Arlene M Penney
Registered Social Worker, BA,BSW, MSW,RSW, RP,ND, SEP
St John's, NL A1A
My ideal clients are individuals struggling with trauma, anxiety, grief, attachment wounds, chronic stress, PTSD, or nervous system dysregulation, especially those who feel traditional talk therapy has not fully resolved the deeper impact of their experiences. Many are emotionally exhausted from living in survival states such as fight, flight, freeze, or fawn. At my neuroscience-based clinic. I use specialized therapies including Somatic Experiencing (SE) and Deep Brain Reorienting (DBR) to help clients process unresolved trauma, regulate the nervous system, and create lasting healing.
My ideal clients are individuals struggling with trauma, anxiety, grief, attachment wounds, chronic stress, PTSD, or nervous system dysregulation, especially those who feel traditional talk therapy has not fully resolved the deeper impact of their experiences. Many are emotionally exhausted from living in survival states such as fight, flight, freeze, or fawn. At my neuroscience-based clinic. I use specialized therapies including Somatic Experiencing (SE) and Deep Brain Reorienting (DBR) to help clients process unresolved trauma, regulate the nervous system, and create lasting healing.
(709) 704-4229 View (709) 704-4229
Halyn Paul
Pre-Licensed Professional
1 Endorsed
St John's, NL A1A
Hi, I’m Halyn (she/her) and as a counsellor, I value meaningful relationships and creating spaces where people feel seen, heard, and understood. I bring this same commitment to my work as a counsellor, supporting adolescents and adults as they navigate life’s challenges and opportunities for growth.
Hi, I’m Halyn (she/her) and as a counsellor, I value meaningful relationships and creating spaces where people feel seen, heard, and understood. I bring this same commitment to my work as a counsellor, supporting adolescents and adults as they navigate life’s challenges and opportunities for growth.
(709) 200-8114 View (709) 200-8114
Jumi Odumosu
Pre-Licensed Professional
2 Endorsed
St John's, NL A1A
You may be feeling overwhelmed, anxious, or uncertain during a season of change. Perhaps you're trying to make sense of your thoughts, strengthen relationships, or find clarity. This may be a time to reach out for support and explore whether counselling feels like the right step for you. With a background in Human Resources, my person-focused approach is grounded in listening, context, and care. I work with individuals, couples, and professionals facing anxiety, depression, relationship challenges, and life transitions. Having lived in Nigeria, the U.S., New Zealand, and Canada, I bring a culturally sensitive lens to therapy.
You may be feeling overwhelmed, anxious, or uncertain during a season of change. Perhaps you're trying to make sense of your thoughts, strengthen relationships, or find clarity. This may be a time to reach out for support and explore whether counselling feels like the right step for you. With a background in Human Resources, my person-focused approach is grounded in listening, context, and care. I work with individuals, couples, and professionals facing anxiety, depression, relationship challenges, and life transitions. Having lived in Nigeria, the U.S., New Zealand, and Canada, I bring a culturally sensitive lens to therapy.
(709) 349-8252 View (709) 349-8252
Chantel Dwyer
Counsellor, MEd, CCC, ND
1 Endorsed
St John's, NL A1A
Welcome to a safe space for healing and growth. As we navigate through life, the experiences we encounter shape and mold our individual identities. As a counselor, I am dedicated to helping you unlock your potential for growth and transformation. By working together, we can explore your unique path towards healing and wholeness, and I will support you in discovering your inner strength and resilience.
Welcome to a safe space for healing and growth. As we navigate through life, the experiences we encounter shape and mold our individual identities. As a counselor, I am dedicated to helping you unlock your potential for growth and transformation. By working together, we can explore your unique path towards healing and wholeness, and I will support you in discovering your inner strength and resilience.
(709) 400-9446 View (709) 400-9446
Alex Gillett
Counsellor, MASP, MACP, CCC, ND
2 Endorsed
St John's, NL A1A
Hi there, I’m Alex! Thanks so much for stopping by! I’m a member of the Canadian Counselling and Psychotherapy Association with a background in Applied Social Psychology. Before becoming a counsellor, I spent several years working in the community sector, where I found my passion for supporting families, building connections, and helping people navigate life’s ups and downs. Those experiences taught me how powerful it can be to have a space where you feel heard, understood, and supported — something I strive to offer in my work every day.
