Counselling in Karana Downs, QLD

Photo of Dr Sonia Kalsi, Psychologist, PsyBA General
Dr Sonia Kalsi
Psychologist, PsyBA General
Serves Area
I am a UK-trained and registered Psychologist and Psychotherapist with over 26 years of experience in the field of mental health. I am AHPRA-registered and have dual registration and licences to practice in Australia and the UK. I have worked in a variety of mental health settings such as the National Health Service, Education, and the Voluntary sector and in various roles, as a psychologist, consultant, trainer and manager of a university counselling service. I have been providing psychological support to adults for the past 10 years and managed my own private practice for 6 years.
I am a UK-trained and registered Psychologist and Psychotherapist with over 26 years of experience in the field of mental health. I am AHPRA-registered and have dual registration and licences to practice in Australia and the UK. I have worked in a variety of mental health settings such as the National Health Service, Education, and the Voluntary sector and in various roles, as a psychologist, consultant, trainer and manager of a university counselling service. I have been providing psychological support to adults for the past 10 years and managed my own private practice for 6 years.
(07) 3186 0263 View (07) 3186 0263
Photo of Helen Huie, Counsellor, ACA-L3
Helen Huie
Counsellor, ACA-L3
Serves Area
Finding a therapist you can feel comfortable and safe with is important. Helen is warm and welcoming registered level 3 Clinical Counsellor with a passion for supporting people through trauma and life's challenges. Helen utilises an attachment approach with many modalities not limited to EMDR, Internal Family Systems, psychotherapy, equine assisted therapy and works with polyvagal theory to create a therapeutic service best suited to your needs. Helen has expertise with adolescents, gender diversity and neurodiversity. Telehealth and in person sessions.
Finding a therapist you can feel comfortable and safe with is important. Helen is warm and welcoming registered level 3 Clinical Counsellor with a passion for supporting people through trauma and life's challenges. Helen utilises an attachment approach with many modalities not limited to EMDR, Internal Family Systems, psychotherapy, equine assisted therapy and works with polyvagal theory to create a therapeutic service best suited to your needs. Helen has expertise with adolescents, gender diversity and neurodiversity. Telehealth and in person sessions.
(07) 2100 4054 View (07) 2100 4054
Photo of Marion Valster, Psychologist, PsyBA General
Marion Valster
Psychologist, PsyBA General
Serves Area
I have a special interest in working with our first responders: QAS, QPS, QCS, SES and QFES, clients under Victim Assist, and with those experiencing workplace issues (WorkCover). Work is such a large part of our life, and when work is difficult, it is hard not to let it leak into our private lives. It is wonderful to start shifting some of the symptoms and bring back a sense of joy. Together, my clients and I work on what a happier life would look like, and what is needed to get there. We usually do this by looking at strengths and values, and by exploring underlying beliefs that may hold you back.
I have a special interest in working with our first responders: QAS, QPS, QCS, SES and QFES, clients under Victim Assist, and with those experiencing workplace issues (WorkCover). Work is such a large part of our life, and when work is difficult, it is hard not to let it leak into our private lives. It is wonderful to start shifting some of the symptoms and bring back a sense of joy. Together, my clients and I work on what a happier life would look like, and what is needed to get there. We usually do this by looking at strengths and values, and by exploring underlying beliefs that may hold you back.
(07) 2100 4842 View (07) 2100 4842
Photo of Aleigha Manski, Counsellor, ACA-L3
Aleigha Manski
Counsellor, ACA-L3
Serves Area
The people we support are looking for a way to better understand themselves as well as the relationships they have in their lives. We work people who have trouble communicating, expressing themselves & being satisfied with their lives. We work with people who have experienced trauma or hurt in their lives. The couples we work with are experiencing disconnection and are needing a different way being with one another. We work with those that want repair and reconnection. Our clients are provided with a sense of empowerment & encouragement to keep learning & growing as they navigate life's challenges.
The people we support are looking for a way to better understand themselves as well as the relationships they have in their lives. We work people who have trouble communicating, expressing themselves & being satisfied with their lives. We work with people who have experienced trauma or hurt in their lives. The couples we work with are experiencing disconnection and are needing a different way being with one another. We work with those that want repair and reconnection. Our clients are provided with a sense of empowerment & encouragement to keep learning & growing as they navigate life's challenges.
(07) 2801 7206 View (07) 2801 7206
Photo of Cheree McGarry, Social Worker, AMHSW
Cheree McGarry
Social Worker, AMHSW
1 Endorsed
Serves Area
Are you struggling with anxiety, depression or other mental health problem. Do you need someone to listen when others can’t. If you feel alone and need someone to be with you who has the ability to understand and help you understand - give me a call. Do you want help to repair your relationships with others - family, friends, workplace, children. Are you able to accept some responsibility for your own thoughts, feelings and behaviour. Would you like to understand why you feel the way you do and respond to others the way you do. Are you prepared to work with me on this in order to make the changes you want. There is hope!
Are you struggling with anxiety, depression or other mental health problem. Do you need someone to listen when others can’t. If you feel alone and need someone to be with you who has the ability to understand and help you understand - give me a call. Do you want help to repair your relationships with others - family, friends, workplace, children. Are you able to accept some responsibility for your own thoughts, feelings and behaviour. Would you like to understand why you feel the way you do and respond to others the way you do. Are you prepared to work with me on this in order to make the changes you want. There is hope!
(07) 2801 5103 View (07) 2801 5103

