Counselling in Como, WA

Photo of Isabella Mitchell, MA, ACA-L2, Counsellor
Isabella Mitchell
Counsellor, MA, ACA-L2
Verified Verified
Como, WA 6152
I get it- you’ve had enough. Over worked and overwhelmed, consumed by too many open tabs to the point where you’re forgetting stuff, losing your patience, lacking sleep and neglecting yourself. Putting everyone else first; your partner, staff, kids, parents- you’ve lost sight; not only of your own needs but who you once were. This isn’t how you wanted your life to be- something needs to change. Freedom and clarity are so out of reach that you’re numb; unable to get yourself off the treadmill of responsibilities and expectations. I’ve got you.
I get it- you’ve had enough. Over worked and overwhelmed, consumed by too many open tabs to the point where you’re forgetting stuff, losing your patience, lacking sleep and neglecting yourself. Putting everyone else first; your partner, staff, kids, parents- you’ve lost sight; not only of your own needs but who you once were. This isn’t how you wanted your life to be- something needs to change. Freedom and clarity are so out of reach that you’re numb; unable to get yourself off the treadmill of responsibilities and expectations. I’ve got you.
(08) 6493 7537 x61 View (08) 6493 7537 x61
Photo of Michelle Sinclair, MPsych, PsyBA General, Psychologist
Michelle Sinclair
Psychologist, MPsych, PsyBA General
Verified Verified
Como, WA 6152
Hi! I'm Michelle, a registered psychologist with a particular interest in helping women who need support with life stress and anxiety to take back control of their wellbeing. ​ I balance evidence based practical coping strategies, while exploring patterns of behaviour that might be keeping you stuck. ​ We work together to increase your understanding of what is happening and what you would like to change. My goal is to help you to build the fulfilling life you want, to help you to learn to live well.
Hi! I'm Michelle, a registered psychologist with a particular interest in helping women who need support with life stress and anxiety to take back control of their wellbeing. ​ I balance evidence based practical coping strategies, while exploring patterns of behaviour that might be keeping you stuck. ​ We work together to increase your understanding of what is happening and what you would like to change. My goal is to help you to build the fulfilling life you want, to help you to learn to live well.
(08) 6493 7270 View (08) 6493 7270
Photo of Sarah Jessen, MPsych, PsyBA - Clin. Psych, Psychologist
Sarah Jessen
Psychologist, MPsych, PsyBA - Clin. Psych
Verified Verified
Como, WA 6152
Sarah is a warm & intuitive clinical psychologist whose relational approach combines with the use of evidence based, scientific treatments. Sarah enjoys working with individuals & couples. She has significant experience treating a range of concerns and maintains a sense of hope for each client. Sarah conducts a thorough assessment to develop an understanding of the issues you are facing. She will work with you to identify factors that maintain these problems & prevent you from moving forward. She then assists you in setting goals & developing a personalised treatment plan. NB:immediate availability due to change in work days in 2025
Sarah is a warm & intuitive clinical psychologist whose relational approach combines with the use of evidence based, scientific treatments. Sarah enjoys working with individuals & couples. She has significant experience treating a range of concerns and maintains a sense of hope for each client. Sarah conducts a thorough assessment to develop an understanding of the issues you are facing. She will work with you to identify factors that maintain these problems & prevent you from moving forward. She then assists you in setting goals & developing a personalised treatment plan. NB:immediate availability due to change in work days in 2025
(08) 6493 7136 View (08) 6493 7136
Photo of Kerrie-Ann Pendal - VH Psychology, PsyBA General, Psychologist
VH Psychology
Psychologist, PsyBA General
Verified Verified
Como, WA 6152
I have over 10 years' experience a Registered Psychologist with Australian Health Practitioners Regulation Agency, and a member of the Australian Psychological Society. I work as a client centered Psychologist who aims to build a safe space where clients can strive for improved well being. I work with adults, couples and adolescents.
I have over 10 years' experience a Registered Psychologist with Australian Health Practitioners Regulation Agency, and a member of the Australian Psychological Society. I work as a client centered Psychologist who aims to build a safe space where clients can strive for improved well being. I work with adults, couples and adolescents.
(08) 7079 4247 View (08) 7079 4247
Photo of Kelly Prandl, PhD, PsyBA - Clin. Psych, Psychologist
Kelly Prandl
Psychologist, PhD, PsyBA - Clin. Psych
Verified Verified
Como, WA 6152
