Counselling in Saint Ives, NSW

Photo of Eitan Dekel - Eitan Dekel - Counselling & Psychotherapy, Counsellor, AMHSW
As a collaborative, integrative and highly experienced therapist, I delve deeply into understanding the origins of problems to offer compassionate support, direction, and practical feedback, empowering individuals on their journey towards healing and personal growth. With over 35 years of diverse experience in community mental health, hospitals, Headspace, and private practice, I specialize in guiding individuals through their emotional challenges. I work with clients of all ages and backgrounds, addressing all sorts of emotional challenges such as anxiety, grief, depression, trauma, low self-esteem, and various life transitions.
As a collaborative, integrative and highly experienced therapist, I delve deeply into understanding the origins of problems to offer compassionate support, direction, and practical feedback, empowering individuals on their journey towards healing and personal growth. With over 35 years of diverse experience in community mental health, hospitals, Headspace, and private practice, I specialize in guiding individuals through their emotional challenges. I work with clients of all ages and backgrounds, addressing all sorts of emotional challenges such as anxiety, grief, depression, trauma, low self-esteem, and various life transitions.
(02) 8403 2869 View (02) 8403 2869
Photo of Anita Blakeley-Smith, Psychologist, PhD, MAPS
Anita Blakeley-Smith
Psychologist, PhD, MAPS
Serves Area
I am warm, open and experienced Doctor of clinical psychology who works with all sorts of issues, big and small, from life adjustment issues to mental health difficulties. My focus is on mental health wellness. I work with proven psychology treatments for mood and relationship issues for all ages, including couples.  I aim to treat each client as an individual with their own unique biology, personal history, strengths and areas for change, utilising a collaborative approach to provide your own program of evidence based intervention. 
I am warm, open and experienced Doctor of clinical psychology who works with all sorts of issues, big and small, from life adjustment issues to mental health difficulties. My focus is on mental health wellness. I work with proven psychology treatments for mood and relationship issues for all ages, including couples.  I aim to treat each client as an individual with their own unique biology, personal history, strengths and areas for change, utilising a collaborative approach to provide your own program of evidence based intervention. 
(02) 8294 6666 View (02) 8294 6666
Photo of Melissa Ferrari, Psychotherapist, PACFA
Melissa Ferrari
Psychotherapist, PACFA
Serves Area
Melissa is one of Australia’s most sought-after therapists who possesses over 25 years’ experience in couples counselling and individual psychotherapy who is regularly called upon as a relationship expert across national media. She uses a range of proven approaches in her practice to help couples heal and reconnect having dedicated herself to a life of learning. A Clinical Member of the Australian College of Relationship Counsellors, Melissa is also one of the few therapists in the country to have received training from the world’s most renowned pioneer in couples counselling, Dr Stan Tatkin, founder of the PACT Training Institute.
Melissa is one of Australia’s most sought-after therapists who possesses over 25 years’ experience in couples counselling and individual psychotherapy who is regularly called upon as a relationship expert across national media. She uses a range of proven approaches in her practice to help couples heal and reconnect having dedicated herself to a life of learning. A Clinical Member of the Australian College of Relationship Counsellors, Melissa is also one of the few therapists in the country to have received training from the world’s most renowned pioneer in couples counselling, Dr Stan Tatkin, founder of the PACT Training Institute.
(02) 4058 4744 View (02) 4058 4744
Photo of Luciana Zeni, Psychologist, PsyBA General
Luciana Zeni
Psychologist, PsyBA General
2 Endorsed
Serves Area
As a Psychologist, my passion is to support clients who are working towards their personal growth, assisting them in expanding their understanding of the limiting beliefs and repeated patterns of behaviors that contribute to their emotional symptoms. Using evidence-based therapeutic approaches and working collaboratively towards the clients’ goals, my role is to support clients reframe these thoughts/beliefs and develop new patterns of behaviors aligned with their personal values, which in turn promotes symptom reduction and enables clients to live a more fulfilling life.
