Photo of Jakub Przemek Potorski, MSc, MUKCP, Psychotherapist
Jakub Przemek Potorski
Psychotherapist, MSc, MUKCP
Verified Verified
London W5  (Online Only)
There are things that you might find yourself struggling with, such as, trying to seek meaning and purpose in life, work problems, relationship difficulties, addiction or mourning the losses and changes that are happening to our planet. You might be feeling adrift in a rapidly changing world, alone, cut off from others or caught in a trap and doing things that you do not find fulfilling anymore. Perhaps you are angry, anxious, depressed or having thoughts of suicide and you are unsure of how to cope with these feelings. Let’s create together a space where mutual understanding and trust is highly valued.
There are things that you might find yourself struggling with, such as, trying to seek meaning and purpose in life, work problems, relationship difficulties, addiction or mourning the losses and changes that are happening to our planet. You might be feeling adrift in a rapidly changing world, alone, cut off from others or caught in a trap and doing things that you do not find fulfilling anymore. Perhaps you are angry, anxious, depressed or having thoughts of suicide and you are unsure of how to cope with these feelings. Let’s create together a space where mutual understanding and trust is highly valued.
020 3958 4299 View 020 3958 4299
Photo of Zahra Shariff, DCounsPsych, HCPC - Couns. Psych., Psychologist
Zahra Shariff
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Are you feeling sad, experiencing panic attacks or have low self-confidence? Are you looking to increase awareness and ability to respond to unwanted thoughts and feelings with openness, curiosity and compassion? Are you looking to reconnect with what is important to you and create a greater sense of balance? I offer psychological therapy and counselling sessions to clients with a wide range of mental health problems including depression, anxiety, phobias and trauma. My clients develop more adaptive strategies to respond to thoughts and feelings more effectively, regain a stable sense of self and move freely towards their values.
Are you feeling sad, experiencing panic attacks or have low self-confidence? Are you looking to increase awareness and ability to respond to unwanted thoughts and feelings with openness, curiosity and compassion? Are you looking to reconnect with what is important to you and create a greater sense of balance? I offer psychological therapy and counselling sessions to clients with a wide range of mental health problems including depression, anxiety, phobias and trauma. My clients develop more adaptive strategies to respond to thoughts and feelings more effectively, regain a stable sense of self and move freely towards their values.
01748 901731 View 01748 901731
Photo of Natasha Broman, MA, MUKCP, Psychotherapist
Natasha Broman
Psychotherapist, MA, MUKCP
Verified Verified
I am an integrative psychotherapist and Somatic Experiencing practitioner. What does this mean? I have extensive training in supporting people of all ages to feel more themselves, whether this is through helping them to recover from traumatic events, reducing current anxiety and depression symptoms or increasing their overall sense of purpose and joy.
I am an integrative psychotherapist and Somatic Experiencing practitioner. What does this mean? I have extensive training in supporting people of all ages to feel more themselves, whether this is through helping them to recover from traumatic events, reducing current anxiety and depression symptoms or increasing their overall sense of purpose and joy.
020 3002 6672 View 020 3002 6672
Photo of Dr Ann Collins, DCounsPsych, MBACP, Psychotherapist
Dr Ann Collins
Psychotherapist, DCounsPsych, MBACP
Verified Verified
I am counselling psychologist and integrative psychotherapist that has worked with couples and individuals for over 20 years. Being an integrative psychotherapist means, I believe that different approaches are needed to deal with the individual needs of my client - one size does not fit all. With that in mind, I have trained within various approaches, so I can offer a more holistic and in-depth approach in how I work. Working with my clients, I see us finding ways of overcoming or addressing the issues that are presented, in a way that feels authentic to how they are as people.
I am counselling psychologist and integrative psychotherapist that has worked with couples and individuals for over 20 years. Being an integrative psychotherapist means, I believe that different approaches are needed to deal with the individual needs of my client - one size does not fit all. With that in mind, I have trained within various approaches, so I can offer a more holistic and in-depth approach in how I work. Working with my clients, I see us finding ways of overcoming or addressing the issues that are presented, in a way that feels authentic to how they are as people.
020 3974 2403 View 020 3974 2403
Photo of James Crawford, MBACP, Counsellor
