Counselling in Kotara, NSW

Photo of Suzanne Stevens, Psychologist, PsychD, PsyBA - Clin. Psych
Suzanne Stevens
Psychologist, PsychD, PsyBA - Clin. Psych
Kotara, NSW 2289
I really enjoy working with kids and their families, particularly those who are having a hard time at home and/or school who need some support to make life run more smoothly for them and their family.
I really enjoy working with kids and their families, particularly those who are having a hard time at home and/or school who need some support to make life run more smoothly for them and their family.
(02) 4075 7006 View (02) 4075 7006
Photo of Sharleen Gonzalez, Psychologist, MPsych, PsyBA General
Sharleen Gonzalez
Psychologist, MPsych, PsyBA General
Online Only
Not accepting new clients
I'm a clinical psychologist who works with adults across a diverse range of mental health issues, I have a particular interest in trauma, grief, relationship issues, depression, life transitions (such as separation), multicultural populations, personality disorders (such as helping people who struggle with BPD traits or helping people manage difficult relationships with individuals with narcissistic traits or help them recover after narcissistic abuse), and dissociative disorders such as DID. I also have an interest in helping people with ME/CFS and related chronic illnesses such as Long Covid, Fibromyalgia (as I have ME/CFS).
I'm a clinical psychologist who works with adults across a diverse range of mental health issues, I have a particular interest in trauma, grief, relationship issues, depression, life transitions (such as separation), multicultural populations, personality disorders (such as helping people who struggle with BPD traits or helping people manage difficult relationships with individuals with narcissistic traits or help them recover after narcissistic abuse), and dissociative disorders such as DID. I also have an interest in helping people with ME/CFS and related chronic illnesses such as Long Covid, Fibromyalgia (as I have ME/CFS).
(02) 4012 2512 View (02) 4012 2512
Photo of Brendan Lowe, Psychologist, MPsych, PsyBA General
Brendan Lowe
Psychologist, MPsych, PsyBA General
Online Only
Not accepting new clients
I am a clinical psychologist that enjoys working with a diverse range of groups. My main areas of experience and expertise include helping those managing difficult relationships with narcissistic or high conflict personalities, trauma, including PTSD and Complex-PTSD and personality disorders, specifically those with Borderline Personality Disorder. Additionally, I work across areas including domestic violence, grief, and individuals with serious health conditions including cancer.
I am a clinical psychologist that enjoys working with a diverse range of groups. My main areas of experience and expertise include helping those managing difficult relationships with narcissistic or high conflict personalities, trauma, including PTSD and Complex-PTSD and personality disorders, specifically those with Borderline Personality Disorder. Additionally, I work across areas including domestic violence, grief, and individuals with serious health conditions including cancer.
(02) 4075 5927 View (02) 4075 5927
Photo of Amy Roxby, Psychologist, PsyBA General
Amy Roxby
Psychologist, PsyBA General
Kotara, NSW 2289
Not accepting new clients
Hi, I’m Amy. I have over 20 years experience as a psychologist treating a range of mental health conditions. I have a special interest in working with people who have experienced trauma including PTSD and Complex Trauma. I also have extensive experience in treating anxiety disorders including panic and OCD, and mental health concerns related to Autism and ADHD. My approach is authentic and honest, always maintaining a safe space for exploring vulnerability and enabling healing.
Hi, I’m Amy. I have over 20 years experience as a psychologist treating a range of mental health conditions. I have a special interest in working with people who have experienced trauma including PTSD and Complex Trauma. I also have extensive experience in treating anxiety disorders including panic and OCD, and mental health concerns related to Autism and ADHD. My approach is authentic and honest, always maintaining a safe space for exploring vulnerability and enabling healing.
(02) 4012 2418 View (02) 4012 2418
Photo of Amanda Rodd, Psychologist, PsyBA General
Amanda Rodd
Psychologist, PsyBA General
Kotara, NSW 2289
Amanda is a warm and caring psychologist who enjoys working collaboratively with her clients. She focuses on creating a secure and friendly environment where individuals can feel safe and empowered to cope with life challenges. Amanda has qualifications in both Education and Psychology. She has extensive experience in educational and psychological assessments and interventions for children and adolescents. She has expertise in the diagnosis of Autism, learning disorders, ADHD, intellectual disabilities, and a range of mental health presentations including anxiety and depression. Interventions are tailored to the individual's needs.
