Counselling in Wales

View cities and counties in Wales
Photo of Melissa Moulden - Psychotherapy with Melissa, Psychotherapist, UKCP Trainee
Psychotherapy with Melissa
Psychotherapist, UKCP Trainee
2 Endorsed
Cardiff CF11
You don’t need to have the words ready, sometimes we begin therapy only with the feeling that we want something to be different. We start where you are. I’m Melissa, and I'm a trainee Integrative Psychotherapist with the UKCP and the Welsh Psychotherapy Institute's Affordable Therapy Service. I aim to offer a warm, respectful, supportive and collaborative space where we can explore what matters to you. My practice is trauma informed, I prioritise safety and consent as we work with your past and present experiences.
You don’t need to have the words ready, sometimes we begin therapy only with the feeling that we want something to be different. We start where you are. I’m Melissa, and I'm a trainee Integrative Psychotherapist with the UKCP and the Welsh Psychotherapy Institute's Affordable Therapy Service. I aim to offer a warm, respectful, supportive and collaborative space where we can explore what matters to you. My practice is trauma informed, I prioritise safety and consent as we work with your past and present experiences.
029 2271 0620 View 029 2271 0620
Photo of Wendy Leverett Wilson, Counsellor
Wendy Leverett Wilson
Counsellor
1 Endorsed
Ruthin LL15
Hi my name is Wendy and I understand it can be difficult to approach someone for support especially if you are feeling overwhelmed with emotions . We all face challenges in life, some of which we can easily manage while others we find ourselves struggling with and needing greater support. No matter what difficulties you are having or how large or small it feels, I can offer you the time and place for you to explore your feelings and emotions, to find acceptance and understanding in a trusted relationship. At a pace to suit you we can work together in making the changes in your life that can help you feel more in control and at ease
Hi my name is Wendy and I understand it can be difficult to approach someone for support especially if you are feeling overwhelmed with emotions . We all face challenges in life, some of which we can easily manage while others we find ourselves struggling with and needing greater support. No matter what difficulties you are having or how large or small it feels, I can offer you the time and place for you to explore your feelings and emotions, to find acceptance and understanding in a trusted relationship. At a pace to suit you we can work together in making the changes in your life that can help you feel more in control and at ease
07588 731677 View 07588 731677
Photo of Dr Lisa-Maria Kraml, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Lisa-Maria Kraml
Psychologist, PsychD, HCPC - Clin. Psych.
Cardiff CF14
Waitlist for new clients
Hi, I’m Lisa, a Clinical Psychologist offering compassionate support to women and families through a range of challenges in their journey from preconception into early parenthood. I support the emotional and psychological impact of IVF, alongside extreme fear of birth, extreme pregnancy sickness, perinatal trauma, perinatal loss, and when pregnancy or parenting activates earlier relational trauma. I help individuals and families strengthen emotional connection, nurture children’s development, and care for their own wellbeing. My work is systemic, attachment-focused, and guided by compassion, inclusion, equity and feminism.
Hi, I’m Lisa, a Clinical Psychologist offering compassionate support to women and families through a range of challenges in their journey from preconception into early parenthood. I support the emotional and psychological impact of IVF, alongside extreme fear of birth, extreme pregnancy sickness, perinatal trauma, perinatal loss, and when pregnancy or parenting activates earlier relational trauma. I help individuals and families strengthen emotional connection, nurture children’s development, and care for their own wellbeing. My work is systemic, attachment-focused, and guided by compassion, inclusion, equity and feminism.
View
Photo of Chris Clark, Psychotherapist, MBACP Accred
Chris Clark
Psychotherapist, MBACP Accred
1 Endorsed
Cardiff CF11
Are you trying to understand something from the past or stepping towards something new. Perhaps you are working through memories and emotions that feel stuck, leaving you questioning how to move forward. For some, these questions open up curiosity; for others, they can lead to dark and lonely places. I work with individuals and couples who may feel stuck, overwhelmed or uncertain about how to move forward, and who want to make sense of long-standing patterns in past and present relational experiences, even when thoughts or behaviours feel unchangeable.