Dr Kelly Prandl originally trained as a nurse, midwife, and child health nurse. It was working with families and children that led her to pursue further training as a Clinical Psychologist. Kelly has worked in a variety of settings over her 30-year career, including hospitals, schools, CAMHS, and more recently Curtin University and private practice. Kelly’s passion is in working with couples and families. Kelly is an affirmative psychologist and an ally and has a warm and non-judgemental manner.
Dr Kelly Prandl originally trained as a nurse, midwife, and child health nurse. It was working with families and children that led her to pursue further training as a Clinical Psychologist. Kelly has worked in a variety of settings over her 30-year career, including hospitals, schools, CAMHS, and more recently Curtin University and private practice. Kelly’s passion is in working with couples and families. Kelly is an affirmative psychologist and an ally and has a warm and non-judgemental manner.
(08) 6490 9126 View (08) 6490 9126
Photo of Maxine Symes, PhD, PsyBA - Clin. Psych, Psychologist
Maxine Symes
Psychologist, PhD, PsyBA - Clin. Psych
Verified Verified
Como, WA 6152
I am a clinical psychologist with extensive experience within the public and private sectors of psychological health. I have worked in Private Practice, Fly In Fly Out (FIFO) environments, and several Government agencies including Drug & Alcohol, the Department of Corrective Services, and the Department of Child Protection. The diversity of my past employment and ongoing personal development/education provides me with a broad range of skills within the services I can provide to adult clients when working from an evidence-based model.
I am a clinical psychologist with extensive experience within the public and private sectors of psychological health. I have worked in Private Practice, Fly In Fly Out (FIFO) environments, and several Government agencies including Drug & Alcohol, the Department of Corrective Services, and the Department of Child Protection. The diversity of my past employment and ongoing personal development/education provides me with a broad range of skills within the services I can provide to adult clients when working from an evidence-based model.
(08) 6490 9803 View (08) 6490 9803
Photo of Andrew Stock, PsychD, PsyBA General, Psychologist
Andrew Stock
Psychologist, PsychD, PsyBA General
Verified Verified
Online Only
I work with individuals, families, teams or organisations who are experiencing any number of challenges related to mental, emotional and behavioural health and well-being.
I work with individuals, families, teams or organisations who are experiencing any number of challenges related to mental, emotional and behavioural health and well-being.
(08) 6493 7971 View (08) 6493 7971
Photo of William Macaulay, AMHSW, Psychotherapist
William Macaulay
Psychotherapist, AMHSW
Verified Verified
Como, WA 6152
Are you feeling overwhelmed by stress, unhappiness, or persistent low moods? Perhaps you're struggling in a relationship with someone important to you? As a compassionate and caring therapist, I offer professional counselling services aimed at providing the care and support you need to overcome life's challenges. Together, we can explore new possibilities and strategies to overcome a current problem, recover from past trauma, address a mental health concern, or achieve personal growth.
Are you feeling overwhelmed by stress, unhappiness, or persistent low moods? Perhaps you're struggling in a relationship with someone important to you? As a compassionate and caring therapist, I offer professional counselling services aimed at providing the care and support you need to overcome life's challenges. Together, we can explore new possibilities and strategies to overcome a current problem, recover from past trauma, address a mental health concern, or achieve personal growth.
(08) 7078 8394 View (08) 7078 8394
Photo of Jay Chinnery, PsyBA General, Psychologist
Jay Chinnery
Psychologist, PsyBA General
Verified Verified
Como, WA 6152
Jay works with adults to overcome traumatic stress. Emerging trauma literature suggests that traumatic stress underpins most mental health diagnoses, including depression, anxiety, ADHD, bipolar, and borderline personality. Those living with traumatic stress typically feel numb, disconnected, afraid, alone, empty, and unsafe. They are often confused about why they feel bad and frequently ask, “what's wrong with me?” They can be disconnected from themselves, their loved ones, or the world around them, and they often have an addiction they use to reduce their pain. Ultimately, they want to feel safe, but this can feel unobtainable.
Jay works with adults to overcome traumatic stress. Emerging trauma literature suggests that traumatic stress underpins most mental health diagnoses, including depression, anxiety, ADHD, bipolar, and borderline personality. Those living with traumatic stress typically feel numb, disconnected, afraid, alone, empty, and unsafe. They are often confused about why they feel bad and frequently ask, “what's wrong with me?” They can be disconnected from themselves, their loved ones, or the world around them, and they often have an addiction they use to reduce their pain. Ultimately, they want to feel safe, but this can feel unobtainable.