Hi there, I’m Alex! Thanks so much for stopping by! I’m a member of the Canadian Counselling and Psychotherapy Association with a background in Applied Social Psychology. Before becoming a counsellor, I spent several years working in the community sector, where I found my passion for supporting families, building connections, and helping people navigate life’s ups and downs. Those experiences taught me how powerful it can be to have a space where you feel heard, understood, and supported — something I strive to offer in my work every day.
(709) 500-6178 View (709) 500-6178
Dalena Skinner
Clinical Social Work/Therapist, BA, BSW, MSW, RSW
1 Endorsed
St John's, NL A1A
I’m Dalena (she, her) and I am a Licensed Clinical Social Worker. It’s a privilege to have over 12 years of experience, supporting adults, youth and families through challenging times. I hold a Bachelor of Arts (BA) degree, a Bachelor of Social Work (BSW) degree and a Master of Social Work (MSW) graduate degree. Life can feel overwhelming and uncertain at times - but you don’t have to navigate it alone. I offer in-person, telephone and virtual counselling services, as well as provide ADHD assessments.
I’m Dalena (she, her) and I am a Licensed Clinical Social Worker. It’s a privilege to have over 12 years of experience, supporting adults, youth and families through challenging times. I hold a Bachelor of Arts (BA) degree, a Bachelor of Social Work (BSW) degree and a Master of Social Work (MSW) graduate degree. Life can feel overwhelming and uncertain at times - but you don’t have to navigate it alone. I offer in-person, telephone and virtual counselling services, as well as provide ADHD assessments.
(709) 907-5582 View (709) 907-5582
Rajesh Augustian
Registered Social Worker, MBA, MSW, RSW
St John's, NL A1A
I work with youth and adults who feel weighed down by anxiety, stress, trauma, or grief and want something deeper than coping, that is genuine healing. My clients appreciate therapy that blends mindfulness and modern psychology, offering space to slow down and find balance. Having worked across Europe, Asia, and North America, I bring a multicultural perspective that can be particularly valuable for racial minorities and newcomers. Sessions are calm, and tailored to what matters most to you. Together we explore old patterns, discover emotional resilience, and help you reconnect with a sense of steadiness and peace in everyday life.
I work with youth and adults who feel weighed down by anxiety, stress, trauma, or grief and want something deeper than coping, that is genuine healing. My clients appreciate therapy that blends mindfulness and modern psychology, offering space to slow down and find balance. Having worked across Europe, Asia, and North America, I bring a multicultural perspective that can be particularly valuable for racial minorities and newcomers. Sessions are calm, and tailored to what matters most to you. Together we explore old patterns, discover emotional resilience, and help you reconnect with a sense of steadiness and peace in everyday life.
(709) 398-4107 View (709) 398-4107
Alison Feehan
Clinical Social Work/Therapist, MSW, RSW, BSc, PMH-C
St John's, NL A1A
Welcome! My name is Alison and I am a Clinical Social Worker offering counselling services for children and adults in the St. John's area, in-person and virtually (NL). My work includes offering support during challenges related to life transitions such as with parenting and family dynamics, in addition to emotional regulation, anxiety, depression, and compassion fatigue. I also offer specialized training in play therapy and perinatal/postpartum mental health, remaining attuned to the impact of Adverse Childhood Experiences (ACEs), trauma, social determinants of health, and the broader systems that shape individual well-being.
Welcome! My name is Alison and I am a Clinical Social Worker offering counselling services for children and adults in the St. John's area, in-person and virtually (NL). My work includes offering support during challenges related to life transitions such as with parenting and family dynamics, in addition to emotional regulation, anxiety, depression, and compassion fatigue. I also offer specialized training in play therapy and perinatal/postpartum mental health, remaining attuned to the impact of Adverse Childhood Experiences (ACEs), trauma, social determinants of health, and the broader systems that shape individual well-being.
(709) 907-5030 View (709) 907-5030
Amanda Jolene Rose
Clinical Social Work/Therapist, MSW, RSW
St John's, NL A1A
Hi there, I’m so glad you’re here! Looking for a therapist can feel like a big step, and I’m truly honored that you’re considering working with me. My goal is to create a space where you (or your child) feel safe, understood, and supported, a space where it’s okay to simply be yourself. Whether you’re experiencing depression, anxiety, life transitions, or navigating tough family situations, we’ll work together to find ways to help you feel more grounded and empowered. I see therapy as a team effort. I’ll walk alongside you as you explore your emotions, build coping skills, and work toward feeling more confident and at peace.