Are you trying to understand something from the past or stepping towards something new. Perhaps you are working through memories and emotions that feel stuck, leaving you questioning how to move forward. For some, these questions open up curiosity; for others, they can lead to dark and lonely places. I work with individuals and couples who may feel stuck, overwhelmed or uncertain about how to move forward, and who want to make sense of long-standing patterns in past and present relational experiences, even when thoughts or behaviours feel unchangeable.
029 2271 5870 View 029 2271 5870
Photo of Timothy Dellard
Timothy Dellard
Verified Verified
3 Endorsed
Swansea SA6
I’m a neurodivergent therapist working with clients who want to understand themselves more deeply and live more authentically. You might feel like you’ve spent years masking who you are, struggling to feel truly understood, or finding relationships harder than they seem for others. You may feel disconnected, unsure of yourself, or like you can't be the “real” you. Many of my clients are autistic, ADHD or AuDHD (inclusive of those self-diagnosed or questioning). I therefore work in a neurodiversity-affirming way, where the aim is to understand how your mind works and what you need
I’m a neurodivergent therapist working with clients who want to understand themselves more deeply and live more authentically. You might feel like you’ve spent years masking who you are, struggling to feel truly understood, or finding relationships harder than they seem for others. You may feel disconnected, unsure of yourself, or like you can't be the “real” you. Many of my clients are autistic, ADHD or AuDHD (inclusive of those self-diagnosed or questioning). I therefore work in a neurodiversity-affirming way, where the aim is to understand how your mind works and what you need
01792 949273 View 01792 949273
Photo of Nia Ward, Counsellor, BACP
Nia Ward
Counsellor, BACP
Swansea SA4
Croeso! My aim as a counsellor is to provide a sense of hope and healing, empowering clients to find resilience and strength amidst life's challenges. A nurturing and transformative experience leaving a lasting impact on individuals seeking support, creating positive change and instilling a sense of empowerment and well-being. I am dedicated and committed, going above and beyond to ensure clients receive the care they deserve. My experience and knowledge in suicide prevention and self-harm has enhanced my ability to help individuals in crisis.
Croeso! My aim as a counsellor is to provide a sense of hope and healing, empowering clients to find resilience and strength amidst life's challenges. A nurturing and transformative experience leaving a lasting impact on individuals seeking support, creating positive change and instilling a sense of empowerment and well-being. I am dedicated and committed, going above and beyond to ensure clients receive the care they deserve. My experience and knowledge in suicide prevention and self-harm has enhanced my ability to help individuals in crisis.
01792 949913 View 01792 949913
Photo of Lisa Mclaughlin, Psychotherapist, MA, MUKCP
Lisa Mclaughlin
Psychotherapist, MA, MUKCP
1 Endorsed
Monmouth NP25
Using an integrative relational model of psychotherapy I build an approach which is tailored to meet the unique requirements of each individual client. My approach is predominantly talking based but I always incorporate the body as a way of accessing deeply held emotions. You may want to address a specific issue such as anxiety, panic attacks or a difficult life event. On the other hand you may want to examine something more deep rooted and indefinable. Perhaps you have noticed a recurring pattern of behaviour which is causing you pain in your life, or more general feelings of depression or unhappiness.
Using an integrative relational model of psychotherapy I build an approach which is tailored to meet the unique requirements of each individual client. My approach is predominantly talking based but I always incorporate the body as a way of accessing deeply held emotions. You may want to address a specific issue such as anxiety, panic attacks or a difficult life event. On the other hand you may want to examine something more deep rooted and indefinable. Perhaps you have noticed a recurring pattern of behaviour which is causing you pain in your life, or more general feelings of depression or unhappiness.
01322 946718 View 01322 946718
Photo of Rebecca Wilson, Psychologist, PsychD, HCPC - Couns. Psych.
Rebecca Wilson
Psychologist, PsychD, HCPC - Couns. Psych.
Online Only
You may be coming to therapy feeling overwhelmed, stuck, or affected by experiences that continue to shape how you feel about yourself and your relationships. Many people I work with are navigating anxiety, low mood, trauma-related difficulties, or ongoing stress linked to work, relationships, health, or life transitions. Often, they are seeking greater understanding of themselves, relief from emotional distress, and a way forward that feels more manageable and meaningful.
