Counselling in Birmingham

View neighbourhoods in Birmingham
Photo of Suresh Purushothaman in Birmingham, England
Suresh Purushothaman
Verified Verified
Birmingham B31  (Online Only)
Positive Psychology Life Coach: My name is Suresh, I live in Birmingham and I am a qualified positive psychology practitioner. As an online coach, I help people who feel lost in today's complex world find their way through. You may be experiencing stress, depression, and confusion that are making your everyday life difficult. Through a better understanding of your feelings and emotions, I can help you move toward a richer, more fulfilling and meaningful life. In addition to being the author of my little book "Being in oneness" for a happier and meaningful life. Over 700 of my paperback books have been distributed worldwide for free.
Positive Psychology Life Coach: My name is Suresh, I live in Birmingham and I am a qualified positive psychology practitioner. As an online coach, I help people who feel lost in today's complex world find their way through. You may be experiencing stress, depression, and confusion that are making your everyday life difficult. Through a better understanding of your feelings and emotions, I can help you move toward a richer, more fulfilling and meaningful life. In addition to being the author of my little book "Being in oneness" for a happier and meaningful life. Over 700 of my paperback books have been distributed worldwide for free.
0121 796 2467 View 0121 796 2467
Photo of Michelle Riviere, Counsellor in Birmingham, England
Michelle Riviere
Counsellor, MBACP
Verified Verified
Birmingham B13
Hello, thank you for taking the time to read my profile. My name is Michelle, and I am a registered integrative counsellor, I have over 10 years’ experience in building self-esteem and confidence as well as working with children and families. Are you currently struggling? Or feel like life is overwhelming you? If you are feeling sad, anxious. Lonely, stuck or need help moving forward from hurt or have experienced trauma? 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 counsellor, I have over 10 years’ experience in building self-esteem and confidence as well as working with children and families. Are you currently struggling? Or feel like life is overwhelming you? If you are feeling sad, anxious. Lonely, stuck or need help moving forward from hurt or have experienced trauma? 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 Mandy Ross, Counsellor in Birmingham, England
Mandy Ross
Counsellor, BACP
Verified Verified
Birmingham B9
Are you feeling confused, stuck, in low spirits, struggling with choices? Perhaps you’re finding it difficult to manage your feelings or feel you could be living more fully. We all face challenging times in our lives when it can be hard to find our way. I offer professional, confidential counselling with warmth, understanding, sensitivity and respect for people of diverse identities and backgrounds. I aim to work with you in a safe, supportive way, without judgement, to build a trusting relationship, and explore the difficulties you face.
Are you feeling confused, stuck, in low spirits, struggling with choices? Perhaps you’re finding it difficult to manage your feelings or feel you could be living more fully. We all face challenging times in our lives when it can be hard to find our way. I offer professional, confidential counselling with warmth, understanding, sensitivity and respect for people of diverse identities and backgrounds. I aim to work with you in a safe, supportive way, without judgement, to build a trusting relationship, and explore the difficulties you face.
0121 817 2885 View 0121 817 2885
Photo of Alice Jarvis, Psychotherapist in Birmingham, England
Alice Jarvis
Psychotherapist, MSc, MUKCP
Verified Verified
Birmingham B12
I’m here to support people in their time of need. Whether you’re struggling with your mental health, your emotions, or your relationships, I can provide a space for you to talk. I work with a wide range of issues as I see everyone as a whole person, more than just a diagnosis or label. I believe in the power of therapy for change and growth, and look forward to the opportunity to be a part of that with others.
I’m here to support people in their time of need. Whether you’re struggling with your mental health, your emotions, or your relationships, I can provide a space for you to talk. I work with a wide range of issues as I see everyone as a whole person, more than just a diagnosis or label. I believe in the power of therapy for change and growth, and look forward to the opportunity to be a part of that with others.
0121 661 2649 View 0121 661 2649
Photo of Mark Sisterson, Counsellor in Birmingham, England
Mark Sisterson
Counsellor, COSRT General
Verified Verified
Birmingham B43  (Online Only)
