Photo of Gavin Crisp, Psychotherapist, MBABCP
Gavin Crisp
Psychotherapist, MBABCP
Verified Verified
Hi, I’m Gav and I’m an accredited Psychological Therapist based in Birmingham. I have 15 years of experience supporting & empowering people to improve their mental health and transform their lives. Ultimately my passion and drive is to support people to rediscover happiness, connection and fulfilment and I can support you to achieve this by a tailored approach to meet your individual needs. I work on the premise of self-development and growth, utilising a combination of evidence-based therapies and tools to help you move forward, feel confident and succeed in every area of your life.
Hi, I’m Gav and I’m an accredited Psychological Therapist based in Birmingham. I have 15 years of experience supporting & empowering people to improve their mental health and transform their lives. Ultimately my passion and drive is to support people to rediscover happiness, connection and fulfilment and I can support you to achieve this by a tailored approach to meet your individual needs. I work on the premise of self-development and growth, utilising a combination of evidence-based therapies and tools to help you move forward, feel confident and succeed in every area of your life.
0121 227 9899 View 0121 227 9899
Photo of Theresa Dubicka-Keen, Counsellor, MBACP
Theresa Dubicka-Keen
Counsellor, MBACP
Verified Verified
Providing psychotherapy is my passion and I cover a wide range of issues namely- All Abuse, ADD / ADHD, Addictions, AIDS/HIV, Anger management, Anxiety, Asperger syndrome, Bereavement, Cancer, Child related issues, Chronic fatigue syndrome / ME, Cultural issues, Depression, Disability, Eating disorders, Health related issues, Identity issues, Infertility, Loss, Men's issues, Obsessions, OCD, Phobias, Post-traumatic stress, Pregnancy related issues, Redundancy, Relationships, Self esteem, Self-harm, Sex-related issues, Sexual identity, Sexuality, Spirituality, Stress, Trauma, Women's issues, Work related issues.
Providing psychotherapy is my passion and I cover a wide range of issues namely- All Abuse, ADD / ADHD, Addictions, AIDS/HIV, Anger management, Anxiety, Asperger syndrome, Bereavement, Cancer, Child related issues, Chronic fatigue syndrome / ME, Cultural issues, Depression, Disability, Eating disorders, Health related issues, Identity issues, Infertility, Loss, Men's issues, Obsessions, OCD, Phobias, Post-traumatic stress, Pregnancy related issues, Redundancy, Relationships, Self esteem, Self-harm, Sex-related issues, Sexual identity, Sexuality, Spirituality, Stress, Trauma, Women's issues, Work related issues.
01827 214705 View 01827 214705
Photo of jordan Pinnock - Jordan Pinnock Consultancy, Psychotherapist, MBABCP
Jordan Pinnock Consultancy
Psychotherapist, MBABCP
Verified Verified
3 Endorsed
Online Only
I am an accredited therapist with advanced training in occupational therapy and CBT. I specialise in treating anxiety, PTSD, phobias, trauma. In addition I offer assessment and post diagnostic support for neurodiversity (ADHD, Autism). Using evidence-based methods, I help individuals, couples, and families build resilience, find clarity, and regain control. My approach is supportive yet results-focused, offering practical strategies for lasting change. If you’re ready to find more clarity and take meaningful steps forward, I invite you to book an appointment and begin your path toward today.
I am an accredited therapist with advanced training in occupational therapy and CBT. I specialise in treating anxiety, PTSD, phobias, trauma. In addition I offer assessment and post diagnostic support for neurodiversity (ADHD, Autism). Using evidence-based methods, I help individuals, couples, and families build resilience, find clarity, and regain control. My approach is supportive yet results-focused, offering practical strategies for lasting change. If you’re ready to find more clarity and take meaningful steps forward, I invite you to book an appointment and begin your path toward today.
0121 809 5552 View 0121 809 5552
Photo of Yvette Brook, Psychotherapist, MBACP
Yvette Brook
Psychotherapist, MBACP
Verified Verified
Hi, I’m Yvette, a qualified Psychotherapist who works, 1 to 1, with adults. I offer an honest and respectful relationship, in which I hold no preconceptions or expectations of you. Through talking and exploring together, I can support you to find new ways of thinking, feeling, and understanding yourself, which will help you to manage the challenges in your life. Before training to be a Psychotherapist, I worked as a Midwife for the NHS. I then raised my family alongside volunteering in a range of support roles.
Hi, I’m Yvette, a qualified Psychotherapist who works, 1 to 1, with adults. I offer an honest and respectful relationship, in which I hold no preconceptions or expectations of you. Through talking and exploring together, I can support you to find new ways of thinking, feeling, and understanding yourself, which will help you to manage the challenges in your life. Before training to be a Psychotherapist, I worked as a Midwife for the NHS. I then raised my family alongside volunteering in a range of support roles.
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Photo of Dr Becky Cooper, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Becky Cooper
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
