Counselling in 2444

Photo of Beth Roberts, Psychologist, PsyBA General
Beth Roberts
Psychologist, PsyBA General
Port Macquarie, NSW 2444
Beth is a warm and compassionate Psychologist with a special interest in treating adolescents and young adults with Eating Disorders, body image concerns and related issues such as depression, anxiety and trauma. She strongly believes that everybody deserves to be treated with respect and all bodies deserve respect. Beth works with clients aged 12 years and older.
Beth is a warm and compassionate Psychologist with a special interest in treating adolescents and young adults with Eating Disorders, body image concerns and related issues such as depression, anxiety and trauma. She strongly believes that everybody deserves to be treated with respect and all bodies deserve respect. Beth works with clients aged 12 years and older.
(02) 5504 1810 View (02) 5504 1810
Photo of Tori Donnelly - Tori Donnelly Counselling and Support , Social Worker, MA, AMHSW
Tori Donnelly Counselling and Support
Social Worker, MA, AMHSW
Port Macquarie, NSW 2444
Tori is a Mental Health Accredited Social Worker and Certified Play Therapist, specialising in sexual abuse and other forms of trauma. Tori works with children, adolescents and adults with a trauma-informed approach.
Tori is a Mental Health Accredited Social Worker and Certified Play Therapist, specialising in sexual abuse and other forms of trauma. Tori works with children, adolescents and adults with a trauma-informed approach.
(02) 5566 2745 View (02) 5566 2745
Photo of Alison Poisat - AJP Psychology, Psychologist, PsyBA - Couns. Psych.
AJP Psychology
Psychologist, PsyBA - Couns. Psych.
Port Macquarie, NSW 2444
A life event that destabilises us can create all range of emotions and behavioural responses without our awareness and in turn, cause additional distress to your life. When we feel threatened, challenged or overwhelmed - our behaviours, feelings and thoughts can be all consuming. Without emotional processing and resolving the distress can form unhealthy maladaptive responses and associations. Engaging in professional help to support you through these events can provide you adaptive ways to respond to your world. Be brave and reach out.
A life event that destabilises us can create all range of emotions and behavioural responses without our awareness and in turn, cause additional distress to your life. When we feel threatened, challenged or overwhelmed - our behaviours, feelings and thoughts can be all consuming. Without emotional processing and resolving the distress can form unhealthy maladaptive responses and associations. Engaging in professional help to support you through these events can provide you adaptive ways to respond to your world. Be brave and reach out.
(02) 5302 8029 View (02) 5302 8029
Olivia Sakamoto
Counsellor, MA, ACA-L4
Port Macquarie, NSW 2444
Olivia's experience as a Clinical Counsellor comes with more than 1.5 decades in private practice and pastoral care roles. Specialising in anxiety, depression, stress, trauma, workplace bullying, addictions, relationship counselling, family/blended, mediation, child and young adults, grief and anger management. Clientele utilise workplace EAP, Work Cover (SIRA qualified) and NDIS & private clients with an age range of 6 to 85 years. Face to Face, Video-link or Phone sessions are offered. Olivia who is known for her sincere, peaceful and non-judgmental manner uses evidence based therapies recognising there is no one size fits all.
Olivia's experience as a Clinical Counsellor comes with more than 1.5 decades in private practice and pastoral care roles. Specialising in anxiety, depression, stress, trauma, workplace bullying, addictions, relationship counselling, family/blended, mediation, child and young adults, grief and anger management. Clientele utilise workplace EAP, Work Cover (SIRA qualified) and NDIS & private clients with an age range of 6 to 85 years. Face to Face, Video-link or Phone sessions are offered. Olivia who is known for her sincere, peaceful and non-judgmental manner uses evidence based therapies recognising there is no one size fits all.
(02) 6564 1972 View (02) 6564 1972
Photo of Stefanie Morgan - Space Wellness (NSW) - Stef Morgan, Counsellor, ACA-L1
Space Wellness (NSW) - Stef Morgan
Counsellor, ACA-L1
3 Endorsed
Port Macquarie, NSW 2444
Do you feel somewhat stuck? Perhaps overwhelm, physical pain or yearning for something different? Maybe you'd simply like to do better? Why not consider a coupling of counselling, clinical hypnotherapy and strategic psychotherapy? Unaware, you may be running outdated patterns which are at odds with the YOU of today, making it difficult to navigate and effect change. I use permissive Ericksonian hypnotherapy (particularly the Gordian Pillars) to uncover well-worn patterns of stuckness, then gently infuse the subconscious with alternate options. Safe, effective, gentle and life-changing.
Do you feel somewhat stuck? Perhaps overwhelm, physical pain or yearning for something different? Maybe you'd simply like to do better? Why not consider a coupling of counselling, clinical hypnotherapy and strategic psychotherapy? Unaware, you may be running outdated patterns which are at odds with the YOU of today, making it difficult to navigate and effect change. I use permissive Ericksonian hypnotherapy (particularly the Gordian Pillars) to uncover well-worn patterns of stuckness, then gently infuse the subconscious with alternate options. Safe, effective, gentle and life-changing.
(02) 5566 2525 View (02) 5566 2525
Photo of Pat Wood-Collier, Counsellor, MA, CCAA
Pat Wood-Collier
Counsellor, MA, CCAA
Port Macquarie, NSW 2444
