Counselling in Swords

Photo of Michelle Smyth, Psychotherapist, MA
Michelle Smyth
Psychotherapist, MA
Swords, County Dublin K67
There are many reasons why you might be considering therapy. You may be feeling overwhelmed, unhappy distressed, troubled and unable to cope. You may be feeling anxious, suffering with social anxiety and/or generally worried about your current situation, your future or both. You may be having problems in your relationships or grieving the loss of someone close. You may be struggling with an addiction to alcohol, drugs, gambling or pornography. You may just want to talk and be listened to and that is okay. Whatever your reasons we are here to help.
There are many reasons why you might be considering therapy. You may be feeling overwhelmed, unhappy distressed, troubled and unable to cope. You may be feeling anxious, suffering with social anxiety and/or generally worried about your current situation, your future or both. You may be having problems in your relationships or grieving the loss of someone close. You may be struggling with an addiction to alcohol, drugs, gambling or pornography. You may just want to talk and be listened to and that is okay. Whatever your reasons we are here to help.
(01) 267 6536 x11 View (01) 267 6536 x11
Photo of Rachel McCarthy - Emerald Mind’s Psychotherapy (Rachel McCarthy), Psychotherapist, Pre-Accredited Member IACP
Emerald Mind’s Psychotherapy (Rachel McCarthy)
Psychotherapist, Pre-Accredited Member IACP
Online Only
Are you feeling overwhelmed, anxious, or stuck in patterns that no longer serve you? Life can bring challenges that feel hard to carry alone. I offer a warm, nono-judgmental space where you can slow down, feel heard, and explore what’s really going on. Together, we’ll make sense of your emotions, uncover your strengths, and create practical steps toward change. My approach is collaborative and grounded in compassion—you’re the expert on your life, and I’m here to walk alongside you as you move toward clarity, balance, and relief.
Are you feeling overwhelmed, anxious, or stuck in patterns that no longer serve you? Life can bring challenges that feel hard to carry alone. I offer a warm, nono-judgmental space where you can slow down, feel heard, and explore what’s really going on. Together, we’ll make sense of your emotions, uncover your strengths, and create practical steps toward change. My approach is collaborative and grounded in compassion—you’re the expert on your life, and I’m here to walk alongside you as you move toward clarity, balance, and relief.
(01) 267 6603 x28 View (01) 267 6603 x28
Photo of Stephen Reynolds, Psychotherapist, Pre-Accredited Member IACP
Stephen Reynolds
Psychotherapist, Pre-Accredited Member IACP
3 Endorsed
Swords, County Dublin K67
Feeling low, stuck, anxious, or stressed and repeating the same negative patterns in your life or relationships can negatively impact how you navigate your life. As a compassionate, creative and empathic therapist, I support my clients by helping them find answers. Whether you seek therapy for personal growth, relationship challenges, or emotional well-being, my approach is tailored to meet your unique needs and goals in a non-judgmental space where you can openly and authentically explore your thoughts, feelings, and experiences.
Feeling low, stuck, anxious, or stressed and repeating the same negative patterns in your life or relationships can negatively impact how you navigate your life. As a compassionate, creative and empathic therapist, I support my clients by helping them find answers. Whether you seek therapy for personal growth, relationship challenges, or emotional well-being, my approach is tailored to meet your unique needs and goals in a non-judgmental space where you can openly and authentically explore your thoughts, feelings, and experiences.
089 610 4952 View 089 610 4952
Photo of Leone Holden - Reflective Insights, Psychotherapist, MA, MIAHIP
Reflective Insights
Psychotherapist, MA, MIAHIP
1 Endorsed
Swords, County Dublin K67
I offer both in person and online psychotherapy for adults. I specialise in working with diagnosed/self-identified Autistic and AuDHD adults. I offer a neurodiversity-affirming approach to therapy.​ This approach respects client’s communication styles and sensory needs and promotes a positive neurodivergent identity. Being Autistic/AuDHD is a neurotype, not a mental health condition. Unfortunately, however, because neurodiverse people live in a neurotypical world which is not set up for them, many people suffer with co-occurring mental health conditions, such as anxiety and depression.
I offer both in person and online psychotherapy for adults. I specialise in working with diagnosed/self-identified Autistic and AuDHD adults. I offer a neurodiversity-affirming approach to therapy.​ This approach respects client’s communication styles and sensory needs and promotes a positive neurodivergent identity. Being Autistic/AuDHD is a neurotype, not a mental health condition. Unfortunately, however, because neurodiverse people live in a neurotypical world which is not set up for them, many people suffer with co-occurring mental health conditions, such as anxiety and depression.
(061) 572 524 x90 View (061) 572 524 x90
Photo of Siobhan Mary McCarthy - SMC Counselling and Psychotherapy , Psychotherapist, MA, Pre-Accredited Member IACP
SMC Counselling and Psychotherapy
Psychotherapist, MA, Pre-Accredited Member IACP
2 Endorsed
Swords, County Dublin K67
As we move through life, many factors and situations can affect our mental health. Whether that is job satisfaction, grievances, loss of purpose, anxiety over your future or identity issues. It is a courageous step to go to therapy. Therapy can offer a space just for you, to explore your inner strengths, identify goals and deepen your understanding of your own wants and needs. SMC Counselling and Psychotherapy offers you a place to gain awareness and insight, learn how to cope with difficulties that arise in your life, and learn strategies to cope with unhelpful thoughts.