More Therapists Nearby

Photo of Mirjam Jung, Psychologist, MPsych, PsyBA General
Mirjam Jung
Psychologist, MPsych, PsyBA General
Online Only
As a registered psychologist, I provide evidence-based, inclusive support for individuals navigating anxiety, depression, life challenges, transitions, and relationship difficulties. My practice is inclusive of LGBTQIA+ identities, non-monogamous relationships, sex work, and non-traditional lifestyles. With a trauma-informed, person-centered approach I offer a respectful and confidential space where all aspects of your experience are welcome.
As a registered psychologist, I provide evidence-based, inclusive support for individuals navigating anxiety, depression, life challenges, transitions, and relationship difficulties. My practice is inclusive of LGBTQIA+ identities, non-monogamous relationships, sex work, and non-traditional lifestyles. With a trauma-informed, person-centered approach I offer a respectful and confidential space where all aspects of your experience are welcome.
(03) 7003 2176 View (03) 7003 2176
Photo of Melissa Jane Haffenden - DistressLess Therapy, Social Worker, AMHSW
DistressLess Therapy
Social Worker, AMHSW
Morayfield, QLD 4506
I introduce myself to you as a compassionate and experienced Mental Health Practitioner, dedicated to supporting individuals in their journey toward healing, self-understanding and resilience. With extensive experience working with individuals facing Borderline Personality Disorder and trauma, I offer a compassionate, client-centred approach that prioritises your unique needs and therapy goals. Whether you are navigating intense emotions, relationship challenges or past traumatic experiences, you will be met with empathy, respect and unwavering support. Your wellbeing is at the heart of the therapeutic process.
I introduce myself to you as a compassionate and experienced Mental Health Practitioner, dedicated to supporting individuals in their journey toward healing, self-understanding and resilience. With extensive experience working with individuals facing Borderline Personality Disorder and trauma, I offer a compassionate, client-centred approach that prioritises your unique needs and therapy goals. Whether you are navigating intense emotions, relationship challenges or past traumatic experiences, you will be met with empathy, respect and unwavering support. Your wellbeing is at the heart of the therapeutic process.
0461 269 915 View 0461 269 915
Photo of Yohana Sutanto, Psychotherapist, MSc
Yohana Sutanto
Psychotherapist, MSc
Online Only
Over the last 5 years, as a Clinical Counsellor and Psychotherapist, I have been working with parents/caregivers wanting to better their connections with their children. I have also walked alongside individuals impacted by past trauma, people experience isolation and loneliness. Trauma-informed, I strive to offer a holding space promoting growth. I also underpin my therapeutical approaches in experiential and attachment-based models.
Over the last 5 years, as a Clinical Counsellor and Psychotherapist, I have been working with parents/caregivers wanting to better their connections with their children. I have also walked alongside individuals impacted by past trauma, people experience isolation and loneliness. Trauma-informed, I strive to offer a holding space promoting growth. I also underpin my therapeutical approaches in experiential and attachment-based models.
(07) 4516 3036 View (07) 4516 3036
Photo of Nadine Kruger - InFocus Health, Counsellor
InFocus Health
Counsellor
Jindalee, QLD 4074
Hi, I'm Nadine. I support adults with anxiety, depression, grief and loss, anger, relationship issues, narcissistic abuse recovery, and drug and alcohol dependence. You’ve spent much of your life being dependable—at work, in relationships, and for your family. But lately, you may be feeling overwhelmed, lost, or stuck. Whether you're facing anxiety, burnout, grief, relationship issues or transitioning into retirement, support is available. I offer a calm, confidential space to unpack what’s holding you back. With counselling and EMDR therapy, we’ll work together to help you find clarity, balance, and renewed purpose.
