Photo of Michelle Robinson, BACP, Counsellor
Michelle Robinson
Counsellor, BACP
Verified Verified
Waitlist for new clients
My name is Michelle, and I am a person-centred counsellor and clinical hypnotherapist. Life can seem unmanageable at times, and you might find yourself reading this because you are dealing with an issue that feels overwhelming. Whatever the reason may be, you are not alone. People seek counselling for different reasons, from stress, anxiety, depression, PTSD, childhood trauma and relationship issues, to name but a few. Counselling can support you to help yourself in a way that acknowledges feelings and helps you to understand yourself better, aiding you to make positive lasting changes in your life.
My name is Michelle, and I am a person-centred counsellor and clinical hypnotherapist. Life can seem unmanageable at times, and you might find yourself reading this because you are dealing with an issue that feels overwhelming. Whatever the reason may be, you are not alone. People seek counselling for different reasons, from stress, anxiety, depression, PTSD, childhood trauma and relationship issues, to name but a few. Counselling can support you to help yourself in a way that acknowledges feelings and helps you to understand yourself better, aiding you to make positive lasting changes in your life.
01923 961749 View 01923 961749
Photo of Clare Chambers, MBACP Accred, Counsellor
Clare Chambers
Counsellor, MBACP Accred
Verified Verified
Hi I'm Clare, thankyou for visiting my profile. I am a person centred integrative counsellor and hypnotherapist based in Liverpool. I'm a supervisor in training. I have experience of mental health difficulties and I'm passionate about helping others to understand their experiences of life's ups and downs. Life is hard and for some of us, it is harder still. Relationship difficulties, adverse childhood experiences, abuse (past or present), addiction, displacement, poor mental or physical health, feeling burnt out, being bullied or exhausted by the many demands of family and modern life. If you have felt such issues I can help you.
Hi I'm Clare, thankyou for visiting my profile. I am a person centred integrative counsellor and hypnotherapist based in Liverpool. I'm a supervisor in training. I have experience of mental health difficulties and I'm passionate about helping others to understand their experiences of life's ups and downs. Life is hard and for some of us, it is harder still. Relationship difficulties, adverse childhood experiences, abuse (past or present), addiction, displacement, poor mental or physical health, feeling burnt out, being bullied or exhausted by the many demands of family and modern life. If you have felt such issues I can help you.
01923 961172 View 01923 961172
Photo of Michelle Richards, HCPC-Drama Therap., Counsellor
Michelle Richards
Counsellor, HCPC-Drama Therap.
Verified Verified
Hi I'm Michelle Richards, Creative arts Therapist /Drama Therapist. I provide services for people who would like to learn effective and creative ways to process their emotions. Emotions are excellent navigators however we are rarely taught how to use them and experience their value. Instead we have been trained to bury them and we allow them to become obstacles. Through private one to one sessions, group workshops or via online Programmes I will assist you to learn important themes and practical techniques which will enhance your Emotional Empowerment and your ability to relate to others.
Hi I'm Michelle Richards, Creative arts Therapist /Drama Therapist. I provide services for people who would like to learn effective and creative ways to process their emotions. Emotions are excellent navigators however we are rarely taught how to use them and experience their value. Instead we have been trained to bury them and we allow them to become obstacles. Through private one to one sessions, group workshops or via online Programmes I will assist you to learn important themes and practical techniques which will enhance your Emotional Empowerment and your ability to relate to others.
0151 305 4300 View 0151 305 4300
Photo of Klara Sharples, BACP, Counsellor
Klara Sharples
Counsellor, BACP
Verified Verified
1 Endorsed
Stressed, anxious, overwhelmed? Have you lost your lust for life? In collaboration and with dignity and compassion we can solve it. We can talk. Therapy allows you process any issues you may have experienced in your past.You will gain clarity and understanding of yourself, by gaining a new perspective of your situation by processing your past. I offer long and short term therapy, depending on your needs.I will create a safe space where you can visit previous, painful experiences to make sense of your life. We will look at unhelpful patterns and replaced them with new strategies to improve your mental wellbeing. Welcome to new you.