As we move through life, many factors and situations can affect our mental health. Whether that is job satisfaction, grievances, loss of purpose, anxiety over your future or identity issues. It is a courageous step to go to therapy. Therapy can offer a space just for you, to explore your inner strengths, identify goals and deepen your understanding of your own wants and needs. SMC Counselling and Psychotherapy offers you a place to gain awareness and insight, learn how to cope with difficulties that arise in your life, and learn strategies to cope with unhelpful thoughts.
(01) 263 0697 x22 View (01) 263 0697 x22
Photo of Anne Coghlan - Anne Coghlan Counselling & Psychotherapy, Psychotherapist, MIACP
Anne Coghlan Counselling & Psychotherapy
Psychotherapist, MIACP
Swords, County Dublin K67
I work with individuals who may be struggling with anxiety, stress, low-mood, low self-esteem, loneliness, grief/loss, abuse, trauma, infertility, relationship difficulties, work and family issues, to name but a few. Or with clients who may simply be feeling overwhelmed with life in general and are unsure how to move forward. I also work with couples who may be experiencing a crisis in their relationship or who simply need guidance on how to reconnect with each other.
I work with individuals who may be struggling with anxiety, stress, low-mood, low self-esteem, loneliness, grief/loss, abuse, trauma, infertility, relationship difficulties, work and family issues, to name but a few. Or with clients who may simply be feeling overwhelmed with life in general and are unsure how to move forward. I also work with couples who may be experiencing a crisis in their relationship or who simply need guidance on how to reconnect with each other.
(01) 267 6622 x48 View (01) 267 6622 x48
Photo of Paula Fusela, Psychotherapist, MA, APCP
Paula Fusela
Psychotherapist, MA, APCP
Online Only
As a therapist with a Master’s in Cognitive Behavioral Therapy (CBT) I work with individuals who often feel overwhelmed by anxiety, low self-esteem, or self-doubt—even if on the outside, they seem to have it all together. You might find yourself overthinking, putting pressure on yourself to be perfect, or feeling like you’re never quite “enough.” Sometimes, you’re not sure where these feelings come from. You may sense that old patterns, irrational thoughts, or unconscious beliefs are quietly shaping the way you see yourself and the world. You want to break free from that cycle, to feel more connected, confident, and calm.
As a therapist with a Master’s in Cognitive Behavioral Therapy (CBT) I work with individuals who often feel overwhelmed by anxiety, low self-esteem, or self-doubt—even if on the outside, they seem to have it all together. You might find yourself overthinking, putting pressure on yourself to be perfect, or feeling like you’re never quite “enough.” Sometimes, you’re not sure where these feelings come from. You may sense that old patterns, irrational thoughts, or unconscious beliefs are quietly shaping the way you see yourself and the world. You want to break free from that cycle, to feel more connected, confident, and calm.
(01) 267 6675 x47 View (01) 267 6675 x47
Photo of Sarah Louise Roche, Psychotherapist, MIACP
Sarah Louise Roche
Psychotherapist, MIACP
Swords, County Dublin K67
When we are suffering, it is common to concentrate on all that is wrong or negative in our lives. Counselling can offer a place to gently explore these negative beliefs and understand the patterns we have learned to survive in the world. Using a non-judgmental person-centred approach, I collaborate with the client to best meet their individual needs and goals.
When we are suffering, it is common to concentrate on all that is wrong or negative in our lives. Counselling can offer a place to gently explore these negative beliefs and understand the patterns we have learned to survive in the world. Using a non-judgmental person-centred approach, I collaborate with the client to best meet their individual needs and goals.
(01) 263 0393 x59 View (01) 263 0393 x59
Photo of Teresa Colgan, Psychotherapist, MIACP
Teresa Colgan
Psychotherapist, MIACP
Swords, County Dublin K67
I work with clients on a wide range of issues including unresolved childhood trauma, anxiety related issues, stress, work or relationship problems, addiction, depression, bereavement, hopelessness.
I work with clients on a wide range of issues including unresolved childhood trauma, anxiety related issues, stress, work or relationship problems, addiction, depression, bereavement, hopelessness.
(01) 267 6552 x40 View (01) 267 6552 x40
Photo of Annmarie Fox - Annmarie - Always Listening Therapy, Psychotherapist, Pre-Accredited Member IACP
Annmarie - Always Listening Therapy
Psychotherapist, Pre-Accredited Member IACP
3 Endorsed
Swords, County Dublin K67
At Always Listening Therapy I strive to create a safe, private, confidential & non-judgemental space for you to explore life's challenges. I meet you with warmth, compassion & honesty. My hope for you is that you feel seen, heard & valued as we explore together the difficulties or challenges that have brought you to the therapy space. I believe that you already have the answers you are searching for within yourself. My commitment to you is to support & guide you through your process of discovery so that you don't face it alone
At Always Listening Therapy I strive to create a safe, private, confidential & non-judgemental space for you to explore life's challenges. I meet you with warmth, compassion & honesty. My hope for you is that you feel seen, heard & valued as we explore together the difficulties or challenges that have brought you to the therapy space. I believe that you already have the answers you are searching for within yourself. My commitment to you is to support & guide you through your process of discovery so that you don't face it alone