James Crawford
Counsellor, MBACP
Verified Verified
I am a registered and qualified mental health counselling professional who helps individuals gain psychological awareness to improve their overall health and wellbeing. I am motivated by a curiosity in people and their capacity to grow and develop. I believe that the relationship we develop is a co-creation that can be a dynamic and transformative vehicle for growth. I take an integrative approach to mental health with a primary focus on the modalities of Existential, Gestalt and Cognitive Behavioural Therapy (CBT). This means that professionally I tailor my approach relative to your emotional and psychological needs.
I am a registered and qualified mental health counselling professional who helps individuals gain psychological awareness to improve their overall health and wellbeing. I am motivated by a curiosity in people and their capacity to grow and develop. I believe that the relationship we develop is a co-creation that can be a dynamic and transformative vehicle for growth. I take an integrative approach to mental health with a primary focus on the modalities of Existential, Gestalt and Cognitive Behavioural Therapy (CBT). This means that professionally I tailor my approach relative to your emotional and psychological needs.
020 3823 6927 View 020 3823 6927
Photo of Zahra Al-Mahroos, MBACP, Psychotherapist
Zahra Al-Mahroos
Psychotherapist, MBACP
Verified Verified
I’m a fully qualified Integrative counsellor and psychotherapist, accredited and registered with the BACP. I work pluralistically within an integrative framework, which means that I tailor my practice to meet individual client needs. I do so by utilising techniques from various psychotherapy approaches and by regularly evaluating the way I work with clients to adapt to their preferences and specific issues. Recognising the fundamental principle that one size does not fit all is paramount for successful therapy.
I’m a fully qualified Integrative counsellor and psychotherapist, accredited and registered with the BACP. I work pluralistically within an integrative framework, which means that I tailor my practice to meet individual client needs. I do so by utilising techniques from various psychotherapy approaches and by regularly evaluating the way I work with clients to adapt to their preferences and specific issues. Recognising the fundamental principle that one size does not fit all is paramount for successful therapy.
020 8154 5437 View 020 8154 5437
Photo of Joanna Kalapus, MBACP, Counsellor
Joanna Kalapus
Counsellor, MBACP
Verified Verified
I'm a compassionate and fully qualified Person-Centred / Humanistic Counsellor with extensive experience guiding individuals overcome significant life challenges: divorce, affairs, relationship problems, physical and emotional abuse, domestic violence... Whether you're seeking greater motivation, emotional stability, or a stronger sense of self-worth, I'm here to support you. Through our collaborative journey, I'll create a safe space for you to explore your unique experiences and discover your own inner strength. Together, we can navigate your challenges and unlock your potential for a more fulfilling life.
I'm a compassionate and fully qualified Person-Centred / Humanistic Counsellor with extensive experience guiding individuals overcome significant life challenges: divorce, affairs, relationship problems, physical and emotional abuse, domestic violence... Whether you're seeking greater motivation, emotional stability, or a stronger sense of self-worth, I'm here to support you. Through our collaborative journey, I'll create a safe space for you to explore your unique experiences and discover your own inner strength. Together, we can navigate your challenges and unlock your potential for a more fulfilling life.
020 4538 5495 View 020 4538 5495
Photo of Bernd Leygraf, FNCPS, Psychotherapist
Bernd Leygraf
Psychotherapist, FNCPS
Verified Verified
Waitlist for new clients
I am a Consultant Psychotherapist - the only one in my field - with a psychosexual and relationship therapy specialisation. I have over three decades of experience. I train medical consultants, therapists, supervisors and organisational consultants. I run a university accredited psychotherapy training and have done so since 1990.
I am a Consultant Psychotherapist - the only one in my field - with a psychosexual and relationship therapy specialisation. I have over three decades of experience. I train medical consultants, therapists, supervisors and organisational consultants. I run a university accredited psychotherapy training and have done so since 1990.
01895 545667 View 01895 545667
Photo of Robert Anderson, MBACP, Counsellor
Robert Anderson
Counsellor, MBACP
Verified Verified
I have a BA (Hons) in Person-Centred Counselling. I able to provide the right environment for the change you need to occur and one that is at the right pace. I have wide experience in meeting adults and teenagers who are wanting to improve their life or going through difficult times in their life and are needing support. These include people who are experiencing bereavement, depression, anxiety, self-harm, feelings of hopelessness, feelings of being stuck in life, abuse, trying to achieve life goals.