Hi there, I’m so glad you’re here! Looking for a therapist can feel like a big step, and I’m truly honored that you’re considering working with me. My goal is to create a space where you (or your child) feel safe, understood, and supported, a space where it’s okay to simply be yourself. Whether you’re experiencing depression, anxiety, life transitions, or navigating tough family situations, we’ll work together to find ways to help you feel more grounded and empowered. I see therapy as a team effort. I’ll walk alongside you as you explore your emotions, build coping skills, and work toward feeling more confident and at peace.
(709) 600-5385 View (709) 600-5385
Kara Pinksen
Registered Social Worker, MSW, BSW, BA
St John's, NL A1A
I am an MSW clinical therapist with 23 years experience offering therapy to adults, adolescents, and couples/relationships(trad or non-trad). Reaching out can be hard, creating feelings of anxiety, or a fear of being misunderstood or judged. My goal as your therapist is to provide a non-judgemental, collaborative experience where you can comfortably work through the things that get in the way of you living a more contented life. I aim to provide an authentic, compassionate, trauma-informed, gender affirming, inclusive space for everyone I meet.
I am an MSW clinical therapist with 23 years experience offering therapy to adults, adolescents, and couples/relationships(trad or non-trad). Reaching out can be hard, creating feelings of anxiety, or a fear of being misunderstood or judged. My goal as your therapist is to provide a non-judgemental, collaborative experience where you can comfortably work through the things that get in the way of you living a more contented life. I aim to provide an authentic, compassionate, trauma-informed, gender affirming, inclusive space for everyone I meet.
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Claire Riggs
Registered Social Worker, MSW, RSW
St John's, NL A1A
Do you feel overwhelmed by intrusive thoughts, anxiety, or difficulty managing emotions? You're not alone, and you don't have to navigate these challenges on your own. My goal is to provide a welcoming and supportive space where you can feel safe and understood as we work together toward healing and growth. Together, we’ll work through the complexities of your experiences, helping you regain control and untangle your thoughts. My approach is trauma-informed and strengths-based, ensuring you feel supported every step of the way on your journey toward life balance and well-being.
Do you feel overwhelmed by intrusive thoughts, anxiety, or difficulty managing emotions? You're not alone, and you don't have to navigate these challenges on your own. My goal is to provide a welcoming and supportive space where you can feel safe and understood as we work together toward healing and growth. Together, we’ll work through the complexities of your experiences, helping you regain control and untangle your thoughts. My approach is trauma-informed and strengths-based, ensuring you feel supported every step of the way on your journey toward life balance and well-being.
(709) 301-2630 View (709) 301-2630
Mind Body Therapy Connection
Registered Social Worker, BA, BSW, RSW
1 Endorsed
St John's, NL A1A
Protecting your mental health is essential. We all have problems, periods of stress and challenges in life that strain our ability to cope at times. However, when you have a mental or physical health issue that is taking a toll on your wellness, that becomes your main issue. If you're feeling dysregulated, which is common during times of stress, focusing on self-care, mindfulness, and grounding practices can help. If your nervous system is working hard to protect you, you may feel overwhelmed and you deserve support. During appointments, we can explore and develop strategies to help you feel like yourself again.
Protecting your mental health is essential. We all have problems, periods of stress and challenges in life that strain our ability to cope at times. However, when you have a mental or physical health issue that is taking a toll on your wellness, that becomes your main issue. If you're feeling dysregulated, which is common during times of stress, focusing on self-care, mindfulness, and grounding practices can help. If your nervous system is working hard to protect you, you may feel overwhelmed and you deserve support. During appointments, we can explore and develop strategies to help you feel like yourself again.
(709) 370-9760 View (709) 370-9760
Tiffany Fraize
Counsellor, MA, CCC
1 Endorsed
St John's, NL A1A