Facing challenges in your sex life or relationship? Finding life difficult and feeling it could be better? Wanting to explore your identity? Hoping to heal from trauma? If the answer to any of these questions is yes, then I may be able to help. I am a fully qualified psychosexual and relationships therapist and counsellor offering support to individuals, couples and other relationships. I approach therapy from a number of different therapeutic approaches, working with you directly to understand your goals and tailoring the therapy to your specific needs.
Facing challenges in your sex life or relationship? Finding life difficult and feeling it could be better? Wanting to explore your identity? Hoping to heal from trauma? If the answer to any of these questions is yes, then I may be able to help. I am a fully qualified psychosexual and relationships therapist and counsellor offering support to individuals, couples and other relationships. I approach therapy from a number of different therapeutic approaches, working with you directly to understand your goals and tailoring the therapy to your specific needs.
0121 227 7905 View 0121 227 7905
Photo of Shazia Qayum, Counsellor in Birmingham, England
Shazia Qayum
Counsellor, MBACP
Verified Verified
Birmingham B15
Hello and welcome to Chen Counselling. Chen means peace in Urdu. I strive to support my clients in bringing peace to their life, with whatever they bring to counselling. I can understand that reaching out for help can be a very difficult task if you are overwhelmed with life issues. However, help is available in the form of counselling. I collaborate with my clients to help them gain awareness of their issues and relieve the distress they may be in. If needed, I psychoeducate my clients on mental health and well being and the link between unhelpful thinking, emotions and behaviours that may be having a negative impact on them.
Hello and welcome to Chen Counselling. Chen means peace in Urdu. I strive to support my clients in bringing peace to their life, with whatever they bring to counselling. I can understand that reaching out for help can be a very difficult task if you are overwhelmed with life issues. However, help is available in the form of counselling. I collaborate with my clients to help them gain awareness of their issues and relieve the distress they may be in. If needed, I psychoeducate my clients on mental health and well being and the link between unhelpful thinking, emotions and behaviours that may be having a negative impact on them.
01564 334899 View 01564 334899
Photo of Dr Kavita Bhalla, Psychologist in Birmingham, England
Dr Kavita Bhalla
Psychologist, PsychD, HCPC - Health Psych.
Verified Verified
Birmingham B18
Hello, and a warm welcome. I am a HCPC registered Health Psychologist with over 10 years of experience of working in physical and mental health settings. I currently work within the NHS as a Health Psychologist offering psychological therapy and in private practice. I specialise in the assessment and treatment of adults with a range of physical (long term health condition), psychological and emotional difficulties including (e.g anxiety, depression, confidence/self esteem issues).
Hello, and a warm welcome. I am a HCPC registered Health Psychologist with over 10 years of experience of working in physical and mental health settings. I currently work within the NHS as a Health Psychologist offering psychological therapy and in private practice. I specialise in the assessment and treatment of adults with a range of physical (long term health condition), psychological and emotional difficulties including (e.g anxiety, depression, confidence/self esteem issues).
0121 227 5407 View 0121 227 5407
Photo of Inner Healing Psychotherapy Clinic, Psychotherapist in Birmingham, England
Inner Healing Psychotherapy Clinic
Psychotherapist, MSc, MUKCP
Verified Verified
Birmingham B18
If you are experiencing a difficult time in your life, or have experienced a form of trauma in the past, Inner Healing Psychotherapy Clinic is here to help you regain your life. I believe every individual has the right to live a happy and fulfilling life - so if anxieties, worries, or unresolved issues are holding you back, I can offer a warm, safe and non-judgmental space for you to begin to unpick your difficulties and live the life you deserve and want.
If you are experiencing a difficult time in your life, or have experienced a form of trauma in the past, Inner Healing Psychotherapy Clinic is here to help you regain your life. I believe every individual has the right to live a happy and fulfilling life - so if anxieties, worries, or unresolved issues are holding you back, I can offer a warm, safe and non-judgmental space for you to begin to unpick your difficulties and live the life you deserve and want.
0121 817 7136 View 0121 817 7136
Photo of Julia Shute, Psychologist in Birmingham, England
Julia Shute
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Birmingham B45