Amanda is a warm and caring psychologist who enjoys working collaboratively with her clients. She focuses on creating a secure and friendly environment where individuals can feel safe and empowered to cope with life challenges. Amanda has qualifications in both Education and Psychology. She has extensive experience in educational and psychological assessments and interventions for children and adolescents. She has expertise in the diagnosis of Autism, learning disorders, ADHD, intellectual disabilities, and a range of mental health presentations including anxiety and depression. Interventions are tailored to the individual's needs.
(02) 4082 8723 View (02) 4082 8723
Photo of Grace Britton, Psychologist, PsyBA General
Grace Britton
Psychologist, PsyBA General
Online Only
Hi, I’m Grace. Coffee fiend. Country gal. Former soldier. Psychologist. Therapy is a weird setup—where else do we sit across from a stranger and start spilling our most personal thoughts? But I get it. I’ve sat on both sides of the therapy room—as both a client and a clinician—and I know how powerful it is to talk to someone who not only knows the right questions to ask but is also just a real, relatable person.
Hi, I’m Grace. Coffee fiend. Country gal. Former soldier. Psychologist. Therapy is a weird setup—where else do we sit across from a stranger and start spilling our most personal thoughts? But I get it. I’ve sat on both sides of the therapy room—as both a client and a clinician—and I know how powerful it is to talk to someone who not only knows the right questions to ask but is also just a real, relatable person.
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Photo of Kylie Anne Di Battista - Inner Balance Psychology, Psychologist, MPsych, FAPS
Inner Balance Psychology
Psychologist, MPsych, FAPS
Serves Area
Hi. I'm Kylie Di Battista, a Counselling and Clinical Psychologist with over two decades of experience. I provide counselling for a range of difficulties including anxiety, depression and panic attacks, grief & loss, and relationship problems. Counselling may also address the issues underlying a current challenge such as intergenerational family problems, a low sense of self-esteem or unresolved trauma. Often clients present during times of life transition, such as new parenthood or relationship breakdown, which can be portals to enormous transformation. If you'd like authentic and professional support please reach out.
Hi. I'm Kylie Di Battista, a Counselling and Clinical Psychologist with over two decades of experience. I provide counselling for a range of difficulties including anxiety, depression and panic attacks, grief & loss, and relationship problems. Counselling may also address the issues underlying a current challenge such as intergenerational family problems, a low sense of self-esteem or unresolved trauma. Often clients present during times of life transition, such as new parenthood or relationship breakdown, which can be portals to enormous transformation. If you'd like authentic and professional support please reach out.
(02) 4058 2927 View (02) 4058 2927
Photo of Adam Aubin, Psychologist, PsyBA General
Adam Aubin
Psychologist, PsyBA General
Serves Area
Adam has a particular interest in working with complex trauma presentations (such as those common in first responding, domestic violence and veterans populations), PTSD, mood and anxiety disorders, dissociative disorders, personality disorders, ADHD and Autism. He draws on a wide range of evidence-based approaches in his work, including EMDR, CBT, Schema Therapy, DBT, ACT, the Gottman Method for couples and B-SFT. He is also a board-approved supervisor and is passionate about mentoring other psychologists in their clinical journey.
Adam has a particular interest in working with complex trauma presentations (such as those common in first responding, domestic violence and veterans populations), PTSD, mood and anxiety disorders, dissociative disorders, personality disorders, ADHD and Autism. He draws on a wide range of evidence-based approaches in his work, including EMDR, CBT, Schema Therapy, DBT, ACT, the Gottman Method for couples and B-SFT. He is also a board-approved supervisor and is passionate about mentoring other psychologists in their clinical journey.
(02) 4082 6583 View (02) 4082 6583
Photo of Gemma Keating, Social Worker, AMHSW
Gemma Keating
Social Worker, AMHSW
Serves Area
Gemma offers client-centered, compassionate and ethical counselling to individuals, couples and families in person and via telehealth. Gemma has a strong interest in couple and family therapy, recognising the importance of relationships in healing from adversity. Gemma is an Accredited Social Worker with over 18years experience, drawing on her experience and knowledge of working with people who endure grief & loss, trauma & developmental challenges, family and relationship difficulties and mental health concerns - supporting clients across the lifecycle. Gemma holds a strong passion for human rights & social justice.