I am flexible and able to work with both males and females. Age does not preclude me from seeing someone. I am accepting of anyone who is looking for someone to listen to and see them. Together we will discover and give them their voice. I worked in Samaritans and Lifeline for 20 years. I work with various addictions and traumas. I counsel the addict, or the family, and friends of the addict. Working with discovering purpose, trust and sobriety, I am able to hold the person in a safe space while dealing with trauma by using different counselling modalities suited to them.
I am flexible and able to work with both males and females. Age does not preclude me from seeing someone. I am accepting of anyone who is looking for someone to listen to and see them. Together we will discover and give them their voice. I worked in Samaritans and Lifeline for 20 years. I work with various addictions and traumas. I counsel the addict, or the family, and friends of the addict. Working with discovering purpose, trust and sobriety, I am able to hold the person in a safe space while dealing with trauma by using different counselling modalities suited to them.
(02) 5504 5434 View (02) 5504 5434
Photo of Shelley Spurrier, Social Worker, AMHSW
Shelley Spurrier
Social Worker, AMHSW
Port Macquarie, NSW 2444
Shelley is a dedicated mental health social worker with an unwavering commitment to promoting emotional well-being and resilience. With a background of over 10 years in the Mental Health field as a counsellor, and four years in Private Practice, Shelley brings a wealth of experience and expertise to her work. In her practice, Shelley employs evidence-based therapies, understanding that there is no one-size-fits-all solution to mental health challenges. She is deeply committed to staying current with the latest developments in the field, ensuring that her clients receive the most effective and up-to-date support available.
Shelley is a dedicated mental health social worker with an unwavering commitment to promoting emotional well-being and resilience. With a background of over 10 years in the Mental Health field as a counsellor, and four years in Private Practice, Shelley brings a wealth of experience and expertise to her work. In her practice, Shelley employs evidence-based therapies, understanding that there is no one-size-fits-all solution to mental health challenges. She is deeply committed to staying current with the latest developments in the field, ensuring that her clients receive the most effective and up-to-date support available.
(02) 5502 9930 View (02) 5502 9930
Photo of Helen Marina Adair, Counsellor, MSc, ACA-L1
Helen Marina Adair
Counsellor, MSc, ACA-L1
Port Macquarie, NSW 2444
As a Registered Nurse and Registered Counsellor, I bring a unique blend of clinical nursing knowledge and compassionate, person-centred approach to support my counselling work. I can provide support knowing that physical health challenges often carry emotional, psychological, and spiritual changes. I bring a calm, compassionate and holistic approach to my counselling. I value trust, safety, and a genuine connection, creating a space where you can explore your experiences.
As a Registered Nurse and Registered Counsellor, I bring a unique blend of clinical nursing knowledge and compassionate, person-centred approach to support my counselling work. I can provide support knowing that physical health challenges often carry emotional, psychological, and spiritual changes. I bring a calm, compassionate and holistic approach to my counselling. I value trust, safety, and a genuine connection, creating a space where you can explore your experiences.
(02) 5565 8786 View (02) 5565 8786
Photo of Vicki Beaver - Vicki Beaver Counselling, Counsellor, ACA-L1
Vicki Beaver Counselling
Counsellor, ACA-L1
1 Endorsed
Port Macquarie, NSW 2444
Supporting women, young girls and people with disability through emotionally difficult times is at the heart of my counselling service. I provide a safe environment where clients feel comfortable to share their concerns and gain perspective and clarity by exploring their situations, emotions and choices in depth. My lived experience of caring for my autistic son has given me great understanding of the challenges that these individuals and their families encounter on a daily basis. I am able to support NDIS self managed and plan managed clients to improve their wellbeing.
Supporting women, young girls and people with disability through emotionally difficult times is at the heart of my counselling service. I provide a safe environment where clients feel comfortable to share their concerns and gain perspective and clarity by exploring their situations, emotions and choices in depth. My lived experience of caring for my autistic son has given me great understanding of the challenges that these individuals and their families encounter on a daily basis. I am able to support NDIS self managed and plan managed clients to improve their wellbeing.
(02) 5566 2142 View (02) 5566 2142
Photo of Rod ` Cole, Counsellor, MA, ACA-L4
Rod ` Cole
Counsellor, MA, ACA-L4
Port Macquarie, NSW 2444
What matters to me, each and every day is and what I value the most about my work as a therapist is hospitality; being welcomed, attended to, supported, and encouraged. My approach is eclectic and about as far from CBT as you can get. From learning the art of listening at Lifeline, I was drawn to Gestalt therapy, for its dynamic and active approach to therapy. Gestalt therapy is interested in the polarities we experience, how do we support ourselves and find agency in day to day life. ​I am interested in and work with issues such as grief and loss, change, ageing, forgiveness and what does it mean to live a full life that allows