I'm an HCPC-registered Clinical Psychologist working with adult clients who want to gain more out of their life and relationships, and overcome problematic thoughts, feelings and behaviours that hold them back. I specialise in treating anxiety/panic attacks, depression/self-esteem, relationship/attachment issues, trauma/abuse as child or adult, domestic abuse, loss/bereavement, disability/health conditions. Together with each client I develop a shared understanding of problems and the aims that are important to the person. I offer tailored therapy to reduce distressing problems, overcome unhelpful patterns and improve wellbeing.
I'm an HCPC-registered Clinical Psychologist working with adult clients who want to gain more out of their life and relationships, and overcome problematic thoughts, feelings and behaviours that hold them back. I specialise in treating anxiety/panic attacks, depression/self-esteem, relationship/attachment issues, trauma/abuse as child or adult, domestic abuse, loss/bereavement, disability/health conditions. Together with each client I develop a shared understanding of problems and the aims that are important to the person. I offer tailored therapy to reduce distressing problems, overcome unhelpful patterns and improve wellbeing.
0121 817 7145 View 0121 817 7145
Photo of Waqar Azam, Psychotherapist in Birmingham, England
Waqar Waqar Azam
Psychotherapist, MSc, MUKCP
Verified Verified
Birmingham B28
If you’ve found yourself here searching for a therapist, then I can imagine that you are going through some tough times at the moment. Life can be difficult, and things can get all too much at times. Whether its emotional distress, depression, anxiety or feeling dissatisfied and empty if your life, we all go through these hardships and sometimes need some help to navigate through and overcome these times.
If you’ve found yourself here searching for a therapist, then I can imagine that you are going through some tough times at the moment. Life can be difficult, and things can get all too much at times. Whether its emotional distress, depression, anxiety or feeling dissatisfied and empty if your life, we all go through these hardships and sometimes need some help to navigate through and overcome these times.
0121 726 8224 View 0121 726 8224
Dr Soraya Michelle De Boni
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Birmingham B27
Do you feel stuck, lost and alone in life? Do you feel overwhelmed by your problems and struggle to understand why you feel so unhappy and unfulfilled? Do you worry about letting people get emotionally close to you and so tend to distance yourself from others? Yet then feel isolated and deeply unhappy? Have you always felt different or as though there was something wrong with you? Do you have a longing to understand yourself and feel an emotional connection with people in your life? I have worked with many people with these kinds of problems. It is likely that you experienced emotional neglect or trauma as a child.
Do you feel stuck, lost and alone in life? Do you feel overwhelmed by your problems and struggle to understand why you feel so unhappy and unfulfilled? Do you worry about letting people get emotionally close to you and so tend to distance yourself from others? Yet then feel isolated and deeply unhappy? Have you always felt different or as though there was something wrong with you? Do you have a longing to understand yourself and feel an emotional connection with people in your life? I have worked with many people with these kinds of problems. It is likely that you experienced emotional neglect or trauma as a child.
0121 285 4539 View 0121 285 4539
Photo of Nour El Masry, Psychotherapist in Birmingham, England
Nour El Masry
Psychotherapist, MUKCP
Verified Verified
Birmingham B1
You may be looking here because you are dealing with upsetting or challenging feelings and experiences, feeling overwhelmed, or having troubles in your relationships. If so, psychotherapy could help you. In the psychotherapy sessions you can explore various aspects of your life and feelings, talking about them freely and openly in a way that is rarely possible with friends or family. Bottled-up feelings such as anger, anxiety, grief and embarrassment can become very intense and counselling offers an opportunity to explore them, with the possibility of making them easier to understand.
You may be looking here because you are dealing with upsetting or challenging feelings and experiences, feeling overwhelmed, or having troubles in your relationships. If so, psychotherapy could help you. In the psychotherapy sessions you can explore various aspects of your life and feelings, talking about them freely and openly in a way that is rarely possible with friends or family. Bottled-up feelings such as anger, anxiety, grief and embarrassment can become very intense and counselling offers an opportunity to explore them, with the possibility of making them easier to understand.