Gemma offers client-centered, compassionate and ethical counselling to individuals, couples and families in person and via telehealth. Gemma has a strong interest in couple and family therapy, recognising the importance of relationships in healing from adversity. Gemma is an Accredited Social Worker with over 18years experience, drawing on her experience and knowledge of working with people who endure grief & loss, trauma & developmental challenges, family and relationship difficulties and mental health concerns - supporting clients across the lifecycle. Gemma holds a strong passion for human rights & social justice.
(02) 4075 9531 View (02) 4075 9531
Photo of Grace York, Psychologist, PsyBA General
Grace York
Psychologist, PsyBA General
Serves Area
Grace is a friendly and approachable psychologist, she is passionate about helping people better understand themselves to navigate life's challenges and joys. Grace loves to work with individuals from all walks of life and values working on the root cause of challenges whenever possible, rather than focusing solely on symptom management. Grace believes in flexibly tailoring therapy to individual needs and has experience with working with trauma, disability, mood disorders, anxiety disorders, neurodiversity, adjustment difficulties, attachment difficulties, family dynamics, stress, social difficulties, and emotional difficulties.
Grace is a friendly and approachable psychologist, she is passionate about helping people better understand themselves to navigate life's challenges and joys. Grace loves to work with individuals from all walks of life and values working on the root cause of challenges whenever possible, rather than focusing solely on symptom management. Grace believes in flexibly tailoring therapy to individual needs and has experience with working with trauma, disability, mood disorders, anxiety disorders, neurodiversity, adjustment difficulties, attachment difficulties, family dynamics, stress, social difficulties, and emotional difficulties.
(02) 4075 9112 View (02) 4075 9112
Photo of Rebecca Tattoli, Psychologist, MPsych, PsyBA General
Rebecca Tattoli
Psychologist, MPsych, PsyBA General
Serves Area
No matter how big or small your therapy goals are, I offer a safe, non-judgmental, and comfortable space. I work in-line with my values of collaboration and connection with clients to create a positive path forward using evidence-based treatment.
No matter how big or small your therapy goals are, I offer a safe, non-judgmental, and comfortable space. I work in-line with my values of collaboration and connection with clients to create a positive path forward using evidence-based treatment.
(02) 4071 6421 View (02) 4071 6421
Photo of Sinead Smith - Wise Mind Psychology Newcastle, Psychologist, MPsych, PsyBA - Clin. Psych
Wise Mind Psychology Newcastle
Psychologist, MPsych, PsyBA - Clin. Psych
Serves Area
Wise Mind Psychology is a Newcastle-based team of passionate clinicians who are dedicated to improving the lives and well-being of our clients. We adopt a collaborative, person-centered, and evidence-based approach to therapy and assessment. Wise Mind offers a range of services, including individual therapy, child and family therapy, and psychological and diagnostic assessments for children and adults of all ages.
Wise Mind Psychology is a Newcastle-based team of passionate clinicians who are dedicated to improving the lives and well-being of our clients. We adopt a collaborative, person-centered, and evidence-based approach to therapy and assessment. Wise Mind offers a range of services, including individual therapy, child and family therapy, and psychological and diagnostic assessments for children and adults of all ages.
(02) 4082 6720 View (02) 4082 6720
Photo of Sarah Cox, Psychologist, MPsych, PsyBA - Clin. Psych
Sarah Cox
Psychologist, MPsych, PsyBA - Clin. Psych
Serves Area
I believe everyone has the potential for growth and change given the right support. I place a strong emphasis on creating a respectful and safe space to explore your presenting concerns and will work with you towards creating meaningful change. I draw on techniques from a range of evidence-based practices, seeing therapy as an opportunity to utilise and build upon each client’s existing skills and strengths. Seeing a Clinical Psychologist, allows you to access a Medicare rebate of $141.85 with a Mental Health Care Plan from you GP (gap $108.15). Feel free to phone or email me with any questions you may have.
I believe everyone has the potential for growth and change given the right support. I place a strong emphasis on creating a respectful and safe space to explore your presenting concerns and will work with you towards creating meaningful change. I draw on techniques from a range of evidence-based practices, seeing therapy as an opportunity to utilise and build upon each client’s existing skills and strengths. Seeing a Clinical Psychologist, allows you to access a Medicare rebate of $141.85 with a Mental Health Care Plan from you GP (gap $108.15). Feel free to phone or email me with any questions you may have.