I have a BA (Hons) in Person-Centred Counselling. I able to provide the right environment for the change you need to occur and one that is at the right pace. I have wide experience in meeting adults and teenagers who are wanting to improve their life or going through difficult times in their life and are needing support. These include people who are experiencing bereavement, depression, anxiety, self-harm, feelings of hopelessness, feelings of being stuck in life, abuse, trying to achieve life goals.
020 3835 6160 View 020 3835 6160
Photo of Sarah Popelzai, MBACP, Psychotherapist
Sarah Popelzai
Psychotherapist, MBACP
Verified Verified
Hello, my name is Sarah. I am an integrative psychotherapist who primarily focuses on ensuring that my client feels comfortable to explore hidden truths, emotional pain and daily struggles. I offer short & long term therapy, that can be face-to-face, via Zoom, Skype or telephone. There are many different reasons that can bring us to therapy. You may be struggling with emotional difficulties, finding meaning, going through a transition. You may be experiencing unhelpful thoughts and behaviours, or simply feel that something just isn't right. My approach focuses on assisting you to work through dynamics that may be keeping you stuck.
Hello, my name is Sarah. I am an integrative psychotherapist who primarily focuses on ensuring that my client feels comfortable to explore hidden truths, emotional pain and daily struggles. I offer short & long term therapy, that can be face-to-face, via Zoom, Skype or telephone. There are many different reasons that can bring us to therapy. You may be struggling with emotional difficulties, finding meaning, going through a transition. You may be experiencing unhelpful thoughts and behaviours, or simply feel that something just isn't right. My approach focuses on assisting you to work through dynamics that may be keeping you stuck.
020 7870 3650 View 020 7870 3650
Photo of Alison Dalal, MSc, MUKCP, Psychotherapist
Alison Dalal
Psychotherapist, MSc, MUKCP
Verified Verified
I am a fully qualified UKCP and MBACP registered Integrative Psychotherapist with experience of working with people from a diverse range of backgrounds. Anyone can have therapy and people come for all sorts of reasons. You may be suffering in some way, or you may be looking for change in your life. Having someone professional alongside you can really help; at the core of my way of working is the therapeutic relationship; this relationship offers a safe and non-judgemental space in which we can explore what's bringing you to therapy and help you to move forward, creatively and choicefully.
I am a fully qualified UKCP and MBACP registered Integrative Psychotherapist with experience of working with people from a diverse range of backgrounds. Anyone can have therapy and people come for all sorts of reasons. You may be suffering in some way, or you may be looking for change in your life. Having someone professional alongside you can really help; at the core of my way of working is the therapeutic relationship; this relationship offers a safe and non-judgemental space in which we can explore what's bringing you to therapy and help you to move forward, creatively and choicefully.
020 3835 3652 View 020 3835 3652
Photo of Mansee Gupte, MA, MBACP Accred, Psychotherapist
Mansee Gupte
Psychotherapist, MA, MBACP Accred
Verified Verified
London W5  (Online Only)
Struggling with overwhelming emotions like stress, loneliness, or exhaustion? As a parent, watching your child battle self-harm, anxiety, or low self-esteem can be daunting. I offer a compassionate ear and guidance through these storms. With 17+ years of experience, I've supported over 3000 children and adolescents, specializing in mental health within the NHS. Let's explore healthy coping techniques and emotional regulation together. Healthy coping strategies empower you to navigate tough situations, while emotional regulation techniques prevent feelings from overwhelming you. It's like having a remote control for your emotions.
Struggling with overwhelming emotions like stress, loneliness, or exhaustion? As a parent, watching your child battle self-harm, anxiety, or low self-esteem can be daunting. I offer a compassionate ear and guidance through these storms. With 17+ years of experience, I've supported over 3000 children and adolescents, specializing in mental health within the NHS. Let's explore healthy coping techniques and emotional regulation together. Healthy coping strategies empower you to navigate tough situations, while emotional regulation techniques prevent feelings from overwhelming you. It's like having a remote control for your emotions.
01905 675396 View 01905 675396
Photo of Kenneth Day, MBACP, Psychotherapist
Kenneth Day
Psychotherapist, MBACP
Verified Verified