0121 817 7071 View 0121 817 7071
Photo of Laura Chaisty, Psychotherapist in Birmingham, England
Laura Chaisty
Psychotherapist, BPC
Verified Verified
Birmingham B14
Not accepting new clients
When emotional problems arise it can be difficult to know where to turn and pressures to cope can leave us isolated and desperate. There may be people around who offer their time but feelings of shame and fears can make it difficult to make use of them. It might be that there is no-one to speak to and problems originating in the past are getting in the way of you finding satisfaction in life. Traumas can remain unprocessed and present themselves in everyday life. Psychotherapy is a way of exploring oneself and relationships to try to make sense of the patterns and issues that are blocking you.
When emotional problems arise it can be difficult to know where to turn and pressures to cope can leave us isolated and desperate. There may be people around who offer their time but feelings of shame and fears can make it difficult to make use of them. It might be that there is no-one to speak to and problems originating in the past are getting in the way of you finding satisfaction in life. Traumas can remain unprocessed and present themselves in everyday life. Psychotherapy is a way of exploring oneself and relationships to try to make sense of the patterns and issues that are blocking you.
0121 312 1640 View 0121 312 1640
Photo of Joel Fowler, Counsellor in Birmingham, England
Joel Fowler
Counsellor, MA, UKCP Trainee
Verified Verified
Birmingham B12
You may have hit a rough patch in life and could use some extra help. You may be feeling a bit down, struggling with relationships. You may realise it is finally time to deal with stuff you've been avoiding, or you're lost and don't know which way to go. I offer private therapy and counselling to individuals looking to heal and grow.
You may have hit a rough patch in life and could use some extra help. You may be feeling a bit down, struggling with relationships. You may realise it is finally time to deal with stuff you've been avoiding, or you're lost and don't know which way to go. I offer private therapy and counselling to individuals looking to heal and grow.
0121 667 4795 View 0121 667 4795
Photo of Kharis Miller, Counsellor in Birmingham, England
Kharis Miller
Counsellor, MBACP
Verified Verified
Birmingham B18  (Online Only)
Hello, my name is Kharis Miller. Thank you for taking the time to visit my profile today. I am a Registered BACP Integrative Counsellor and Educational Trainer. When it comes to navigating our internal world it can be difficult therefore, I endeavour to assist you on this journey in a judgement free space. I seek to invite you into a space where your voice is amplified over the factors that contend with your peace of mind. Whether you are experiencing anxiety, socioeconomic stress,depression or any other issues to your mental health, I can offer you tailored support.
Hello, my name is Kharis Miller. Thank you for taking the time to visit my profile today. I am a Registered BACP Integrative Counsellor and Educational Trainer. When it comes to navigating our internal world it can be difficult therefore, I endeavour to assist you on this journey in a judgement free space. I seek to invite you into a space where your voice is amplified over the factors that contend with your peace of mind. Whether you are experiencing anxiety, socioeconomic stress,depression or any other issues to your mental health, I can offer you tailored support.
0121 817 7564 View 0121 817 7564
Photo of Dr Francesca, Psychologist in Birmingham, England
Dr Francesca
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Birmingham B13
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 Sabah Khalid, Psychotherapist in Birmingham, England
Sabah Khalid
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
Birmingham B9
Not accepting new clients
As an integrative psychotherapist I am here to go on a journey of self-discovery with you with any difficulties that may arise on the journey. Whether you’re seeking a simple improvement or healing from deep wounds, within yourself and/or with others, I can help. I understand that at times your family/friends may be part of the problem, this is where I come into your situation with fresh eyes, an open heart, and much experience and strength to help you regain your sense of who you are.
As an integrative psychotherapist I am here to go on a journey of self-discovery with you with any difficulties that may arise on the journey. Whether you’re seeking a simple improvement or healing from deep wounds, within yourself and/or with others, I can help. I understand that at times your family/friends may be part of the problem, this is where I come into your situation with fresh eyes, an open heart, and much experience and strength to help you regain your sense of who you are.