0493 744 872 View 0493 744 872
Photo of Tegan Joyce - Rest in Essence , Psychologist, PsyBA General
Rest in Essence
Psychologist, PsyBA General
Serves Area
Tegan is a registered Psychologist with experience working in government and community mental health services before joining Private Practice. She is a warm and compassionate Psychologist who is passionate about supporting individuals attain greater mental health and wellbeing. Counselling sessions are centred around helping individuals gain deeper insight into themselves, their behavioural patterns and self-beliefs
Tegan is a registered Psychologist with experience working in government and community mental health services before joining Private Practice. She is a warm and compassionate Psychologist who is passionate about supporting individuals attain greater mental health and wellbeing. Counselling sessions are centred around helping individuals gain deeper insight into themselves, their behavioural patterns and self-beliefs
(02) 4077 2406 View (02) 4077 2406
Photo of Tracy Leigh Lynch, Counsellor, PACFA
Tracy Leigh Lynch
Counsellor, PACFA
3 Endorsed
Serves Area
With over 30 years experience, I work with Individuals and Couples to help support real and lasting change. I use a combination of EMDR, Parts and Attachment informed therapy. I include Gottman for Couples. This can to help change underlying beliefs that form negative patterns. I specialise in Intensive Therapy. I use longer sessions over a shorter period. My extensive experience and skill base alongside my care and compassion can help you get to the bottom of what is going on and to process this, leading to change. Much more than just talking about issues we process them allowing real change to be possible.
With over 30 years experience, I work with Individuals and Couples to help support real and lasting change. I use a combination of EMDR, Parts and Attachment informed therapy. I include Gottman for Couples. This can to help change underlying beliefs that form negative patterns. I specialise in Intensive Therapy. I use longer sessions over a shorter period. My extensive experience and skill base alongside my care and compassion can help you get to the bottom of what is going on and to process this, leading to change. Much more than just talking about issues we process them allowing real change to be possible.
(02) 4063 1001 View (02) 4063 1001
Photo of Sarah James, Psychologist, PsychD, PsyBA General
Sarah James
Psychologist, PsychD, PsyBA General
Serves Area
Sarah James is an empathetic and compassionate Psychologist who is committed to supporting individuals build upon their strengths through adversity. She places the utmost importance on developing a warm and inviting therapeutic relationship to create significant change. Sarah works collaboratively with her clients, tailoring therapy to meet the client’s needs. Private practice has always been her passion, with particular interest in helping people to overcome their traumas, anxieties and relationship difficulties. It’s in this space that Sarah can draw on her experience in other areas to best support her clients.
Sarah James is an empathetic and compassionate Psychologist who is committed to supporting individuals build upon their strengths through adversity. She places the utmost importance on developing a warm and inviting therapeutic relationship to create significant change. Sarah works collaboratively with her clients, tailoring therapy to meet the client’s needs. Private practice has always been her passion, with particular interest in helping people to overcome their traumas, anxieties and relationship difficulties. It’s in this space that Sarah can draw on her experience in other areas to best support her clients.
(02) 4077 0825 View (02) 4077 0825
Photo of Nikki Strong, Counsellor, MA, ACA-L3
Nikki Strong
Counsellor, MA, ACA-L3
1 Endorsed
Online Only
Life can be unpredictable, messy and overwhelming at times and we all need help from time to time. Whether you're navigating big life changes, study/work stress, ADHD, relationship issues or learning how to set boundaries, I'm here to support you. I'm especially passionate about supporting neurodivergent women and non-binary folks to create a life and routine that works with their brain rather than against it. Together, we can create practical strategies that make sense for your life. I provide flexible telehealth counselling services (phone or Zoom), offering a safe space to explore what's been on your mind.