Hi, I'm Nadine. I support adults with anxiety, depression, grief and loss, anger, relationship issues, narcissistic abuse recovery, and drug and alcohol dependence. You’ve spent much of your life being dependable—at work, in relationships, and for your family. But lately, you may be feeling overwhelmed, lost, or stuck. Whether you're facing anxiety, burnout, grief, relationship issues or transitioning into retirement, support is available. I offer a calm, confidential space to unpack what’s holding you back. With counselling and EMDR therapy, we’ll work together to help you find clarity, balance, and renewed purpose.
(07) 2100 4025 View (07) 2100 4025
Photo of Dadirai Gara - PsychCare Psychology & Mental Health, Psychologist, PsychD, PsyBA - Clin. Psych
PsychCare Psychology & Mental Health
Psychologist, PsychD, PsyBA - Clin. Psych
East Ipswich, QLD 4305
PsychCare Psychology & Mental Health is an Ipswich based multidisciplinary mental health and well-being clinic. The PsychCare Psychology & Mental Health clinicians highly consider the association between mental health (well-being) and mental illness and work collaboratively with their clients to reduces symptoms of mental illness and increase their clients’ emotional, psychological and social well-being. Our clinicians use evidence-based treatment approaches and are committed to tracking progress during therapy and utilise a range of outcome measures to monitor changes in our clients’ symptomatology over time.
PsychCare Psychology & Mental Health is an Ipswich based multidisciplinary mental health and well-being clinic. The PsychCare Psychology & Mental Health clinicians highly consider the association between mental health (well-being) and mental illness and work collaboratively with their clients to reduces symptoms of mental illness and increase their clients’ emotional, psychological and social well-being. Our clinicians use evidence-based treatment approaches and are committed to tracking progress during therapy and utilise a range of outcome measures to monitor changes in our clients’ symptomatology over time.
(07) 2801 5072 View (07) 2801 5072
Photo of Dr Tania Rix, Psychologist, PsychD, PsyBA - Clin. Psych
Dr Tania Rix
Psychologist, PsychD, PsyBA - Clin. Psych
Serves Area
Clinical Psychology Service offering a broad range of options for adult clients: Assessment and intervention includes but not limited to: anxiety (panic, phobias, obsessive compulsive problems, generalised anxiety), PTSD and complex / childhood trauma, depression, grief and loss, adjustment to life change, medical and long-term illness, pain, end of life, identity change - including gender identity transition.
Clinical Psychology Service offering a broad range of options for adult clients: Assessment and intervention includes but not limited to: anxiety (panic, phobias, obsessive compulsive problems, generalised anxiety), PTSD and complex / childhood trauma, depression, grief and loss, adjustment to life change, medical and long-term illness, pain, end of life, identity change - including gender identity transition.
(07) 4079 0465 View (07) 4079 0465
Photo of Lisa Barnes - Monarch Psychology and Wellness, Psychologist, PsyBA Prov
Monarch Psychology and Wellness
Psychologist, PsyBA Prov
Petrie, QLD 4502
Our ideal client is someone seeking compassionate, evidence-based support to improve their mental health and wellbeing. Whether you're facing anxiety, depression, relationship challenges, trauma, or needing assistance with behavioural or developmental concerns, we welcome individuals of all ages. We offer a safe, inclusive space for adults, teens, children, and families to navigate life's challenges with the help of our experienced team of psychologists and allied health professionals. Whether you seek therapy, assessments, or guidance in improving your overall quality of life, we're here to help you achieve your goals.
Our ideal client is someone seeking compassionate, evidence-based support to improve their mental health and wellbeing. Whether you're facing anxiety, depression, relationship challenges, trauma, or needing assistance with behavioural or developmental concerns, we welcome individuals of all ages. We offer a safe, inclusive space for adults, teens, children, and families to navigate life's challenges with the help of our experienced team of psychologists and allied health professionals. Whether you seek therapy, assessments, or guidance in improving your overall quality of life, we're here to help you achieve your goals.