As a Psychologist, my passion is to support clients who are working towards their personal growth, assisting them in expanding their understanding of the limiting beliefs and repeated patterns of behaviors that contribute to their emotional symptoms. Using evidence-based therapeutic approaches and working collaboratively towards the clients’ goals, my role is to support clients reframe these thoughts/beliefs and develop new patterns of behaviors aligned with their personal values, which in turn promotes symptom reduction and enables clients to live a more fulfilling life.
(02) 8403 0009 View (02) 8403 0009
Photo of Gemma Illescas - always flying psychology, Psychologist, PsyBA General
always flying psychology
Psychologist, PsyBA General
Serves Area
I work with children, adolescents and adults. Areas of expertise, ADHD, Sport & Performance Psychology. Clinics in Wahroonga, St Leonards & Gosford. Other areas of work, Autism, Intellectual Disability, Behaviour challenges, Specific Learning Disorders, Anxiety, Depression, in the background of Trauma Informed Practices. Conduct ADHD assessments.
I work with children, adolescents and adults. Areas of expertise, ADHD, Sport & Performance Psychology. Clinics in Wahroonga, St Leonards & Gosford. Other areas of work, Autism, Intellectual Disability, Behaviour challenges, Specific Learning Disorders, Anxiety, Depression, in the background of Trauma Informed Practices. Conduct ADHD assessments.
(02) 9158 6576 View (02) 9158 6576
Photo of Mona Ghafourian - Clinical Psychologist, Psychologist, MPsych, PsyBA - Clin. Psych
Mona Ghafourian - Clinical Psychologist
Psychologist, MPsych, PsyBA - Clin. Psych
Serves Area
I am a registered clinical psychologist, who is warm and empathic, and enjoy working with a range of clients. Using a holistic approach, I take the time to learn about my clients and consider a number of factors that may be contributing to their concerns or issues. I have experience working in private and hospital settings and treating a number of issues, including anxiety and stress, mood disorders, anger issues, low self-esteem and confidence, and relationship and personal issues.
I am a registered clinical psychologist, who is warm and empathic, and enjoy working with a range of clients. Using a holistic approach, I take the time to learn about my clients and consider a number of factors that may be contributing to their concerns or issues. I have experience working in private and hospital settings and treating a number of issues, including anxiety and stress, mood disorders, anger issues, low self-esteem and confidence, and relationship and personal issues.
(02) 8403 1075 View (02) 8403 1075
Photo of Andrew McPherson, Psychologist, MPsych, PsyBA - Clin. Psych
Andrew McPherson
Psychologist, MPsych, PsyBA - Clin. Psych
Serves Area
As a clinical psychologist I treat adolescents and adults with a wide range of mental health issues including anxiety, depression, PTSD, and addiction. I aim to provide an empathetic and warm approach to help people improve their mental health and their quality of life.
As a clinical psychologist I treat adolescents and adults with a wide range of mental health issues including anxiety, depression, PTSD, and addiction. I aim to provide an empathetic and warm approach to help people improve their mental health and their quality of life.
(02) 9100 0856 View (02) 9100 0856
Photo of Kanny Oluwakanyinsola Hannah - Dr. Kanny Hannah, Oshia, Psychologist, PsychD, PsyBA - Clin. Psych
Dr. Kanny Hannah, Oshia
Psychologist, PsychD, PsyBA - Clin. Psych
Serves Area
Dr. Kanny Hannah supports individuals with complex mental health needs, including adults with personality disorders, adjustment disorders, and PTSD. She also helps children and adolescents with neurodevelopmental and emotional challenges like ADHD, autism, and emotional regulation difficulties. Additionally, she provides comprehensive neuropsychological assessments, evaluating IQ, memory, and executive functioning, and offers formal diagnoses for conditions such as ASD, ADHD, and personality disorders.
Dr. Kanny Hannah supports individuals with complex mental health needs, including adults with personality disorders, adjustment disorders, and PTSD. She also helps children and adolescents with neurodevelopmental and emotional challenges like ADHD, autism, and emotional regulation difficulties. Additionally, she provides comprehensive neuropsychological assessments, evaluating IQ, memory, and executive functioning, and offers formal diagnoses for conditions such as ASD, ADHD, and personality disorders.
(02) 8403 0648 View (02) 8403 0648
Photo of Agnes Starnawski, Counsellor, ACA-L2
Agnes Starnawski
Counsellor, ACA-L2
Serves Area
Life is never a smooth sailing. It is full of ups and downs and sometimes nasty surprises. It might be difficult to think, sometimes, that things can get better. There may be troubles at work with boss or a co-worker, unsettled feelings around in-laws, difficulties in resolving issues with a partner, or even issues within yourself. As difficult as those issues may sound, it is possible to attend to them, and with the right help, to resolve them.