Reduced rates available- please connect with me for more details! Reaching out for support takes courage, and whether you're just starting to explore therapy or returning to it, I want you to feel seen, safe, and supported right from the start! I’ve spent the past few years working in community mental health, supporting people through all kinds of challenges. This work has really shaped how I show up as a clinician and taught me a lot about the strength people carry, even in the toughest situations. Our lived experiences shape us in profound ways. Your story matters- and together, we can honour it as you grow forward.
Reduced rates available- please connect with me for more details! Reaching out for support takes courage, and whether you're just starting to explore therapy or returning to it, I want you to feel seen, safe, and supported right from the start! I’ve spent the past few years working in community mental health, supporting people through all kinds of challenges. This work has really shaped how I show up as a clinician and taught me a lot about the strength people carry, even in the toughest situations. Our lived experiences shape us in profound ways. Your story matters- and together, we can honour it as you grow forward.
(709) 301-3849 View (709) 301-3849
Repose Wellness Collective
Counsellor
1 Endorsed
St John's, NL A1A
A specialized and multidisciplinary team of Registered Psychologists, Counsellors, Social Workers, Speech Language Pathologists (SLP), and Occupational Therapists (OT). We are dedicated to lifelong learning and bring innovative services to our community. We focus on providing individualized services to you and your family in a trauma-informed, neuro-affirming, and accepting environment. We value genuine and authentic therapeutic relationships and prioritize your comfort and experience. We provide best practice standard of care in Assessment and Diagnosis of Autism Spectrum Disorder (ASD) toddler to adult, ADHD, IDD, and SLD.
A specialized and multidisciplinary team of Registered Psychologists, Counsellors, Social Workers, Speech Language Pathologists (SLP), and Occupational Therapists (OT). We are dedicated to lifelong learning and bring innovative services to our community. We focus on providing individualized services to you and your family in a trauma-informed, neuro-affirming, and accepting environment. We value genuine and authentic therapeutic relationships and prioritize your comfort and experience. We provide best practice standard of care in Assessment and Diagnosis of Autism Spectrum Disorder (ASD) toddler to adult, ADHD, IDD, and SLD.
(709) 400-6273 View (709) 400-6273
Samantha Corcoran
Counsellor, MA, CCC, ND
1 Endorsed
St John's, NL A1A
Hi! I’m a certified counsellor in private practice, offering individual therapy for adults. I bring a down-to-earth, compassionate approach to therapy. I believe therapy works best when it feels like a genuine, human connection. My goal is to help people feel safer in their bodies, more present in their lives, and more confident in their capacity to cope and grow. My practice focuses on trauma work, particularly with adults who have experienced childhood neglect or abuse.
Hi! I’m a certified counsellor in private practice, offering individual therapy for adults. I bring a down-to-earth, compassionate approach to therapy. I believe therapy works best when it feels like a genuine, human connection. My goal is to help people feel safer in their bodies, more present in their lives, and more confident in their capacity to cope and grow. My practice focuses on trauma work, particularly with adults who have experienced childhood neglect or abuse.
(709) 501-0467 View (709) 501-0467
Donna Samuels
Counsellor, MACP
1 Endorsed
St John's, NL A1A
I am interested in working with those who struggle with depression, anxiety, anger, shame and motivation. I feel psychotherapy is a space to reflect on the meaning of your experiences and emotions and use them to guide your actions in life. I see therapy sessions as intense conversations that help clients create a life that integrates past and present experience to inform a way of going forward that feels true, inspiring and achievable.
I am interested in working with those who struggle with depression, anxiety, anger, shame and motivation. I feel psychotherapy is a space to reflect on the meaning of your experiences and emotions and use them to guide your actions in life. I see therapy sessions as intense conversations that help clients create a life that integrates past and present experience to inform a way of going forward that feels true, inspiring and achievable.
(709) 705-6181 View (709) 705-6181
Coastal Health NL
Counsellor, PhD, MEd, RDT, CCC
1 Endorsed
St John's, NL A1A