(07) 3608 1672 View (07) 3608 1672
Photo of Chris Chicoteau, Counsellor, MA, PACFA
Chris Chicoteau
Counsellor, MA, PACFA
Bulimba, QLD 4171
You are looking for deeper understanding of yourself, your relationships and behaviours. You are becoming aware that certain patterns of feeling, behaving and believing are not aligned with who you truely are.
You are looking for deeper understanding of yourself, your relationships and behaviours. You are becoming aware that certain patterns of feeling, behaving and believing are not aligned with who you truely are.
(07) 3186 8460 View (07) 3186 8460
Photo of Clayton McDonald, Psychologist, MPsych, PsyBA General
Clayton McDonald
Psychologist, MPsych, PsyBA General
1 Endorsed
Online Only
Clayton is a Clinical Psychologist who values understanding the differences of each person's experience. He takes a neuro-affirming, client-centred approach to therapy, fostering a nonjudgmental space to offer personalised care that resonates with each individual's unique needs. Clayton has experience working with people across the lifespan and has worked in various settings, including schools, private practices, and hospitals. Clayton has an interest in cognitive assessment, particularly those that highlight and embrace neurodiversity.
Clayton is a Clinical Psychologist who values understanding the differences of each person's experience. He takes a neuro-affirming, client-centred approach to therapy, fostering a nonjudgmental space to offer personalised care that resonates with each individual's unique needs. Clayton has experience working with people across the lifespan and has worked in various settings, including schools, private practices, and hospitals. Clayton has an interest in cognitive assessment, particularly those that highlight and embrace neurodiversity.
(08) 6029 4702 View (08) 6029 4702
Photo of Mariyah Shahrin - Mariyah Shahrin | Sama Sama Counselling, Counsellor, MC, ACA-L2
Mariyah Shahrin | Sama Sama Counselling
Counsellor, MC, ACA-L2
2 Endorsed
Bowen Hills, QLD 4006
Not accepting new clients
Not currently accepting new clients! / Looking for a queer, neurodivergent and culturally affirming counsellor? Hi! I'm Mariyah (she/her), a registered counsellor. I have a strong curiosity for people, the human experience and assisting people in achieving their best potential and life goals. I'm passionate in working with individuals in the LGBTQ+, culturally diverse, and neurodivergent communities and others who experience mental health concerns. I enjoy taking a person-centered approach where you lead where our sessions go — whether that is to “fix” a particular problem you’re experiencing, or to better understand yourself.
Not currently accepting new clients! / Looking for a queer, neurodivergent and culturally affirming counsellor? Hi! I'm Mariyah (she/her), a registered counsellor. I have a strong curiosity for people, the human experience and assisting people in achieving their best potential and life goals. I'm passionate in working with individuals in the LGBTQ+, culturally diverse, and neurodivergent communities and others who experience mental health concerns. I enjoy taking a person-centered approach where you lead where our sessions go — whether that is to “fix” a particular problem you’re experiencing, or to better understand yourself.
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Photo of Eden Brown - Brown Eden Psychotherapy, Psychotherapist, MA, PACFA
Brown Eden Psychotherapy
Psychotherapist, MA, PACFA
Serves Area
We provide confidential, non-judgemental, culturally appropriate and trauma informed psychotherapy and counselling to individuals and groups in person and Telehealth via online video nation-wide. Our practice approach aims to be present centred, collaborative, values your expertise, emphasises growth and responsibility, offers genuine therapeutic relationship as a potent force for change and, provides a shame sensitive environment to experiment with novel perspectives to ongoing issues.
