meet your needs.
I offer therapy in a safe environment, providing confidential, non-judgemental support to help you explore the difficulties that have led you to seek help. I strive to build a supportive and trusting relationship through listening and talking, to work through issues that may be upsetting you, such as relationship problems, loss, anxiety, depression, shame, trauma, addictions or low self-esteem. We will explore these problems together and find ways to manage feelings that may overwhelm you, challenge self defeating behaviour, identify goals and increase motivation to change, through sessions tailor made to meet your needs.
020 3962 0254 View 020 3962 0254
Photo of Ruth Martin, Psychotherapist, MA, MBABCP
Ruth Martin
Psychotherapist, MA, MBABCP
3 Endorsed
London W10
Life can be tough sometimes and we can easily find ourselves stuck in cycles of unhelpful thinking or behaving. My aim is to help you to become unstuck and access a healthier, happier version of yourself. You may not know exactly how or why things aren't working, so an initial assessment can help us to figure this out together. I believe that we all possess the knowledge and resources to address our problems - I see my role as helping you to unlock this knowledge, access these skills, and acquire some additional tools along the way.
Life can be tough sometimes and we can easily find ourselves stuck in cycles of unhelpful thinking or behaving. My aim is to help you to become unstuck and access a healthier, happier version of yourself. You may not know exactly how or why things aren't working, so an initial assessment can help us to figure this out together. I believe that we all possess the knowledge and resources to address our problems - I see my role as helping you to unlock this knowledge, access these skills, and acquire some additional tools along the way.
020 8154 5459 View 020 8154 5459
Photo of Maxi-Martina Zimmer, Counsellor, PsychD, MNCPS Acc.
Maxi-Martina Zimmer
Counsellor, PsychD, MNCPS Acc.
London W10
I am a Pluralistic Therapist who integrates elements of Humanistic, Psychodynamic, CBT (Cognitive Behaviour Therapy) and Coaching approaches. My aim is to empower you to lead a life that is more peaceful, content, and fulfilling. I conduct sessions in both English and German. My sessions are tailored to meet your unique needs. By employing a blended approach, we can uncover and explore potential subconscious blocks and their origins that may be contributing to negative emotions. Together, we will work towards identifying and achieving your positive life goals and supportive change.
I am a Pluralistic Therapist who integrates elements of Humanistic, Psychodynamic, CBT (Cognitive Behaviour Therapy) and Coaching approaches. My aim is to empower you to lead a life that is more peaceful, content, and fulfilling. I conduct sessions in both English and German. My sessions are tailored to meet your unique needs. By employing a blended approach, we can uncover and explore potential subconscious blocks and their origins that may be contributing to negative emotions. Together, we will work towards identifying and achieving your positive life goals and supportive change.
020 3870 4425 View 020 3870 4425
Photo of Maria Munir, Psychologist, CPsychol
Maria Munir
Psychologist, CPsychol
London W10
Feeling lost? Alone? Overwhelmed? Low or anxious? Do you want to explore something from your past or focus on something specific in your here and now? Whatever your reason for coming here today, I provide a safe and secure, non judgmental and caring space to speak freely and benefit from an experienced therapist to help you find your way, a new perspective or simply someone to listen. I am able to offer short term sessions or longer term therapy depending on your needs. I offer a private, safe, clean and comfortable environment for us to work through what you bring to therapy. Phone and Video sessions also available
Feeling lost? Alone? Overwhelmed? Low or anxious? Do you want to explore something from your past or focus on something specific in your here and now? Whatever your reason for coming here today, I provide a safe and secure, non judgmental and caring space to speak freely and benefit from an experienced therapist to help you find your way, a new perspective or simply someone to listen. I am able to offer short term sessions or longer term therapy depending on your needs. I offer a private, safe, clean and comfortable environment for us to work through what you bring to therapy. Phone and Video sessions also available
01748 902520 View 01748 902520
Photo of Sarah Colbourne, Psychotherapist, MUKCP
Sarah Colbourne
Psychotherapist, MUKCP
London W10
Explore The Possibilities of In-person & Online Counselling and Psychotherapy. I understand that life's challenges are unique and complex for all individuals. If you're feeling lost, stressed, alone and isolated, we can journey together towards a future and life that feels alive, full, enriching and satisfying for you. Experience a safe contained and holding environment to explore Anxiety, Depression, Eating disorders, Stress, Menopause, trauma, Generational trauma, Racial trauma, Childhood and Attachment concerns, and Identity and diversity issues.
Explore The Possibilities of In-person & Online Counselling and Psychotherapy. I understand that life's challenges are unique and complex for all individuals. If you're feeling lost, stressed, alone and isolated, we can journey together towards a future and life that feels alive, full, enriching and satisfying for you. Experience a safe contained and holding environment to explore Anxiety, Depression, Eating disorders, Stress, Menopause, trauma, Generational trauma, Racial trauma, Childhood and Attachment concerns, and Identity and diversity issues.
020 3835 4074 View 020 3835 4074
Photo of Gershon Portnoi, Psychotherapist, MBACP
Gershon Portnoi
Psychotherapist, MBACP
1 Endorsed
London W10
Finding a psychotherapist can be daunting, with a lot of terminology and names that might feel complicated and mystifying. My view is that therapy doesn't need to be so confusing and shrouded in secrecy and strange terms. To put it simply, I offer you the chance to talk about whatever might be troubling you in total confidence at the same time, on the same day, in the same place, every week. That consistency, alongside the relationship we will develop, is all part of the healing process that therapy can provide.
Finding a psychotherapist can be daunting, with a lot of terminology and names that might feel complicated and mystifying. My view is that therapy doesn't need to be so confusing and shrouded in secrecy and strange terms. To put it simply, I offer you the chance to talk about whatever might be troubling you in total confidence at the same time, on the same day, in the same place, every week. That consistency, alongside the relationship we will develop, is all part of the healing process that therapy can provide.
01748 902066 View 01748 902066
Photo of Guy Klein, Psychotherapist, MBABCP
Guy Klein
Psychotherapist, MBABCP
London W10
I am an experienced CBT and EMDR therapist, specializing in treating OCD, as well as Trauma and PTSD, Generalised anxiety and anxiety attacks, Depression, and low self-esteem. Other difficulties I treat include Health anxiety, Social anxiety, BDD, and phobias. Full recovery, reliable improvement and reclaiming control over your life are all achievable goals with CBT and EMDR, through a paced process, tailored to your personal needs.
I am an experienced CBT and EMDR therapist, specializing in treating OCD, as well as Trauma and PTSD, Generalised anxiety and anxiety attacks, Depression, and low self-esteem. Other difficulties I treat include Health anxiety, Social anxiety, BDD, and phobias. Full recovery, reliable improvement and reclaiming control over your life are all achievable goals with CBT and EMDR, through a paced process, tailored to your personal needs.
020 4538 5157 View 020 4538 5157

See more therapy options for W10

How does your Counsellor compare?

Number of Counsellors in W10

100+

Average cost per session

£80

Counsellors in W10 who prioritize treating:

96% Anxiety
90% Self Esteem
90% Stress
89% Depression
87% Relationship Issues
75% Trauma and PTSD
61% Family Conflict

Average years in practice

11 Years

Top 3 insurances accepted

76% Aviva
69% AXA PPP
64% WPA

How Counsellors in W10 see their clients

72% In Person and Online
28% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counselling

How can I find a therapist in W10?

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.