Life is never a smooth sailing. It is full of ups and downs and sometimes nasty surprises. It might be difficult to think, sometimes, that things can get better. There may be troubles at work with boss or a co-worker, unsettled feelings around in-laws, difficulties in resolving issues with a partner, or even issues within yourself. As difficult as those issues may sound, it is possible to attend to them, and with the right help, to resolve them.
(02) 8074 5805 View (02) 8074 5805
Photo of Dr Ingrid McPhee, Psychologist, PhD, PsyBA - Clin. Psych
Dr Ingrid McPhee
Psychologist, PhD, PsyBA - Clin. Psych
Serves Area
Every one of us has a unique story to tell – some are more difficult or painful than others. If you are navigating new or long-standing emotional or psychological challenges in your life, it can help to speak to a compassionate and experienced professional. I welcome you to share your story and together we can plan a pathway towards helping you heal and live a fulfilling life.
Every one of us has a unique story to tell – some are more difficult or painful than others. If you are navigating new or long-standing emotional or psychological challenges in your life, it can help to speak to a compassionate and experienced professional. I welcome you to share your story and together we can plan a pathway towards helping you heal and live a fulfilling life.
(02) 8999 5051 View (02) 8999 5051
Photo of Penny Dillon, Counsellor, MA, ACA-L3
Penny Dillon
Counsellor, MA, ACA-L3
2 Endorsed
Serves Area
I am a counsellor, clinical nutritionist, mental health first aid trainer and parent to three teenage boys. I support people dealing with stress, anxiety, depression, work-life balance, trauma, substance abuse, parenting struggles and grief. ​​ As a qualified clinical nutritionist I also support people looking to lose weight or struggling with their relationship with food. I work to support you from the very first session, so that you leave feeling more aware, more empowered, and have the tools to help tackle the challenges you are facing.
I am a counsellor, clinical nutritionist, mental health first aid trainer and parent to three teenage boys. I support people dealing with stress, anxiety, depression, work-life balance, trauma, substance abuse, parenting struggles and grief. ​​ As a qualified clinical nutritionist I also support people looking to lose weight or struggling with their relationship with food. I work to support you from the very first session, so that you leave feeling more aware, more empowered, and have the tools to help tackle the challenges you are facing.
(02) 8403 0340 View (02) 8403 0340
Photo of Norell Naidoo, Psychologist, MPsych, PsyBA General
Norell Naidoo
Psychologist, MPsych, PsyBA General
Serves Area
“I’ve had a coach before & he was nowhere near as good as you. You relate to my context. You're action oriented. You sense where I’m stuck & steer me indirection." I help individuals to strengthen their mindset and optimise their performance. I provide support to create clarity in their lives, and their relationships so that they can feel more in control, increase their motivation, drive and focus. Are you feeling exhausted from trying to figure things out by yourself? Is productivity and motivation taking a bit of a hit? Do you want to confidently and effectively get through your days with a feeling of accomplishment and pride?
“I’ve had a coach before & he was nowhere near as good as you. You relate to my context. You're action oriented. You sense where I’m stuck & steer me indirection." I help individuals to strengthen their mindset and optimise their performance. I provide support to create clarity in their lives, and their relationships so that they can feel more in control, increase their motivation, drive and focus. Are you feeling exhausted from trying to figure things out by yourself? Is productivity and motivation taking a bit of a hit? Do you want to confidently and effectively get through your days with a feeling of accomplishment and pride?
(02) 8074 1771 View (02) 8074 1771
Photo of Carolina Souto-Jones, Counsellor, PACFA
Carolina Souto-Jones
Counsellor, PACFA
Serves Area
Waitlist for new clients
I work with a person-centred approach, within it I pull from my years of experience in all areas of mental health. The therapeutic strategies and interventions I predominantly work with are the behaviour focused therapies of Dialectical Behaviour Therapy, (DBT), Cognitive Behavioural Therapy, (CBT) and Eye Movement Desensitisation and Reprocessing (EMDR). Above all I hold the up most importance in developing a good therapeutic relationship between client and therapist, within it a emotional bond of trust, caring and respect is created, which allows for a safe space where healing can take place.