You might have been experiencing some dark days with your mental health, but I believe things can get better for you. Accessing help is an important first step to bringing about change. I believe every person who seeks help is courageous and deserves support to get their emotional and psychological needs met.
You might have been experiencing some dark days with your mental health, but I believe things can get better for you. Accessing help is an important first step to bringing about change. I believe every person who seeks help is courageous and deserves support to get their emotional and psychological needs met.
0121 817 7119 View 0121 817 7119
Photo of Mark Hill - Keep Afloat Therapies, Psychotherapist, MSc, MBACP
Keep Afloat Therapies
Psychotherapist, MSc, MBACP
Verified Verified
Online Only
My name is Mark and I am a registered member of the BACP who uses an approach that incorporates CBT (Cognitive Behavioural Therapy), Person Centred Therapy and Attachment Theory. I have a warm and empathic manner that puts you at the centre of your journey. I work with clients regardless of gender but in particular I have an ongoing and deep concern in regards to men's mental health, so if you are a man reading this, know that I stand shoulder to shoulder with you and be assured this is an action of strength. Whoever you are, know that I walk with you on this path of discovery helping you to see where your next step will land.
My name is Mark and I am a registered member of the BACP who uses an approach that incorporates CBT (Cognitive Behavioural Therapy), Person Centred Therapy and Attachment Theory. I have a warm and empathic manner that puts you at the centre of your journey. I work with clients regardless of gender but in particular I have an ongoing and deep concern in regards to men's mental health, so if you are a man reading this, know that I stand shoulder to shoulder with you and be assured this is an action of strength. Whoever you are, know that I walk with you on this path of discovery helping you to see where your next step will land.
01283 907094 View 01283 907094
Photo of Rehanna Kauser - Phinity Therapy, Psychotherapist, MBACP Accred
Phinity Therapy
Psychotherapist, MBACP Accred
Verified Verified
We will facilitate open and honest dialogue, so we may explore your concerns, anxieties, pain, trauma, or sadness, and uncover issues you might normally avoid because they feel threatening. This safe confrontation will allow you to learn how to process your challenges in a helpful way which is incredibly powerful, changing how you relate to yourself, others, and your world, thereby offering movement toward healing, growth, and.....joy.
We will facilitate open and honest dialogue, so we may explore your concerns, anxieties, pain, trauma, or sadness, and uncover issues you might normally avoid because they feel threatening. This safe confrontation will allow you to learn how to process your challenges in a helpful way which is incredibly powerful, changing how you relate to yourself, others, and your world, thereby offering movement toward healing, growth, and.....joy.
0121 661 2844 View 0121 661 2844
Photo of Raj Bassi, Psychotherapist, MBABCP
Raj Bassi
Psychotherapist, MBABCP
Verified Verified
I am an accredited Cognitive Behavioural Therapist (CBT) and have completed a degree in Psychology and primarily practice cognitive behavioural therapy (CBT). I have over ten years experience of working within a range of NHS mental health services in London and the West Midlands in treating depression, anxiety disorders and trauma in adults and children by way of delivering effective treatment and providing evidence-based procedures.
I am an accredited Cognitive Behavioural Therapist (CBT) and have completed a degree in Psychology and primarily practice cognitive behavioural therapy (CBT). I have over ten years experience of working within a range of NHS mental health services in London and the West Midlands in treating depression, anxiety disorders and trauma in adults and children by way of delivering effective treatment and providing evidence-based procedures.
0121 809 6158 View 0121 809 6158
Photo of Cathleen Patricia Sullivan - Cathleen Sullivan Counselling, Psychotherapist, MSc, MBACP Accred
Cathleen Sullivan Counselling
Psychotherapist, MSc, MBACP Accred
Verified Verified
Serves Area
People come to me because they identify a need for change but may not know how to achieve it, resulting in unhappiness or unease. Following assessment, we work collaboratively to achieve their desired outcome. Problems experienced could be difficulties across the lifespan requiring an open ended approach beginning with an exploration of early life, or perhaps a current situation that requires a short-term working agreement to alleviate distress. With a flexible, creative and integrative approach, together we work to make sense of and heal the root causes of pain creating life-limiting barriers.
People come to me because they identify a need for change but may not know how to achieve it, resulting in unhappiness or unease. Following assessment, we work collaboratively to achieve their desired outcome. Problems experienced could be difficulties across the lifespan requiring an open ended approach beginning with an exploration of early life, or perhaps a current situation that requires a short-term working agreement to alleviate distress. With a flexible, creative and integrative approach, together we work to make sense of and heal the root causes of pain creating life-limiting barriers.
01675 620474 View 01675 620474
