Photo of James Sedgwick, PhD, MUKCP, Psychotherapist
James Sedgwick
Psychotherapist, PhD, MUKCP
Verified Verified
I am an experienced practitioner with specialisms in brief and medium term work for a variety of problems. If you are feeling low or anxious, struggling with your self-image and your place in the world and you aren't quite sure why things are going wrong for you then I may be able to help. I offer a warm, professional service where I do the best to meet the client as an individual and help them to find their own unique path to a better life. Please note: due to a change in circumstances I am not in a position to offer open ended work at present.
I am an experienced practitioner with specialisms in brief and medium term work for a variety of problems. If you are feeling low or anxious, struggling with your self-image and your place in the world and you aren't quite sure why things are going wrong for you then I may be able to help. I offer a warm, professional service where I do the best to meet the client as an individual and help them to find their own unique path to a better life. Please note: due to a change in circumstances I am not in a position to offer open ended work at present.
0121 817 3920 View 0121 817 3920
Photo of Jessica Sharman, MSc, MBACP, Counsellor
Jessica Sharman
Counsellor, MSc, MBACP
Verified Verified
Waitlist for new clients
I can offer a warm, empathetic and compassionate environment for us to explore your troubles, and what might be underlying these. I am passionate about mental health and seeing the whole person, as well as the importance of hope, empowerment and finding your own sense of identity and/or meaning in recovery. As an Integrative Counsellor, I draw on a range of theories to work in a way that best suits your needs. I can work with a range of presenting issues such as anxiety, depression, body image and bereavement, with the aim of helping you make sense of your experiences and cope with an often difficult world.
I can offer a warm, empathetic and compassionate environment for us to explore your troubles, and what might be underlying these. I am passionate about mental health and seeing the whole person, as well as the importance of hope, empowerment and finding your own sense of identity and/or meaning in recovery. As an Integrative Counsellor, I draw on a range of theories to work in a way that best suits your needs. I can work with a range of presenting issues such as anxiety, depression, body image and bereavement, with the aim of helping you make sense of your experiences and cope with an often difficult world.
0121 661 7732 View 0121 661 7732
Photo of Annette Lilley, MBACP, Counsellor
Annette Lilley
Counsellor, MBACP
Verified Verified
At times we can feel overwhelmed by life events, relationships or distressing thoughts and feelings. Sometimes we believe that we are never going to feel better and lose hope that change can happen. If we have experienced long term distress we might feel that we are broken and unfixable. I can work with you to process painful experiences, help you to connect more with yourself and others to improve your relationships and to get more of what you want from life. I work in a relational way, meaning that we will focus on the relationship between us to understand more about the way you relate to others and yourself.
At times we can feel overwhelmed by life events, relationships or distressing thoughts and feelings. Sometimes we believe that we are never going to feel better and lose hope that change can happen. If we have experienced long term distress we might feel that we are broken and unfixable. I can work with you to process painful experiences, help you to connect more with yourself and others to improve your relationships and to get more of what you want from life. I work in a relational way, meaning that we will focus on the relationship between us to understand more about the way you relate to others and yourself.
01564 335978 View 01564 335978
Photo of Chris Ryder, MBACP, Psychotherapist
Chris Ryder
Psychotherapist, MBACP
Verified Verified
I am a specialist neurodiverse psychotherapist, who has substantial knowledge and experience of working with individuals who have a diagnosis of Autism, Asperger's, ASD, ADHD, EBD, Downs syndrome and a range of other additional special needs.
I am a specialist neurodiverse psychotherapist, who has substantial knowledge and experience of working with individuals who have a diagnosis of Autism, Asperger's, ASD, ADHD, EBD, Downs syndrome and a range of other additional special needs.
0121 816 0327 View 0121 816 0327
Photo of Nicolle Kerremans - South Birmingham Counselling & Psychotherapy, MBACP Accred, Psychotherapist
South Birmingham Counselling & Psychotherapy
Psychotherapist, MBACP Accred
Verified Verified
Hi, and thank you for visiting my profile. Sadness, anxiety, a lack of confidence, difficulty with relationships and many other issues can overwhelm us. Opening up and starting to make sense of thoughts and feelings can be a difficult but very rewarding process. In a confidential and non-judgmental setting I can offer you support exploring any issues you may struggle with. Paying attention to your individual experience and really trying to understand is very important to me. Taking the first step to seeing a therapist can be difficult so feel free to call or email me should you have any questions. Best wishes, Nicolle
