Counselling in Cardiff

Photo of Charlotte Putland, Psychotherapist in Cardiff, Wales
Charlotte Putland
Psychotherapist, MSc, MBABCP
Verified Verified
Cardiff CF11
I specialise in telephone consultations for Health Psychology.
I specialise in telephone consultations for Health Psychology.
07401 133177 View 07401 133177
Photo of Dr Alex Morey, Psychologist in Cardiff, Wales
Dr Alex Morey
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Cardiff CF11  (Online Only)
My approach to therapy focuses on creating a safe and non-judgmental therapeutic space in which clients feel heard, understood, and empowered to make changes in their life. I believe in collaborating with clients to help them achieve their objectives and goals, tailoring support to meet their individual needs and personal priorities. As a Clinical Psychologist, I deliver evidence-based interventions to help individuals improve their mental health and well-being. I have experience working with a range of difficulties, including anxiety, low mood, OCD, and trauma.
My approach to therapy focuses on creating a safe and non-judgmental therapeutic space in which clients feel heard, understood, and empowered to make changes in their life. I believe in collaborating with clients to help them achieve their objectives and goals, tailoring support to meet their individual needs and personal priorities. As a Clinical Psychologist, I deliver evidence-based interventions to help individuals improve their mental health and well-being. I have experience working with a range of difficulties, including anxiety, low mood, OCD, and trauma.
01633 603429 View 01633 603429
Photo of Julie Elizabeth Dykes, Psychotherapist in Cardiff, Wales
Julie Elizabeth Dykes
Psychotherapist, MA, MBACP
Verified Verified
Cardiff CF24
Sessions available both in person and online. Specialising in anxiety and trauma and related issues, and with over 20 years experience as a Senior psychotherapist, using CBT, integrative therapy, EMDR and Clinical Supervision I work with TRAUMA, anxiety disorders and a wide range of related and other issues. I have worked within University, workplace, NHS and and other settings as well as in private practice. Based in the Penylan /Roath area of Cardiff I offer a warm and safe, confidential welcome or can work with you online via Zoom.
Sessions available both in person and online. Specialising in anxiety and trauma and related issues, and with over 20 years experience as a Senior psychotherapist, using CBT, integrative therapy, EMDR and Clinical Supervision I work with TRAUMA, anxiety disorders and a wide range of related and other issues. I have worked within University, workplace, NHS and and other settings as well as in private practice. Based in the Penylan /Roath area of Cardiff I offer a warm and safe, confidential welcome or can work with you online via Zoom.
029 2167 9418 View 029 2167 9418
Photo of The Next Page Counselling, Counsellor in Cardiff, Wales
The Next Page Counselling
Counsellor, MBACP
Verified Verified
Cardiff CF11
Hi, if you feeling anxious, confused or worried? Struggling to cope or overwhelmed? I will give you a confidential safe space to talk and be heard. I am professional, non-judgmental and empathetic. I work with people with a range of issues including but not limited to, Depression and Anxiety, Suicidal thoughts, Relationships and their issues, sex and sexuality, greater life balance, work related stress and more. Counselling is a talking therapy which gives you a space to explore your thoughts and feelings without judgement. I aim to help you feel more in control and empower you to make the changes YOU want to your life!
Hi, if you feeling anxious, confused or worried? Struggling to cope or overwhelmed? I will give you a confidential safe space to talk and be heard. I am professional, non-judgmental and empathetic. I work with people with a range of issues including but not limited to, Depression and Anxiety, Suicidal thoughts, Relationships and their issues, sex and sexuality, greater life balance, work related stress and more. Counselling is a talking therapy which gives you a space to explore your thoughts and feelings without judgement. I aim to help you feel more in control and empower you to make the changes YOU want to your life!
01446 509168 View 01446 509168
Photo of Ameda Blades, Psychotherapist in Cardiff, Wales
Ameda Blades
Psychotherapist, MBACP
Verified Verified
Cardiff CF14  (Online Only)
The modality that I use is person-centred and experiential however I draw from a broad range of theoretical perspectives to work in an integrative way. I work in a sex and body positive way, this includes working with those who work in the sex industry. The majority of my working life has been working with individuals who have experienced personal and vicarious trauma or those who live or work in a chaotic and traumatic environment. When working with dissociative identity disorder as a presentation double length sessions (100 minutes) are available.