3 Endorsed
Waitlist for new clients
Seeking therapy can be a scary decision. I do believe however that the issues prompting you to come to me have the potential to enable you to move into a new level of self-understanding. A key principle of my particular therapy - Psychosynthesis, suggests that the symptoms of our problems can indicate a deeper meaning or potential trying to emerge in our lives. Our work together will try to discover what that might be. To achieve this I offer a focused approach for a specific issue in short-term work or we can go into more depth for work in the longer term.
Seeking therapy can be a scary decision. I do believe however that the issues prompting you to come to me have the potential to enable you to move into a new level of self-understanding. A key principle of my particular therapy - Psychosynthesis, suggests that the symptoms of our problems can indicate a deeper meaning or potential trying to emerge in our lives. Our work together will try to discover what that might be. To achieve this I offer a focused approach for a specific issue in short-term work or we can go into more depth for work in the longer term.
01748 901820 View 01748 901820
Photo of Dr Saira Khan, PsychD, HCPC - Couns. Psych., Psychologist
Dr Saira Khan
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
You are worthy of living the life you want to lead. Together, we can move towards balanced mental well-being. I can support you towards understanding, managing and improving mental health challenges you face. You may be trying to make sense of what is happening to you or can't remember a time when you felt okay. Either way, one thing is for sure: you are ready for some relief. My short-term goal for you is to help you understand your struggles and figure out how to move forward. In the long-term, I want to help you build an internal foundation for well-being and emotional healing.
You are worthy of living the life you want to lead. Together, we can move towards balanced mental well-being. I can support you towards understanding, managing and improving mental health challenges you face. You may be trying to make sense of what is happening to you or can't remember a time when you felt okay. Either way, one thing is for sure: you are ready for some relief. My short-term goal for you is to help you understand your struggles and figure out how to move forward. In the long-term, I want to help you build an internal foundation for well-being and emotional healing.
020 3984 9048 View 020 3984 9048
Photo of Tony Wilkinson, MBACP, Counsellor
Tony Wilkinson
Counsellor, MBACP
Verified Verified
As an Integrative Transpersonal Counsellor I draw together different approaches whilst offering therapy with soul - looking beyond the immediate problem, or symptom to work in ways that honour each client's deeper journey.
As an Integrative Transpersonal Counsellor I draw together different approaches whilst offering therapy with soul - looking beyond the immediate problem, or symptom to work in ways that honour each client's deeper journey.
020 3872 2837 View 020 3872 2837
Photo of Jessie-Ann Duncan, MBACP, Psychotherapist
Jessie-Ann Duncan
Psychotherapist, MBACP
Verified Verified
1 Endorsed
I provide a space where you can truly be yourself; to be seen and heard free of judgement. Therapy provides an opportunity to explore who you are at your core, and how you relate to your unique life experiences and the world around you. The relationship with yourself is the longest you will ever have. At times it can be the most difficult with symptoms of anxiety, depression, grief and loss, trauma, attachment wounds, and life stressors. I work flexibly with your unique strengths and circumstances to help you make progress. There may be specific concerns or more general overall improvements you want to make.
I provide a space where you can truly be yourself; to be seen and heard free of judgement. Therapy provides an opportunity to explore who you are at your core, and how you relate to your unique life experiences and the world around you. The relationship with yourself is the longest you will ever have. At times it can be the most difficult with symptoms of anxiety, depression, grief and loss, trauma, attachment wounds, and life stressors. I work flexibly with your unique strengths and circumstances to help you make progress. There may be specific concerns or more general overall improvements you want to make.
020 3866 6702 View 020 3866 6702
Photo of Susie Barber, MBACP, Counsellor
Susie Barber
Counsellor, MBACP
Verified Verified
2 Endorsed
I am an experienced counsellor who provides an empathic, supportive, and non-judgemental space in which an authentic dialogue can develop to explore what’s going on for you. I aim to help you navigate your thoughts, feelings, and experiences to deepen your awareness of how it is to be you. I believe that in an empathic and safe therapeutic relationship, you can access your inner resources to help you heal and grow. I understand how daunting it can be asking for help and sometimes it’s not clear what needs to change in your life to help you feel better. In your own time, we can work together to better understand this.