Stressed, anxious, overwhelmed? Have you lost your lust for life? In collaboration and with dignity and compassion we can solve it. We can talk. Therapy allows you process any issues you may have experienced in your past.You will gain clarity and understanding of yourself, by gaining a new perspective of your situation by processing your past. I offer long and short term therapy, depending on your needs.I will create a safe space where you can visit previous, painful experiences to make sense of your life. We will look at unhelpful patterns and replaced them with new strategies to improve your mental wellbeing. Welcome to new you.
01923 961899 View 01923 961899
Photo of Kirsty McArdle - KM Counselling, MBACP, Counsellor
KM Counselling
Counsellor, MBACP
Verified Verified
I don’t have a “one size fits all” approach. I use different tools, techniques and models based on your personality, your needs and how you present in the counselling room session by session.
I don’t have a “one size fits all” approach. I use different tools, techniques and models based on your personality, your needs and how you present in the counselling room session by session.
01923 920612 View 01923 920612
Photo of Annie Watkins - Annie Watkins Therapy , MA, MBACP, Counsellor
Annie Watkins Therapy
Counsellor, MA, MBACP
Verified Verified
1 Endorsed
As a qualified integrative therapist, respect is at the centre of my beliefs. I fervently believe that an individual, no matter who you are, should have the arena in which to be heard, without prejudice, without judgement, and with compassion. Our inclusive space will be one of confidentiality, trust and a pace that you feel able to go at, and my hope is that we will work to resolve, or at least identify, some, if not all, of the reasons that you've decided to reach out.
As a qualified integrative therapist, respect is at the centre of my beliefs. I fervently believe that an individual, no matter who you are, should have the arena in which to be heard, without prejudice, without judgement, and with compassion. Our inclusive space will be one of confidentiality, trust and a pace that you feel able to go at, and my hope is that we will work to resolve, or at least identify, some, if not all, of the reasons that you've decided to reach out.
01923 961960 View 01923 961960
Photo of Ayhan Alman, MSc, MUKCP, Psychotherapist
Ayhan Alman
Psychotherapist, MSc, MUKCP
Verified Verified
Feeling overwhelmed, isolated, or unsure how to move forward? It’s frustrating when you’ve tried all the mental health advice, yet nothing seems to help. Maybe you’ve been feeling more anxious or down lately. Perhaps you’ve lost someone close, leaving you with overwhelming grief. Or you’ve experienced something upsetting that keeps you up at night, no matter how hard you try to move on. If these challenges are affecting your self-esteem, know you’re not alone. And even if it doesn’t feel like it right now, there is hope.
Feeling overwhelmed, isolated, or unsure how to move forward? It’s frustrating when you’ve tried all the mental health advice, yet nothing seems to help. Maybe you’ve been feeling more anxious or down lately. Perhaps you’ve lost someone close, leaving you with overwhelming grief. Or you’ve experienced something upsetting that keeps you up at night, no matter how hard you try to move on. If these challenges are affecting your self-esteem, know you’re not alone. And even if it doesn’t feel like it right now, there is hope.
View
Photo of Carol McGrath, MBABCP, Psychotherapist
Carol McGrath
Psychotherapist, MBABCP
Verified Verified
I work with Current and Ex Emergency Services staff. I am ex Emergency Services. I am a very experienced Psychotherapist and have helped a vast amount of Emergency Services clients over the years. Are you stressed with Protocols, Procedures, Pressure? Time restraints? Lack of staff? Therapy is about listening to your needs, issues and your goals for therapy. Maybe you don't know what to deal with because you are so overwhelmed and exhausted with numerous issues. Or you may know what you want but you are too embarrassed to seek help. I can help you focus on the most important issue, which will start you on your road to recovery.
I work with Current and Ex Emergency Services staff. I am ex Emergency Services. I am a very experienced Psychotherapist and have helped a vast amount of Emergency Services clients over the years. Are you stressed with Protocols, Procedures, Pressure? Time restraints? Lack of staff? Therapy is about listening to your needs, issues and your goals for therapy. Maybe you don't know what to deal with because you are so overwhelmed and exhausted with numerous issues. Or you may know what you want but you are too embarrassed to seek help. I can help you focus on the most important issue, which will start you on your road to recovery.
01923 961983 View 01923 961983
Photo of Dr Ged Smith, PsychD, MUKCP, Psychotherapist
Dr Ged Smith
Psychotherapist, PsychD, MUKCP
Verified Verified
1 Endorsed
Effective and practical help for anyone suffering from a range of issues, particularly family, couple and relationship matters. This is for individuals, families, couples and children. I also work with: anxiety - depression/low mood - stress - anger problems - panic attacks - low self-esteem - self-harming - addiction - relationship problems. I provide safe, reliable and practical help for emotional, behavioural and mental health difficulties.
