Counselling in Alvechurch

Photo of Shannon Ryder, MSc, MBACP, Counsellor
Shannon Ryder
Counsellor, MSc, MBACP
Verified Verified
Alvechurch B38
Hi, I'm Shannon an Integrative Therapist with a Master's Degree, meaning that I am extensively trained in different counselling styles to create the best approach that suits you as an individual, as one size doesn't fit all. Throughout my practice, I began specialising in Children, Young People and Families, however now successfully work with Adults and Couples with various life difficulties too.
Hi, I'm Shannon an Integrative Therapist with a Master's Degree, meaning that I am extensively trained in different counselling styles to create the best approach that suits you as an individual, as one size doesn't fit all. Throughout my practice, I began specialising in Children, Young People and Families, however now successfully work with Adults and Couples with various life difficulties too.
01527 388019 View 01527 388019
Photo of Julia Shute, PsychD, HCPC - Clin. Psych., Psychologist
Julia Shute
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Alvechurch B38
I am an HCPC-registered Clinical Psychologist working with adult clients who feel held back by the impact of trauma and abuse as a child or adult, and who struggle with problematic thoughts, feelings and relationship patterns. Clients seek therapy with me to address anxiety, depression, self-esteem, relationship/attachment issues, loss/bereavement. I offer clients a psychological formulation of their experiences including aims for therapy to address. I offer individualised therapy to reduce distressing experiences, overcome unhelpful patterns and improve wellbeing.
I am an HCPC-registered Clinical Psychologist working with adult clients who feel held back by the impact of trauma and abuse as a child or adult, and who struggle with problematic thoughts, feelings and relationship patterns. Clients seek therapy with me to address anxiety, depression, self-esteem, relationship/attachment issues, loss/bereavement. I offer clients a psychological formulation of their experiences including aims for therapy to address. I offer individualised therapy to reduce distressing experiences, overcome unhelpful patterns and improve wellbeing.
0121 817 7145 View 0121 817 7145
Photo of Liz Saunders, MSc, MBABCP, Psychotherapist
Liz Saunders
Psychotherapist, MSc, MBABCP
Verified Verified
Alvechurch B48
Hi and welcome to my profile! I am a fully accredited Cognitive Behavioural Therapist (CBT) with the BABCP. We can all experience difficult times in our lives that we may require help and support with.  When we experience distress we can often have negative feelings and thoughts which can influence how we might react and manage a certain situation. We can often find ourselves in a vicious cycle of negative thoughts and behaviours that can be hard to break.  CBT works on a 'here and now' basis, exploring your current difficulties and give you effective coping strategies to be able to make changes in your life and move forwards.
Hi and welcome to my profile! I am a fully accredited Cognitive Behavioural Therapist (CBT) with the BABCP. We can all experience difficult times in our lives that we may require help and support with.  When we experience distress we can often have negative feelings and thoughts which can influence how we might react and manage a certain situation. We can often find ourselves in a vicious cycle of negative thoughts and behaviours that can be hard to break.  CBT works on a 'here and now' basis, exploring your current difficulties and give you effective coping strategies to be able to make changes in your life and move forwards.
07588 663628 View 07588 663628
Photo of Julie Ward - Bromsgrove & Redditch Therapy Centre, DCounsPsych, MBACP, Counsellor
Bromsgrove & Redditch Therapy Centre
Counsellor, DCounsPsych, MBACP
Verified Verified
Alvechurch B38
Welcome! We are a team of friendly Bromsgrove and Redditch based counsellors who are committed to helping you change your life for the better. Stress, anxiety, CBT, anger, depression, support for children, teenagers and young adults, support for parents, self-harm, grief, relationship problems, domestic abuse, couples and family therapy, eating disorders. Whatever your issue we will provide the support for you to move forward.
Welcome! We are a team of friendly Bromsgrove and Redditch based counsellors who are committed to helping you change your life for the better. Stress, anxiety, CBT, anger, depression, support for children, teenagers and young adults, support for parents, self-harm, grief, relationship problems, domestic abuse, couples and family therapy, eating disorders. Whatever your issue we will provide the support for you to move forward.
01527 361363 View 01527 361363
Photo of Sarah Maries, MBACP, Counsellor
Sarah Maries
Counsellor, MBACP
Verified Verified
Alvechurch B48
My name is Sarah and I am a qualified person centred counsellor. I have a favourite phrase; "Life isn't about waiting for the storm to pass. Its about learning to dance in the rain". Life is better when you can share it, learn from it and accept it. Some people rarely have the opportunity to experience a warm, trusting, empathic relationship, one in which they are not judged and one where they are heard. I offer my clients a safe environment to explore any issues that they feel are holding them back. I am committed to supporting my clients in finding the right path for them without being rejected or judged for their decisions.
My name is Sarah and I am a qualified person centred counsellor. I have a favourite phrase; "Life isn't about waiting for the storm to pass. Its about learning to dance in the rain". Life is better when you can share it, learn from it and accept it. Some people rarely have the opportunity to experience a warm, trusting, empathic relationship, one in which they are not judged and one where they are heard. I offer my clients a safe environment to explore any issues that they feel are holding them back. I am committed to supporting my clients in finding the right path for them without being rejected or judged for their decisions.
01527 368907 View 01527 368907
Photo of Emma Sandell, MSc, MUKCP, Psychotherapist
Emma Sandell
Psychotherapist, MSc, MUKCP
Verified Verified
Alvechurch B48
I offer a warm, respectful, safe space where you will be listened to. You may feel overwhelmed, stressed or worried. Anxiety may be impacting on your ability to carry out everyday tasks. Maybe you are struggling with difficult family issues, a bereavement or you’ve experienced abuse. Perhaps you are feeling restless or lost and unsure of where you fit in the world. I offer counselling and psychotherapy for a wide range of issues.
I offer a warm, respectful, safe space where you will be listened to. You may feel overwhelmed, stressed or worried. Anxiety may be impacting on your ability to carry out everyday tasks. Maybe you are struggling with difficult family issues, a bereavement or you’ve experienced abuse. Perhaps you are feeling restless or lost and unsure of where you fit in the world. I offer counselling and psychotherapy for a wide range of issues.
01527 741063 View 01527 741063

