Counselling in YO61

Photo of Dr Gill Nowell, Psychologist, HCPC - Clin. Psych.
Dr Gill Nowell
Psychologist, HCPC - Clin. Psych.
1 Endorsed
York YO61
I am a clinical psychologist with 20 years experience of working with children, young people & families within the NHS. I also have experience of working clinically within the private sector. I have supervised, mentored and/or, provided consultation & teaching sessions to various professionals including; mental health nurses, support workers, SaLTs, specialist deaf outreach workers, counsellors, teachers and TAs. I have also supervised psychologists of different levels/career stages. I also provide guided formulation sessions & teaching/training on a variety of psychological topics. Please do contact me to discuss your needs.
I am a clinical psychologist with 20 years experience of working with children, young people & families within the NHS. I also have experience of working clinically within the private sector. I have supervised, mentored and/or, provided consultation & teaching sessions to various professionals including; mental health nurses, support workers, SaLTs, specialist deaf outreach workers, counsellors, teachers and TAs. I have also supervised psychologists of different levels/career stages. I also provide guided formulation sessions & teaching/training on a variety of psychological topics. Please do contact me to discuss your needs.
01292 430650 View 01292 430650
Photo of Alex Thomson, Counsellor, BACP
Alex Thomson
Counsellor, BACP
York YO61
We all want to be happier, less stressed, or even feel safer in life in general. You might want to explore and feel better about a particular incident or event in your life. You might be struggling with a relationship or have work or family issues. It might be about the past or more current immediate concerns. Whatever you bring, we will explore it together to help you gain insight, understanding or learn strategies and ways to overcome your issues to change what is limiting you. My hope is that our work together will enable you to live a more fulfilling, satisfying and happier life realising your potential.
We all want to be happier, less stressed, or even feel safer in life in general. You might want to explore and feel better about a particular incident or event in your life. You might be struggling with a relationship or have work or family issues. It might be about the past or more current immediate concerns. Whatever you bring, we will explore it together to help you gain insight, understanding or learn strategies and ways to overcome your issues to change what is limiting you. My hope is that our work together will enable you to live a more fulfilling, satisfying and happier life realising your potential.
01347 665148 View 01347 665148
Photo of Joanne Poole, Counsellor, MA, MBACP
Joanne Poole
Counsellor, MA, MBACP
Serves Area
Are you feeling stuck, unheard, unworthy? Are you living your best life, or is something holding you back? Life is challenging at times. Many things can trigger our internal critic, making us believe we are 'less than’ or are failing. We dwell in the past, worrying about mistakes, reliving painful events, remembering unhealthy relationships. It can feel impossible to see a way forward. There are many human emotions - are yours feeling balanced, or are one or two overwhelming the others?
Are you feeling stuck, unheard, unworthy? Are you living your best life, or is something holding you back? Life is challenging at times. Many things can trigger our internal critic, making us believe we are 'less than’ or are failing. We dwell in the past, worrying about mistakes, reliving painful events, remembering unhealthy relationships. It can feel impossible to see a way forward. There are many human emotions - are yours feeling balanced, or are one or two overwhelming the others?
01889 227321 View 01889 227321
Photo of Peter Braham, Counsellor, MNCPS Acc.
Peter Braham
Counsellor, MNCPS Acc.
Serves Area
We can't change the past but we can understand the influence it has had on us. We can't change other people, but we can grow and change ourselves. Counselling is an opportunity to think about the life we want and to work on making it happen. Sometimes this means identifying and disrupting old patterns that no longer work for us. Sometimes it means becoming more assertive, "emotionally literate", confident or empathic. Sometimes it means being able to tell which people are good for us right now. Sometimes it just means crying out the hurt.
