Counselling in Heywood

Photo of Matthew David Smith - Polaris Counselling and Training, MSc, MBACP Accred, Counsellor
Polaris Counselling and Training
Counsellor, MSc, MBACP Accred
Verified Verified
Heywood OL10  (Online Only)
I have worked with a diverse range of clients since qualifying over a decade ago, and pride myself on being able to work effectively with an individual regardless of their specific circumstances. Having said that, I find that I work most effectively with clients who are eager for change and open to receiving challenge in a safe and comfortable environment. Whether they have a clear image of how they would like their life to be, or need help to cope with a seemingly overwhelming issue, I am happy to help. I believe that working collaboratively to understand, overcome and grow from life's challenges can be a rewarding process.
I have worked with a diverse range of clients since qualifying over a decade ago, and pride myself on being able to work effectively with an individual regardless of their specific circumstances. Having said that, I find that I work most effectively with clients who are eager for change and open to receiving challenge in a safe and comfortable environment. Whether they have a clear image of how they would like their life to be, or need help to cope with a seemingly overwhelming issue, I am happy to help. I believe that working collaboratively to understand, overcome and grow from life's challenges can be a rewarding process.
01706 335337 View 01706 335337
Photo of Aimee Hilton, MBACP, Counsellor
Aimee Hilton
Counsellor, MBACP
Verified Verified
Heywood OL10
It is my belief counselling can empower you for life, enhance self awareness and allow positive changes to help you in any issues and difficulties you may face.
It is my belief counselling can empower you for life, enhance self awareness and allow positive changes to help you in any issues and difficulties you may face.
01706 580446 View 01706 580446
Photo of Karen Roach - Unwind Counselling, BACP, Counsellor
Unwind Counselling
Counsellor, BACP
Verified Verified
Heywood OL10
Does it feel like life is getting on top of you? Can things sometimes feel overwhelming? Perhaps you can’t actually name what you’re feeling, but just feel low without really understanding why. I am here to help you process these thoughts and feelings to enable you to work towards a better understanding of yourself. This increased self- awareness will help you on the road to managing your life more effectively. I work with adults (any age, gender or sexual orientation) experiencing difficulties such as anxiety, depression, low self-esteem, grief or bereavement, addiction issues or relationship problems.
Does it feel like life is getting on top of you? Can things sometimes feel overwhelming? Perhaps you can’t actually name what you’re feeling, but just feel low without really understanding why. I am here to help you process these thoughts and feelings to enable you to work towards a better understanding of yourself. This increased self- awareness will help you on the road to managing your life more effectively. I work with adults (any age, gender or sexual orientation) experiencing difficulties such as anxiety, depression, low self-esteem, grief or bereavement, addiction issues or relationship problems.
01282 953319 View 01282 953319
Photo of Jennifer Bell, MBABCP, Psychotherapist
Jennifer Bell
Psychotherapist, MBABCP
Verified Verified
Heywood OL10  (Online Only)
Have you been feeling stressed? Struggling with worries or panic? Is fear stopping you from doing what you would like to? Has your get up and go, gone? I am a compassionate and experienced Cognitive Behavioural Therapist/EMDR Therapist with over fifteen years experience in NHS primary care and health care settings. I offer a confidential and professional service delivering high quality evidence based effective therapy to promote wellbeing and improve quality of life. I will work alongside you to help you learn the tools and techniques that can be used daily to meet your therapy goals. I
Have you been feeling stressed? Struggling with worries or panic? Is fear stopping you from doing what you would like to? Has your get up and go, gone? I am a compassionate and experienced Cognitive Behavioural Therapist/EMDR Therapist with over fifteen years experience in NHS primary care and health care settings. I offer a confidential and professional service delivering high quality evidence based effective therapy to promote wellbeing and improve quality of life. I will work alongside you to help you learn the tools and techniques that can be used daily to meet your therapy goals. I
01706 580430 View 01706 580430