More Therapists Nearby

Photo of Madeleine Ayling, PNCPS Acc., Counsellor
Madeleine Ayling
Counsellor, PNCPS Acc.
Verified Verified
Birmingham B14  (Online Only)
Hi, I'm Madeleine. I specialise in working with eczema and late-diagnosed/self-identifying neurodivergent clients, particularly autism, ADHD and AuDHD. I work online, by email and on the phone with adults aged 18+ across the UK. I help people find confidence and self-acceptance, improve self-esteem and self-compassion, and build a calm and fulfilling life. I’m LGBTQ+ and non-monogamy affirming, sex-positive, kink-aware, body and fat positive.
Hi, I'm Madeleine. I specialise in working with eczema and late-diagnosed/self-identifying neurodivergent clients, particularly autism, ADHD and AuDHD. I work online, by email and on the phone with adults aged 18+ across the UK. I help people find confidence and self-acceptance, improve self-esteem and self-compassion, and build a calm and fulfilling life. I’m LGBTQ+ and non-monogamy affirming, sex-positive, kink-aware, body and fat positive.
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Photo of Dr Lorna Nelson, PsychD, CPsychol, Psychologist
Dr Lorna Nelson
Psychologist, PsychD, CPsychol
Verified Verified
Birmingham B30
Not accepting new clients
I am an experienced, HCPC registered, Clinical Psychologist with over 18 years’ experience working in the NHS as a qualified psychologist. In this time, I have supported individuals, families, young people, and staff teams in various settings. This includes community and inpatient mental health services, and within paediatrics and neonatal care, in both London and the West Midlands. I have worked therapeutically with a range of emotional difficulties, including anxiety disorders, depression, OCD, PTSD, and birth trauma.
I am an experienced, HCPC registered, Clinical Psychologist with over 18 years’ experience working in the NHS as a qualified psychologist. In this time, I have supported individuals, families, young people, and staff teams in various settings. This includes community and inpatient mental health services, and within paediatrics and neonatal care, in both London and the West Midlands. I have worked therapeutically with a range of emotional difficulties, including anxiety disorders, depression, OCD, PTSD, and birth trauma.
0121 285 6975 View 0121 285 6975
Photo of Dr John Kenneth Pates, PhD, CPsychol, Psychologist
Dr John Kenneth Pates
Psychologist, PhD, CPsychol
Verified Verified
Birmingham B31
Are you struggling to perform at your best, finding it difficult to manage your emotions, or letting fears hold you back, I can help. I’m Dr. John Pates, a Chartered, HCPC-registered Psychologist with 20 years of experience. While I have a proven track record with top athletes, including The Ryder Cup Team, World Champions, Olympic Champions, and Major winners, my expertise extends beyond sports. I've helped individuals from all walks of life achieve goals, overcome obstacles, and enhance well-being. Whether improving performance, managing stress, or seeking personal growth, I can guide and support you.
Are you struggling to perform at your best, finding it difficult to manage your emotions, or letting fears hold you back, I can help. I’m Dr. John Pates, a Chartered, HCPC-registered Psychologist with 20 years of experience. While I have a proven track record with top athletes, including The Ryder Cup Team, World Champions, Olympic Champions, and Major winners, my expertise extends beyond sports. I've helped individuals from all walks of life achieve goals, overcome obstacles, and enhance well-being. Whether improving performance, managing stress, or seeking personal growth, I can guide and support you.
01684 217938 View 01684 217938
Photo of Shari A. Jessie - Supernova Psychotherapy, MSc, MBACP, Psychotherapist
Shari A. Jessie - Supernova Psychotherapy
Psychotherapist, MSc, MBACP
Verified Verified
1 Endorsed
Birmingham B14
No matter what brings you to the process of looking for a therapist, welcome! Counselling shouldn’t be a copy and paste experience; you feeling seen and heard in the therapeutic relationship we share is my top priority. You take the lead in what we do together, and I will adapt my practice to meet your needs. I celebrate difference and have held space for clients from all backgrounds and expressions. I recognise the impact of oppression and marginalisation and aim to provide an environment where you can feel safe to discuss any issue. No issue is too big or too small, and I will accompany you through that exploration.