Photo of Dr David King, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr David King
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Serves Area
Are you tired of being held back by the weight of your past? It's time to take control and rewrite your story. You are reading this as you know there is more potential inside of you. As a seasoned psychologist with over a decade of experience, specialising in anxiety and trauma, I am here to provide the tools and support you need to overcome obstacles.
Are you tired of being held back by the weight of your past? It's time to take control and rewrite your story. You are reading this as you know there is more potential inside of you. As a seasoned psychologist with over a decade of experience, specialising in anxiety and trauma, I am here to provide the tools and support you need to overcome obstacles.
0121 752 2895 View 0121 752 2895
Photo of Lisa Bostock-Shelley, Counsellor, MBACP Accred
Lisa Bostock-Shelley
Counsellor, MBACP Accred
Verified Verified
Serves Area
I offer a confidential, warm and supportive environment, so that you may feel comfortable enough to explore what has brought you to counselling. Together we work, at your pace, with what is informing your emotions and responses so that awareness, understanding and change may happen. Conflict within ourselves or in a relationship with others can leave us with a lack of clarity, feeling confused, sometimes anxious and depressed. Loss can leave us overwhelmed. Working with our past and present experiences can enable us to live our life in an authentic and fulfilling way, one which is right for us and a new way of being can be found.
I offer a confidential, warm and supportive environment, so that you may feel comfortable enough to explore what has brought you to counselling. Together we work, at your pace, with what is informing your emotions and responses so that awareness, understanding and change may happen. Conflict within ourselves or in a relationship with others can leave us with a lack of clarity, feeling confused, sometimes anxious and depressed. Loss can leave us overwhelmed. Working with our past and present experiences can enable us to live our life in an authentic and fulfilling way, one which is right for us and a new way of being can be found.
0121 752 9155 View 0121 752 9155
Photo of Sophie Rose, Counsellor, MBACP
Sophie Rose
Counsellor, MBACP
Verified Verified
8 Endorsed
Serves Area
Life brings all sorts of challenges and some can be much harder to overcome than others. Most adults can remember a time when they were dealing with a situation so tough that everyday living became more challenging than usual. For children and young people, who have not had time to develop their own coping strategies, such situations are even more difficult to cope with. Many children who are having a difficult time do not know what it is that they are feeling and cannot put it into words. Counselling for children and young people might be slightly different to the traditional idea of therapy you may have in mind.
Life brings all sorts of challenges and some can be much harder to overcome than others. Most adults can remember a time when they were dealing with a situation so tough that everyday living became more challenging than usual. For children and young people, who have not had time to develop their own coping strategies, such situations are even more difficult to cope with. Many children who are having a difficult time do not know what it is that they are feeling and cannot put it into words. Counselling for children and young people might be slightly different to the traditional idea of therapy you may have in mind.
01564 335981 View 01564 335981
Photo of Duncan Quinney, Counsellor, MBACP Accred
Duncan Quinney
Counsellor, MBACP Accred
Verified Verified
Serves Area
I specialise in helping people with Anxiety, Low mood and Depression, Trauma and PTSD, Stress and Relationship issues and provide Counselling, Psychotherapy, EMDR and Cognitive Behavioural therapy (CBT). I have been accredited by the British Association for Counselling and Psychotherapy (BACP) since 2009 and have been a counsellor since 2006. I am fully qualified with a First Class Honours Degree from Derby University in Cognitive Behavioural Therapy and have a Diploma in Counselling.
I specialise in helping people with Anxiety, Low mood and Depression, Trauma and PTSD, Stress and Relationship issues and provide Counselling, Psychotherapy, EMDR and Cognitive Behavioural therapy (CBT). I have been accredited by the British Association for Counselling and Psychotherapy (BACP) since 2009 and have been a counsellor since 2006. I am fully qualified with a First Class Honours Degree from Derby University in Cognitive Behavioural Therapy and have a Diploma in Counselling.
0121 817 7120 View 0121 817 7120
Photo of Laura Glover, Psychotherapist, MBABCP
Laura Glover
Psychotherapist, MBABCP
Verified Verified
2 Endorsed
Online Only
Happy Headspace provides a safe and confidential environment to work through your difficulties. Whether you are struggling with Anxiety, Depression, OCD, PTSD or health anxiety we are here to help. We have a quick easy booking system via our website that allows you to book your free consultation www.happyheadspace.co.uk. We aim to ensure that you receive speedy responses and each session will be tailored around your difficulties.