The modality that I use is person-centred and experiential however I draw from a broad range of theoretical perspectives to work in an integrative way. I work in a sex and body positive way, this includes working with those who work in the sex industry. The majority of my working life has been working with individuals who have experienced personal and vicarious trauma or those who live or work in a chaotic and traumatic environment. When working with dissociative identity disorder as a presentation double length sessions (100 minutes) are available.
01825 705362 View 01825 705362
Photo of Riccardo Cocco, Counsellor in Cardiff, Wales
Riccardo Cocco
Counsellor, BACP
Verified Verified
Cardiff CF24
I am a qualified Therapist with over 7 years of experience working within the substance misuse & mental health sector. The key to my work with clients is the belief that, through a psychotherapeutic relationship, we can gain insights into our patterns of behaviour. Working relationally, we can explore the possibility of change and begin to think of alternative positions that can move towards a more compassionate, and fulfilled version of ourselves. My main modalities of working with my clients is through addressing the unmet needs of our life experiences in early years, exploring the relational needs that may be left unattended too.
I am a qualified Therapist with over 7 years of experience working within the substance misuse & mental health sector. The key to my work with clients is the belief that, through a psychotherapeutic relationship, we can gain insights into our patterns of behaviour. Working relationally, we can explore the possibility of change and begin to think of alternative positions that can move towards a more compassionate, and fulfilled version of ourselves. My main modalities of working with my clients is through addressing the unmet needs of our life experiences in early years, exploring the relational needs that may be left unattended too.
029 2271 0248 View 029 2271 0248
Photo of Avery Rabbitt, Psychotherapist in Cardiff, Wales
Avery Rabbitt
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
Cardiff CF10  (Online Only)
Hi, there! I'm Avery. If you're suffering from anxiety and/or depression brought on by things outside your control, if the tools you've used to cope with life's challenges and hardships are currently hindering you more than they're helping you, or if you need a support reframing how you see yourself and your part in the world, I'd like to help you unwind those tensions. I offer a a gentle space for clients to release, even if for a moment, the things that demand so much of our energy as we power through our daily lives. Just having that space can empower us to approach life creatively and reconnect to our sense of play.
Hi, there! I'm Avery. If you're suffering from anxiety and/or depression brought on by things outside your control, if the tools you've used to cope with life's challenges and hardships are currently hindering you more than they're helping you, or if you need a support reframing how you see yourself and your part in the world, I'd like to help you unwind those tensions. I offer a a gentle space for clients to release, even if for a moment, the things that demand so much of our energy as we power through our daily lives. Just having that space can empower us to approach life creatively and reconnect to our sense of play.
020 3856 3714 View 020 3856 3714
Photo of Woodland Counselling for Couples and Individuals, Psychotherapist in Cardiff, Wales
Woodland Counselling for Couples and Individuals
Psychotherapist, MBACP
Verified Verified
Cardiff CF14
I have trained as an integrative counsellor, and believe that therapy can help us evolve from surviving to thriving. I became a counsellor for many reasons, but fundamentally because of the powerful way in which counselling can help you take back control of your life story; tomorrow does not have to be like yesterday. I can offer you a calm space to explore what feels safe to you until you are ready and I will not make assumptions about the individual struggles you are going through. I work with the full belief that it is possible to find a way through your experiences and re-gain that sense of who you are.
I have trained as an integrative counsellor, and believe that therapy can help us evolve from surviving to thriving. I became a counsellor for many reasons, but fundamentally because of the powerful way in which counselling can help you take back control of your life story; tomorrow does not have to be like yesterday. I can offer you a calm space to explore what feels safe to you until you are ready and I will not make assumptions about the individual struggles you are going through. I work with the full belief that it is possible to find a way through your experiences and re-gain that sense of who you are.
View
Photo of Dee Russell, Psychotherapist in Cardiff, Wales
Dee Russell
Psychotherapist, MBACP
Verified Verified
Cardiff CF24