Hi, and thank you for visiting my profile. Sadness, anxiety, a lack of confidence, difficulty with relationships and many other issues can overwhelm us. Opening up and starting to make sense of thoughts and feelings can be a difficult but very rewarding process. In a confidential and non-judgmental setting I can offer you support exploring any issues you may struggle with. Paying attention to your individual experience and really trying to understand is very important to me. Taking the first step to seeing a therapist can be difficult so feel free to call or email me should you have any questions. Best wishes, Nicolle
01564 334998 View 01564 334998
Photo of Michelle Riviere, MBACP, Counsellor
Michelle Riviere
Counsellor, MBACP
Verified Verified
Hello, thank you for taking the time to read my profile. My name is Michelle, and I am a registered integrative therapist, I have over 10 years’ experience in building self-esteem and confidence as well as working with children and families with various complexed issues. Are you currently struggling? Feel like life is overwhelming you? maybe you are feeling sad, anxious. Lonely, stuck and need help moving forward from hurt? or have you experienced trauma and need help processing this? Maybe you are in a relationship and have issues with commitment or infidelity and would like couples counselling?
Hello, thank you for taking the time to read my profile. My name is Michelle, and I am a registered integrative therapist, I have over 10 years’ experience in building self-esteem and confidence as well as working with children and families with various complexed issues. Are you currently struggling? Feel like life is overwhelming you? maybe you are feeling sad, anxious. Lonely, stuck and need help moving forward from hurt? or have you experienced trauma and need help processing this? Maybe you are in a relationship and have issues with commitment or infidelity and would like couples counselling?
0121 803 9278 View 0121 803 9278
Photo of Julie Storr - Totam Vitam, BACP, Psychotherapist
Totam Vitam
Psychotherapist, BACP
Verified Verified
Waitlist for new clients
My name is Julie and I love living in the city, the hustle and bustle of life and human connection. I worked in hospitality management for 25 years and understand the pressures of working full time while running a business and a home. I believe that therapy should be an open space for us to come together and work out what is going on and how you can make some changes to make life better.
My name is Julie and I love living in the city, the hustle and bustle of life and human connection. I worked in hospitality management for 25 years and understand the pressures of working full time while running a business and a home. I believe that therapy should be an open space for us to come together and work out what is going on and how you can make some changes to make life better.
0121 827 8994 View 0121 827 8994
Photo of Hope Peckover, MSc, BACP, Counsellor
Hope Peckover
Counsellor, MSc, BACP
Verified Verified
Hi, my name is Hope. I know, a pretty good name for a therapist! I am an Integrative Psychotherapist. My aim and approach in therapy is to help you find your own path to the life you wish to live. We are all uniquely different and have different reactions to life and life events. I can help you work through some things you might find difficult. For example: Anxiety; Depression; Trauma; Relationship Issues. In order to heal and progress, we must first understand our emotions, what they are and where they come from. From here can make decisions to do something different, to break the patterns that no longer serve us in our life.
Hi, my name is Hope. I know, a pretty good name for a therapist! I am an Integrative Psychotherapist. My aim and approach in therapy is to help you find your own path to the life you wish to live. We are all uniquely different and have different reactions to life and life events. I can help you work through some things you might find difficult. For example: Anxiety; Depression; Trauma; Relationship Issues. In order to heal and progress, we must first understand our emotions, what they are and where they come from. From here can make decisions to do something different, to break the patterns that no longer serve us in our life.
0121 752 9182 View 0121 752 9182
Photo of Francesca Mantia-Conaty - Dr Francesca, PsychD, HCPC - Clin. Psych., Psychologist
Dr Francesca
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
I have been working with families, children and adults who have presented with moderate to severe mental health difficulties and emotional distress. I am also interested in trauma and the treatment of self-harm and suicidal behaviours. Over the years, I've supported young people and adults with histories involving early traumas, abuse and neglect. I am qualified in assessing and treating anxiety, depression, personality disorders, eating disorders, attachment disorders and broken relationships.