(08) 6493 7850 View (08) 6493 7850
Photo of Tracy Hwang, MPsych, PsyBA General, Psychologist
Tracy Hwang
Psychologist, MPsych, PsyBA General
Verified Verified
1 Endorsed
Como, WA 6152
Waitlist for new clients
Tracy has experience and interest working with: General mental health and wellbeing, Stress management and resilience coaching, Couples and relationship counselling, Dealing with change and adjustment, Workplace challenges such as bullying/harassment/assault, Workplace termination/redundancy, Managing conflict or difficult conversations, Leadership development and coaching, Anxiety-related conditions, Depression and mood-related conditions, Trauma-related conditions, Anger and emotional regulation conditions, Sleep and fatigue management concerns, Personal growth and development.
Tracy has experience and interest working with: General mental health and wellbeing, Stress management and resilience coaching, Couples and relationship counselling, Dealing with change and adjustment, Workplace challenges such as bullying/harassment/assault, Workplace termination/redundancy, Managing conflict or difficult conversations, Leadership development and coaching, Anxiety-related conditions, Depression and mood-related conditions, Trauma-related conditions, Anger and emotional regulation conditions, Sleep and fatigue management concerns, Personal growth and development.
(08) 6361 3225 View (08) 6361 3225
Photo of Karen Rowe, MPsych, PsyBA General, Psychologist
Karen Rowe
Psychologist, MPsych, PsyBA General
Verified Verified
Como, WA 6152
Welcome to Kensington Psychology! We are a cosy practice located in East Victoria Park. Life can be complicated sometimes, but you don't have to cope on your own. I am a registered psychologist and passionate about supporting you to create a life worth living. Together we can develop a better understanding of your challenges and where they developed, help in the healing process, and plan for the future to create meaningful change in your life.
Welcome to Kensington Psychology! We are a cosy practice located in East Victoria Park. Life can be complicated sometimes, but you don't have to cope on your own. I am a registered psychologist and passionate about supporting you to create a life worth living. Together we can develop a better understanding of your challenges and where they developed, help in the healing process, and plan for the future to create meaningful change in your life.
(08) 6490 9741 View (08) 6490 9741
Photo of Federica Zamboni - Tailoring Therapy, MAPS, Psychologist
Tailoring Therapy
Psychologist, MAPS
Verified Verified
2 Endorsed
Como, WA 6152
My name is Federica, I am a registered Psychologist and Sexologist and the Director of Tailoring Therapy. In my years of being a therapist, I have developed the belief that psychological interventions and therapy should be tailored to the person's uniqueness. In my approach, I aim to provide knowledge and education, develop awareness, and encourage change, if that is what you are seeking.
My name is Federica, I am a registered Psychologist and Sexologist and the Director of Tailoring Therapy. In my years of being a therapist, I have developed the belief that psychological interventions and therapy should be tailored to the person's uniqueness. In my approach, I aim to provide knowledge and education, develop awareness, and encourage change, if that is what you are seeking.
(08) 6493 7840 View (08) 6493 7840
Photo of Tamara Jayne Boaden - Heart and Mind Society, Counsellor
Heart and Mind Society
Counsellor
Verified Verified
3 Endorsed
Como, WA 6152
Welcome to Heart and Mind Society. I enjoy collaborating to tailor counselling to your needs, whether you have goals of a few sessions to uncover solutions, or if you prefer longer term therapy. From a person-centred approach I work with tools and strategies to motivate and inspire personal and/or professional goals with a high focus on a collaborative therapeutic relationship. I have been working in this capacity for over ten years and can help discover needs from a holistic viewpoint. With clear direction, we work together to meet goals that are in line with personal and emotional growth and healing.
Welcome to Heart and Mind Society. I enjoy collaborating to tailor counselling to your needs, whether you have goals of a few sessions to uncover solutions, or if you prefer longer term therapy. From a person-centred approach I work with tools and strategies to motivate and inspire personal and/or professional goals with a high focus on a collaborative therapeutic relationship. I have been working in this capacity for over ten years and can help discover needs from a holistic viewpoint. With clear direction, we work together to meet goals that are in line with personal and emotional growth and healing.