If there's one experience that is guaranteed, it's change. Change comes in many forms; accomplishment, loss, crisis. Sometimes we lead change in our lives, sometimes we're forced to follow it - kicking and screaming. Coastal Health Inc. Is a multi-practitioner, allied health, practice. We work collaboratively and emphasize a comprehensive service access to our clients. Our team are all graduate and doctoral trained therapists, specializing in multiple areas, including (but not limited to); Chronic illness, grief, trans support for individuals and families, family issues, couple issues, depression and anxiety, identity and career etc
If there's one experience that is guaranteed, it's change. Change comes in many forms; accomplishment, loss, crisis. Sometimes we lead change in our lives, sometimes we're forced to follow it - kicking and screaming. Coastal Health Inc. Is a multi-practitioner, allied health, practice. We work collaboratively and emphasize a comprehensive service access to our clients. Our team are all graduate and doctoral trained therapists, specializing in multiple areas, including (but not limited to); Chronic illness, grief, trans support for individuals and families, family issues, couple issues, depression and anxiety, identity and career etc
(709) 400-8664 View (709) 400-8664
Bill Jeffery Counselling and Wellness
Counsellor, BEd, MEd, BComm, ND, CCC
1 Endorsed
St John's, NL A1A
Life can feel heavy—whether you're carrying weight physically or mentally. You might be showing up for others, pushing through the day, and trying to keep it all together—but inside, you’re tired. Maybe it’s anxiety that won’t shut off, low mood that lingers, or a deep sense that something needs to change. Therapy is a space to finally put down the pressure and focus on you. My clients are often tired of pretending they’re fine when they’re not. They feel overwhelmed, stuck,or unsure how to cope. They may be dealing with anxiety, low mood, stress or self-esteem issues. They want to feel confident, grounded and self-aware.
Life can feel heavy—whether you're carrying weight physically or mentally. You might be showing up for others, pushing through the day, and trying to keep it all together—but inside, you’re tired. Maybe it’s anxiety that won’t shut off, low mood that lingers, or a deep sense that something needs to change. Therapy is a space to finally put down the pressure and focus on you. My clients are often tired of pretending they’re fine when they’re not. They feel overwhelmed, stuck,or unsure how to cope. They may be dealing with anxiety, low mood, stress or self-esteem issues. They want to feel confident, grounded and self-aware.
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Ashley Curnew
Registered Social Worker, BSW, MSW, RSW
St John's, NL A1A
Hi, I'm Ashley (she/her) and I'm a registered social worker and clinical therapist, offering virtual and in-person counselling sessions for adults, couples and families. One of the most difficult decisions can be reaching out for support - this common underlying anxiety and stress for potential clients helps inform and shape my practice, whereby my focus is working to create a warm, welcoming and calm space for individuals, couples and families to share their experiences, challenges and hopes in a safe, inclusive and trauma-informed place.
Hi, I'm Ashley (she/her) and I'm a registered social worker and clinical therapist, offering virtual and in-person counselling sessions for adults, couples and families. One of the most difficult decisions can be reaching out for support - this common underlying anxiety and stress for potential clients helps inform and shape my practice, whereby my focus is working to create a warm, welcoming and calm space for individuals, couples and families to share their experiences, challenges and hopes in a safe, inclusive and trauma-informed place.
(709) 700-2681 View (709) 700-2681
Katherine Bennett
Counsellor, CCC, MEd, BSc
1 Endorsed
St John's, NL A1A
Hey there! As a therapist, I’m here to support you through challenges and help you move toward meaningful change. I often find myself working with individuals who are navigating a variety of difficulties, such as anxiety, grief and loss, trauma, depression, ADHD, and interpersonal conflicts. I know how overwhelming these struggles can feel. My goal is to offer a safe, supportive space where you feel seen, heard, and accepted, so that you can build resilience, adjust to life’s changes, and reconnect with your sense of worth and grow.
Hey there! As a therapist, I’m here to support you through challenges and help you move toward meaningful change. I often find myself working with individuals who are navigating a variety of difficulties, such as anxiety, grief and loss, trauma, depression, ADHD, and interpersonal conflicts. I know how overwhelming these struggles can feel. My goal is to offer a safe, supportive space where you feel seen, heard, and accepted, so that you can build resilience, adjust to life’s changes, and reconnect with your sense of worth and grow.
(709) 910-8076 x6 View (709) 910-8076 x6