I have been working with families, children and adults who have presented with moderate to severe mental health difficulties and emotional distress. I am also interested in trauma and the treatment of self-harm and suicidal behaviours. Over the years, I've supported young people and adults with histories involving early traumas, abuse and neglect. I am qualified in assessing and treating anxiety, depression, personality disorders, eating disorders, attachment disorders and broken relationships.
0121 312 1446 View 0121 312 1446
Photo of Jo Mbaeru, MBACP, Counsellor
Jo Mbaeru
Counsellor, MBACP
Verified Verified
I am a BACP-registered integrative counsellor. I have had over 6yrs experience working within the NHS as service desk analyst in a non-clinical role before graduating from Birmingham Newman University with a Bachelor’s Degree (B.A) in counselling studies and currently completing a Master’s Degree (MSc) in integrative counselling. My training cut across several counselling modalities based on PCT as a core approach providing the foundation for therapeutic alliance with my clients. Along this, depending on the client presenting issue, I draw on CBT, Gestalt, mindfulness and psychodynamic modalities in my clinical formulation.
I am a BACP-registered integrative counsellor. I have had over 6yrs experience working within the NHS as service desk analyst in a non-clinical role before graduating from Birmingham Newman University with a Bachelor’s Degree (B.A) in counselling studies and currently completing a Master’s Degree (MSc) in integrative counselling. My training cut across several counselling modalities based on PCT as a core approach providing the foundation for therapeutic alliance with my clients. Along this, depending on the client presenting issue, I draw on CBT, Gestalt, mindfulness and psychodynamic modalities in my clinical formulation.
01564 334662 View 01564 334662
Photo of Helen Marie Gaynor - Helen Gaynor - Sheemore Counselling, MBACP Accred, Counsellor
Helen Gaynor - Sheemore Counselling
Counsellor, MBACP Accred
Verified Verified
Has life thrown something in your path that you are struggling to make sense of? Are you aware that your stress or anxiety levels are heightened and you are confused by these feelings? Then perhaps you need someone to talk to, to help you make sense of the confusion you are feeling and the unexplained emotions that can feel overwhelming and leave you feeling alone. As a qualified person-centred counsellor I can offer an empathic, open, safe environment, enabling you to explore those feelings, allowing you to better understand them and helping you to reconnect with you inner values and sense of self-worth.
Has life thrown something in your path that you are struggling to make sense of? Are you aware that your stress or anxiety levels are heightened and you are confused by these feelings? Then perhaps you need someone to talk to, to help you make sense of the confusion you are feeling and the unexplained emotions that can feel overwhelming and leave you feeling alone. As a qualified person-centred counsellor I can offer an empathic, open, safe environment, enabling you to explore those feelings, allowing you to better understand them and helping you to reconnect with you inner values and sense of self-worth.
0121 285 8197 View 0121 285 8197
Photo of Claire Rhodes, MSc, MUKCP, Psychotherapist
Claire Rhodes
Psychotherapist, MSc, MUKCP
Verified Verified
Hi, my name is Claire and I am a child and adult psychotherapist. Often people don't fully understand why they feel bad and this can lead to confusion and feeling ashamed. The feelings are experienced throughout the whole body and can be so overwhelming that they can lead to panic, depression, anxiety and challenging or self-destructive behaviours. I help clients understand how things are for them right now, validate their challenges and help them see their unique strengths, all within the context of an accepting and compassionate relationship. I use neuro-scientifically informed approaches to help heal
Hi, my name is Claire and I am a child and adult psychotherapist. Often people don't fully understand why they feel bad and this can lead to confusion and feeling ashamed. The feelings are experienced throughout the whole body and can be so overwhelming that they can lead to panic, depression, anxiety and challenging or self-destructive behaviours. I help clients understand how things are for them right now, validate their challenges and help them see their unique strengths, all within the context of an accepting and compassionate relationship. I use neuro-scientifically informed approaches to help heal
01905 975370 View 01905 975370
Photo of Sarah Kennefick, MBACP Accred, Psychotherapist
Sarah Kennefick
Psychotherapist, MBACP Accred
Verified Verified
Hi I'm Sarah and I specialise in working anxiety, depression and trauma. Maybe you are feeling anxious, overwhelmed or exhausted. Maybe you are struggling to cope with a traumatic life event. Or maybe you are generally finding life unmanageable at the moment. At times we can lose our way unintentionally and then find it difficult to get back onto the right path. If this sounds familiar, my therapy approach can help you regain some strength, clarity and balance so that you can feel more calm and back in control of your life.