What matters to me, each and every day is and what I value the most about my work as a therapist is hospitality; being welcomed, attended to, supported, and encouraged. My approach is eclectic and about as far from CBT as you can get. From learning the art of listening at Lifeline, I was drawn to Gestalt therapy, for its dynamic and active approach to therapy. Gestalt therapy is interested in the polarities we experience, how do we support ourselves and find agency in day to day life. ​I am interested in and work with issues such as grief and loss, change, ageing, forgiveness and what does it mean to live a full life that allows
(02) 5504 1534 View (02) 5504 1534
Photo of Lauren Poole, Counsellor, PhD, PACFA
Lauren Poole
Counsellor, PhD, PACFA
Port Macquarie, NSW 2444
I support mothers who care deeply about connection with their children, but feel overwhelmed by the emotional load of motherhood and guilty when they lose patience. Through compassionate, reflective counselling support, I help mothers better understand their triggers, reconnect with themselves, and navigate motherhood with more self-compassion and space to breathe.
I support mothers who care deeply about connection with their children, but feel overwhelmed by the emotional load of motherhood and guilty when they lose patience. Through compassionate, reflective counselling support, I help mothers better understand their triggers, reconnect with themselves, and navigate motherhood with more self-compassion and space to breathe.
(02) 5563 8109 View (02) 5563 8109
Photo of Robin Schep - Counselling Solution—Forster & Port Macquarie, Counsellor, MC, ACA-L4
Counselling Solution—Forster & Port Macquarie
Counsellor, MC, ACA-L4
4 Endorsed
Port Macquarie, NSW 2444
Robin Schep—when people first speak with us, they express feelings like, desperate, angry, helpless, stressed, lost, no-sense-of–belonging, not-good-enough, overwhelmed, and not-knowing-where-to-start. You may be feeling desperate, finding your life has unravelled, and that you have lost your way… When we meet, you are inviting us alongside you on your journey seeking understanding, meaning, and direction.
Robin Schep—when people first speak with us, they express feelings like, desperate, angry, helpless, stressed, lost, no-sense-of–belonging, not-good-enough, overwhelmed, and not-knowing-where-to-start. You may be feeling desperate, finding your life has unravelled, and that you have lost your way… When we meet, you are inviting us alongside you on your journey seeking understanding, meaning, and direction.
(02) 5655 3517 View (02) 5655 3517
Photo of J Adrian Adrian Schep - Counselling Solution (Forster & Port Macquarie), Counsellor, ACA-L2
J Adrian Schep— When people first reach out, they often describe feeling desperate, angry, overwhelmed, lost, or unsure where to begin. You may feel as though your life has unravelled, that you no longer belong, or that something essential has been lost. Reaching out often comes at a point where you want to be heard without judgement, to make sense of what has happened, and to find a way forward with steadiness and clarity.
J Adrian Schep— When people first reach out, they often describe feeling desperate, angry, overwhelmed, lost, or unsure where to begin. You may feel as though your life has unravelled, that you no longer belong, or that something essential has been lost. Reaching out often comes at a point where you want to be heard without judgement, to make sense of what has happened, and to find a way forward with steadiness and clarity.
(02) 4404 4109 View (02) 4404 4109
Photo of Alena Piccolruaz, Psychologist, MPsych, Assoc MAPS
Alena Piccolruaz
Psychologist, MPsych, Assoc MAPS
Port Macquarie, NSW 2444
I have a special interest in working with children, adolescents, and families in addition to supporting mums and dads through pregnancy and post-pregnancy. Issues treated (but not limited to) include; anxiety, stress, depression, trauma, school issues, suicidal thinking, personality disorder, anger management, gender transitioning, self-harm, grief and loss, work related issues (Workcover accredited psych), life coaching, relationship matters, family mediation, court and legal reports and the teaching of parenting skills. I also offer couples, family and marital therapy. I am also an accredited Supervisor to other psychologists.
I have a special interest in working with children, adolescents, and families in addition to supporting mums and dads through pregnancy and post-pregnancy. Issues treated (but not limited to) include; anxiety, stress, depression, trauma, school issues, suicidal thinking, personality disorder, anger management, gender transitioning, self-harm, grief and loss, work related issues (Workcover accredited psych), life coaching, relationship matters, family mediation, court and legal reports and the teaching of parenting skills. I also offer couples, family and marital therapy. I am also an accredited Supervisor to other psychologists.
(02) 9159 6930 View (02) 9159 6930
Photo of Catherine Stokoe, Psychotherapist, PACFA
Catherine Stokoe
Psychotherapist, PACFA
Port Macquarie, NSW 2444
I am a qualified, skilled and highly experienced therapist with over 20 years in practice. My approach is warm, compassionate and effective. I am committed to working in collaboration with you to develop an individualised and specifically tailored course of therapy that works. I offer short term counselling to target specific issues, and longer term therapy to identify, explore, and resolve the deeper underlying patterns and drivers of distress. I will help you understand yourself better, gain the skills you need to stay well and happy, and move towards living a life of choice, freedom and peace.
I am a qualified, skilled and highly experienced therapist with over 20 years in practice. My approach is warm, compassionate and effective. I am committed to working in collaboration with you to develop an individualised and specifically tailored course of therapy that works. I offer short term counselling to target specific issues, and longer term therapy to identify, explore, and resolve the deeper underlying patterns and drivers of distress. I will help you understand yourself better, gain the skills you need to stay well and happy, and move towards living a life of choice, freedom and peace.