No matter what brings you to the process of looking for a therapist, welcome! Counselling shouldn’t be a copy and paste experience; you feeling seen and heard in the therapeutic relationship we share is my top priority. You take the lead in what we do together, and I will adapt my practice to meet your needs. I celebrate difference and have held space for clients from all backgrounds and expressions. I recognise the impact of oppression and marginalisation and aim to provide an environment where you can feel safe to discuss any issue. No issue is too big or too small, and I will accompany you through that exploration.
01243 974652 View 01243 974652
Photo of Katherine Crawford - Birmingham Solihull Therapy, MBABCP, Psychotherapist
Birmingham Solihull Therapy
Psychotherapist, MBABCP
Verified Verified
Birmingham B14
If anxiety is getting in the way of you living your life the way you want to, we can work together to change that. Anxiety can creep up on us and there doesn't need to have been a big trigger for it to have a real impact on our lives. I work with people to overcome a range of anxiety based difficulties and have a particular interest in supporting people with OCD, phobias and panic attacks. Cognitive behavioural therapy can help you understand your anxiety, become less fearful of it and find ways to tackle it. Therapy can also help you to recognise what you are already doing that is helpful - there is always more than you think!
If anxiety is getting in the way of you living your life the way you want to, we can work together to change that. Anxiety can creep up on us and there doesn't need to have been a big trigger for it to have a real impact on our lives. I work with people to overcome a range of anxiety based difficulties and have a particular interest in supporting people with OCD, phobias and panic attacks. Cognitive behavioural therapy can help you understand your anxiety, become less fearful of it and find ways to tackle it. Therapy can also help you to recognise what you are already doing that is helpful - there is always more than you think!
023 8254 4417 View 023 8254 4417
Photo of Jane Oneill, HCPC - Couns. Psych., Psychologist
Jane Oneill
Psychologist, HCPC - Couns. Psych.
Verified Verified
Birmingham B14
You feel like you can’t cope, you’re fed up, you’ve had enough. Your life isn’t what you want it to be. Living has become hard and there’s no joy in your world. It’s like everyone else except you is happy. You’re haunted by your past. You think you’ll never be happy again. You feel alone like no one else understands how hard your life is at the moment. On the outside you look fine but inside you feel like you’re dying. Everything you do feels like an act to look like you’re okay. You don’t know how to change things or what to do about it anymore.
You feel like you can’t cope, you’re fed up, you’ve had enough. Your life isn’t what you want it to be. Living has become hard and there’s no joy in your world. It’s like everyone else except you is happy. You’re haunted by your past. You think you’ll never be happy again. You feel alone like no one else understands how hard your life is at the moment. On the outside you look fine but inside you feel like you’re dying. Everything you do feels like an act to look like you’re okay. You don’t know how to change things or what to do about it anymore.
0121 827 8999 View 0121 827 8999
Photo of Georgina Helen Gardner Stockley, MSc, MBACP, Psychotherapist
Georgina Helen Gardner Stockley
Psychotherapist, MSc, MBACP
Verified Verified
Birmingham B30
Georgina offers an exploratory space for adults, young people and couples who feel hopeless, helpless or at a loss. She provides warm and gentle therapy to anyone experiencing distress, from anxiety and depression, to trauma and abuse. She aims to hold you securely and buttress you strongly so that you can examine things that are frightening or that seem impossible to deal with. Georgina has particular clinical experience with bereavement and loss. Her first career was as a competitive swimmer and so particularly enjoys working with other athletes who are examining their relationship with their sport.
Georgina offers an exploratory space for adults, young people and couples who feel hopeless, helpless or at a loss. She provides warm and gentle therapy to anyone experiencing distress, from anxiety and depression, to trauma and abuse. She aims to hold you securely and buttress you strongly so that you can examine things that are frightening or that seem impossible to deal with. Georgina has particular clinical experience with bereavement and loss. Her first career was as a competitive swimmer and so particularly enjoys working with other athletes who are examining their relationship with their sport.
0121 661 3670 View 0121 661 3670
Photo of Guinevere Grimley - Grimley Therapy, MSc, MBACP, Psychotherapist
Grimley Therapy
Psychotherapist, MSc, MBACP
Verified Verified
1 Endorsed
Birmingham B30