Hi I'm Sarah and I specialise in working anxiety, depression and trauma. Maybe you are feeling anxious, overwhelmed or exhausted. Maybe you are struggling to cope with a traumatic life event. Or maybe you are generally finding life unmanageable at the moment. At times we can lose our way unintentionally and then find it difficult to get back onto the right path. If this sounds familiar, my therapy approach can help you regain some strength, clarity and balance so that you can feel more calm and back in control of your life.
0121 285 7524 View 0121 285 7524
Photo of Rebecca Jane Honeybourne, MBACP Accred, Counsellor
Rebecca Jane Honeybourne
Counsellor, MBACP Accred
Verified Verified
Are you struggling with life and it's challenges? Maybe you are feeling anxious or depressed or maybe you are finding it difficult to make choices. We all find ourselves facing difficult situations at various times in our lives and sometimes having someone to listen can be all we need. I offer counselling to individuals who wish to explore the difficulties that they face in their lives in a safe, confidential, supportive and non-judgemental environment.
Are you struggling with life and it's challenges? Maybe you are feeling anxious or depressed or maybe you are finding it difficult to make choices. We all find ourselves facing difficult situations at various times in our lives and sometimes having someone to listen can be all we need. I offer counselling to individuals who wish to explore the difficulties that they face in their lives in a safe, confidential, supportive and non-judgemental environment.
0121 728 6514 View 0121 728 6514
Photo of Suki Yip, MBACP Accred, Counsellor
Suki Yip
Counsellor, MBACP Accred
Verified Verified
Hello my name is Suki and welcome to my page. I am an accredited member of the BACP and adhere to their ethical framework. I offer a safe, confidential and non-judgmental counselling service dedicated to helping those who are experiencing challenging and difficult times in their lives. I will create a safe space to explore whatever it is that's concerning you and help you to cope and resolve whatever is causing you distress. My aim is to help you feel valued and heard as I believe all feelings are valid and important to you. I believe there is a solution to every problem and together we can work on finding a positive way forward.
Hello my name is Suki and welcome to my page. I am an accredited member of the BACP and adhere to their ethical framework. I offer a safe, confidential and non-judgmental counselling service dedicated to helping those who are experiencing challenging and difficult times in their lives. I will create a safe space to explore whatever it is that's concerning you and help you to cope and resolve whatever is causing you distress. My aim is to help you feel valued and heard as I believe all feelings are valid and important to you. I believe there is a solution to every problem and together we can work on finding a positive way forward.
0121 728 2220 View 0121 728 2220
Photo of Abi Jordan, MSc, MUKCP, Psychotherapist
Abi Jordan
Psychotherapist, MSc, MUKCP
Verified Verified
No question is too big or small to bring to therapy. Perhaps you have a sense that something in your life isn’t feeling quite right and would like to make sense of this, or perhaps you are struggling with issues within relationships with loved ones and would like for these to improve. It may be that you have been struggling with low mood, depression or anxiety and have taken the first step of seeking support. As a Systemic Psychotherapist, I work with Families, Couples and Individuals. I work in a way which is collaborative, recognising and drawing upon people’s strengths.
No question is too big or small to bring to therapy. Perhaps you have a sense that something in your life isn’t feeling quite right and would like to make sense of this, or perhaps you are struggling with issues within relationships with loved ones and would like for these to improve. It may be that you have been struggling with low mood, depression or anxiety and have taken the first step of seeking support. As a Systemic Psychotherapist, I work with Families, Couples and Individuals. I work in a way which is collaborative, recognising and drawing upon people’s strengths.
0121 803 9868 View 0121 803 9868
Photo of Jeraline George - Accredited Couples Psychotherapist, MBACP Accred, Psychotherapist
Jeraline George - Accredited Couples Psychotherapist
Psychotherapist, MBACP Accred
Verified Verified
I understand that having communication issues or not trusting your partner can be really difficult. You may not want to end the relationship for various reasons, and that's okay. I offer a safe and confidential space where you and your partner can have open and challenging conversations about how to move forward in your relationship. I'm here to support you with strategies, new ways of thinking, and impartiality so you can learn how to relate to each other more healthily. I used to work as a Relationship Psychotherapist on Harley Street, and now, I'm providing my services in Moseley and Kings Heath.