You may be coming to therapy feeling overwhelmed, stuck, or affected by experiences that continue to shape how you feel about yourself and your relationships. Many people I work with are navigating anxiety, low mood, trauma-related difficulties, or ongoing stress linked to work, relationships, health, or life transitions. Often, they are seeking greater understanding of themselves, relief from emotional distress, and a way forward that feels more manageable and meaningful.
View
Photo of Maggie Webb-Elder, Counsellor, MNCPS Acc.
Maggie Webb-Elder
Counsellor, MNCPS Acc.
Online Only
I support clients with a vast range of struggles including addiction, self harm, depression, anxiety, suicidality, relationships, career pressures, as well as athletes and professionals with performance based anxiety. I work collaboratively with each client. I believe we all hold our own answers, often we just need to ask the right questions.
I support clients with a vast range of struggles including addiction, self harm, depression, anxiety, suicidality, relationships, career pressures, as well as athletes and professionals with performance based anxiety. I work collaboratively with each client. I believe we all hold our own answers, often we just need to ask the right questions.
01348 437225 View 01348 437225
Photo of Hannah Beckett, Psychotherapist, MA, MNCPS Acc.
Hannah Beckett
Psychotherapist, MA, MNCPS Acc.
1 Endorsed
Newport NP11
Waitlist for new clients
Hello! My name is Hannah, and I am a qualified counsellor specialising in anxiety and trauma. If you are feeling overwhelmed, stuck, or struggling with past experiences, you're not alone- and you don't have to navigate it all by yourself. My aim is to provide a safe space where you can explore what you're going through, build resilience and find a way forward.
Hello! My name is Hannah, and I am a qualified counsellor specialising in anxiety and trauma. If you are feeling overwhelmed, stuck, or struggling with past experiences, you're not alone- and you don't have to navigate it all by yourself. My aim is to provide a safe space where you can explore what you're going through, build resilience and find a way forward.
029 2271 4910 View 029 2271 4910
Photo of Cliona Edel Vaughan - Cliona Vaughan Therapy, Counsellor, MBACP
Cliona Vaughan Therapy
Counsellor, MBACP
Cardiff CF14
I am passionate about helping people who are experiencing difficulties in life. I offer a non-judgemental, caring and confidential space for you to share situations and challenges that are causing pain or distress as long as you feel safe and comfortable. I draw upon a combination of therapeutic techniques to guide and support you. I am a qualified Integrative Counsellor (Level 7) and SF Hypnotherapist. My approach is to help you explore and overcome obstacles that are holding you back, empowering you to move forward in your life. I believe that you are the expert on yourself and I will support you on your journey to wellness.
I am passionate about helping people who are experiencing difficulties in life. I offer a non-judgemental, caring and confidential space for you to share situations and challenges that are causing pain or distress as long as you feel safe and comfortable. I draw upon a combination of therapeutic techniques to guide and support you. I am a qualified Integrative Counsellor (Level 7) and SF Hypnotherapist. My approach is to help you explore and overcome obstacles that are holding you back, empowering you to move forward in your life. I believe that you are the expert on yourself and I will support you on your journey to wellness.
01446 501359 View 01446 501359
Photo of Chris Garvey, Counsellor, MNCPS Acc.
Chris Garvey
Counsellor, MNCPS Acc.
If you’re used to keeping things to yourself and just getting on with it, but it’s starting to catch up with you, you’re not on your own. I work with adults who are used to getting on with things but are starting to feel overwhelmed, stuck, or under pressure. You might be dealing with stress, anxiety, burnout, feeling low, or grief, and finding it hard to switch off or talk things through. I offer a straightforward, no-pressure space where you can talk things through properly and get a clearer head. We’ll work at your pace, helping you get a handle on things and find a way forward that feels manageable.
If you’re used to keeping things to yourself and just getting on with it, but it’s starting to catch up with you, you’re not on your own. I work with adults who are used to getting on with things but are starting to feel overwhelmed, stuck, or under pressure. You might be dealing with stress, anxiety, burnout, feeling low, or grief, and finding it hard to switch off or talk things through. I offer a straightforward, no-pressure space where you can talk things through properly and get a clearer head. We’ll work at your pace, helping you get a handle on things and find a way forward that feels manageable.
01691 887335 View 01691 887335
Photo of Teresa Madden, Counsellor, UKCP Trainee
Teresa Madden
Counsellor, UKCP Trainee
Bridgend CF32