I work with a person-centred approach, within it I pull from my years of experience in all areas of mental health. The therapeutic strategies and interventions I predominantly work with are the behaviour focused therapies of Dialectical Behaviour Therapy, (DBT), Cognitive Behavioural Therapy, (CBT) and Eye Movement Desensitisation and Reprocessing (EMDR). Above all I hold the up most importance in developing a good therapeutic relationship between client and therapist, within it a emotional bond of trust, caring and respect is created, which allows for a safe space where healing can take place.
(02) 8403 0054 View (02) 8403 0054
Photo of Dr Mojgan Fadaei, Counsellor, PhD, ACA-L3
Dr Mojgan Fadaei
Counsellor, PhD, ACA-L3
Serves Area
Drawing from more than 15 years of international counseling experience, I blend contemporary therapeutic approaches with timeless eastern wisdom for your unique wellness journey. I specialize in trauma, grief, ADHD, anxiety, depression, relationships, career /work issues, women's mental health (peri/menopause transition),and (migration issues (grief, adjustment, acculturation). I believe in working partnership with you to uncover root causes, understand the impact on all aspects of your lives and create a personalized plan that aligns with your specific needs and goals, integrating diverse modalities for lasting positive change.
Drawing from more than 15 years of international counseling experience, I blend contemporary therapeutic approaches with timeless eastern wisdom for your unique wellness journey. I specialize in trauma, grief, ADHD, anxiety, depression, relationships, career /work issues, women's mental health (peri/menopause transition),and (migration issues (grief, adjustment, acculturation). I believe in working partnership with you to uncover root causes, understand the impact on all aspects of your lives and create a personalized plan that aligns with your specific needs and goals, integrating diverse modalities for lasting positive change.
(02) 8403 1804 View (02) 8403 1804
Photo of Jo Mansergh, Psychologist, PsyBA General
Jo Mansergh
Psychologist, PsyBA General
Serves Area
Jo is a psychologist and educator who provides psychoeducational assessments for young people aged 6-25 years. A comprehensive assessment can reveal underlying vulnerabilities that may contribute to behavioural or learning difficulties at school. Jo offers assessments for cognitive ability, academic achievement, learning difficulties and giftedness, ADHD, intellectual disability and SLD . Jo's strength-based approach ensures that clients feel well supported throughout the assessment process. Her comprehensive reports make clear what the results mean for the young person and how families and teachers may implement recommendations .
Jo is a psychologist and educator who provides psychoeducational assessments for young people aged 6-25 years. A comprehensive assessment can reveal underlying vulnerabilities that may contribute to behavioural or learning difficulties at school. Jo offers assessments for cognitive ability, academic achievement, learning difficulties and giftedness, ADHD, intellectual disability and SLD . Jo's strength-based approach ensures that clients feel well supported throughout the assessment process. Her comprehensive reports make clear what the results mean for the young person and how families and teachers may implement recommendations .
(02) 8403 1410 View (02) 8403 1410
Photo of Reuben McIntyre - Better Counselling Practice, Counsellor, ACA-L1
Better Counselling Practice
Counsellor, ACA-L1
Serves Area
Introducing better. counselling that moves you forward. Get accessible and personalised counselling, in-person or from the comfort of your home. An accredited counsellor with the Australian Counselling Association (ACA), Reuben has over 25 years of experience counselling, leading and mentoring individuals, couples, and families. Reuben has been married for 27 years, has 3 adult children and is passionate about helping people through the difficult phases of life. He has also started, lead, and sold businesses and Not For Profit organisations. He loves to help people set goals and then move forward with a collaborative approach.
Introducing better. counselling that moves you forward. Get accessible and personalised counselling, in-person or from the comfort of your home. An accredited counsellor with the Australian Counselling Association (ACA), Reuben has over 25 years of experience counselling, leading and mentoring individuals, couples, and families. Reuben has been married for 27 years, has 3 adult children and is passionate about helping people through the difficult phases of life. He has also started, lead, and sold businesses and Not For Profit organisations. He loves to help people set goals and then move forward with a collaborative approach.
(02) 9929 8085 View (02) 9929 8085