I understand that having communication issues or not trusting your partner can be really difficult. You may not want to end the relationship for various reasons, and that's okay. I offer a safe and confidential space where you and your partner can have open and challenging conversations about how to move forward in your relationship. I'm here to support you with strategies, new ways of thinking, and impartiality so you can learn how to relate to each other more healthily. I used to work as a Relationship Psychotherapist on Harley Street, and now, I'm providing my services in Moseley and Kings Heath.
View
Photo of Anna Duncan, MSc, MBACP, Psychotherapist
Anna Duncan
Psychotherapist, MSc, MBACP
Verified Verified
Are you finding life challenging or feeling overwhelmed? Maybe you’re experiencing sadness, anxiety, loneliness, or feeling stuck. You are not alone and choosing the right therapist is a crucial step in your journey. I hope reading a little about me will help you in this process. I create a safe and supportive environment to help you explore how you make sense of the world and experiment with new ways of thinking and being. We will work to understand the patterns that have shaped your life and together explore ways to help you live more fully. I believe in empowering you and meeting you exactly where you are in your journey.
Are you finding life challenging or feeling overwhelmed? Maybe you’re experiencing sadness, anxiety, loneliness, or feeling stuck. You are not alone and choosing the right therapist is a crucial step in your journey. I hope reading a little about me will help you in this process. I create a safe and supportive environment to help you explore how you make sense of the world and experiment with new ways of thinking and being. We will work to understand the patterns that have shaped your life and together explore ways to help you live more fully. I believe in empowering you and meeting you exactly where you are in your journey.
View
Photo of Andrew Abernethy, BACP, Counsellor
Andrew Abernethy
Counsellor, BACP
Verified Verified
Hello, my name is Andrew and I have counselled many people from various walks of lives including those on the autism spectrum. You may be feeling low in mood , motivation and feelings of what's the point. Relationship struggles with a partner, manager or family member can be debilitating and can lower our self-esteem and boundaries. You might be at a crossroads in your life where you need somebody to help reinforce that gut instinct that you have in your stomach. Having someone to listen to you and appreciate what you're going through can be life changing when you have nobody else to talk to. I have over 6000 hours experience.
Hello, my name is Andrew and I have counselled many people from various walks of lives including those on the autism spectrum. You may be feeling low in mood , motivation and feelings of what's the point. Relationship struggles with a partner, manager or family member can be debilitating and can lower our self-esteem and boundaries. You might be at a crossroads in your life where you need somebody to help reinforce that gut instinct that you have in your stomach. Having someone to listen to you and appreciate what you're going through can be life changing when you have nobody else to talk to. I have over 6000 hours experience.
01926 357134 View 01926 357134
Photo of Fiona Mariza Lenton, MBACP Accred, Counsellor
Fiona Mariza Lenton
Counsellor, MBACP Accred
Verified Verified
Hi, and welcome to my page. I have been counselling for 15 years, seeing a variety of clients from many walks of life. I offer a compassionate and safe space for you to work in. We would collaborate to bring you to a place of resolution or acceptance to the issues you are struggling with. It can be hard to know which counsellor to choose; I would say I have a kind but realistic approach that has been a source of comfort to both my short and long term clients. I look forward to hearing from you and staying with you on your journey towards wellness.
Hi, and welcome to my page. I have been counselling for 15 years, seeing a variety of clients from many walks of life. I offer a compassionate and safe space for you to work in. We would collaborate to bring you to a place of resolution or acceptance to the issues you are struggling with. It can be hard to know which counsellor to choose; I would say I have a kind but realistic approach that has been a source of comfort to both my short and long term clients. I look forward to hearing from you and staying with you on your journey towards wellness.
0121 661 3680 View 0121 661 3680
1

See more therapy options for B13

How does your Counsellor compare?

Number of Counsellors in B13

50+

Average cost per session

£60

Counsellors in B13 who prioritize treating:

90% Anxiety
88% Self Esteem
88% Stress
83% Depression
71% Relationship Issues
62% Bereavement
62% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

90% Aviva
80% AXA PPP
50% Bupa

How Counsellors in B13 see their clients

89% In Person and Online
11% Online Only

Gender breakdown

82% Female
16% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in B13?

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.