Hi my name is Teresa. I like to provide a space for people to come and begin to explore why they may be suffering with anxiety or depression and how they can enrich their lives and navigate the challenges of life. It can be a fascinating and challenging journey to really know ourselves and I love to journey with people whilst they do this. I am a Christian and love journeying with other people who share that faith, or those that have any or no faith. I work online or in person.
Hi my name is Teresa. I like to provide a space for people to come and begin to explore why they may be suffering with anxiety or depression and how they can enrich their lives and navigate the challenges of life. It can be a fascinating and challenging journey to really know ourselves and I love to journey with people whilst they do this. I am a Christian and love journeying with other people who share that faith, or those that have any or no faith. I work online or in person.
01656 337638 View 01656 337638
Photo of Sebastyan Faemoore, Counsellor, MBACP
Sebastyan Faemoore
Counsellor, MBACP
Online Only
Hello! My name is Sebastyan Faemoore. I am a qualified counsellor and a registered member of the BACP (British Association for Counselling and Psychotherapy), based in South Wales. I believe every person is doing the best they can with the tools they have. Sometimes those tools are not quite enough for the challenges they face. Given the right environment, time, and support, a person can develop new tools, grow, adapt, and learn to trust themselves again. That’s what I would hope to provide for you: a space where you can work out what tools you need, and what direction you want your life to take.
Hello! My name is Sebastyan Faemoore. I am a qualified counsellor and a registered member of the BACP (British Association for Counselling and Psychotherapy), based in South Wales. I believe every person is doing the best they can with the tools they have. Sometimes those tools are not quite enough for the challenges they face. Given the right environment, time, and support, a person can develop new tools, grow, adapt, and learn to trust themselves again. That’s what I would hope to provide for you: a space where you can work out what tools you need, and what direction you want your life to take.
029 2271 6070 View 029 2271 6070
Photo of Yana Newman - Spiritual Counselling & Jungian Psychotherapy, MSc
Welcome to my page! My journey to Soul Psychology started 30+ years ago during the extensive practice & study of Yoga, Meditation & Eastern Philosophy. This led me to become a Yoga teacher to assist others to find their way back 'home' to wholeness of body, mind, and spirit. Eventually I came to a study of Western Psychology, specifically Psychodynamic, Jungian Archetypes, Synchronicity, Dreams, & Shadow Integration work. I feel that my experience in the fields of yoga, spirituality and psychology has given me the insight to access deeper layers of human psyche to facilitate real & long-lasting self-healing & self-empowerment.
Welcome to my page! My journey to Soul Psychology started 30+ years ago during the extensive practice & study of Yoga, Meditation & Eastern Philosophy. This led me to become a Yoga teacher to assist others to find their way back 'home' to wholeness of body, mind, and spirit. Eventually I came to a study of Western Psychology, specifically Psychodynamic, Jungian Archetypes, Synchronicity, Dreams, & Shadow Integration work. I feel that my experience in the fields of yoga, spirituality and psychology has given me the insight to access deeper layers of human psyche to facilitate real & long-lasting self-healing & self-empowerment.
01248 661511 View 01248 661511
Photo of Dr Charlie Cowtan, Psychologist, HCPC - Clin. Psych.
Dr Charlie Cowtan
Psychologist, HCPC - Clin. Psych.
Cardiff CF10
I am a Clinical Psychologist working in the NHS with children, adolescents and families who are experiencing a wide range of difficulties, including; mental health, attachment and parenting. Sometimes therapy involves seeing the person on their own, and other times it can involve the wider family as well. Our sessions will start by getting to know you better, and what your main difficulties are at present, in the context of your life experiences. Helping you to understand why you are having such difficulties will help us to tailor our psychological intervention to your specific needs. I will be with you every step of the way.
I am a Clinical Psychologist working in the NHS with children, adolescents and families who are experiencing a wide range of difficulties, including; mental health, attachment and parenting. Sometimes therapy involves seeing the person on their own, and other times it can involve the wider family as well. Our sessions will start by getting to know you better, and what your main difficulties are at present, in the context of your life experiences. Helping you to understand why you are having such difficulties will help us to tailor our psychological intervention to your specific needs. I will be with you every step of the way.
01633 603406 View 01633 603406