Hello, I’m Dee, a BACP-registered counsellor/psychotherapist working with clients online (throughout the UK and beyond) and in-person (in Cardiff). You may be really struggling with something that's happened to you (in the past or currently), or perhaps you're feeling stuck and have reached a point where you feel that something needs to change. Through exploring your experiences with a professional who's dedicated to listening sensitively and without judgment, counselling can really help to shift things, so that you can start living with more freedom and fulfillment.
Hello, I’m Dee, a BACP-registered counsellor/psychotherapist working with clients online (throughout the UK and beyond) and in-person (in Cardiff). You may be really struggling with something that's happened to you (in the past or currently), or perhaps you're feeling stuck and have reached a point where you feel that something needs to change. Through exploring your experiences with a professional who's dedicated to listening sensitively and without judgment, counselling can really help to shift things, so that you can start living with more freedom and fulfillment.
029 2271 1854 View 029 2271 1854
Photo of Amanda Snook Johns, Counsellor in Cardiff, Wales
Amanda Snook Johns
Counsellor, PNCPS Acc.
Verified Verified
Cardiff CF11
I have nearly 20 years experience working with people who are experiencing difficulties in their lives which can result to living with anxiety and the unhelpful behaviours it can bring. People living with depression, grief/ loss, terminal and chronic illness, Relationship issues, sexuality issues.... These examples of issues are indeed not exhaustive.
I have nearly 20 years experience working with people who are experiencing difficulties in their lives which can result to living with anxiety and the unhelpful behaviours it can bring. People living with depression, grief/ loss, terminal and chronic illness, Relationship issues, sexuality issues.... These examples of issues are indeed not exhaustive.
01446 508105 View 01446 508105
Photo of Louise Duggan, Counsellor in Cardiff, Wales
Louise Duggan
Counsellor, MBACP
Verified Verified
Cardiff CF14
Are you feeling lonely, isolated, depressed, anxious or have thoughts of suicide? Have you experienced an event such as bereavement, loss of a job or the end of a relationship? Is your self esteem or confidence low? Do you feel trapped in a situation and see no way out? Are you a parent/carer and feel alone or that no one understands? I offer counselling to help you explore your feelings safely and without judgement. I specialise in anxiety and depression, self esteem, loss and change and parenting/caring, I also have professional and personal knowledge and understanding of Autism and PDA.
Are you feeling lonely, isolated, depressed, anxious or have thoughts of suicide? Have you experienced an event such as bereavement, loss of a job or the end of a relationship? Is your self esteem or confidence low? Do you feel trapped in a situation and see no way out? Are you a parent/carer and feel alone or that no one understands? I offer counselling to help you explore your feelings safely and without judgement. I specialise in anxiety and depression, self esteem, loss and change and parenting/caring, I also have professional and personal knowledge and understanding of Autism and PDA.
029 2271 0028 View 029 2271 0028
Photo of Child & Adolescent Mental Health Therapist online, Psychotherapist in Cardiff, Wales
Child & Adolescent Mental Health Therapist online
Psychotherapist
Verified Verified
Cardiff CF14  (Online Only)
Hello, welcome. I can imagine how difficult it must be searching through the profiles trying to find the right therapist. Making the decision to seek help for your child/grandchild is a brave one and sometimes it can be difficult. I have been told by clients that I am calm, warm, welcoming, and approachable; and can put them at ease. I am a Child and Adolescent Therapist who specialises in 7-18 years olds who until recently worked in CAMHS for the NHS for over six years. I decided to work in private practice after seeing so many children whom I could help turned away by CAMHS or who were waiting a long time to get help.
Hello, welcome. I can imagine how difficult it must be searching through the profiles trying to find the right therapist. Making the decision to seek help for your child/grandchild is a brave one and sometimes it can be difficult. I have been told by clients that I am calm, warm, welcoming, and approachable; and can put them at ease. I am a Child and Adolescent Therapist who specialises in 7-18 years olds who until recently worked in CAMHS for the NHS for over six years. I decided to work in private practice after seeing so many children whom I could help turned away by CAMHS or who were waiting a long time to get help.
029 2010 4835 View 029 2010 4835
Photo of Mark Thomas, Counsellor in Cardiff, Wales
Mark Thomas
Counsellor, MBACP
Verified Verified
Cardiff CF14
25% off for emergency workers, NHS staff, care workers & students. Available Evenings & Weekends. I like to work with a variety of clients, focusing on their relationship with whatever has brought them to therapy, whether it be anxiety, past trauma, alcohol or family. With the knowledge that change can happen at any time, we work towards where the client wants to be in there life. The more open and honest the client is, the more work we can complete together.