Happy Headspace provides a safe and confidential environment to work through your difficulties. Whether you are struggling with Anxiety, Depression, OCD, PTSD or health anxiety we are here to help. We have a quick easy booking system via our website that allows you to book your free consultation www.happyheadspace.co.uk. We aim to ensure that you receive speedy responses and each session will be tailored around your difficulties.
01922 927011 View 01922 927011
Photo of Parveen Kaur, Psychotherapist, MSc, MBABCP
Parveen Kaur
Psychotherapist, MSc, MBABCP
Verified Verified
Serves Area
I am a fully accredited and qualified psychotherapist and counsellor, working in both the private and public sector. I have over 14 years of experience working in mental health NHS services and can support people experiencing low mood, depression, generalised anxiety, phobias, PTSD, relationship difficulties, anger, loss, bereavement, trauma, bulimia nervosa, anorexia nervosa, binge eating disorder, OCD, identity and cultural issues. I am able to offer integrative psychotherapy, cognitive behavioural therapy, EMDR or person centred counselling to help people move forward in their lives when they feel stuck or distressed.
I am a fully accredited and qualified psychotherapist and counsellor, working in both the private and public sector. I have over 14 years of experience working in mental health NHS services and can support people experiencing low mood, depression, generalised anxiety, phobias, PTSD, relationship difficulties, anger, loss, bereavement, trauma, bulimia nervosa, anorexia nervosa, binge eating disorder, OCD, identity and cultural issues. I am able to offer integrative psychotherapy, cognitive behavioural therapy, EMDR or person centred counselling to help people move forward in their lives when they feel stuck or distressed.
0121 752 9130 View 0121 752 9130
Photo of Alison Burgess, Counsellor, MBACP
Alison Burgess
Counsellor, MBACP
Verified Verified
1 Endorsed
Serves Area
Life's changes can be overwhelming, leaving you feeling anxious, depressed, stressed or lacking confidence. The overwhelm comes from all sorts of situations: bereavement; redundancy; health issues and age related challenges to name but a few. I offer you a safe space to unpack your thoughts and face your fears and concerns. Together we will explore the challenges you are experiencing, enabling you to understand and adapt your response to them. Then through our work, you will identify the skills and abilities you possess to continue your life journey in your changed world.
Life's changes can be overwhelming, leaving you feeling anxious, depressed, stressed or lacking confidence. The overwhelm comes from all sorts of situations: bereavement; redundancy; health issues and age related challenges to name but a few. I offer you a safe space to unpack your thoughts and face your fears and concerns. Together we will explore the challenges you are experiencing, enabling you to understand and adapt your response to them. Then through our work, you will identify the skills and abilities you possess to continue your life journey in your changed world.
0121 312 1557 View 0121 312 1557
Photo of Verity Tate, Counsellor, BACP
Verity Tate
Counsellor, BACP
Verified Verified
Serves Area
I offer affordable professional support. I have experience of many different issues but specialise in anxiety, trauma, relationship issues, ADHD and Autism. I work by creating a calm and supportive environment in which you feel safe to explore difficult emotions. Using my expertise we will build on strengths, challenge unhelpful negative thinking, identify supportive practices and navigate towards a future that is lighter and brighter.
I offer affordable professional support. I have experience of many different issues but specialise in anxiety, trauma, relationship issues, ADHD and Autism. I work by creating a calm and supportive environment in which you feel safe to explore difficult emotions. Using my expertise we will build on strengths, challenge unhelpful negative thinking, identify supportive practices and navigate towards a future that is lighter and brighter.
01283 372666 View 01283 372666
Photo of Iaysha Nagar, Psychotherapist, MBABCP
Iaysha Nagar
Psychotherapist, MBABCP
Verified Verified
Online Only
My friends would describe me as warm, bubbly, and compassionate. I’m always happy to make time for others because I know how important it is to feel heard and supported. I understand that attending therapy and seeking help can feel nerve-wracking, and I want you to know that you're not alone in this journey. Having grown up in a culture where mental health wasn’t openly discussed, I’m passionate about breaking the stigma and encouraging open, judgment-free conversations. As a new parent myself, I also understand how challenging big life changes can be, and I truly empathise with the importance of prioritising mental wellbeing.
My friends would describe me as warm, bubbly, and compassionate. I’m always happy to make time for others because I know how important it is to feel heard and supported. I understand that attending therapy and seeking help can feel nerve-wracking, and I want you to know that you're not alone in this journey. Having grown up in a culture where mental health wasn’t openly discussed, I’m passionate about breaking the stigma and encouraging open, judgment-free conversations. As a new parent myself, I also understand how challenging big life changes can be, and I truly empathise with the importance of prioritising mental wellbeing.
0121 816 0658 View 0121 816 0658