Life can be unpredictable, messy and overwhelming at times and we all need help from time to time. Whether you're navigating big life changes, study/work stress, ADHD, relationship issues or learning how to set boundaries, I'm here to support you. I'm especially passionate about supporting neurodivergent women and non-binary folks to create a life and routine that works with their brain rather than against it. Together, we can create practical strategies that make sense for your life. I provide flexible telehealth counselling services (phone or Zoom), offering a safe space to explore what's been on your mind.
(02) 4077 2979 View (02) 4077 2979
Photo of Alex Cameron - The CBT Clinic (Alexander Cameron), Psychologist, PsyBA General
The CBT Clinic (Alexander Cameron)
Psychologist, PsyBA General
Serves Area
I am a Psychologist in my twelfth year of clinical practice in Newcastle, NSW. I have undertaken advanced training in Rational Emotive Behaviour Therapy (REBT) - the originating form of CBT - and met the international training standards set by The Albert Ellis Institute in New York City - where CBT was pioneered. I have been approved by the AEI as a RE-CBT Therapist, Supervisor, and Trainer. I am a Supervisor/Trainer with the Australian Institute of REBT (AIREBT). I am also an Associate Fellow of the Albert Ellis Institute and Associate Member of the International Association for REBT; and am a Board-Approved Supervisor.
I am a Psychologist in my twelfth year of clinical practice in Newcastle, NSW. I have undertaken advanced training in Rational Emotive Behaviour Therapy (REBT) - the originating form of CBT - and met the international training standards set by The Albert Ellis Institute in New York City - where CBT was pioneered. I have been approved by the AEI as a RE-CBT Therapist, Supervisor, and Trainer. I am a Supervisor/Trainer with the Australian Institute of REBT (AIREBT). I am also an Associate Fellow of the Albert Ellis Institute and Associate Member of the International Association for REBT; and am a Board-Approved Supervisor.
(02) 4012 6262 View (02) 4012 6262
Photo of Rebecca Saalfeld, Counsellor, PACFA
Rebecca Saalfeld
Counsellor, PACFA
Serves Area
Do you feel stuck? Are you struggling? Would you like to deepen your understanding of yourself and what is important to you? Would you like to feel more confident? Would you like to make choices that better serve you? Would you like to explore your concerns using dialogue, 2 chair work, art, body wisdom or dreams? Would you like to deepen your self awareness and authentic experience? Do you want to work in a way and at a pace determined by your needs? All sessions are mutually respectful and confidential.
Do you feel stuck? Are you struggling? Would you like to deepen your understanding of yourself and what is important to you? Would you like to feel more confident? Would you like to make choices that better serve you? Would you like to explore your concerns using dialogue, 2 chair work, art, body wisdom or dreams? Would you like to deepen your self awareness and authentic experience? Do you want to work in a way and at a pace determined by your needs? All sessions are mutually respectful and confidential.
(02) 4082 8292 View (02) 4082 8292
Photo of Kath Doosey, Social Worker, AMHSW
Kath Doosey
Social Worker, AMHSW
1 Endorsed
Serves Area
Kath is an experienced EMDR Therapist, Accredited Mental Health Social Worker and Psychotherapist who started Hunter Clinical Services to create a safe and accepting space to access counselling and therapy. Kath works with adults and adolescents, and has extensive experience working survivors of trauma and violence, the adjustment to a sudden event or life change. Kath also provides therapy for depression, anxiety, relationship problems and divorce, chronic and / or neurological illness, and gender-related issues. Kath has a flexible and non-judgemental approach and will work with you through the challenges of life.
Kath is an experienced EMDR Therapist, Accredited Mental Health Social Worker and Psychotherapist who started Hunter Clinical Services to create a safe and accepting space to access counselling and therapy. Kath works with adults and adolescents, and has extensive experience working survivors of trauma and violence, the adjustment to a sudden event or life change. Kath also provides therapy for depression, anxiety, relationship problems and divorce, chronic and / or neurological illness, and gender-related issues. Kath has a flexible and non-judgemental approach and will work with you through the challenges of life.
(02) 4075 9805 View (02) 4075 9805

How does your Counsellor compare?

Number of Counsellors in Kotara, NSW

20+

Average cost per session

$215

Counsellors in Kotara, NSW who prioritize treating:

85% Anxiety
81% Depression
77% Relationship Issues
77% Trauma and PTSD
65% Self Esteem
65% Stress
50% ADHD

Average years in practice

14 Years

Top 3 insurances accepted

94% Medicare Rebates
50% NDIS
44% Teachers Health

How Counsellors in Kotara, NSW see their clients

85% In Person and Online
15% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Kotara?

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.