Effective and practical help for anyone suffering from a range of issues, particularly family, couple and relationship matters. This is for individuals, families, couples and children. I also work with: anxiety - depression/low mood - stress - anger problems - panic attacks - low self-esteem - self-harming - addiction - relationship problems. I provide safe, reliable and practical help for emotional, behavioural and mental health difficulties.
01923 961909 View 01923 961909
Photo of Dr Louise Roper, HCPC - Health Psych., Psychologist
Dr Louise Roper
Psychologist, HCPC - Health Psych.
Verified Verified
2 Endorsed
Liverpool L18  (Online Only)
I am a Principal Health Psychologist (part time) in the NHS who supports people with chronic illness, including Long Covid. I also support people with issues with their sleep, people with chronic fatigue & those with pain. I would like to help you get back to the life you want to live and support you to live well despite what is going on for you at this point in time. I also work with health professionals who are experiencing burnout or other difficult issues either at work or in their home life.
I am a Principal Health Psychologist (part time) in the NHS who supports people with chronic illness, including Long Covid. I also support people with issues with their sleep, people with chronic fatigue & those with pain. I would like to help you get back to the life you want to live and support you to live well despite what is going on for you at this point in time. I also work with health professionals who are experiencing burnout or other difficult issues either at work or in their home life.
01923 961962 View 01923 961962
Photo of Andy Holmes, MNCPS Acc., Counsellor
Andy Holmes
Counsellor, MNCPS Acc.
Verified Verified
Not accepting new clients
Some people come to me knowing what they want to change, accept or talk about but some aren’t sure what it is they want help with. Working together in a safe environment the client figures out with a little help from me (ok sometimes more than a little). If it’s a diagnosed issue, a life changing event, low self worth or trauma from the past there are many ways to work through them. And that’s where I can help. I use a variety of research validated methods to help the clients journey.
Some people come to me knowing what they want to change, accept or talk about but some aren’t sure what it is they want help with. Working together in a safe environment the client figures out with a little help from me (ok sometimes more than a little). If it’s a diagnosed issue, a life changing event, low self worth or trauma from the past there are many ways to work through them. And that’s where I can help. I use a variety of research validated methods to help the clients journey.
View
Photo of Fiona Denise Wilkie, Counsellor
Fiona Denise Wilkie
Counsellor
Verified Verified
2 Endorsed
Waitlist for new clients
My name is Fiona Wilkie, I'm a psychotherapist registered with the National Counselling Society and National Hypnotherapy Society. I specialise in working with adults and draw from a range of models including: trauma informed therapy, cognitive behavioural, acceptance and commitment (ACT), mindfulness, neurolinguistic programming (NLP) and hypnotherapy. My main priority is helping people recognise their own potential and support them to increase their skills so they can make positive changes in their lives whether this is in their relationships, career or personal health goals.
My name is Fiona Wilkie, I'm a psychotherapist registered with the National Counselling Society and National Hypnotherapy Society. I specialise in working with adults and draw from a range of models including: trauma informed therapy, cognitive behavioural, acceptance and commitment (ACT), mindfulness, neurolinguistic programming (NLP) and hypnotherapy. My main priority is helping people recognise their own potential and support them to increase their skills so they can make positive changes in their lives whether this is in their relationships, career or personal health goals.
0151 459 4711 View 0151 459 4711
Photo of Anna Langner, MBACP, Counsellor
Anna Langner
Counsellor, MBACP
Verified Verified
1 Endorsed
Hi, my name is Anna. Warm welcome to my profile! It takes courage to reach out for support, especially at times when life is challenging. Well done for taking that first step! If you are feeling low, anxious, stuck, lost or confused - Welcome! In my practice I am able to provide you with a safe, non-judgmental space to address, explore, and process any difficulties and worries which you may be experiencing. I can offer you a free telephone or online consultation to help you decide if you feel comfortable with me and I am the right fit for you. I will always treat all enquiries with utmost sensitivity.