We can't change the past but we can understand the influence it has had on us. We can't change other people, but we can grow and change ourselves. Counselling is an opportunity to think about the life we want and to work on making it happen. Sometimes this means identifying and disrupting old patterns that no longer work for us. Sometimes it means becoming more assertive, "emotionally literate", confident or empathic. Sometimes it means being able to tell which people are good for us right now. Sometimes it just means crying out the hurt.
01347 668135 View 01347 668135
Photo of Christopher Beal (Mbacp), Psychotherapist, MBACP
Christopher Beal (Mbacp)
Psychotherapist, MBACP
3 Endorsed
Serves Area
Thank you for looking at my profile.  My name is Chris, a fully qualified and registered psychotherapist (MBACP, Dip.Couns), offering face to face sessions in Selby, and online sessions from wherever you are.  For remote sessions I use, Google Meet, WhatsApp and Discord. My areas of speciality are Men's Issues, Workplace Stress, Trauma, and Neurodiversity.
Thank you for looking at my profile.  My name is Chris, a fully qualified and registered psychotherapist (MBACP, Dip.Couns), offering face to face sessions in Selby, and online sessions from wherever you are.  For remote sessions I use, Google Meet, WhatsApp and Discord. My areas of speciality are Men's Issues, Workplace Stress, Trauma, and Neurodiversity.
01904 935454 View 01904 935454
Photo of Catherine Harris, Psychotherapist, MUKCP
Catherine Harris
Psychotherapist, MUKCP
1 Endorsed
Serves Area
Hello, I'm Catherine. I am a fully qualified, UKCP registered Psychotherapist and Counsellor. I consider myself to be compassionate, humble and non-judgemental. I work relationally, tailoring the therapy to your individual needs. I understand that life can present various challenges and that seeking help can be a daunting step. I offer a supportive, safe and confidential environment for you to explore your thoughts and feelings. My hope is for you to feel safe, heard, understood and empowered to make decisions.
Hello, I'm Catherine. I am a fully qualified, UKCP registered Psychotherapist and Counsellor. I consider myself to be compassionate, humble and non-judgemental. I work relationally, tailoring the therapy to your individual needs. I understand that life can present various challenges and that seeking help can be a daunting step. I offer a supportive, safe and confidential environment for you to explore your thoughts and feelings. My hope is for you to feel safe, heard, understood and empowered to make decisions.
01765 530592 View 01765 530592
Photo of Suzie Wylie, Psychotherapist, MSc, UKCP Trainee
Suzie Wylie
Psychotherapist, MSc, UKCP Trainee
1 Endorsed
Online Only
Calling all spiritual beings struggling with their human experience. You’re self-aware but still repeat the same patterns. You overthink, self-criticise, or put others first, even when it costs you. You feel caught between who you’ve been and who you know you could be. You sense something deeper at play—old conditioning, protective parts, maybe karmic lessons not yet understood. Patterns loop not because you’re failing, but because you learned to survive that way. You’re ready for clarity, alignment, and meaningful change by uncovering what’s really driving your experience so you can finally break the cycle.
Calling all spiritual beings struggling with their human experience. You’re self-aware but still repeat the same patterns. You overthink, self-criticise, or put others first, even when it costs you. You feel caught between who you’ve been and who you know you could be. You sense something deeper at play—old conditioning, protective parts, maybe karmic lessons not yet understood. Patterns loop not because you’re failing, but because you learned to survive that way. You’re ready for clarity, alignment, and meaningful change by uncovering what’s really driving your experience so you can finally break the cycle.
01347 665299 View 01347 665299
Photo of Sarah Marzillier, Psychologist, PsychD, HCPC - Clin. Psych.
Sarah Marzillier
Psychologist, PsychD, HCPC - Clin. Psych.
1 Endorsed
Online Only
Hi, I'm Sarah. I specialise in trauma/PTSD, spirituality, and sexual and relationship issues. I am polyamory, BDSM and kink aware. I am sex positive and supportive of diverse relationship orientations, sexualities and lifestyles. I am very experienced in third wave CBT, the trauma therapies (including EMDR) and energy psychology. I have just completed a Certificate in Psychosexual Therapy.
Hi, I'm Sarah. I specialise in trauma/PTSD, spirituality, and sexual and relationship issues. I am polyamory, BDSM and kink aware. I am sex positive and supportive of diverse relationship orientations, sexualities and lifestyles. I am very experienced in third wave CBT, the trauma therapies (including EMDR) and energy psychology. I have just completed a Certificate in Psychosexual Therapy.
01904 929110 View 01904 929110