More Therapists Nearby

Photo of Anna Bulgakova, MSc, MUKCP, Psychotherapist
Anna Bulgakova
Psychotherapist, MSc, MUKCP
Verified Verified
Frome BA11
Are you looking for change? Do you want to move beyond the pain of your current situation or past traumas? Are you experiencing relationship difficulties and don't know how to go beyond the current situation? Whatever the issues you are facing, I will work with you to help you move towards the place you (both) want to be. I have extensive knowledge of working with clients with a range of mental health difficulties, including people in emotional crisis. I believe that every person has the potential for recovery and growth, with as an individual or within relationship with another person. Transformation is always possible.
Are you looking for change? Do you want to move beyond the pain of your current situation or past traumas? Are you experiencing relationship difficulties and don't know how to go beyond the current situation? Whatever the issues you are facing, I will work with you to help you move towards the place you (both) want to be. I have extensive knowledge of working with clients with a range of mental health difficulties, including people in emotional crisis. I believe that every person has the potential for recovery and growth, with as an individual or within relationship with another person. Transformation is always possible.
0117 325 2694 View 0117 325 2694
Photo of Louise Dicks, DCounsPsych, BACP, Counsellor
Louise Dicks
Counsellor, DCounsPsych, BACP
Verified Verified
Melksham SN12
Feeling overwhelmed, anxious, or burned out by life’s demands? You’re not alone. As an experienced therapist, I’ve helped many clients navigate these challenges and achieve lasting change. My approach goes beyond surface solutions - together, we’ll clear the mental clutter, rebuild your resilience, and help you reconnect with what truly matters to you. Experience a transformation that brings clarity, balance, and renewed purpose to your life. Ready to feel calm, clear, and in control again? Let’s begin this healing journey together.
Feeling overwhelmed, anxious, or burned out by life’s demands? You’re not alone. As an experienced therapist, I’ve helped many clients navigate these challenges and achieve lasting change. My approach goes beyond surface solutions - together, we’ll clear the mental clutter, rebuild your resilience, and help you reconnect with what truly matters to you. Experience a transformation that brings clarity, balance, and renewed purpose to your life. Ready to feel calm, clear, and in control again? Let’s begin this healing journey together.
01225 234514 View 01225 234514
Photo of Miranda Kate Jackson, MA, MUKCP, Psychotherapist
Miranda Kate Jackson
Psychotherapist, MA, MUKCP
Verified Verified
Mere BA12
Waitlist for new clients
I offer you a safe place to explore your emotions and the issues that trouble you and will work with you to find solutions which will improve your life. Therapy with me is about preparing to make changes. I will help you release the thoughts that trouble you, your fears and despair and help you contain those most intense feelings so we can look deeper into the reasons why you are not functioning as you would like to. We can't always change the way those around us behave, but we can change our attitude to life and to others.
I offer you a safe place to explore your emotions and the issues that trouble you and will work with you to find solutions which will improve your life. Therapy with me is about preparing to make changes. I will help you release the thoughts that trouble you, your fears and despair and help you contain those most intense feelings so we can look deeper into the reasons why you are not functioning as you would like to. We can't always change the way those around us behave, but we can change our attitude to life and to others.
01985 801986 View 01985 801986
Photo of Karen Tate, MBABCP, Psychotherapist
Karen Tate
Psychotherapist, MBABCP
Verified Verified
Trowbridge BA14  (Online Only)
I am a qualified and BABCP accredited Cognitive Behavioural Therapist, experienced in treating anxiety, depression and PTSD. If you want to find ways to think and do things differently to feel better, then CBT could be right for you. Together, in a safe and structured way, we will make sense of what may be keeping you stuck and empower you to learn strategies to work towards your own goals. This could involve learning new coping techniques, challenging negative thoughts and beliefs, or experimenting with different ways of doing things. By the end of therapy you should have new tools to be able to live your life differently.
I am a qualified and BABCP accredited Cognitive Behavioural Therapist, experienced in treating anxiety, depression and PTSD. If you want to find ways to think and do things differently to feel better, then CBT could be right for you. Together, in a safe and structured way, we will make sense of what may be keeping you stuck and empower you to learn strategies to work towards your own goals. This could involve learning new coping techniques, challenging negative thoughts and beliefs, or experimenting with different ways of doing things. By the end of therapy you should have new tools to be able to live your life differently.