(01) 233 7903 x47 View (01) 233 7903 x47
Photo of Brendan Markey, Psychotherapist, MIACP
Brendan Markey
Psychotherapist, MIACP
Swords, County Dublin K67
I hold an honours degree in Counselling and Psychotherapy and I am fully accredited with the IACP. I can work with clients from Employee Assistance Programs or those who are covered by their Insurance Company. I work in all areas of counselling including addiction, anger management, depression, anxiety, self harm and bereavement.
I hold an honours degree in Counselling and Psychotherapy and I am fully accredited with the IACP. I can work with clients from Employee Assistance Programs or those who are covered by their Insurance Company. I work in all areas of counselling including addiction, anger management, depression, anxiety, self harm and bereavement.
(01) 267 6552 x32 View (01) 267 6552 x32
Photo of Elaine Fagan
Elaine Fagan
Verified Verified
Swords, County Dublin K67
Hi, I'm Elaine Fagan, an Accredited Play Therapist and Clinical Supervisor for Creative Arts Therapists. I have 20+ years experience supporting children and families with a variety of needs. I specialise in providing 1:1 play therapy for children aged 3-16 years. Play therapy can help with the following issues: grief and loss, attachment and trauma, anxiety, impact of parental separation, sibling rivalry, sleep difficulties, low self esteem, ASD. I support parents and offer parent coaching sessions individually tailored to meet your family's needs. I am also a sandplay practitioner offering sandplay therapy to children and adults.
Hi, I'm Elaine Fagan, an Accredited Play Therapist and Clinical Supervisor for Creative Arts Therapists. I have 20+ years experience supporting children and families with a variety of needs. I specialise in providing 1:1 play therapy for children aged 3-16 years. Play therapy can help with the following issues: grief and loss, attachment and trauma, anxiety, impact of parental separation, sibling rivalry, sleep difficulties, low self esteem, ASD. I support parents and offer parent coaching sessions individually tailored to meet your family's needs. I am also a sandplay practitioner offering sandplay therapy to children and adults.
(01) 267 6570 x97 View (01) 267 6570 x97
Photo of Deirdre Fahy - Deirdre Fahy ADHD & Autism Therapist, Psychotherapist, Pre-Accredited Member IACP
Deirdre Fahy ADHD & Autism Therapist
Psychotherapist, Pre-Accredited Member IACP
4 Endorsed
Swords, County Dublin K67
Have you been diagnosed with ADHD or Autism or are you considering a diagnosis? As a diagnosed ADHD therapist with traits of Autism, my special focus is working with adult clients pre and post diagnosis. I have personal and professional knowledge of the co-occurrence of life long generalised anxiety disorder, bouts of depression, social anxiety and burnout that accompany the neurodivergent client. Working with adult neurodivergent adults is my fulfilling passion as a therapist. It is a joy to witness mental health improvement and radical self-acceptance in therapy. We can begin to craft a life that suits the client much better.
Have you been diagnosed with ADHD or Autism or are you considering a diagnosis? As a diagnosed ADHD therapist with traits of Autism, my special focus is working with adult clients pre and post diagnosis. I have personal and professional knowledge of the co-occurrence of life long generalised anxiety disorder, bouts of depression, social anxiety and burnout that accompany the neurodivergent client. Working with adult neurodivergent adults is my fulfilling passion as a therapist. It is a joy to witness mental health improvement and radical self-acceptance in therapy. We can begin to craft a life that suits the client much better.
(01) 267 6517 x35 View (01) 267 6517 x35
Photo of Keith Anthony Judge, Psychotherapist
Keith Anthony Judge
Psychotherapist
1 Endorsed
Online Only
You may be feeling anxious, stuck, or disconnected from yourself, unsure why things feel so heavy right now. Past experiences, identity questions, grief, or life transitions might be impacting your sense of safety or self-worth. I’m Keith, a pre-accredited psychotherapist (APCP), and I work with adults online who want a supportive space to explore what’s holding them back. You don’t need to have it all figured out, all you need to do is contact me today and get started on your self-healing journey.
You may be feeling anxious, stuck, or disconnected from yourself, unsure why things feel so heavy right now. Past experiences, identity questions, grief, or life transitions might be impacting your sense of safety or self-worth. I’m Keith, a pre-accredited psychotherapist (APCP), and I work with adults online who want a supportive space to explore what’s holding them back. You don’t need to have it all figured out, all you need to do is contact me today and get started on your self-healing journey.
(01) 230 8537 x44 View (01) 230 8537 x44
Photo of Caroline Irwin, Psychotherapist, MIACP
Caroline Irwin
Psychotherapist, MIACP
Online Only
Deciding to start therapy can be a difficult decision to come to. When you are not feeling like yourself, it can seem particularly daunting. My aim, as a psychotherapist, is to work collaboratively with each client. I tailor each session to suit each individual in order to ensure and maintain emotional safety, working at a pace that suits you. Whatever you are wanting to explore or talk about, I am here to listen.
Deciding to start therapy can be a difficult decision to come to. When you are not feeling like yourself, it can seem particularly daunting. My aim, as a psychotherapist, is to work collaboratively with each client. I tailor each session to suit each individual in order to ensure and maintain emotional safety, working at a pace that suits you. Whatever you are wanting to explore or talk about, I am here to listen.