More Therapists Nearby

Photo of Dr Sabinna Yasmin Rokib, Psychotherapist, CPsychol
Dr Sabinna Yasmin Rokib
Psychotherapist, CPsychol
Serves Area
My mission at Healing Horizons Therapeutic services is to provide compassionate evidence-based mental health services to our clients. I am committed to helping individuals improve their overall well-being and achieve their personal goals by addressing their unique psychological needs. I strive to create a safe and supportive environment where clients feel comfortable sharing their concerns. I believe in treating every individual with dignity, respect and empathy and tailoring our services to meet their specific needs.
My mission at Healing Horizons Therapeutic services is to provide compassionate evidence-based mental health services to our clients. I am committed to helping individuals improve their overall well-being and achieve their personal goals by addressing their unique psychological needs. I strive to create a safe and supportive environment where clients feel comfortable sharing their concerns. I believe in treating every individual with dignity, respect and empathy and tailoring our services to meet their specific needs.
0191 743 2385 View 0191 743 2385
Photo of Lou Goodwin, Psychotherapist, MSc, COSRT General
Lou Goodwin
Psychotherapist, MSc, COSRT General
Leeds LS12
I am a therapist specialising in kink-aware and sex-positive support for individuals, couples, and those in open or polyamorous relationships. No matter how you identify or the structure of your relationship, we will address issues like breakdowns in sexual relationships, loss of desire, mismatched libido, painful intercourse, erectile dysfunction, performance anxiety, or questions about your sexual identity. In addition, I provide support for sexual violence and complex trauma, and I help you reclaim your sexual wellbeing after trauma.
I am a therapist specialising in kink-aware and sex-positive support for individuals, couples, and those in open or polyamorous relationships. No matter how you identify or the structure of your relationship, we will address issues like breakdowns in sexual relationships, loss of desire, mismatched libido, painful intercourse, erectile dysfunction, performance anxiety, or questions about your sexual identity. In addition, I provide support for sexual violence and complex trauma, and I help you reclaim your sexual wellbeing after trauma.
0113 519 4468 View 0113 519 4468
Photo of Jason Gillery - Yorkshire Counselling Services, Psychotherapist, MBACP
Yorkshire Counselling Services
Psychotherapist, MBACP
2 Endorsed
York YO24
I appreciate that it can feel difficult in asking for help and to put trust in someone you have never met, especially with often upsetting and difficult issues. It can feel like we may have somehow failed or its a last resort in trying to resolve difficulties. I have helped many people like yourself, who also felt unsure initially on what to expect and feelings of trepidation or embarrassment in asking for help. I believe that the therapeutic relationship between counsellor and client is all important to be effective in addressing the issues and helping you to make the changes that you want and to get things back on track.
I appreciate that it can feel difficult in asking for help and to put trust in someone you have never met, especially with often upsetting and difficult issues. It can feel like we may have somehow failed or its a last resort in trying to resolve difficulties. I have helped many people like yourself, who also felt unsure initially on what to expect and feelings of trepidation or embarrassment in asking for help. I believe that the therapeutic relationship between counsellor and client is all important to be effective in addressing the issues and helping you to make the changes that you want and to get things back on track.
01904 917502 View 01904 917502
Photo of Rachel Orr, Psychologist, PsychD, HCPC - Clin. Psych.
Rachel Orr
Psychologist, PsychD, HCPC - Clin. Psych.
Hello, my name is Dr Rachel Orr, I'm a Clinical Psychologist, qualified for 15 years, with substantial experience working with children and working age adults, both in the NHS and in private practice. I am understanding, and empathic and take time to get to know the person and their hopes for therapy. I have experience in Cognitive Behavioural Therapy, as well as other approaches such as mindfulness, Dialectical Behavioural Therapy and compassion focused therapy. At the beginning of sessions, I undertake a detailed assessment to understand what your hopes are for therapy.
Hello, my name is Dr Rachel Orr, I'm a Clinical Psychologist, qualified for 15 years, with substantial experience working with children and working age adults, both in the NHS and in private practice. I am understanding, and empathic and take time to get to know the person and their hopes for therapy. I have experience in Cognitive Behavioural Therapy, as well as other approaches such as mindfulness, Dialectical Behavioural Therapy and compassion focused therapy. At the beginning of sessions, I undertake a detailed assessment to understand what your hopes are for therapy.
01423 227362 View 01423 227362
Photo of Dr Rachel Casper-White - All Things Therapy Centre Ltd, Psychotherapist, PhD, MBACP