I am an experienced counsellor who provides an empathic, supportive, and non-judgemental space in which an authentic dialogue can develop to explore what’s going on for you. I aim to help you navigate your thoughts, feelings, and experiences to deepen your awareness of how it is to be you. I believe that in an empathic and safe therapeutic relationship, you can access your inner resources to help you heal and grow. I understand how daunting it can be asking for help and sometimes it’s not clear what needs to change in your life to help you feel better. In your own time, we can work together to better understand this.
View
Photo of Louise Champion, MSc, MUKCP, Psychotherapist
Louise Champion
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
I am a registered Integrative psychotherapist with UKCP in the final year of my Doctorate in Counselling Psychology at Metanoia and Middlesex University. I work both long and short-term in a one-to-one setting with adults from diverse backgrounds, faced with a wide range of life challenges and experiences. I offer a safe confidential environment to collaboratively explore any issues and difficulties you may be experiencing.
I am a registered Integrative psychotherapist with UKCP in the final year of my Doctorate in Counselling Psychology at Metanoia and Middlesex University. I work both long and short-term in a one-to-one setting with adults from diverse backgrounds, faced with a wide range of life challenges and experiences. I offer a safe confidential environment to collaboratively explore any issues and difficulties you may be experiencing.
020 3984 9998 View 020 3984 9998
Photo of Kirsty Birnstiel - Kirsty Birnstiel,  RTT Therapist, Hypnotherapist, MBACP, Counsellor
Kirsty Birnstiel, RTT Therapist, Hypnotherapist
Counsellor, MBACP
Verified Verified
Hello, Are you feeling stuck? Do you suffer with anxiety, depression, procrastination or confidence issues? I am a Marisa Peer trained RTT (Rapid Transformational Therapy) therapist and I work with adults on a short term basis on all variety of issues. I deal with anything from the problems listed above to fears and phobias, sleep issues, health issues, exam nerves and public speaking to name a few. What is RTT? It is a therapy method that combines all the most effective techniques from NLP, CBT, EMDR, psychotherapy and hypnotherapy.
Hello, Are you feeling stuck? Do you suffer with anxiety, depression, procrastination or confidence issues? I am a Marisa Peer trained RTT (Rapid Transformational Therapy) therapist and I work with adults on a short term basis on all variety of issues. I deal with anything from the problems listed above to fears and phobias, sleep issues, health issues, exam nerves and public speaking to name a few. What is RTT? It is a therapy method that combines all the most effective techniques from NLP, CBT, EMDR, psychotherapy and hypnotherapy.
020 3816 0342 View 020 3816 0342
Photo of Silvia Bodini, MSc, UKCP Trainee, Psychotherapist
Silvia Bodini
Psychotherapist, MSc, UKCP Trainee
Verified Verified
2 Endorsed
We are all vulnerable and it is not uncommon to feel lost or stuck. My practice is born from the desire to bring positive change helping individuals live a choiceful life. I am an Italian Psychologist and Psychotherapist trainee based in London. As a welcoming, curious individual, I offer a safe and supportive space where to explore your thoughts and emotions. Gestalt approach allows me to work fluidly with various issues including: anxiety, depression, bereavement, identity or sexuality, low self-esteem, mood and confidence, trauma, panic attacks, relationship difficulties, stress and lack of motivation.
We are all vulnerable and it is not uncommon to feel lost or stuck. My practice is born from the desire to bring positive change helping individuals live a choiceful life. I am an Italian Psychologist and Psychotherapist trainee based in London. As a welcoming, curious individual, I offer a safe and supportive space where to explore your thoughts and emotions. Gestalt approach allows me to work fluidly with various issues including: anxiety, depression, bereavement, identity or sexuality, low self-esteem, mood and confidence, trauma, panic attacks, relationship difficulties, stress and lack of motivation.
020 3816 1623 View 020 3816 1623

See more therapy options for W5

How does your Counsellor compare?

Number of Counsellors in W5

100+

Average cost per session

£70

Counsellors in W5 who prioritize treating:

94% Anxiety
88% Relationship Issues
88% Depression
88% Self Esteem
83% Stress
70% Bereavement
65% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

69% Aviva
67% AXA PPP
62% Vitality

How Counsellors in W5 see their clients

79% In Person and Online
21% Online Only

Gender breakdown

73% Female
25% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in W5?

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.