Hi, my name is Anna. Warm welcome to my profile! It takes courage to reach out for support, especially at times when life is challenging. Well done for taking that first step! If you are feeling low, anxious, stuck, lost or confused - Welcome! In my practice I am able to provide you with a safe, non-judgmental space to address, explore, and process any difficulties and worries which you may be experiencing. I can offer you a free telephone or online consultation to help you decide if you feel comfortable with me and I am the right fit for you. I will always treat all enquiries with utmost sensitivity.
0161 524 3849 View 0161 524 3849
Photo of Chris Rudyard - Chris Rudyard: IFS, EMDR, Somatic - Trauma Therapy, MNCPS Acc., Psychotherapist
Chris Rudyard: IFS, EMDR, Somatic - Trauma Therapy
Psychotherapist, MNCPS Acc.
Verified Verified
3 Endorsed
Non-shaming, far-reaching, and therapies that work with you - not against you. Self Book via my website. 19 years experience, and substantial training. People usually see me for help with complex trauma and all that brings. 50 min & 1.5 hour sessions. Not cbt - I use attuned and interactive trauma-therapies that go deep to heal. I help to facilitate an immersive, and expansive experience to help you heal from what has a hold over you, even when you're not sure what that is. When you see me, we work collaboratively and organically, so you can recover, and feel the better you.
Non-shaming, far-reaching, and therapies that work with you - not against you. Self Book via my website. 19 years experience, and substantial training. People usually see me for help with complex trauma and all that brings. 50 min & 1.5 hour sessions. Not cbt - I use attuned and interactive trauma-therapies that go deep to heal. I help to facilitate an immersive, and expansive experience to help you heal from what has a hold over you, even when you're not sure what that is. When you see me, we work collaboratively and organically, so you can recover, and feel the better you.
07757 437599 View 07757 437599
Photo of Leeanne Fowler - Independent Counselling & Psychotherapy Services, MSc, MUKCP, Psychotherapist
Independent Counselling & Psychotherapy Services
Psychotherapist, MSc, MUKCP
Verified Verified
I aim to offer a professional yet down to earth relationship in which you can explore your personal difficulties whatever they may be. Sessions are offered weekly or fortnightly, usually in an open ended way until you're feeling more like yourself again. Some people come for a few sessions, some for a few months and others decide to come longer term. Many people are now starting to use therapy over time and re-access support at times when it is needed most with someone who they trust to know them and their life well. I take a firm stance on challenging stigma surrounding mental health.
I aim to offer a professional yet down to earth relationship in which you can explore your personal difficulties whatever they may be. Sessions are offered weekly or fortnightly, usually in an open ended way until you're feeling more like yourself again. Some people come for a few sessions, some for a few months and others decide to come longer term. Many people are now starting to use therapy over time and re-access support at times when it is needed most with someone who they trust to know them and their life well. I take a firm stance on challenging stigma surrounding mental health.
0151 317 9265 View 0151 317 9265
Photo of Patrick (Paddy) Conroy, MBABCP, Psychotherapist
Patrick (Paddy) Conroy
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Accredited Cognitive Behavioural Therapist with BABCP, also trained in EMDR and Dialetical Behaviour Therapy (DBT). I treat a range of disorders from Obsessive compulsive disorder helping to alleviate intrusive anxiety provoking thoughts, anxiety and distress resulting from trauma. I work with people who self harm perhaps through deliberate acts or addictive behaviours depending on current level of risk. 25 years experience having trained at the Maudsley Hospital/Institute of Psychiatry 1993 to 1996. Intrusive distressing thoughts a specialty offering 2 intensive sessions which can make a difference. Currently no waiting list.
Accredited Cognitive Behavioural Therapist with BABCP, also trained in EMDR and Dialetical Behaviour Therapy (DBT). I treat a range of disorders from Obsessive compulsive disorder helping to alleviate intrusive anxiety provoking thoughts, anxiety and distress resulting from trauma. I work with people who self harm perhaps through deliberate acts or addictive behaviours depending on current level of risk. 25 years experience having trained at the Maudsley Hospital/Institute of Psychiatry 1993 to 1996. Intrusive distressing thoughts a specialty offering 2 intensive sessions which can make a difference. Currently no waiting list.
01923 961469 View 01923 961469
Photo of Laura Malcolm-Nuttall, BACP, Counsellor
Laura Malcolm-Nuttall
Counsellor, BACP
Verified Verified
1 Endorsed