All Things Therapy Centre Ltd
Psychotherapist, PhD, MBACP
Serves Area
We work with children, young people, adults, couples, parents and families. We offer inclusive therapy to support those who hold a diagnosis of neurodiversity or behavioural/emotional difficulty. We also work with parents to discuss parenting strategies to build resilience in the household. We work with anyone from any background with a number of problems. These can include: behavioural and emotional problems, suicidal ideation, trauma, self-esteem, depression, anxiety, parenting, family relationships, divorce, bereavement, illness, developmental disorders, eating disorders and more.
We work with children, young people, adults, couples, parents and families. We offer inclusive therapy to support those who hold a diagnosis of neurodiversity or behavioural/emotional difficulty. We also work with parents to discuss parenting strategies to build resilience in the household. We work with anyone from any background with a number of problems. These can include: behavioural and emotional problems, suicidal ideation, trauma, self-esteem, depression, anxiety, parenting, family relationships, divorce, bereavement, illness, developmental disorders, eating disorders and more.
01756 639053 View 01756 639053
Photo of Alex Hannay, Counsellor, PhD, MBACP
Alex Hannay
Counsellor, PhD, MBACP
York YO1
We each have our own particular blend of resources and limitations, specific to us and unique as a fingerprint. That's why my therapeutic counselling doesn't provide 6-step plans, workbooks or programmes. It's open, free-flowing and exploratory. It takes the time to clear a regular safe space in which to unpack the events, relationships and emotions that you bring with you to this moment. To think about your feeling and feel your thinking. To talk, to laugh, to be tired, angry, uplifted or simply just to take the time to be. With compassion, empathy and without judgment.
We each have our own particular blend of resources and limitations, specific to us and unique as a fingerprint. That's why my therapeutic counselling doesn't provide 6-step plans, workbooks or programmes. It's open, free-flowing and exploratory. It takes the time to clear a regular safe space in which to unpack the events, relationships and emotions that you bring with you to this moment. To think about your feeling and feel your thinking. To talk, to laugh, to be tired, angry, uplifted or simply just to take the time to be. With compassion, empathy and without judgment.
01347 668138 View 01347 668138
Photo of Gemma Nightingale, Counsellor, MBACP
Gemma Nightingale
Counsellor, MBACP
1 Endorsed
York YO30
Do you feel that your old ways of coping no longer feel healthy, for example, doom scrolling, relying on alcohol or avoiding social situations? Would you like to shake off the anxiety, depression, or cycle of difficult relationships? If you’d like something to change in your life, so that you feel more in control or more contented, you're looking in the right place. Therapy changes lives.
Do you feel that your old ways of coping no longer feel healthy, for example, doom scrolling, relying on alcohol or avoiding social situations? Would you like to shake off the anxiety, depression, or cycle of difficult relationships? If you’d like something to change in your life, so that you feel more in control or more contented, you're looking in the right place. Therapy changes lives.
01904 935092 View 01904 935092
Photo of Jasmine McNiven, Psychotherapist, MA, MBACP
Jasmine McNiven
Psychotherapist, MA, MBACP
2 Endorsed
Leeds LS16
My goal is to help clients find more peace and joy through understanding, acceptance and change. We all go through difficult and sometimes traumatic experiences that impact how we think and feel. I work with clients to talk through these experiences in a safe and non-judgemental environment. Together, we can identify how your unique experiences influence how you think and feel about yourself, others and the world around you. We will work to challenge and change behaviours and thoughts that you want to leave behind whilst learning how to cultivate more peace and joy in day to day living – something we all deserve more of!
My goal is to help clients find more peace and joy through understanding, acceptance and change. We all go through difficult and sometimes traumatic experiences that impact how we think and feel. I work with clients to talk through these experiences in a safe and non-judgemental environment. Together, we can identify how your unique experiences influence how you think and feel about yourself, others and the world around you. We will work to challenge and change behaviours and thoughts that you want to leave behind whilst learning how to cultivate more peace and joy in day to day living – something we all deserve more of!
01484 627122 View 01484 627122
Photo of Michael Blades, Psychotherapist, MSc, MUKCP
Michael Blades
Psychotherapist, MSc, MUKCP
Many of the people I work with are dealing with anxiety, overthinking, low mood or a sense of being stuck. At this time of year these feelings can come into sharper focus, especially when life looks okay on the surface but doesn’t feel okay inside. Some feel disconnected or unsure why the same patterns keep repeating. Others sense a deeper shift that’s hard to explain and want clarity, steadiness and a better understanding of what’s going on.