More Therapists Nearby

Photo of Aisha Tasneem, Counsellor, BACP
Aisha Tasneem
Counsellor, BACP
Verified Verified
1 Endorsed
Online Only
The path of counselling can be one of the first steps towards self awareness, change and growth. It takes courage and hard work to explore oneself, one's patterns of thoughts and behaviour and its impact on ourselves and those around us. I believe that given the right environment, everyone has the ability to reach their full potential. Growth may sometimes come in the form of building inner strength, changed perspective or even embracing change and moving out of one's comfort zone.
The path of counselling can be one of the first steps towards self awareness, change and growth. It takes courage and hard work to explore oneself, one's patterns of thoughts and behaviour and its impact on ourselves and those around us. I believe that given the right environment, everyone has the ability to reach their full potential. Growth may sometimes come in the form of building inner strength, changed perspective or even embracing change and moving out of one's comfort zone.
020 4572 3088 View 020 4572 3088
Photo of Ayishah Joanna Świecińska, Psychotherapist, MSc, PNCPS Acc.
Ayishah Joanna Świecińska
Psychotherapist, MSc, PNCPS Acc.
Verified Verified
Online Only
Are you a Muslim seeking a therapist who truly understands your faith and the unique challenges you face? As a qualified psychotherapist and expert in Islamic psychology, I offer personalized, spiritually grounded counselling that integrates Islamic principles with modern therapeutic techniques. Whether you're navigating emotional struggles, seeking spiritual growth, or facing life transitions, I provide a compassionate and non-judgmental space where you can reconnect with your faith and find lasting healing.
Are you a Muslim seeking a therapist who truly understands your faith and the unique challenges you face? As a qualified psychotherapist and expert in Islamic psychology, I offer personalized, spiritually grounded counselling that integrates Islamic principles with modern therapeutic techniques. Whether you're navigating emotional struggles, seeking spiritual growth, or facing life transitions, I provide a compassionate and non-judgmental space where you can reconnect with your faith and find lasting healing.
01675 621405 View 01675 621405

See more therapy options for B75

How does your Counsellor compare?

Number of Counsellors in B75

10+

Average cost per session

£62

Counsellors in B75 who prioritize treating:

100% Anxiety
100% Self Esteem
94% Stress
89% Depression
83% Trauma and PTSD
83% Coping Skills
78% Relationship Issues

Average years in practice

11 Years

Top 3 insurances accepted

80% Aviva
80% AXA PPP
70% Bupa

How Counsellors in B75 see their clients

78% In Person and Online
22% Online Only

Gender breakdown

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

How can I find a therapist in B75?

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.