(02) 5603 4216 View (02) 5603 4216
Photo of Kit Pope - Wild & Precious therapy, Psychotherapist, PACFA
Wild & Precious therapy
Psychotherapist, PACFA
Serves Area
Affirming, effective therapy for individuals and couples, tailored to your unique needs and specialising in ADHD. Therapy isn't a one size fits all. I take great care to deeply understand you and draw together the most effective methods to suit you. I bring deep understanding of the challenges and strengths of ADHD and can support your journey of self-understanding and growth. Whether you're seeking deeper discovery, fresh insight, relief from distress, or a way to break free of old patterns, I can help you navigate the complexities of life and relationships to make meaningful change. Kit Pope, Wild & Precious therapy
Affirming, effective therapy for individuals and couples, tailored to your unique needs and specialising in ADHD. Therapy isn't a one size fits all. I take great care to deeply understand you and draw together the most effective methods to suit you. I bring deep understanding of the challenges and strengths of ADHD and can support your journey of self-understanding and growth. Whether you're seeking deeper discovery, fresh insight, relief from distress, or a way to break free of old patterns, I can help you navigate the complexities of life and relationships to make meaningful change. Kit Pope, Wild & Precious therapy
(02) 8403 1797 View (02) 8403 1797
Photo of Patricia Torres Arauz - PTA Clinical Psychology, Psychologist, MPsych, PsyBA - Clin. Psych
PTA Clinical Psychology
Psychologist, MPsych, PsyBA - Clin. Psych
1 Endorsed
Serves Area
I am a clinical psychologist who specialises in trauma-focused therapy, using EMDR and parts/schema work. My approach is grounded in compassion and self-acceptance. I offer online therapy with flexible appointment times. Please feel free to get in touch if you’d like more information or assistance with getting started.
I am a clinical psychologist who specialises in trauma-focused therapy, using EMDR and parts/schema work. My approach is grounded in compassion and self-acceptance. I offer online therapy with flexible appointment times. Please feel free to get in touch if you’d like more information or assistance with getting started.
(07) 4074 9432 View (07) 4074 9432
Photo of Dylan Fuller, Psychologist, MPsych, PsyBA General
Dylan Fuller
Psychologist, MPsych, PsyBA General
Serves Area
Feel paralysed by anxiety, depression, OCD loops or a mind that won’t switch off? I’m a psychologist with 13+ years of experience who helps adults and older teens (16+) face fears, quiet self-criticism and rebuild a life that feels genuinely meaningful.
Feel paralysed by anxiety, depression, OCD loops or a mind that won’t switch off? I’m a psychologist with 13+ years of experience who helps adults and older teens (16+) face fears, quiet self-criticism and rebuild a life that feels genuinely meaningful.
(02) 7804 4380 View (02) 7804 4380
Photo of Helen Ng, Psychologist, PsyBA General
Helen Ng
Psychologist, PsyBA General
1 Endorsed
Serves Area
I am a caring and compassionate multilingual psychologist fluent in English, Mandarin, and Cantonese. I work with all age groups and address a wide range of psychological issues, including adjustment disorders, anxiety, depression, stress, phobias, mood and thinking disorders, psychosis, life transitions, identity and self-esteem, relationships, cross-cultural challenges, and work-related concerns. I also provide career coaching, pre/post-marriage counselling, parenting advice, Christian counselling, and cognitive assessments.
I am a caring and compassionate multilingual psychologist fluent in English, Mandarin, and Cantonese. I work with all age groups and address a wide range of psychological issues, including adjustment disorders, anxiety, depression, stress, phobias, mood and thinking disorders, psychosis, life transitions, identity and self-esteem, relationships, cross-cultural challenges, and work-related concerns. I also provide career coaching, pre/post-marriage counselling, parenting advice, Christian counselling, and cognitive assessments.
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Photo of Nicole Osborn - Art of Mindful Psychology - Nicole Osborn, Psychotherapist
Art of Mindful Psychology - Nicole Osborn
Psychotherapist
Serves Area
I am an NDIS Registered Child and Adolescent Psycotherapist sp in Autism with Advanced training in Acceptance Commitment Therapy. I offer analysis, Behavioral Therapy, ABA, Art as Therapy, and Emotional and Psychological support for all ages, and needs, including parents, families, schools and teachers. Areas include autism, anxiety, depression, ADD, ADHD, OCD, grief/loss, social and behavioural issues, sexual assault and more. I am known for my unconventional ways of working which works well with children and young adults. Please email info@artofmindfulpsychology with a brief description and best contact to arrange an appointment.
I am an NDIS Registered Child and Adolescent Psycotherapist sp in Autism with Advanced training in Acceptance Commitment Therapy. I offer analysis, Behavioral Therapy, ABA, Art as Therapy, and Emotional and Psychological support for all ages, and needs, including parents, families, schools and teachers. Areas include autism, anxiety, depression, ADD, ADHD, OCD, grief/loss, social and behavioural issues, sexual assault and more. I am known for my unconventional ways of working which works well with children and young adults. Please email info@artofmindfulpsychology with a brief description and best contact to arrange an appointment.
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How does your Therapist compare?