Photo of Kelly Turner, Counsellor, MA, MNCPS Acc.
Kelly Turner
Counsellor, MA, MNCPS Acc.
Swansea SA4
I'm Kelly, my work is grounded in curiosity, care, and deep respect for your individual journey. Many people come to therapy carrying invisible burdens such as fears, anxieties, overwhelm or experiences that have been held alone for too long. You may be feeling that the world sees one version of you, but underneath you carry emotional heaviness that is invisible to others. Therapy offers a space to slow down and gently explore what’s happening to bring understanding to your experience. My approach is relational, meaning that the relationship we build together becomes a central part of the healing process.
I'm Kelly, my work is grounded in curiosity, care, and deep respect for your individual journey. Many people come to therapy carrying invisible burdens such as fears, anxieties, overwhelm or experiences that have been held alone for too long. You may be feeling that the world sees one version of you, but underneath you carry emotional heaviness that is invisible to others. Therapy offers a space to slow down and gently explore what’s happening to bring understanding to your experience. My approach is relational, meaning that the relationship we build together becomes a central part of the healing process.
01792 949640 View 01792 949640
Photo of David Lloyd-Brown, Counsellor, MBACP Accred
David Lloyd-Brown
Counsellor, MBACP Accred
Swansea SA3
Hello, my name is David and thank you for taking the time to read my profile. The fact that you’re considering seeing a counsellor means that you’re unhappy with a part of your life, whether it be an unfulfilling relationship, an uncertainty about career or lifestyle choices, or thoughts and behaviours that inhibit your ability to lead the life that you once dared to imagine. The pandemic has also forced people to look again at their life and reappraise what they really want from it.
Hello, my name is David and thank you for taking the time to read my profile. The fact that you’re considering seeing a counsellor means that you’re unhappy with a part of your life, whether it be an unfulfilling relationship, an uncertainty about career or lifestyle choices, or thoughts and behaviours that inhibit your ability to lead the life that you once dared to imagine. The pandemic has also forced people to look again at their life and reappraise what they really want from it.
01792 940497 View 01792 940497
Photo of Rachel Curtis, Psychotherapist, MUKCP
Rachel Curtis
Psychotherapist, MUKCP
I work with a range of clients and issues. Work can be long term, short term or somewhere in between. My focus is on assisting my client to identify the issue and anything that then needs to happen. The work is at my client's pace and I am a warm and encouraging therapist, mindful of difference and diversity. Over the past 18 years I have worked with clients from age 5 to 78, each client is unique, no therapy session is the same.
I work with a range of clients and issues. Work can be long term, short term or somewhere in between. My focus is on assisting my client to identify the issue and anything that then needs to happen. The work is at my client's pace and I am a warm and encouraging therapist, mindful of difference and diversity. Over the past 18 years I have worked with clients from age 5 to 78, each client is unique, no therapy session is the same.
01492 555622 View 01492 555622
Photo of Kathleen Phillips, Counsellor, PhD, MBACP Accred
Kathleen Phillips
Counsellor, PhD, MBACP Accred
Online Only
Hello! With 30+ years' experience with individuals and families, I offer highly effective counselling in a warm, supportive environment for adults, teens & children. Using various modalities (CBT, EMDR, Tapping, etc), I specialise in: •anxiety, stress, phobias, panic attacks •OCD •past abuse, trauma •difficult life transitions •relationship issues •negative life patterns •difficulty with family, friends, or work •a desire to change one's life, habits, etc.
Hello! With 30+ years' experience with individuals and families, I offer highly effective counselling in a warm, supportive environment for adults, teens & children. Using various modalities (CBT, EMDR, Tapping, etc), I specialise in: •anxiety, stress, phobias, panic attacks •OCD •past abuse, trauma •difficult life transitions •relationship issues •negative life patterns •difficulty with family, friends, or work •a desire to change one's life, habits, etc.
01633 358442 View 01633 358442

See more therapy options for Wales

How does your Counsellor compare?

Average cost per session

£60

Counsellors in Wales who prioritize treating:

89% Anxiety
83% Depression
77% Self Esteem
76% Stress
72% Relationship Issues
69% Trauma and PTSD
64% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

67% Aviva
62% AXA PPP
61% Bupa

How Counsellors in Wales see their clients

78% In Person and Online
22% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Wales?

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.