See more therapy options for A1A

How does your Counsellor compare?

Number of Counsellors in A1A

100+

Average cost per session

$157

Counsellors in A1A who prioritize treating:

90% Anxiety
90% Social Anxiety
90% Health Anxiety
90% Driving Anxiety
78% Stress
76% Depression
72% Relationship Issues

Average years in practice

10 Years

Top 3 insurances accepted

75% Canada Life | Great-West Life
70% Manulife
69% Medavie Blue Cross

How Counsellors in A1A see their clients

70% In Person and Online
30% Online Only

Gender breakdown

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

How can I find a therapist in A1A?

Search for nearby therapists or counsellors by inputting your city, postal code, 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 postal code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Most Counsellors and Psychotherapists listed in the directory are certified by one of the main professional associations, mainly the Canadian Counselling and Psychotherapy Association (CCPA), and will have a Certified Canadian Counsellor (CCC) designation with their name. Social Workers listed in the directory must be registered members of the college specific to their province. To be listed in the directory, Psychologists must be registered with the psychological college specific to their province or territory.

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given the considerable variation in professional regulation and prerequisites across Canadian provinces, some providers may possess significant professional qualifications without necessarily holding professional memberships or being obliged to acquire them. As a result, they may be selectively included without the "Verified" seal.

What’s the difference between a psychologist, a therapist, and a counsellor?

Psychologists, counsellors, psychotherapists and social workers can all provide counselling or talking therapy and have credentials and supervised, practical experience that enable them to do so in Canada.

Psychologists have a master's and/or doctoral degree and have passed both written and oral exams. Psychologists are able to complete mental health assessments and provide diagnostic information to clients as well as provide counselling therapy or psychotherapy. Counsellors and psychotherapists are expected to have a master's or doctoral degree in counselling psychology, social work, or a related mental health discipline and certification by a professional association, such as the Canadian Counselling and Psychotherapy Association. Registered Social Workers possess a Bachelor's or Master's degree in Social Work and where possible must be licensed or certified by the provincial government and/or regulatory college.

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 Canada could be between $100 and $200. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

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. Some types of outpatient mental health services are covered by Medicare, provided these are performed by a licensed mental health professional in the provinces or territory you reside in and who accepts the assignment.

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 postal code.

Are therapy sessions confidential?

Professionals licensed by regulatory colleges and those certified by associations such as the Canadian Counselling and Psychotherapy Association are obligated to uphold client confidentiality unless there is a legal reason that requires them to disclose information. 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 a court order, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.