Are you feeling lost, overwhelmed or at a point in life where you know you need to make a change? Do you need a safe space to explore how you are really feeling with no judgement and an unbiased perspective? Do you need space to clarify your thoughts and feelings?
Are you feeling lost, overwhelmed or at a point in life where you know you need to make a change? Do you need a safe space to explore how you are really feeling with no judgement and an unbiased perspective? Do you need space to clarify your thoughts and feelings?
01923 961620 View 01923 961620
Photo of Helen Newman, MNCPS Acc., Counsellor
Helen Newman
Counsellor, MNCPS Acc.
Verified Verified
We all experience difficulties and challenges at some point in our lives which can leave us feeling anxious, stressed and worried. We all have past experiences that can still affect us in the here and now. Trying to make sense of these issues and experiences and trying to find our place in the world can often feel overwhelming and frightening, especially if we believe that we are the only ones feeling this way. Effective counselling can give you the time and space you need to help you to explore and begin to make sense of the issues affecting your life and allow you to focus on the changes you may want to make.
We all experience difficulties and challenges at some point in our lives which can leave us feeling anxious, stressed and worried. We all have past experiences that can still affect us in the here and now. Trying to make sense of these issues and experiences and trying to find our place in the world can often feel overwhelming and frightening, especially if we believe that we are the only ones feeling this way. Effective counselling can give you the time and space you need to help you to explore and begin to make sense of the issues affecting your life and allow you to focus on the changes you may want to make.
01923 961195 View 01923 961195
Photo of Dr Kate Williams-Markey, PhD, HCPC - Clin. Psych., Psychologist
Dr Kate Williams-Markey
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
Liverpool L18  (Online Only)
Hello! I work as a Clinical Psychologist part-time in the NHS, and part-time from home. Fundamentally, I enjoy meeting people and working alongside people to help process and understand their experiences. Sometimes our life experiences and difficulties we encounter can feel overwhelming, and we may not know where to start. I can help you start to make sense of your experiences through talking about them and applying a range of therapeutic approaches along the way.
Hello! I work as a Clinical Psychologist part-time in the NHS, and part-time from home. Fundamentally, I enjoy meeting people and working alongside people to help process and understand their experiences. Sometimes our life experiences and difficulties we encounter can feel overwhelming, and we may not know where to start. I can help you start to make sense of your experiences through talking about them and applying a range of therapeutic approaches along the way.
01663 790542 View 01663 790542
Photo of Samantha Allport-Rowley, MSc, MNCPS Acc., Counsellor
Samantha Allport-Rowley
Counsellor, MSc, MNCPS Acc.
Verified Verified
Liverpool L18  (Online Only)
Hello, I'm Sammy. Do you struggle with feeling anxious, lost, or disconnected from yourself and others? Is it affecting your ability to function, your work or your relationships? Do you feel exhausted, overwhelmed and frustrated by the demands of life? Do you long for things to be better? So many people are struggling to accept themselves and find their place in life, to find happiness. Counselling is a safe space where you can feel truly listened to and understood without worry of interruption, judgement or criticism. A conversation which can be difficult but can lead to a deeper understanding of yourself and your situation.
Hello, I'm Sammy. Do you struggle with feeling anxious, lost, or disconnected from yourself and others? Is it affecting your ability to function, your work or your relationships? Do you feel exhausted, overwhelmed and frustrated by the demands of life? Do you long for things to be better? So many people are struggling to accept themselves and find their place in life, to find happiness. Counselling is a safe space where you can feel truly listened to and understood without worry of interruption, judgement or criticism. A conversation which can be difficult but can lead to a deeper understanding of yourself and your situation.
0151 318 0922 View 0151 318 0922
1

See more therapy options for L18

How does your Counsellor compare?

Number of Counsellors in L18

30+

Average cost per session

£55

Counsellors in L18 who prioritize treating:

91% Depression
91% Self Esteem
85% Relationship Issues
85% Anxiety
76% Stress
67% Coping Skills
64% Bereavement

Average years in practice

6 Years

Top 3 insurances accepted

67% Aviva
67% WPA
50% AXA PPP

How Counsellors in L18 see their clients

76% In Person and Online
24% Online Only

Gender breakdown

76% Female
24% Male
FAQs - About Therapy and Counselling

How can I find a therapist in L18?

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.