07498 554517 View 07498 554517
Photo of Jade Luck, UKCP Trainee, Psychotherapist
Jade Luck
Psychotherapist, UKCP Trainee
Verified Verified
Bradford-on-Avon BA15
Life can be full of unexpected challenges that can leave us feeling low, anxious or disconnected from ourselves. Having a safe, confidential space to explore what’s going on in our lives can help us to feel less alone and find a way forward. My approach incorporates mindfulness with psychodynamic theory. I can support you to work through past and present issues that are currently impacting on you in your life.
Life can be full of unexpected challenges that can leave us feeling low, anxious or disconnected from ourselves. Having a safe, confidential space to explore what’s going on in our lives can help us to feel less alone and find a way forward. My approach incorporates mindfulness with psychodynamic theory. I can support you to work through past and present issues that are currently impacting on you in your life.
01225 617276 View 01225 617276
Photo of Dr Kiran Spence, PsychD, HCPC - Clin. Psych., Psychologist
Dr Kiran Spence
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Devizes SN10
I am a highly skilled Clinical Psychologist with 19 years experience working in the NHS within adult mental health and physical health services. I am collaborative and flexible in my approach, drawing on a range of approaches to ensure therapy is best suited to your individual needs and goals. I aim to support you to develop an understanding of your difficulties, and develop the necessary strategies to make the changes needed to work towards your goals and values in life.
I am a highly skilled Clinical Psychologist with 19 years experience working in the NHS within adult mental health and physical health services. I am collaborative and flexible in my approach, drawing on a range of approaches to ensure therapy is best suited to your individual needs and goals. I aim to support you to develop an understanding of your difficulties, and develop the necessary strategies to make the changes needed to work towards your goals and values in life.
01380 717476 View 01380 717476
Photo of Joanne Cooper - West Wiltshire Counselling, MBACP, Counsellor
West Wiltshire Counselling
Counsellor, MBACP
Verified Verified
West Ashton BA14
Hello, I am currently offering online and telephone counselling and walk and talk therapy. I work in a creative and mindful way to help you explore your needs in a safe space. I have twenty years of experience of working with children and young people with social, emotional and behavioural difficulties through my work in education. I also work as a school counsellor at an alternative provision secondary school and I strive to provide a warm and empathic service without judgement.
Hello, I am currently offering online and telephone counselling and walk and talk therapy. I work in a creative and mindful way to help you explore your needs in a safe space. I have twenty years of experience of working with children and young people with social, emotional and behavioural difficulties through my work in education. I also work as a school counsellor at an alternative provision secondary school and I strive to provide a warm and empathic service without judgement.
01225 434539 View 01225 434539
Photo of Kerry Hampton. Mbacp.dip.couns., MBACP, Counsellor
Kerry Hampton. Mbacp.dip.couns.
Counsellor, MBACP
Verified Verified
1 Endorsed
Westbury BA13
Waitlist for new clients
Let me introduce myself. I am Kerry, local to Wiltshire. Working as a Qualified Integrative Counsellor, I take account of the whole person, emotional, physical and mental. I am trained in many theoretical approaches and a certificated registered Member of the British Association for Counselling and Psychotherapy. (MBACP). I work with a range of issues including trauma, abuse, depression, anxiety and relationships. I am a certified mental health first aider, a trauma informed practitioner and hold a L2 EY neuroscience certificate. I have partaken in my own therapy, and this allows me to know what it feels like to be in that chair.
Let me introduce myself. I am Kerry, local to Wiltshire. Working as a Qualified Integrative Counsellor, I take account of the whole person, emotional, physical and mental. I am trained in many theoretical approaches and a certificated registered Member of the British Association for Counselling and Psychotherapy. (MBACP). I work with a range of issues including trauma, abuse, depression, anxiety and relationships. I am a certified mental health first aider, a trauma informed practitioner and hold a L2 EY neuroscience certificate. I have partaken in my own therapy, and this allows me to know what it feels like to be in that chair.
01373 482951 View 01373 482951
Photo of Louise Blake, BACP, Counsellor
Louise Blake
Counsellor, BACP
Verified Verified
Bradford-on-Avon BA15