(01) 568 2872 x81 View (01) 568 2872 x81
Photo of Jen Conefrey, Psychotherapist, MIACP
Jen Conefrey
Psychotherapist, MIACP
3 Endorsed
Swords, County Dublin K67
You may be seeking support for the long-term impact of complex trauma, childhood sexual abuse, or sexual violence. You might be struggling with relationships, intimacy, sexuality, or a sense of self, and want a space that feels safe, affirming, and honest. I offer trauma-informed, sex-positive therapy for adults, including LGBTQIA+ and GSRD (Gender, Sexual, and Relationship Diversity) clients, and facilitate support groups for chemsex recovery and psychosexual concerns. My work is grounded in safety, consent, respect, and gentle but meaningful challenge to support real change.
You may be seeking support for the long-term impact of complex trauma, childhood sexual abuse, or sexual violence. You might be struggling with relationships, intimacy, sexuality, or a sense of self, and want a space that feels safe, affirming, and honest. I offer trauma-informed, sex-positive therapy for adults, including LGBTQIA+ and GSRD (Gender, Sexual, and Relationship Diversity) clients, and facilitate support groups for chemsex recovery and psychosexual concerns. My work is grounded in safety, consent, respect, and gentle but meaningful challenge to support real change.
083 422 4152 View 083 422 4152
Photo of Marlena Nowak -Gnitecka, Counsellor, MA, APCP
Marlena Nowak -Gnitecka
Counsellor, MA, APCP
Serves Area
With 17 years of experience in education supporting neurodivergent individuals, I also offer therapy for adults navigating late diagnoses, procrastination, low motivation, anxiety, or depression. My approach helps build clarity, self-understanding, and renewed self-esteem—so you can move forward with confidence.
With 17 years of experience in education supporting neurodivergent individuals, I also offer therapy for adults navigating late diagnoses, procrastination, low motivation, anxiety, or depression. My approach helps build clarity, self-understanding, and renewed self-esteem—so you can move forward with confidence.
(01) 267 6570 x56 View (01) 267 6570 x56
Photo of Deimante Malisauskaite - Atvira Psychotherapy, Psychotherapist, MIACP
Atvira Psychotherapy
Psychotherapist, MIACP
5 Endorsed
Serves Area
Are you feeling overwhelmed, stuck in old patterns, or finding it hard to navigate your emotions or relationship with food? You don't have to do this alone. I work with adults and adolescents, offering a warm, grounded, judgment-free space where you can feel heard, supported, and understood. My approach is integrative and psychodynamic, meaning I work with you at a deeper level to make sense of your experiences, while also drawing on evidence-based tools like CBT-E for eating disorders and trauma-informed interventions.
Are you feeling overwhelmed, stuck in old patterns, or finding it hard to navigate your emotions or relationship with food? You don't have to do this alone. I work with adults and adolescents, offering a warm, grounded, judgment-free space where you can feel heard, supported, and understood. My approach is integrative and psychodynamic, meaning I work with you at a deeper level to make sense of your experiences, while also drawing on evidence-based tools like CBT-E for eating disorders and trauma-informed interventions.
(01) 233 7063 x24 View (01) 233 7063 x24
Photo of Kevin Smith - Clearview Counselling, Psychotherapist, MSc, MIACP
Clearview Counselling
Psychotherapist, MSc, MIACP
1 Endorsed
Serves Area
People come to counselling for many different reasons, to explore experiences from their past, to work through present challenges, or to ease worries about the future. Whatever brings you here, you are welcome. We can work together to create a counselling journey that feels right for you. I offer a calm, supportive, and confidential space where you can talk openly and begin to grow and make positive changes at your own pace. If you’re feeling overwhelmed, struggling with your mental health, or simply need a safe place to be heard, I’d be very happy to support you. Please feel free to get in touch.
People come to counselling for many different reasons, to explore experiences from their past, to work through present challenges, or to ease worries about the future. Whatever brings you here, you are welcome. We can work together to create a counselling journey that feels right for you. I offer a calm, supportive, and confidential space where you can talk openly and begin to grow and make positive changes at your own pace. If you’re feeling overwhelmed, struggling with your mental health, or simply need a safe place to be heard, I’d be very happy to support you. Please feel free to get in touch.
(01) 267 6622 x96 View (01) 267 6622 x96
Photo of Jennifer Hayden, Counsellor, MIACP
Jennifer Hayden
Counsellor, MIACP
Serves Area
Many people encounter challenges that they need help overcoming. I create a space were clients feel safe, heard and understood. Our sessions will provide you with the opportunity to talk about issues or problems in your life in an accepting and confidential environment with someone who really listens to you and supports you as you find new ways to cope. Counselling focuses on your strengths and abilities to help you make changes in your life, to grow and to develop yourself as a person.
Many people encounter challenges that they need help overcoming. I create a space were clients feel safe, heard and understood. Our sessions will provide you with the opportunity to talk about issues or problems in your life in an accepting and confidential environment with someone who really listens to you and supports you as you find new ways to cope. Counselling focuses on your strengths and abilities to help you make changes in your life, to grow and to develop yourself as a person.
(01) 267 6552 x89 View (01) 267 6552 x89