Photo of Jacqueline Schell, Psychologist, MPsych, MAPS
Jacqueline Schell
Psychologist, MPsych, MAPS
Serves Area
With over 20 years of experience, Jackie is a trusted and experienced clinical psychologist with an established Practice at Hornsby Kuringai Clinical Psychology in Sydney's north. Jackie has current capacity for child, adolescent psychometric assessment as well as therapy. She also has the capacity for adult ADHD assessment. Jackie has a strong interest in helping to empower parents and offers stand along parent coaching sessions on a one off basis or in packages of 3 or 6. She is also a Cogmed Working Memory Coach. Call today to find out more.
With over 20 years of experience, Jackie is a trusted and experienced clinical psychologist with an established Practice at Hornsby Kuringai Clinical Psychology in Sydney's north. Jackie has current capacity for child, adolescent psychometric assessment as well as therapy. She also has the capacity for adult ADHD assessment. Jackie has a strong interest in helping to empower parents and offers stand along parent coaching sessions on a one off basis or in packages of 3 or 6. She is also a Cogmed Working Memory Coach. Call today to find out more.
(02) 8403 0050 View (02) 8403 0050
Photo of Peter Foster, Counsellor, PACFA
Peter Foster
Counsellor, PACFA
Serves Area
I provide counselling to individuals, couples and families at my consulting room in Hornsby, online by Zoom or telephone, or by visiting clients in their homes or other preferred locations within 30 minutes driving time from Hornsby.
I provide counselling to individuals, couples and families at my consulting room in Hornsby, online by Zoom or telephone, or by visiting clients in their homes or other preferred locations within 30 minutes driving time from Hornsby.
(02) 6189 2714 View (02) 6189 2714
Photo of Allison Garing - Thought Tree - Thoughtful Counselling , Counsellor, MA, PACFA
Thought Tree - Thoughtful Counselling
Counsellor, MA, PACFA
Serves Area
Welcome to Thought Tree. People come to therapy for a wide variety of reasons. Perhaps you’ve not been feeling yourself or have been feeling sad or worried for some time. Maybe you are questioning the value of a relationship, or feeling stuck and missing a sense of meaning in your life. I provide a compassionate, non- judgemental space that allows for self-awareness, perspective and growth. I use evidence based modalities and my counselling is thoughtful and person centred meaning that you are actively involved in the process.
Welcome to Thought Tree. People come to therapy for a wide variety of reasons. Perhaps you’ve not been feeling yourself or have been feeling sad or worried for some time. Maybe you are questioning the value of a relationship, or feeling stuck and missing a sense of meaning in your life. I provide a compassionate, non- judgemental space that allows for self-awareness, perspective and growth. I use evidence based modalities and my counselling is thoughtful and person centred meaning that you are actively involved in the process.
(02) 8403 2534 View (02) 8403 2534
Photo of Carley Petkovski, Psychologist, MA, PsyBA General
Carley Petkovski
Psychologist, MA, PsyBA General
Serves Area
If you are feeling down or overwhelmed, finding it hard to adjust to new things, struggling with big emotions or maintaining relationships, talking to someone can really help. With over 20 years experience I provide counselling services to Adults, Children, Adolescents and Families focusing on clients strengths across a broad range of presentations. These includes Mental health Disorders, Adjustment issues, Social skills, Emotion dysregulation including anger, ADHD, Trauma and Grief and loss, to name a few.
If you are feeling down or overwhelmed, finding it hard to adjust to new things, struggling with big emotions or maintaining relationships, talking to someone can really help. With over 20 years experience I provide counselling services to Adults, Children, Adolescents and Families focusing on clients strengths across a broad range of presentations. These includes Mental health Disorders, Adjustment issues, Social skills, Emotion dysregulation including anger, ADHD, Trauma and Grief and loss, to name a few.
(02) 8403 1207 View (02) 8403 1207
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How does your Counsellor compare?

Number of Counsellors in Saint Ives, NSW

30+

Average cost per session

$215

Counsellors in Saint Ives, NSW who prioritize treating:

80% Anxiety
70% Depression
67% Self Esteem
63% Relationship Issues
63% Stress
63% Life Transitions
53% Parenting

Average years in practice

18 Years

Top 3 insurances accepted

67% Medicare Rebates
33% Medibank Private
27% Other

How Counsellors in Saint Ives, NSW see their clients

97% In Person and Online
3% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Saint Ives?

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.