If you're experiencing difficulty or distress in your life, whatever the root cause, then I can help. Maybe it's from dealing with persistent anxiety, navigating difficult relationships, or feeling a deep sense of dissatisfaction. Perhaps you're desperate for change, but feel trapped, stuck, unsure or unable to take action. Or maybe you're feeling overwhelmed by life events and the expectations placed on yourself from you or others? If you're seeking hope, change, transformation, and a deeper understanding of yourself and your relationships, you're in the right place, I can help.
If you're experiencing difficulty or distress in your life, whatever the root cause, then I can help. Maybe it's from dealing with persistent anxiety, navigating difficult relationships, or feeling a deep sense of dissatisfaction. Perhaps you're desperate for change, but feel trapped, stuck, unsure or unable to take action. Or maybe you're feeling overwhelmed by life events and the expectations placed on yourself from you or others? If you're seeking hope, change, transformation, and a deeper understanding of yourself and your relationships, you're in the right place, I can help.
01249 471450 View 01249 471450
Photo of Pamela Humphryes, MBACP Accred, Counsellor
Pamela Humphryes
Counsellor, MBACP Accred
Verified Verified
Devizes SN10  (Online Only)
I am an adult, couples, schools and adolescent Person Centred counsellor - and an accredited member of the BACP. I have extensive experience of working with C-PTSD, trauma, neuro-diversity, ADHD and Adverse Childhood experiences and/or trauma. I have worked with the Military, ex-military and veterans with C-PTSD for over 5 years. Additionally, I have the lived experience of being an army wife. I have worked in Talking Therapies (Step 3) and have treated clients using evidence based psychological therapies (CBT) for depression, low self-esteem, social anxiety, generalised anxiety disorder, illness anxiety, panic disorder and PTSD.
I am an adult, couples, schools and adolescent Person Centred counsellor - and an accredited member of the BACP. I have extensive experience of working with C-PTSD, trauma, neuro-diversity, ADHD and Adverse Childhood experiences and/or trauma. I have worked with the Military, ex-military and veterans with C-PTSD for over 5 years. Additionally, I have the lived experience of being an army wife. I have worked in Talking Therapies (Step 3) and have treated clients using evidence based psychological therapies (CBT) for depression, low self-esteem, social anxiety, generalised anxiety disorder, illness anxiety, panic disorder and PTSD.
01980 881904 View 01980 881904
Photo of Eilidh O'Donnell, MNCPS Acc., Counsellor
Eilidh O'Donnell
Counsellor, MNCPS Acc.
Verified Verified
2 Endorsed
Melksham SN12
Welcome, I’m Eilidh. I am a Humanistic and Integrative Counsellor, offering counselling to both adults and children. Life is rarely travelled without experiencing a period of difficulty. These can be as short as a day, or sometimes for what seems like forever. The impact and cause can be obvious and in-the-present, or sometimes less so, perhaps from your distant past. No matter the cause, you may be left depressed, anxious, or consumed by negative thoughts. The onset of feeling stuck and alone, not knowing what to do, often accompanies these emotions.
Welcome, I’m Eilidh. I am a Humanistic and Integrative Counsellor, offering counselling to both adults and children. Life is rarely travelled without experiencing a period of difficulty. These can be as short as a day, or sometimes for what seems like forever. The impact and cause can be obvious and in-the-present, or sometimes less so, perhaps from your distant past. No matter the cause, you may be left depressed, anxious, or consumed by negative thoughts. The onset of feeling stuck and alone, not knowing what to do, often accompanies these emotions.
01225 435107 View 01225 435107
Photo of Kate Hardenberg, MA, MUKCP, Psychotherapist
Kate Hardenberg
Psychotherapist, MA, MUKCP
Verified Verified
Bradford-on-Avon BA15
Are you having relationships issues or family issues? Are you struggling with anxiety, or are you feeling depressed at times? Have you had a life transition such as redundancy, illness or bereavement, or been affected by an affair or betrayal? It may be that life is getting on top of you, and it may feel that there is no one to turn to help sort things out.
Are you having relationships issues or family issues? Are you struggling with anxiety, or are you feeling depressed at times? Have you had a life transition such as redundancy, illness or bereavement, or been affected by an affair or betrayal? It may be that life is getting on top of you, and it may feel that there is no one to turn to help sort things out.
01225 530234 View 01225 530234
Photo of Martin Phillips, MA, MUKCP, Psychotherapist
Martin Phillips
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
Bradford-on-Avon BA15