(08) 6490 9271 View (08) 6490 9271
Photo of Lisa Cregan - Counselling with Lisa Cregan, AASW, Clinical Social Work/Therapist
Counselling with Lisa Cregan
Clinical Social Work/Therapist, AASW
Verified Verified
Como, WA 6152
Not accepting new clients
Do you require support and guidance with disability, ageing or chronic health-related conditions? I am a registered Counsellor and Accredited Social Worker. My background includes providing counselling and disability and aged-care service delivery with State and Local government agencies.
Do you require support and guidance with disability, ageing or chronic health-related conditions? I am a registered Counsellor and Accredited Social Worker. My background includes providing counselling and disability and aged-care service delivery with State and Local government agencies.
(08) 9468 6034 View (08) 9468 6034
Photo of Tara McDonald, MPsych, MAPS, Psychologist
Tara McDonald
Psychologist, MPsych, MAPS
Verified Verified
1 Endorsed
Como, WA 6152
Tara McDonald is a registered psychologist and board approved supervisor who has worked extensively with a range of complex and special needs populations giving her a range of specialised skills. Additionally, she has a motivational and optimistic outlook to human potential making difficult conversations flow with ease, and treatment planning to unique needs seem less daunting. Tara provides evidence based treatment protocols to a range of mental health challenges to all ages including children, teens and adults alike. We love her easy going, easy to talk to style and her trusted opinion to whatever circumstance.
Tara McDonald is a registered psychologist and board approved supervisor who has worked extensively with a range of complex and special needs populations giving her a range of specialised skills. Additionally, she has a motivational and optimistic outlook to human potential making difficult conversations flow with ease, and treatment planning to unique needs seem less daunting. Tara provides evidence based treatment protocols to a range of mental health challenges to all ages including children, teens and adults alike. We love her easy going, easy to talk to style and her trusted opinion to whatever circumstance.
(08) 6206 8913 View (08) 6206 8913
Photo of Sam Khankhalili, PsyBA General, Psychologist
Sam Khankhalili
Psychologist, PsyBA General
Verified Verified
Como, WA 6152
Sam is the Clinical Director and Registered Psychologist at the South Perth Clear Health Psychology. Sam enjoys working with Adults, Children and athletes. He also takes pride in tackling a wide range of presentations including anxiety, depression, stress, grief, anger, interpersonal difficulties, drugs and alcohol challenges, relationship issues and sports related anxiety.Sam also particularly has interest in athlete performance. He has worked closely with some athletes from various sports backgrounds, helping them with their mental health in order towards achieving peak performance, enhancing focus and concentration,
Sam is the Clinical Director and Registered Psychologist at the South Perth Clear Health Psychology. Sam enjoys working with Adults, Children and athletes. He also takes pride in tackling a wide range of presentations including anxiety, depression, stress, grief, anger, interpersonal difficulties, drugs and alcohol challenges, relationship issues and sports related anxiety.Sam also particularly has interest in athlete performance. He has worked closely with some athletes from various sports backgrounds, helping them with their mental health in order towards achieving peak performance, enhancing focus and concentration,
(08) 6490 9995 View (08) 6490 9995
Photo of Lottie Hitch, PsyBA General, Psychologist
Lottie Hitch
Psychologist, PsyBA General
Verified Verified
Como, WA 6152
Lottie’s approach to therapy centres on the motto that “nothing changes, if nothing changes”. She works with her clients to identify and implement small achievable changes in their lifestyle to improve their overall wellbeing and health. Lottie enjoys working collaboratively with others and endeavours to create a non-judgemental environment for clients to explore their personal and therapeutic goals. She incorporates her passion and background as a Teacher into the therapeutic space by advocating the importance of educating clients on the intricacies of mental health and exploring personalised strategies to overcome adversity.
Lottie’s approach to therapy centres on the motto that “nothing changes, if nothing changes”. She works with her clients to identify and implement small achievable changes in their lifestyle to improve their overall wellbeing and health. Lottie enjoys working collaboratively with others and endeavours to create a non-judgemental environment for clients to explore their personal and therapeutic goals. She incorporates her passion and background as a Teacher into the therapeutic space by advocating the importance of educating clients on the intricacies of mental health and exploring personalised strategies to overcome adversity.