0121 728 6545 View 0121 728 6545
Photo of Greg Pyne, Psychotherapist in Birmingham, England
Greg Pyne
Psychotherapist, MSc, MUKCP
Verified Verified
Birmingham B13
Do you sometimes feel different? Or that what you go through is unique only to you? perhaps you believe things that happen to you are all your fault? Or you struggle in relationships? I understand the need to feel part of the world, not 'messed up' - we are social creatures who often care what people think. And we have a natural desire to be the best person we can be - something to be cultivated. The conflict to fit in, whilst being true to yourself - creates tension, anxiety, depression, poor coping strategies. Plus the modern pressures of life rarely let us 'just be'. The process of therapy can resolve these deep conflicts.
Do you sometimes feel different? Or that what you go through is unique only to you? perhaps you believe things that happen to you are all your fault? Or you struggle in relationships? I understand the need to feel part of the world, not 'messed up' - we are social creatures who often care what people think. And we have a natural desire to be the best person we can be - something to be cultivated. The conflict to fit in, whilst being true to yourself - creates tension, anxiety, depression, poor coping strategies. Plus the modern pressures of life rarely let us 'just be'. The process of therapy can resolve these deep conflicts.
0121 752 9095 View 0121 752 9095
Photo of Dr Anisha Vyas, Psychologist in Birmingham, England
Dr Anisha Vyas
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Birmingham B13
I am a HCPC-registered Clinical Psychologist, with over 11 years of clinical experience working in the NHS. I have worked across a variety of settings, primarily in specialist NHS mental health services, with individuals, groups, couples, and families. I have highly specialist training in working with people who experience different issues like anxiety, depression, trauma, stress, relationship problems, emotional difficulties, bereavement, cultural issues, low self-esteem, stuckness, shame, family problems, life transitions and identity issues.
I am a HCPC-registered Clinical Psychologist, with over 11 years of clinical experience working in the NHS. I have worked across a variety of settings, primarily in specialist NHS mental health services, with individuals, groups, couples, and families. I have highly specialist training in working with people who experience different issues like anxiety, depression, trauma, stress, relationship problems, emotional difficulties, bereavement, cultural issues, low self-esteem, stuckness, shame, family problems, life transitions and identity issues.
View
Photo of Diane Graham, Counsellor in Birmingham, England
Diane Graham
Counsellor, MBACP
Verified Verified
Birmingham B13
Waitlist for new clients
I am a qualified psychotherapeutic counsellor. Whatever is going on in your life, I offer a safe space for you to explore your difficulties in depth and work towards lasting change. You may be struggling with anxiety, depression, self esteem or family issues, or have something you want to make sense of. Perhaps you've tried counselling before and now want to explore your issues more deeply. I will listen and work collaboratively with you in a psychodynamic way to help you reach a better understanding of yourself and what may be getting in the way of you making changes - so that you can live a fuller life on your own terms.
I am a qualified psychotherapeutic counsellor. Whatever is going on in your life, I offer a safe space for you to explore your difficulties in depth and work towards lasting change. You may be struggling with anxiety, depression, self esteem or family issues, or have something you want to make sense of. Perhaps you've tried counselling before and now want to explore your issues more deeply. I will listen and work collaboratively with you in a psychodynamic way to help you reach a better understanding of yourself and what may be getting in the way of you making changes - so that you can live a fuller life on your own terms.
01564 334909 View 01564 334909

See more therapy options for Birmingham

How does your Counsellor compare?

Number of Counsellors in Birmingham

400+

Average cost per session

£60

Counsellors in Birmingham who prioritize treating:

93% Anxiety
89% Depression
85% Self Esteem
82% Stress
79% Relationship Issues
68% Trauma and PTSD
66% Bereavement

Average years in practice

10 Years

Top 3 insurances accepted

63% Aviva
57% AXA PPP
48% Bupa

How Counsellors in Birmingham see their clients

66% In Person and Online
34% Online Only

Gender breakdown

73% Female
26% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Birmingham?

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.