How does your Counsellor compare?

Number of Counsellors in Swords

50+

Average cost per session

€70

Counsellors in Swords who prioritize treating:

94% Anxiety
87% Depression
87% Self Esteem
81% Stress
77% Relationship Issues
72% Bereavement
60% Trauma and PTSD

Average years in practice

6 Years

Top 3 insurances accepted

100% Irish Life
100% VHI
95% Aviva

How Counsellors in Swords see their clients

85% In Person and Online
15% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Swords?

Search for nearby therapists or counsellors by inputting your city, eircode, 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 eircode into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Most Counsellors and Psychotherapists listed in the directory are accredited members of the main professional associations, mainly the Irish Association of Counselling and Psychotherapy (IACP) and the Irish Council for Psychotherapy (ICP). Most Psychologists are accredited members of the Psychological Society of Ireland (PSI).

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 in Ireland, 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 supervised, practical experience that enable them to do so in Ireland. Psychologists have earned a doctoral degree in psychology and many are accredited members of the Psychological Society of Ireland (PSI). Counsellors and Psychotherapists are not required to have a doctoral degree, but to belong to a professional organisation such as the IACP or ICP, they must complete a minimum of an NFQ Level 7 programme with 100 hours of clinical experience and a minimum of 450 hours of post-training clinical experience under clinical supervision.

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 Ireland could cost between €50 – €90 when seeing a counsellor and €75 - €120 or more 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 National Counselling Service (NCS) is a government-funded service that provides short to medium term counselling and psychotherapy for free to individuals who have experienced trauma or abuse. The service can be accessed by GP referral or self-referral.

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 eircode.

Are therapy sessions confidential?

Therapists who are part of a professional organisation such as the IACP, the ICP, or PSI 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 is the potential or known harm to the client or others or when a child is in danger, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.