My work is focused on clients who are struggling with a range of different issues, whether that's depression, anxiety, bereavement, loss of independence etc, I can offer a non-judgemental ear and a place to unpack the deeper issues so that your psychological wounds can begin to heal.
My work is focused on clients who are struggling with a range of different issues, whether that's depression, anxiety, bereavement, loss of independence etc, I can offer a non-judgemental ear and a place to unpack the deeper issues so that your psychological wounds can begin to heal.
0121 728 2257 View 0121 728 2257
Photo of Diogenes Mock, MA, MUKCP, Psychotherapist
Diogenes Mock
Psychotherapist, MA, MUKCP
Verified Verified
Birmingham B14
Waitlist for new clients
You may be seeking support with how you see the world, with relationships to family, partner or friends and work. You may be feeling alone or confused, under pressure and in pain. In our therapy sessions we will work together to gain a sense of where you are in your life and how you understand your self and where you are. Together we can build a sense of safety and understanding through which you may gain feeling supported and motivated.
You may be seeking support with how you see the world, with relationships to family, partner or friends and work. You may be feeling alone or confused, under pressure and in pain. In our therapy sessions we will work together to gain a sense of where you are in your life and how you understand your self and where you are. Together we can build a sense of safety and understanding through which you may gain feeling supported and motivated.
0121 726 1217 View 0121 726 1217
Photo of Julie Foster, MBACP, Counsellor
Julie Foster
Counsellor, MBACP
Verified Verified
2 Endorsed
Birmingham B30
Life takes us all by surprise at times and sometimes we can bounce back, but sometimes we need a bit of a helping hand; being able to identify those times and reach out is a sign of strength and the first step to taking control. If you are reading this then you have already taken the first step and I commend you for that.
Life takes us all by surprise at times and sometimes we can bounce back, but sometimes we need a bit of a helping hand; being able to identify those times and reach out is a sign of strength and the first step to taking control. If you are reading this then you have already taken the first step and I commend you for that.
01886 358865 View 01886 358865
Photo of Beata Bakiej, MBACP, Counsellor
Beata Bakiej
Counsellor, MBACP
Verified Verified
Birmingham B14  (Online Only)
Life has a way of taking us down some pretty rough roads at times, and it can make us feel alone, anxious, angry, confused, all sorts of emotions, that when left can build and bring us down even further. Sometimes we can feel overwhelmed and it can interfere with our enjoyment of life and keep us stuck. Breath, you are not alone. Sometimes you just need someone to hear you. I’m here to listen and assist you with the issues you are experiencing. I have a passion for helping people learn to cope with and overcome the issues that are hindering their lives. It can be daunting to reach out, but that is where I can help.
Life has a way of taking us down some pretty rough roads at times, and it can make us feel alone, anxious, angry, confused, all sorts of emotions, that when left can build and bring us down even further. Sometimes we can feel overwhelmed and it can interfere with our enjoyment of life and keep us stuck. Breath, you are not alone. Sometimes you just need someone to hear you. I’m here to listen and assist you with the issues you are experiencing. I have a passion for helping people learn to cope with and overcome the issues that are hindering their lives. It can be daunting to reach out, but that is where I can help.
01527 918549 View 01527 918549
Photo of Helen Marie Gaynor - Helen Gaynor - Sheemore Counselling, MBACP Accred, Counsellor
Helen Gaynor - Sheemore Counselling
Counsellor, MBACP Accred
Verified Verified
Birmingham B13
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 Julie Storr - Totam Vitam, BACP, Psychotherapist
Totam Vitam
Psychotherapist, BACP
Verified Verified
Birmingham B13
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 Mandy Ross, BACP, Counsellor
Mandy Ross
Counsellor, BACP
Verified Verified
Birmingham B14
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

See more therapy options for Alvechurch

How does your Counsellor compare?

Number of Counsellors in Alvechurch

< 10

Counsellors in Alvechurch who prioritize treating:

83% Relationship Issues
83% Depression
83% Anxiety
83% Trauma and PTSD
67% Child
67% Bereavement
67% Bipolar Disorder

Average years in practice

25 Years

Top 3 insurances accepted

67% Cigna and Evernorth
67% AXA PPP
33% Aviva

How Counsellors in Alvechurch see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in Alvechurch?

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.