We provide confidential, non-judgemental, culturally appropriate and trauma informed psychotherapy and counselling to individuals and groups in person and Telehealth via online video nation-wide. Our practice approach aims to be present centred, collaborative, values your expertise, emphasises growth and responsibility, offers genuine therapeutic relationship as a potent force for change and, provides a shame sensitive environment to experiment with novel perspectives to ongoing issues.
(03) 7003 2602 View (03) 7003 2602
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 Zohreh Mokhtari - Oakwise Therapy , Psychotherapist, MA, PACFA
Oakwise Therapy
Psychotherapist, MA, PACFA
Online Only
Not accepting new clients
My name is Zohreh, I'm a psychotherapist and couple counsellor at Oakwise Therapy. I believe in the power of therapeutic connections to inspire positive change. I'm dedicated to providing a safe and confidential space where individuals and couples can explore their thoughts, feelings, and concerns. I have worked with individuals and families who have experienced complex trauma and displacement.
My name is Zohreh, I'm a psychotherapist and couple counsellor at Oakwise Therapy. I believe in the power of therapeutic connections to inspire positive change. I'm dedicated to providing a safe and confidential space where individuals and couples can explore their thoughts, feelings, and concerns. I have worked with individuals and families who have experienced complex trauma and displacement.
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Photo of Carlie Spinks, Psychologist, PsyBA General
Carlie Spinks
Psychologist, PsyBA General
Serves Area
Carlie is a compassionate and gentle psychologist who is dedicated to supporting individuals improve their mental wellbeing and explore their internal world. Carlie is committed to providing personalised and evidence-based care to all her clients and aims to meet them where they are at in their self discovery, to learn along side them. Carlie leverages on non-judgement, humour and kindness within her practice and utilises range of modalities to support her clients.
Carlie is a compassionate and gentle psychologist who is dedicated to supporting individuals improve their mental wellbeing and explore their internal world. Carlie is committed to providing personalised and evidence-based care to all her clients and aims to meet them where they are at in their self discovery, to learn along side them. Carlie leverages on non-judgement, humour and kindness within her practice and utilises range of modalities to support her clients.
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Photo of Luke Desmond - Acuity Therapy, Psychologist, MPsych, PsyBA - Couns. Psych.
Acuity Therapy
Psychologist, MPsych, PsyBA - Couns. Psych.
Serves Area
Acuity Therapy is a Psychology practice servicing Brisbane, Logan, Gold Coast and Ipswich that provides psychological services and behaviour support to clients. We are a values driven practice who strives to achieve the best outcomes for clients. We are bound by the Australian Psychological Societies code of Ethics as well as the guidelines set out by the NDIS. For more information go to www.acuitytherapy.com.au
Acuity Therapy is a Psychology practice servicing Brisbane, Logan, Gold Coast and Ipswich that provides psychological services and behaviour support to clients. We are a values driven practice who strives to achieve the best outcomes for clients. We are bound by the Australian Psychological Societies code of Ethics as well as the guidelines set out by the NDIS. For more information go to www.acuitytherapy.com.au
(07) 4847 6719 View (07) 4847 6719

How does your Counsellor compare?

Number of Counsellors in Karana Downs, QLD

< 10

Counsellors in Karana Downs, QLD who prioritize treating:

100% Depression
100% Anxiety
100% Trauma and PTSD
80% Relationship Issues
80% Life Coaching
80% Emotional Disturbance
80% Sexual Abuse

Average years in practice

23 Years

Top 3 insurances accepted

67% Other
67% Bupa
67% Medicare Rebates

How Counsellors in Karana Downs, QLD see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in Karana Downs?

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.