You might be struggling with something difficult in the here and now, such as the loss of a loved one, or the breakdown of a relationship. Or perhaps you’re aware of vague, underlying feelings of sadness, anxiety or anger. Maybe you feel trapped in a cycle of repeated disappointments with partners, friends and careers and don’t know why. Whether you know what the problem is, or even if you don’t, therapy can help. It’s an opportunity to explore yourself; to examine feelings, thoughts and motivations and gain understanding - the first step towards navigating a different, happier course.
You might be struggling with something difficult in the here and now, such as the loss of a loved one, or the breakdown of a relationship. Or perhaps you’re aware of vague, underlying feelings of sadness, anxiety or anger. Maybe you feel trapped in a cycle of repeated disappointments with partners, friends and careers and don’t know why. Whether you know what the problem is, or even if you don’t, therapy can help. It’s an opportunity to explore yourself; to examine feelings, thoughts and motivations and gain understanding - the first step towards navigating a different, happier course.
01225 530258 View 01225 530258
Photo of Edmund James Britton, MNCPS Acc., Psychotherapist
Edmund James Britton
Psychotherapist, MNCPS Acc.
Verified Verified
Westbury BA13  (Online Only)
Hello friend. My name is Ed and I am a licensed therapist with over 3 years of professional work experience both online and in person. I help clients who experience anxiety and stress, depression, over-thinking and rumination, low motivation, jealousy-related issues, relationship problems, hurt, shame and guilt, as well as low self-worth, self-esteem, and self-confidence. I have traveled the world and we humans are the same the world over; emotional beings. If you want to understand your feelings and how to respond to them in a manner that reduces the impact they have on your every-day life, please contact me.
Hello friend. My name is Ed and I am a licensed therapist with over 3 years of professional work experience both online and in person. I help clients who experience anxiety and stress, depression, over-thinking and rumination, low motivation, jealousy-related issues, relationship problems, hurt, shame and guilt, as well as low self-worth, self-esteem, and self-confidence. I have traveled the world and we humans are the same the world over; emotional beings. If you want to understand your feelings and how to respond to them in a manner that reduces the impact they have on your every-day life, please contact me.
01373 486984 View 01373 486984
Photo of Naomi Greenwood, UKCP Trainee, Psychotherapist
Naomi Greenwood
Psychotherapist, UKCP Trainee
Verified Verified
Trowbridge BA14
Our true nature is free, flowing, wild and energetic. Childhood traumas create defences, because our survival instinct was so strong it protected us at all costs. The cost is our experience now, disconnection from our-self, our body, others, life. Resulting in difficult relationships, low self-esteem, anxiety, depression and self harming behaviors. The decision to come to therapy is a brave one, it is a statement to yourself and the Universe that you no longer want to just survive, but to live with more ease, connection and aliveness. The therapeutic relationship encourages this life force energy, giving space for wholeness to grow.
Our true nature is free, flowing, wild and energetic. Childhood traumas create defences, because our survival instinct was so strong it protected us at all costs. The cost is our experience now, disconnection from our-self, our body, others, life. Resulting in difficult relationships, low self-esteem, anxiety, depression and self harming behaviors. The decision to come to therapy is a brave one, it is a statement to yourself and the Universe that you no longer want to just survive, but to live with more ease, connection and aliveness. The therapeutic relationship encourages this life force energy, giving space for wholeness to grow.
01225 435184 View 01225 435184
Photo of Jane Brown, DCounsPsych, MBACP, Counsellor
Jane Brown
Counsellor, DCounsPsych, MBACP
Verified Verified
Trowbridge BA14  (Online Only)
I'm a goal orientated, solution focused counsellor for individuals and couples. I provide short term intervention counselling (30minute and 60minute one off sessions) as well as ongoing work. Sessions are delivered over the phone or on Zoom.
I'm a goal orientated, solution focused counsellor for individuals and couples. I provide short term intervention counselling (30minute and 60minute one off sessions) as well as ongoing work. Sessions are delivered over the phone or on Zoom.
01380 711189 View 01380 711189

See more therapy options for Heywood

How does your Counsellor compare?

Number of Counsellors in Heywood

< 10

Counsellors in Heywood who prioritize treating:

100% Depression
100% Anxiety
100% Self Esteem
100% Stress
75% Relationship Issues
75% Bereavement
50% Addiction

Average years in practice

7 Years

Top 3 insurances accepted

100% Aviva
100% AXA PPP
100% Bupa

How Counsellors in Heywood see their clients

50% In Person and Online
50% Online Only

Gender breakdown

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

How can I find a therapist in Heywood?

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.