25% off for emergency workers, NHS staff, care workers & students. Available Evenings & Weekends. I like to work with a variety of clients, focusing on their relationship with whatever has brought them to therapy, whether it be anxiety, past trauma, alcohol or family. With the knowledge that change can happen at any time, we work towards where the client wants to be in there life. The more open and honest the client is, the more work we can complete together.
01446 502297 View 01446 502297
Photo of Meredyth Holland, Counsellor in Cardiff, Wales
Meredyth Holland
Counsellor, MNCPS Acc.
Verified Verified
3 Endorsed
Cardiff CF23  (Online Only)
Online counselling offers you a comfy, familiar space to explore your thoughts and feelings. I completely understand how difficult it can be to begin the process of counselling but be assured it will be an opportunity for positive change.. Therapeutic relationships can take time, I am committed to providing the space for it to evolve organically. I have over 15 years working in education and acknowledge the huge pressures faced by educators alongside the pressure to achieve young people navigate daily. Alongside counselling I also have qualifications in relaxation and mindfulness allowing an opportunity to feel deep relaxation.
Online counselling offers you a comfy, familiar space to explore your thoughts and feelings. I completely understand how difficult it can be to begin the process of counselling but be assured it will be an opportunity for positive change.. Therapeutic relationships can take time, I am committed to providing the space for it to evolve organically. I have over 15 years working in education and acknowledge the huge pressures faced by educators alongside the pressure to achieve young people navigate daily. Alongside counselling I also have qualifications in relaxation and mindfulness allowing an opportunity to feel deep relaxation.
029 2271 1449 View 029 2271 1449
Photo of Tracey Crimmins, Psychotherapist in Cardiff, Wales
Tracey Crimmins
Psychotherapist, MA, MBABCP
Verified Verified
1 Endorsed
Cardiff CF5
I am a qualified and accredited CBT psychotherapist and EMDR Practitioner and work with adults and adolescents (aged 14 years and above). I have 20 years experience of working in mental health, for NHS, charities, University settings and private medical health settings. I specialise in working with trauma, working with single incident PTSD and complex PTSD. I also work depression, anxiety disorders including panic, generalised anxiety (GAD), obsessive compulsive disorders (OCD), health anxiety and social anxiety.
I am a qualified and accredited CBT psychotherapist and EMDR Practitioner and work with adults and adolescents (aged 14 years and above). I have 20 years experience of working in mental health, for NHS, charities, University settings and private medical health settings. I specialise in working with trauma, working with single incident PTSD and complex PTSD. I also work depression, anxiety disorders including panic, generalised anxiety (GAD), obsessive compulsive disorders (OCD), health anxiety and social anxiety.
01446 509180 View 01446 509180
Photo of Michael Cousin, Psychotherapist in Cardiff, Wales
Michael Cousin
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
Cardiff CF10
My experience is broad, I am happy to work with clients at any stage of life. An art psychotherapists’ training is extensive and intensive over a three-year period, and it provides us with a framework that can be used to support a client with any mental health struggle up to the most complex issues. I have significant experience with clients who have Post Traumatic Stress Disorder (PTSD) and Dissociative Identity Disorder (DID). I also have wide ranging experience of clients with Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactive Disorder (ADHD).
My experience is broad, I am happy to work with clients at any stage of life. An art psychotherapists’ training is extensive and intensive over a three-year period, and it provides us with a framework that can be used to support a client with any mental health struggle up to the most complex issues. I have significant experience with clients who have Post Traumatic Stress Disorder (PTSD) and Dissociative Identity Disorder (DID). I also have wide ranging experience of clients with Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactive Disorder (ADHD).
029 2271 2637 View 029 2271 2637
Photo of Jeremy Young, Psychotherapist in Cardiff, Wales
Jeremy Young
Psychotherapist, MA, MUKCP
Verified Verified
Cardiff CF14
At certain life stages we may experience anxiety, depression, low self-esteem, feelings of a loss or meaningless, loss of direction or purpose, or difficulty with building meaningful relationships. I will work with you to identify what these symptoms mean and how they may be pointing you to discover a deeper sense of self. My approach is integrative and allows for self-discovery. My methodology offers focus, allowing you to explore and connect to a truer sense of who you are. I encourage you to develop a sense of curiosity to understand yourself more profoundly. We will work together, to support your needs.