Number of Therapists in 2444

40+

Average cost per session

$150

Therapists in 2444 who prioritize treating:

80% Anxiety
72% Relationship Issues
72% Stress
67% Depression
67% Self Esteem
63% Trauma and PTSD
52% Grief

Average years in practice

11 Years

Top 3 insurances accepted

58% Medicare Rebates
58% NDIS
42% Bupa

How Therapists in 2444 see their clients

70% In Person and Online
30% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counselling

How can I find a therapist in 2444?

Search for nearby psychologists or counsellors by inputting your city, suburb, 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 Australian Counselling Association and the Psychotherapy and Counselling Federation of Australia. Psychologists must be registered in the Australian Health Practitioner Regulation Agency (AHPRA). Most Social Workers listed in the directory are members of the Australian Association of Social Workers (AASW).

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 social workers, psychotherapists and counsellors in Australia, 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 Australia.

Psychologists have earned a 4 year undergraduate degree in psychology and have completed a postgraduate internship or postgraduate degree. Psychotherapists generally have an undergraduate degree in a health related field in addition to 3-4 years of specialist training in psychotherapy and a period of personal psychotherapy. In order to belong to a professional organisation such as the ACA or PACFA, counsellors and psychotherapists are required to have completed a certain level of AQF qualifications and/ or an approved training course as well as clinical and supervision hours. Social Workers registered with the AASW are required to have a Bachelor’s or Master’s degree in Social Work from an accredited institution.

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, the cost of a therapy session in Australia could be between $100 and $250. 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 Better Access Scheme is a government program offering Medicare rebates for mental health care. To access the program you will need to be assessed and diagnosed by your GP and get a Mental Health Plan. This will allow you to receive up to 10 individual sessions and 10 group sessions a year with practitioners who accept bulk billing, with no out of pocket costs for you.

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 ACA, PACFA, or the APS 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 is the potential or known harm to the client or others or when a minor is in danger, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.