(08) 6490 9823 View (08) 6490 9823
Photo of Choy Lee, ACA-L2, Counsellor
Choy Lee
Counsellor, ACA-L2
Verified Verified
1 Endorsed
Como, WA 6152
Couple and Family Relationship is my passion; with growing interest in helping Young Adults. Everyone get stuck as some stage in life journey. I recognise that people experience conflict, loneliness, lost, fear, anger, confusion, guilt, unworthy and not least, inner frustration, can be symptoms leading us to ask deeper questions, if necessary. I offer individuals a safe space to identify their pain, explore options to restore brokenness, start building strong, stable and healthy relationships in the new season of their life - I call this Growth. All done at their own pace.
Couple and Family Relationship is my passion; with growing interest in helping Young Adults. Everyone get stuck as some stage in life journey. I recognise that people experience conflict, loneliness, lost, fear, anger, confusion, guilt, unworthy and not least, inner frustration, can be symptoms leading us to ask deeper questions, if necessary. I offer individuals a safe space to identify their pain, explore options to restore brokenness, start building strong, stable and healthy relationships in the new season of their life - I call this Growth. All done at their own pace.
(08) 6361 2944 View (08) 6361 2944
Photo of Charlotte Bowyer - Bowyer Psychology, MPsych, PsyBA - Clin. Psych, Psychologist
Bowyer Psychology
Psychologist, MPsych, PsyBA - Clin. Psych
Verified Verified
Como, WA 6152
Established in Mount Pleasant since 2007, we are an established team of compassionate Clinical Psychologists and Neuropsychologists. We have extensive experience in providing therapy to address a range of difficulties, and work with you to to develop strategies to maintain your psychological wellbeing. We also provide comprehensive neuropsychological assessments for diagnosis and treatment of neurodevelopmental disorders, including ADHD, Autism, educational difficulties, traumatic brain injury and neurodegenerative disorders. We also provide tailored neuropsychological based therapy specific to needs.
Established in Mount Pleasant since 2007, we are an established team of compassionate Clinical Psychologists and Neuropsychologists. We have extensive experience in providing therapy to address a range of difficulties, and work with you to to develop strategies to maintain your psychological wellbeing. We also provide comprehensive neuropsychological assessments for diagnosis and treatment of neurodevelopmental disorders, including ADHD, Autism, educational difficulties, traumatic brain injury and neurodegenerative disorders. We also provide tailored neuropsychological based therapy specific to needs.
(08) 6361 3164 View (08) 6361 3164
Photo of Jennifer Altheimer, ACA-L4, Counsellor
Jennifer Altheimer
Counsellor, ACA-L4
Verified Verified
Como, WA 6152
I am an experienced, registered counsellor with more than 2 decades of experience working with individuals, children, couples and families from all walks of life and cultural backgrounds. I have worked alongside these clients to bring about healing in the relationship they have with themselves and others. My training and experience in various issues such as family and relationship dynamics, interpersonal issues, grief and loss, family and domestic violence, various forms of trauma, depression, anxiety, parent-teen conflict and migration enables me to empathise with my clients, making them feel heard and understood.
I am an experienced, registered counsellor with more than 2 decades of experience working with individuals, children, couples and families from all walks of life and cultural backgrounds. I have worked alongside these clients to bring about healing in the relationship they have with themselves and others. My training and experience in various issues such as family and relationship dynamics, interpersonal issues, grief and loss, family and domestic violence, various forms of trauma, depression, anxiety, parent-teen conflict and migration enables me to empathise with my clients, making them feel heard and understood.
(08) 6493 7805 View (08) 6493 7805
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See more therapy options for Como

How does your Counsellor compare?

Number of Counsellors in Como, WA

30+

Average cost per session

$190

Counsellors in Como, WA who prioritize treating:

97% Anxiety
88% Relationship Issues
88% Stress
84% Depression
78% Coping Skills
78% Self Esteem
72% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

63% Medicare Rebates
50% Other
50% Bupa

How Counsellors in Como, WA see their clients

94% In Person and Online
6% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Como?

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.