At certain life stages we may experience anxiety, depression, low self-esteem, feelings of a loss or meaningless, loss of direction or purpose, or difficulty with building meaningful relationships. I will work with you to identify what these symptoms mean and how they may be pointing you to discover a deeper sense of self. My approach is integrative and allows for self-discovery. My methodology offers focus, allowing you to explore and connect to a truer sense of who you are. I encourage you to develop a sense of curiosity to understand yourself more profoundly. We will work together, to support your needs.
01446 501473 View 01446 501473
Photo of Tom Cowan, Counsellor in Cardiff, Wales
Tom Cowan
Counsellor, MBACP
Verified Verified
Cardiff CF14  (Online Only)
Have you been experiencing challenges that are negatively impacting your mental health? Have you found it difficult to open up to friends, family, partners or colleagues for fear of being judged or misunderstood, leaving you unseen and unheard? Counselling provides a supportive, inclusive and affirmative relationship to share about the issues that matter to you, at your own pace and in your own way. Together we can look at a range of issues that might be affecting you such as: anxiety, depression/low mood, addictions/unwanted behaviours, trauma/abuse, work pressures including burnout.
Have you been experiencing challenges that are negatively impacting your mental health? Have you found it difficult to open up to friends, family, partners or colleagues for fear of being judged or misunderstood, leaving you unseen and unheard? Counselling provides a supportive, inclusive and affirmative relationship to share about the issues that matter to you, at your own pace and in your own way. Together we can look at a range of issues that might be affecting you such as: anxiety, depression/low mood, addictions/unwanted behaviours, trauma/abuse, work pressures including burnout.
01273 092910 View 01273 092910
Photo of Ciro Ivan Marcello De Pau, Counsellor in Cardiff, Wales
Ciro Ivan Marcello De Pau
Counsellor, MSc, MNCPS Acc.
Verified Verified
1 Endorsed
Cardiff CF23
Hi there. If you stopped here, that means that probably you are looking for some assistance, so I hope you will find this information useful when choosing the right support for your needs. Let me start asking you a question: What steps are you taking to ensure your emotional and psychological needs are satisfied? If you are struggling with saying no and ending up pleasing everybody but yourself, feel trapped and incapable to get rid of worries and anxiety or just overwhelmed with your current life situation then perhaps you are not meeting some of your needs. I can help you with that.
Hi there. If you stopped here, that means that probably you are looking for some assistance, so I hope you will find this information useful when choosing the right support for your needs. Let me start asking you a question: What steps are you taking to ensure your emotional and psychological needs are satisfied? If you are struggling with saying no and ending up pleasing everybody but yourself, feel trapped and incapable to get rid of worries and anxiety or just overwhelmed with your current life situation then perhaps you are not meeting some of your needs. I can help you with that.
01446 500787 View 01446 500787
Photo of Stephen Martin, Counsellor in Cardiff, Wales
Stephen Martin
Counsellor, MBACP
Verified Verified
1 Endorsed
Cardiff CF14
All clients are different. I look to adapt to everyone I meet and am an open person who someone can talk through their issues with. Looking at who you are, how your world is structured and the ifs, wants and needs are all very important in looking to move forward in your life. There is no perfect life, but there is a better life you can understand and work with in going forward.
All clients are different. I look to adapt to everyone I meet and am an open person who someone can talk through their issues with. Looking at who you are, how your world is structured and the ifs, wants and needs are all very important in looking to move forward in your life. There is no perfect life, but there is a better life you can understand and work with in going forward.
01443 803615 View 01443 803615

See more therapy options for Cardiff

How does your Counsellor compare?

Number of Counsellors in Cardiff

200+

Average cost per session

£60

Counsellors in Cardiff who prioritize treating:

92% Anxiety
88% Depression
83% Self Esteem
81% Stress
75% Trauma and PTSD
74% Relationship Issues
67% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

59% Aviva
54% AXA PPP
46% Bupa

How Counsellors in Cardiff see their clients

67% In Person and Online
33% Online Only

Gender breakdown

74% Female
25% Male
1% Non-Binary

FAQs - About Therapy and Counselling

How can I find a therapist in Cardiff?

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.