Many of the people I work with are dealing with anxiety, overthinking, low mood or a sense of being stuck. At this time of year these feelings can come into sharper focus, especially when life looks okay on the surface but doesn’t feel okay inside. Some feel disconnected or unsure why the same patterns keep repeating. Others sense a deeper shift that’s hard to explain and want clarity, steadiness and a better understanding of what’s going on.
07712 278288 View 07712 278288
Photo of Dan Seamark, Psychotherapist, MA, MBACP
Dan Seamark
Psychotherapist, MA, MBACP
York YO10
Do you find that there's too much going on in your head to think straight? losing sleep and not feeling like yourself? Perhaps you're struggling with something current, perhaps the past is holding on? Maybe you're not even sure what the problem is? I aim to offer you a safe and independent space with a trusting relationship where we can explore what you're going through without judegement or expectation. My philosophy is to support others in supporting themselves and I find what helps people is a warm, empathic and neutral space with a person you feel confident sharing the parts of your life that feel vulnerable, safely.
Do you find that there's too much going on in your head to think straight? losing sleep and not feeling like yourself? Perhaps you're struggling with something current, perhaps the past is holding on? Maybe you're not even sure what the problem is? I aim to offer you a safe and independent space with a trusting relationship where we can explore what you're going through without judegement or expectation. My philosophy is to support others in supporting themselves and I find what helps people is a warm, empathic and neutral space with a person you feel confident sharing the parts of your life that feel vulnerable, safely.
01889 227303 View 01889 227303
Photo of Beverley Moslin, Counsellor, MBACP Accred
Beverley Moslin
Counsellor, MBACP Accred
Leeds LS1
I am trained in a number of approaches but first and foremost I begin with a person centred approach. This means I will listen to you and together we can build a way of working that suits you best - I am here to hear how things are from your point of view. Counselling offers an opportunity to explore what matters at the heart of your life with an experienced professional in a quiet, confidential setting. In a first appointment we can explore together what you're looking for from therapy. We can meet weekly or fortnightly to explore a focused goal or we can just make space to gently explore how you're feeling and see what comes up!
I am trained in a number of approaches but first and foremost I begin with a person centred approach. This means I will listen to you and together we can build a way of working that suits you best - I am here to hear how things are from your point of view. Counselling offers an opportunity to explore what matters at the heart of your life with an experienced professional in a quiet, confidential setting. In a first appointment we can explore together what you're looking for from therapy. We can meet weekly or fortnightly to explore a focused goal or we can just make space to gently explore how you're feeling and see what comes up!
0113 519 1443 View 0113 519 1443
Photo of Dr Catherine Nixon, Psychotherapist, PhD, MBACP
Dr Catherine Nixon
Psychotherapist, PhD, MBACP
I am a BACP-registered psychotherapist working with adult clients (18+) who experience a wide range of issues including anxiety, stress, depression, grief and loss, chronic health conditions, identity and/or personality difficulties, low confidence and/or self-esteem. I offer a safe and confidential space in which we can work collaboratively to explore the issues you are struggling with. I offer sessions online and in person. To book a free 15-minute consultation please visit my website or get in touch using the contact details on this page. Initial and ongoing sessions: £70 for 50 minutes.
I am a BACP-registered psychotherapist working with adult clients (18+) who experience a wide range of issues including anxiety, stress, depression, grief and loss, chronic health conditions, identity and/or personality difficulties, low confidence and/or self-esteem. I offer a safe and confidential space in which we can work collaboratively to explore the issues you are struggling with. I offer sessions online and in person. To book a free 15-minute consultation please visit my website or get in touch using the contact details on this page. Initial and ongoing sessions: £70 for 50 minutes.
01287 551451 View 01287 551451

How does your Counsellor compare?

Number of Counsellors in YO61

< 10

Counsellors in YO61 who prioritize treating:

88% Depression
88% Anxiety
88% Self Esteem
88% Stress
75% Relationship Issues
75% Domestic Abuse
75% Trauma and PTSD

Average years in practice

5 Years

Top 3 insurances accepted

100% Cigna and Evernorth
100% Any/Out-of-network Insurance
100% Aviva

How Counsellors in YO61 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counselling

How can I find a therapist in YO61?

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.